This medicine is a bronchodilator used to treat or prevent the symptoms of asthma, emphysema, and other breathing conditions. This medicine is also used to prevent the symptoms of breathing problems caused by exercise. It may also be used to treat other conditions as determined by your doctor.
Follow the directions for using this medicine provided by your doctor. An extra patient leaflet is available with this medicine. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. THIS MEDICINE IS FOR ORAL INHALATION ONLY. Do not spray in the eyes. If you get this medicine in the eyes, rinse immediately with cool tap water. PRIME THE INHALER according to the directions in the extra patient leaflet. Before using this medicine, be sure that the canister is properly placed in the inhaler unit. Remove the protective cap from the mouthpiece and check to make sure there are no hidden foreign objects. SHAKE WELL before each use. Breathe out slowly and completely through the mouth. Place the mouthpiece fully into the mouth in its upright position and close the lips around it, unless your doctor has told you otherwise. Your doctor may have told you to hold the inhaler 1 or 2 inches (2 or 3 centimeters) away from the open mouth or to use a special spacing device. As you start to take a slow deep breath through the mouth, press the canister and mouthpiece together at exactly the same time. This will release a dose of this medicine. Continue breathing in slowly and deeply. After you have breathed all the way in, remove the inhaler from your mouth, hold your breath for as long as comfortable (up to 10 seconds), then breathe out slowly through pursed lips or your nose. If more than 1 inhalation is to be used, wait 1 minute and repeat the above steps. Replace the protective cap after use. STORE THIS MEDICINE upright between 59 and 77 degrees F (15 and 25 degrees C). Do not freeze. Contents are under pressure. Do not puncture. Do not use or store near heat or open flame. Do not expose the container to extreme heat (temperatures above 120 degrees F / 48 degrees C) or cold. The container may burst. Store the inhaler with the mouthpiece down. Do not use after the expiration date on the container or box. KEEP THIS MEDICINE out of the reach of children and away from pets. THIS MEDICINE MAY CAUSE dry mouth or an unpleasant taste in your mouth. Rinsing your mouth with water after each dose may help relieve these effects. CLEAN THE INHALER according to the directions in the extra patient leaflet. IF THE INHALER BECOMES BLOCKED, wash the mouthpiece as directed. Do not use this medicine with any other mouthpiece. Do not use this mouthpiece with any other medicine. Keep track of how many sprays you have used. Do NOT place the canister in water to try to determine how much medicine you have left. Do not stop using this medicine without checking with your doctor. IF YOU MISS A DOSE OF THIS MEDICINE AND YOU ARE USING IT REGULARLY, use it as soon as possible. If it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not use 2 doses at once.
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT USE THIS MEDICINE if you are using another short-acting sympathomimetic bronchodilator (eg, pirbuterol). ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking beta-blockers (eg, atenolol, propranolol), digoxin, or diuretics (eg, furosemide, hydrochlorothiazide). Tell your doctor if you are taking linezolid, a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), or a tricyclic antidepressant (eg, amitriptyline), or if you have taken one of these medicines within the last 14 days. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including a history of heart problems (eg, fast or irregular heartbeat, heart failure), blood vessel problems, high blood pressure, low blood potassium levels, thyroid problems, diabetes, seizures, kidney problems, adrenal gland tumor (pheochromocytoma), allergies, pregnancy, or breast-feeding. Tell your doctor if you have ever had an unusual reaction to another sympathomimetic medicine (eg, pseudoephedrine), such as fast or irregular heartbeat, overexcitement, or severe trouble sleeping. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.
SIDE EFFECTS that may occur while taking this medicine include cough; headache; nervousness; runny or stuffy nose; sore or dry throat; tremor; trouble sleeping; unusual taste in mouth; or vomiting. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience chest pain; decreased coordination; fast breathing; fast or irregular heartbeat; muscle pain, weakness, or cramping; new or worsened breathing problems (eg, shortness of breath; wheezing); pounding in the chest; severe or persistent headache or dizziness; severe or persistent nausea or vomiting; sluggishness; voice changes. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; or unusual hoarseness. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
IF OVERDOSE IS SUSPECTED, contact your local poison control center or emergency room immediately. Symptoms of overdose may include chest pain; fainting; fast or irregular heartbeat; muscle pain, weakness, or cramping; seizures; severe or persistent dizziness, dry mouth, fatigue, headache, lightheadedness, nausea, nervousness, or trouble sleeping; severe or unusual drowsiness; or tremor.
If your symptoms do not improve or if they become worse, check with your doctor. Carry an identification card at all times that states you are taking this medicine. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out. CHECK WITH YOUR PHARMACIST about how to dispose of unused medicine.