In a large clinical study, more people who used an asthma medication similar to arformoterol experienced more severe episodes of asthma that needed to be treated in a hospital or caused death than patients who did not use the medication. Use of arformoterol inhalation may increase the risk of serious asthma problems or death in people who have asthma. Arformoterol has not been approved by the Food and Drug Administration (FDA) to treat asthma. There is not enough information to tell whether arformoterol increases the risk of death in people who have chronic obstructive pulmonary disease (COPD; a group of lung diseases, which includes chronic bronchitis and emphysema).
Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with arformoterol and each time you refill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) or the manufacturer's website to obtain the Medication Guide.
Talk to your doctor about the risks of using arformoterol inhalation.
Arformoterol inhalation is used to control wheezing, shortness of breath, coughing, and chest tightness caused by chronic obstructive pulmonary disease (COPD; a group of lung diseases, which includes chronic bronchitis and emphysema). Arformoterol is in a class of medications called long-acting beta agonists (LABAs). It works by relaxing and opening air passages in the lungs, making it easier to breathe.
Arformoterol comes as a solution (liquid) to inhale by mouth using a nebulizer (machine that turns medication into a mist that can be inhaled). It is usually inhaled twice a day in the morning and the evening. Inhale arformoterol at around the same times every day, and space your doses about 12 hours apart. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use arformoterol exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.
Do not swallow or inject arformoterol inhalation.
Do not use arformoterol inhalation to treat sudden attacks of COPD. Your doctor will prescribe a short acting beta agonist inhaler such as albuterol (Proventil, Ventolin) to use during attacks. If you were using this type of inhaler on a regular basis before you began treatment with arformoterol, your doctor will probably tell you to stop using it regularly, but to continue to use it to treat attacks.
If your COPD symptoms become worse, if arformoterol inhalation becomes less effective, if you need more doses than usual of the medication you use to treat sudden attacks, or if the medication you use to treat attacks does not relieve your symptoms, your condition may be getting worse. Do not use extra doses of arformoterol. Call your doctor right away.
Arformoterol controls the symptoms of chronic obstructive pulmonary disease but does not cure the condition. Continue to use arformoterol even if you feel well. Do not stop using arformoterol without talking to your doctor. If you suddenly stop using arformoterol, your symptoms may worsen.
Open the foil pouch by tearing through the rough edge along the edge of the pouch and remove the vial. Look at the solution in the vial to be sure it is colorless. If it is not colorless, call your doctor or pharmacist and do not use the solution.
Twist off the top of the vial and squeeze all of the liquid into the reservoir of your nebulizer. Do not add any other medications to the nebulizer because it may not be safe to mix them with arformoterol. Use all nebulized medications separately unless your doctor specifically tells you to mix them.
Connect the nebulizer reservoir to your mouthpiece or facemask.
Connect the nebulizer to the compressor.
Sit upright and place the mouthpiece in your mouth or put on the facemask.
Turn on the compressor.
Breathe calmly, deeply, and evenly until mist stops forming in the nebulizer. This should take between 5 and 10 minutes.
Clean the nebulizer according to the manufacturer's instructions.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Unless your doctor tells you otherwise, continue your normal diet.
Skip the missed dose and continue your regular dosing schedule. Do not inhale a double dose to make up for a missed one.
nervousness
uncontrollable shaking of a part of the body
headache
dizziness
tiredness
difficulty falling asleep or staying asleep
pain, especially back pain
diarrhea
nausea
vomiting
leg cramps
fast or pounding heartbeat
chest pain
hives
rash
swelling of the eyes, face, tongue, lips, mouth, hands, feet, ankles, or lower legs
increased difficulty breathing or swallowing
Arformoterol may cause other side effects. Call your doctor if you have any unusual problems while using this medication.
Keep this medication in the foil pouch it came in, tightly closed, and out of reach of children. Protect the medication from heat and light. You may store the medication in the refrigerator until the expiration date printed on the package has passed, or you may store the medication at room temperature for up to 6 weeks. Throw away any medication that is outdated or no longer needed, that has been stored at room temperature for longer than 6 weeks, or that has been removed from the foil pouch and not used immediately. Talk to your pharmacist about the proper disposal of your medication.
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
chest pain
fast, pounding, or irregular heartbeat
nervousness
headache
uncontrollable shaking of a part of the body
dry mouth
muscle cramps
nausea
dizziness
excessive tiredness
weakness
difficulty falling asleep or staying asleep
Keep all appointments with your doctor.
Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
Last Revised - 05/01/2012
AHFS® Consumer Medication Information. © Copyright, 2012. The American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland. All Rights Reserved. Duplication for commercial use must be authorized by ASHP.