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Brovana (Generic Arformoterol Oral Inhalation)

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WARNING

Compared to patients who did not take the medicine, more people who used an asthma medication identical to arformoterol had more severe asthma attacks that required hospital treatment or resulted in death. Arformoterol inhalation use may raise a person’s risk of developing severe asthma issues or passing away. The Food and Drug Administration (FDA) has not given arformoterol its approval to treat asthma. There is insufficient data to determine whether arformoterol raises mortality risk in those with chronic obstructive pulmonary disease (COPD; a group of lung diseases, which includes chronic bronchitis and emphysema).

You will get the manufacturer’s patient information sheet (Medication Guide) from your doctor or pharmacist when you start taking arformoterol and each time you refill your prescription. If you have any questions, carefully read the material and contact your doctor or pharmacist. The Medication Guide is also available on the manufacturer’s website or the Food and Drug Administration (FDA) website.

Discuss the dangers of using arformoterol inhalation with your doctor.

Why is this medication prescribed?

Wheezing, shortness of breath, coughing, and chest tightness brought on by chronic obstructive pulmonary disease are managed by arformoterol inhalation (COPD; a group of lung diseases, which includes chronic bronchitis and emphysema). Arformoterol belongs to a group of drugs known as long-acting beta agonists (LABAs). Breathing becomes simpler as a result of the lungs’ opening and relaxation.

How should this medicine be used?

Arformoterol is available as a solution (liquid) for oral inhalation through a nebulizer (machine that turns medication into a mist that can be inhaled). Typically, it is breathed in twice daily, in the morning and in the evening. Arformoterol should be inhaled at around the same times each day, with dosages spaced about 12 hours apart. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. As recommended, take arformoterol. Use it only as directed by your doctor, neither more nor less often.

Arformoterol inhalation should not be injected or swallowed.

Arformoterol should not be used to treat COPD attacks that come on suddenly. For use during attacks, your doctor will prescribe a short acting beta agonist inhaler such as albuterol (Proventil, Ventolin). Your doctor will likely advise you to cease using this kind of inhaler regularly but to keep using it to treat attacks if you were doing so before starting therapy with arformoterol.

Your condition may be deteriorating if your COPD symptoms worsen, arformoterol inhalation stops working as well, you require higher doses than normal of the medication you take for sudden attacks, or the medication you use for attacks does not reduce your symptoms. Use only the recommended dosage of arformoterol. Contact your physician right away.

Arformoterol does not treat chronic obstructive pulmonary disease; it just manages its symptoms. Even if you are feeling better, keep taking arformoterol. Without consulting your doctor, do not discontinue taking arformoterol. Your symptoms could get worse if you stop taking arformoterol abruptly.

Inhaling arformoterol involves the following steps:

  1. By tearing through the rough edge along the bag’s edge, you can open the foil pouch and take out the vial. Verify if the solution in the vial is colourless by looking at it. Call your doctor or pharmacist and stop using the solution if it is not colourless.
  2. Squeeze all of the liquid from the vial into the nebulizer’s reservoir after twisting off the vial’s top. Because mixing other medications with arformoterol could not be safe, don’t add any to the nebulizer. Unless your doctor specifically instructs you to mix certain nebulized medications, use all of them individually.
  3. Connect your mouthpiece or facemask to the nebulizer reservoir.
  4. Connect the compressor and nebulizer.
  5. Put the mouthpiece in your mouth or don the facemask while sitting up straight.
  6. Set the compressor to work.
  7. Till the nebulizer’s mist finishes producing, take slow, even breaths. It should take five to ten minutes to do this.
  8. Follow the manufacturer’s directions for cleaning the nebulizer.

Other uses for this medicine

Ask your doctor or pharmacist for more details if you believe this drug should be used for something else.

What special precautions should I follow?

Before using arformoterol inhalation,

  • If you have an allergy to formoterol (Foradil, in Symbicort), arformoterol, or any other drugs, let your doctor and pharmacist know right once.
  • If you use another LABA such formoterol (Foradil, in Symbicort) or salmeterol, let your doctor know (in Advair, Serevent). Arformoterol should not be taken with these drugs. Your doctor will advise you on which medications to take and which to quit using.
  • Inform your doctor and pharmacist about any vitamins, nutritional supplements, herbal items, and prescription and over-the-counter medicines you are now taking or intend to take. Any of the following should be mentioned: Antidepressants such amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), and trimipramine (Surmontil) are also included in this list. Beta blockers like atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), propranolol (Inderal), and sotalol (Betapace, Betapace AF); cisapride (Propulsid) (not sold in the United States); diet pills; disopyramide (Norpace); monoamine oxidase (MAO) inhibitors, such as isocarboxazid (Marplan), phenelzine (Nardil), and selegiline. Diuretics (‘water pills’); dofetilide (Tikosyn); dyphylline (Dilor, Lufyllin); erythromycin (E.E.S., E-Mycin, Erythrocin); treatments for asthma or colds; (Eldepryl, Emsam, Zelapar), pimozide (Orap), procainamide (Procanbid, Pronestyl), quinidine (Quinidex), tranylcypromine (Parnate), moxifloxacin (Avelox), oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), and prednisone (Deltasone), theophylline (Theo-Chr (Mellaril). Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects.
  • Inform your doctor if you have or have ever had diabetes, high blood pressure, seizures, an irregular heartbeat, liver or thyroid problems, high blood pressure, or high blood pressure.
  • Inform your doctor if you are expecting, intend to get pregnant, or are nursing a baby. Call your doctor if you become pregnant while taking arformoterol.
  • You should be aware that shortly after inhaling arformoterol, it might occasionally induce wheezing and breathing difficulties. Make a quick call to your doctor if this occurs. Until your doctor advises you to, stop using arformoterol inhalation.

What special dietary instructions should I follow?

Keep eating normally unless your doctor instructs you otherwise.

What should I do if I forget a dose?

Ignore the missed dose and carry on with my normal dosing routine. To make up for a missing dose, do not take a second dose.

What side effects can this medication cause?

Arformoterol could have negative effects. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Nervousness
  • Body part shaking that is uncontrollable
  • Headache
  • Dizziness
  • Tiredness
  • Having trouble falling or staying asleep
  • Pain, particularly back pain
  • Diarrhea
  • Nausea
  • Vomiting
  • Leg twitches

Some adverse effects can be very harmful. Call your doctor right away if any of these symptoms occur to you:

  • Hammering or rapid heartbeat
  • Chest pain
  • Hives
  • Rash
  • Swelling of the lower legs, hands, feet, ankles, face, tongue, lips, mouth, or eyes
  • Increased breathing or swallowing challenges

Arformoterol could have other negative effects. If you experience any strange issues while taking this drug, call your doctor right away.

What should I know about storage and disposal of this medication?

Keep this medication tightly wrapped in the foil pouch it was packaged in and out of the reach of children. Keep the medication out of the sun and heat. The drug can be kept at room temperature for up to six weeks or in the refrigerator until the specified expiration date on the packaging has passed. Any medication that has been kept at room temperature for more than six weeks or that has been taken out of the foil pouch and isn’t being used right away should be thrown away.

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medicines website at http://goo.gl/c4Rm4p for additional information.

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning. http://www.upandaway.org

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Additionally, information can be found online at https://www.poisonhelp.org/help. Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

Overdose signs could include the following:

  • Chest pain
  • Hammering, rapid, or erratic heartbeat
  • Nervousness
  • Headache
  • Dry mouth Uncontrollable shaking of a body portion
  • Muscle pain
  • Muscle cramps
  • Nausea
  • Dizziness
  • Excessive tiredness
  • Weakness
  • Having trouble falling or staying asleep

What other information should I know?

Keep all of your doctor’s appointments.

Do not share your medication with anybody else. Any queries you may have regarding medication refills should be directed to your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Brovana®
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