Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
You will use the capsule form with a special inhaler device called an Aerolizer?. The medicine capsule should not be swallowed. It is placed only into the Aerolizer? inhaler that comes with the package. This device opens the capsule and loads the powder medicine from the capsule into the air chamber. You then inhale the powder through the mouthpiece. Your caregiver will show you how to use your inhaler.
You will use the solution form with an inhaler device called a nebulizer. The nebulizer turns the medicine into a fine mist that you breathe in through your mouth and to your lungs. Do not mix any other medicines with the solution. Your caregiver will show you how to use your nebulizer.
This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. Ask your pharmacist for the Medication Guide if you do not have one. Your doctor might ask you to sign some forms to show that you understand this information.
If a dose is missed:
If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.
Keep the medicine in the foil pouch until you are ready to use it. Store at room temperature, away from heat and direct light. Do not freeze.
Ask your pharmacist, doctor, or health caregiver about the best way to dispose of the used medicine container and any leftover medicine. You will also need to throw away old medicine after the expiration date has passed.
Keep all medicine away from children and never share your medicine with anyone.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Make sure your doctor knows if you are also using steroids, digoxin (Lanoxin®), blood pressure medicines (such as atenolol, metoprolol, propranolol, Inderal®, Lopressor®, Tenoretic®, Tenormin®, or Toprol®), or diuretics or "water pills" (such as furosemide, hydrochlorothiazide, spironolactone, triamterene, Aldactone®, Dyazide®, Hyzaar®, Lasix®, or Maxzide®). Tell your doctor if you have used medicine for depression (such as amitriptyline, fluoxetine, nortriptyline, Elavil®, Pamelor®, Prozac®, Sarafem®, or Vivactil®), or an MAO inhibitor (such as isocarboxazid, phenelzine, selegiline, tranylcypromine, Eldepryl®, Marplan®, Nardil®, or Parnate®) within the past 2 weeks.
This medicine should not be used together with similar inhaled medicines (such as salmeterol/fluticasone, salmeterol, Advair®, or Serevent®).
Make sure your doctor knows if you are pregnant or breastfeeding, or if you have heart or heart rhythm problems, high blood pressure, epilepsy, thyroid problems, liver problems, or diabetes.
If you use any type of corticosteroid medicine to control your asthma, keep using it as ordered by your doctor. This includes corticosteroid medicines that are taken by mouth or inhaled (such as cortisone, prednisone, Azmacort®, Celestone®, Cortone®, Deltasone®, Flovent®, Prelone® Pediapred®, Vanceril®).
This should not be the first and only medicine you use for asthma or COPD. This medicine will not stop an asthma attack that has already started. Your doctor may prescribe another medicine for you to use in case of an acute asthma attack or an acute COPD flare-up. If the other medicine does not work as well, tell your doctor right away.
The powder contains lactose (milk sugar) and a small amount of milk proteins. Make sure your doctor knows if you have severe milk protein allergy before you start using this medicine.
If any of your asthma medicines do not seem to be working as well as usual, call your doctor right away. Do not change your doses or stop using your medicines without asking your doctor.
Your doctor will need to check your progress at regular visits while you are using this medicine. Be sure to keep all appointments.