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Indacaterol Oral Inhalation

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Why is this medication prescribed?

Indacaterol is commonly prescribed as a long-acting beta-agonist (LABA) for the maintenance treatment of chronic obstructive pulmonary disease (COPD). It is usually administered through a dry powder inhaler (DPI) or a soft mist inhaler (SMI).

Indacaterol works by relaxing the muscles in the airways, thereby opening them up and making it easier for individuals with COPD to breathe. It helps to reduce symptoms such as wheezing, shortness of breath, and coughing. Indacaterol is not intended for the treatment of asthma or acute bronchospasm.

How should this medicine be used?

The usual method of administration for Indacaterol is through an oral inhaler device, such as a dry powder inhaler. Here are some general instructions on how to use an inhaler for Indacaterol or similar medications:

  • Prepare the inhaler: Remove the inhaler device from its packaging. If it’s a new inhaler or hasn’t been used in a while, you may need to prime it by following the manufacturer’s instructions (e.g., shaking the inhaler, activating the dose counter).
  • Breathe out: Exhale gently and completely to empty your lungs.
  • Hold the inhaler correctly: Hold the inhaler in an upright position, with the mouthpiece at the bottom and the colored base facing you. Make sure your fingers are not blocking the air vents on the inhaler.
  • Breathe in and seal your lips: Close your lips around the mouthpiece, forming a seal, and avoid covering the air vents. Do not bite or chew on the mouthpiece.
  • Inhale the medication: Take a slow, deep breath through your mouth and simultaneously press down firmly on the dose-release button of the inhaler. This releases the medication as a fine powder for you to inhale.
  • Continue breathing: Keep inhaling slowly and deeply until your lungs are full. Then, hold your breath for about 5 to 10 seconds to allow the medication to deposit in your airways.
  • Breathe out and clean the inhaler: Remove the inhaler from your mouth, and breathe out slowly and gently. If needed, you can use a clean, dry cloth to wipe the mouthpiece. Remember to close the inhaler after use.

It’s important to note that these are general instructions, and it’s crucial to follow the specific instructions provided by your healthcare professional or the product’s prescribing information. If you have any questions or concerns about using Indacaterol or any other medication, consult your doctor or pharmacist for personalized guidance.

Other uses for this medicine

It’s always recommended to consult a healthcare professional or refer to the most recent prescribing information and guidelines for accurate and up-to-date information on medication uses.

What special precautions should I follow?

Regarding special precautions for Indacaterol (in its inhalation form), some important considerations include:

  • Asthma: Indacaterol is not indicated for the treatment of asthma and should not be used for asthma management or acute bronchospasm. It is specifically intended for use in COPD patients.
  • Cardiovascular effects: LABAs like Indacaterol may lead to an increase in heart rate, blood pressure, or other cardiovascular effects. Therefore, caution is advised when prescribing Indacaterol to patients with cardiovascular disorders, including hypertension, heart rhythm abnormalities, ischemic heart disease, and congestive heart failure.
  • Hypersensitivity reactions: Some individuals may experience hypersensitivity reactions such as rash, urticaria (hives), angioedema (swelling of face, lips, tongue, or throat), or bronchospasm after using Indacaterol. If any of these symptoms occur, immediate medical attention should be sought.
  • Drug interactions: Indacaterol may interact with other medications, including other beta2-adrenergic agonists, monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, and certain antifungal agents. It’s important to inform your healthcare provider about all the medications you are taking to avoid potential interactions.
  • Worsening of COPD symptoms: Indacaterol should not be used as a rescue medication for acute bronchospasm or worsening symptoms of COPD. If sudden or progressive deterioration in breathing occurs, immediate medical attention should be sought.

These are some general precautions associated with the use of Indacaterol. However, it’s crucial to consult a healthcare professional or refer to the prescribing information and medication guide specific to Indacaterol for comprehensive and accurate guidance.

What special dietary instructions should I follow?

Maintain your regular diet unless your doctor instructs you otherwise.

What should I do if I forget a dose?

Regarding missed doses, it is generally recommended to take your medication as soon as you remember. However, if it is almost time for your next scheduled dose, you should skip the missed dose and continue with your regular dosing schedule. It is important not to double up on doses to make up for a missed one. If you have any concerns or uncertainties, it is best to reach out to your healthcare provider for guidance.

What side effects can this medication cause?

Here are some common and less common side effects associated with indacaterol:

Common side effects:

  • Headache: Many people experience headaches while using indacaterol. These headaches are usually mild to moderate in intensity.
  • Cough: Indacaterol may cause a cough, which can be bothersome. This cough is typically due to irritation of the respiratory tract.
  • Sore throat: Some individuals may experience a sore throat as a result of using indacaterol.
  • Nasopharyngitis: This refers to inflammation of the nasal passages and the pharynx, which can cause symptoms like a runny or stuffy nose, sneezing, and a sore throat.
  • Back pain: Back pain has been reported in some individuals using indacaterol. The exact cause of this side effect is unclear.

Less common side effects:

  • Tremor: Indacaterol may cause muscle tremors or shaking, especially in the hands. This side effect is generally mild.
  • Palpitations: Some individuals may experience a sensation of rapid or irregular heartbeats (palpitations). It is important to consult a healthcare professional if this occurs.
  • Dizziness: Indacaterol can occasionally cause dizziness, which may be related to changes in blood pressure or other factors.
  • Insomnia: Insomnia or difficulty sleeping has been reported in some cases. It is advised to take indacaterol in the morning to minimize the impact on sleep.
  • Allergic reactions: While rare, allergic reactions to indacaterol can occur. Symptoms may include skin rash, itching, swelling, and difficulty breathing. Seek immediate medical attention if an allergic reaction is suspected.

It is essential to note that this is not an exhaustive list of all possible side effects. Some individuals may experience different or additional side effects. If you are using indacaterol and experience any concerning or persistent side effects, it is recommended to contact your healthcare provider for further evaluation and guidance.

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


  • Keep the medication in its original packaging and store it at room temperature, away from excessive heat and moisture.
  • Do not freeze the medication, as it may affect its effectiveness.
  • Keep the medication out of reach of children and pets, as it can be harmful if accidentally ingested.


  • Do not dispose of indacaterol inhalation capsules in household trash or flush them down the toilet. Instead, follow the specific disposal instructions provided by your healthcare provider or local waste disposal authorities.
  • These instructions may involve using a medication take-back program or a designated drug disposal container to ensure safe and proper disposal.

In case of emergency/overdose

  • If you suspect an overdose or experience severe side effects, such as an irregular heartbeat, chest pain, tremors, or difficulty breathing, seek immediate medical attention or call your local emergency helpline.
  • Be sure to inform the healthcare professionals about the medication you have taken and the dosage.

What other information should I know?

  • Indacaterol oral inhalation is not a rescue medication and should not be used for treating sudden breathing problems. It is intended for long-term maintenance therapy for COPD.
  • Inform your healthcare provider about all your medical conditions, including heart problems, high blood pressure, diabetes, seizures, or thyroid disorders, as well as any other medications you are taking, to avoid potential drug interactions.
  • Follow the dosing instructions provided by your healthcare provider carefully and do not exceed the prescribed dosage.
  • Indacaterol oral inhalation is not recommended for use in children or adolescents under the age of 18.
  • If you miss a dose, take it as soon as you remember. However, if it is almost time for the next scheduled dose, skip the missed dose and continue with your regular dosing schedule.
  • Contact your healthcare provider if you have any questions or concerns about the medication or its usage.

It’s important to consult with your healthcare provider or pharmacist for detailed and personalized instructions regarding the storage, disposal, and emergency procedures related to indacaterol oral inhalation, as they can provide the most accurate information based on your specific circumstances.

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