Usage, Directions and Indication
This is used to prevent and treat wheezing, difficulty breathing and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD). It is also sometimes used to treat or improve muscle paralysis (inability to move parts of the body) in patients with a condition that causes attacks of paralysis.
Adverse Reactions, Precautions and Warning
You should inform your doctor and pharmacist if you are allergic to it or any other medications, your medical history, the prescription and non-prescription medications, vitamins, nutritional supplements, and herbal products you are taking. You should know that the most common side effects are of fine tremor, nervousness, headache, muscle cramps, dry mouth, and palpitation. Other symptoms may be tachycardia (rapid heart rate), arrhythmias, flushing, myocardial ischaemia, and disturbances of sleep and behaviour. Rarely occuring, but of importance, are allergic reactions of paradoxical bronchospasm, urticaria, angioedema, hypotension, and collapse, whilst high doses may cause hypokalaemia (low potassium levels). This sometimes causes wheezing and difficulty breathing immediately after it is inhaled. If this happens, call your doctor right away. Do not use this when you are near a flame or source of heat. The inhaler may explode if it is exposed to very high temperatures.
Dosage and Administration
Your medication comes in canisters where it is designed to provide 200 inhalations. Throw it away after you have used the labeled number of inhalations. To use this, follow these: Remove the protective dust cap from the end of the mouthpiece and check the mouthpiece for dirt or other objects. Be sure that the canister is fully and firmly inserted in the mouthpiece. If you are using the inhaler for the first time or if you have not used the inhaler in more than 14 days, you will need to prime it. You may also need to prime the inhaler if it has been dropped. To prime the inhaler, shake it well and then press down on the canister 4 times to release 4 sprays into the air, away from your face. Be careful not to get it in your eyes. Shake it well. Breathe out as completely as possible through your mouth. Hold it with the mouthpiece on the bottom, facing you and the canister pointing upward. Place the open end of the mouthpiece into your mouth and close your lips tightly around the mouthpiece. Breathe in slowly and deeply through the mouthpiece while pressing it down once on the container to spray the medication into your mouth. Try to hold your breath for 10 seconds, remove it and breathe out slowly. If you were told to use 2 puffs, wait 1 minute and then repeat steps 3-7.
Important
This controls symptoms of asthma and other lung diseases but does not cure them. Do not stop using this without talking to your doctor.