Do you have long-term breathing difficulties, or what your doctor calls COPD (Chronic Obstructive Pulmonary Disease)? If so, your doctor may have prescribed you a medicine to take through a `Nebulizer` to relieve your lungs. In this article, we are talking about one such medicine, Formoterol. Using this medicine correctly and correctly is very important for your well-being.
Simply put, what is Formoterol?
Formoterol is a medication used primarily to treat long-term lung conditions such as COPD (Chronic Obstructive Pulmonary Disease) . It works by opening the airways in your lungs and making it easier to breathe.
Think of it like getting a car serviced regularly. With regular daily use, this medicine helps keep your respiratory system in good condition. That's why we call it a 'controller' medicine .
But one thing to keep in mind is that this is not a medicine to be used in an emergency, when you suddenly feel short of breath. Your doctor may have prescribed a separate 'rescue inhaler' to use in such cases.
Things you need to tell your doctor before taking this medicine
Before prescribing Formoterol, it is important for your doctor to know your complete health history. Therefore, if you have any of the following medical conditions, be sure to tell your doctor .
- Diabetes (high blood sugar)
- Any type of heart disease
- High blood pressure
- Irregular heartbeat
- `Pheochromocytoma` (this is a specific tumor that occurs in the adrenal gland)
- Seizures
- Thyroid disease
- If you have an allergic reaction to formoterol or any other medicine, food, or dye.
- If you are pregnant or trying to get pregnant
- If you are a breastfeeding mother
How exactly do you use this medicine?
This medicine is used by inhaling it through a machine called a ``Nebulizer.'' This machine turns the liquid medicine into a very fine mist (aerosol) and allows you to inhale it into your lungs through your mouth or through your mouth and nose.
- Never mix this medicine with other medications in a nebulizer.
- Use the medicine you are given exactly as directed on the package insert. Never use it more often than your doctor has prescribed.
- This medicine is not approved for use in young children, so talk to your child's doctor about it.
What if I take too much by mistake?
If you think you have accidentally taken an overdose of this medicine, call the National Poisons Information Centre at the Colombo National Hospital immediately, or go to the Emergency Department (ETU) of the nearest hospital. This is very important.
Remember, this medicine is prescribed for you only . Never share it with anyone else.
What if I miss a dose of medicine?
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. Do not take a double dose for any reason.
Other medications that may interact with this medicine
Formoterol is a medication that can interact with some other medications, so it is important to tell your doctor about all the medications you are taking.
| Type of drug/substance that may cause problems | More information |
|---|---|
| MAOIs (a type of medication used to treat depression) | This should never be taken with medications like Carbex, Eldepryl, Marplan, Nardil, and Parnate. |
| Medicines for other breathing problems | Other inhalers or medications. |
| Blood pressure medication | The effectiveness of some blood pressure medications (e.g., beta-blockers) may be altered. |
| Medications for mental illness | Medications for conditions such as depression and anxiety. |
| Diuretics | Potassium levels in the body may be affected. |
| Some antibiotics | Like Clarithromycin, Erythromycin, Levofloxacin. |
| Like Prednisone or Cortisone. | |
| Caffeine and other stimulants | Coffee, tea, and some weight loss drugs. |
This list is not complete. Therefore, tell your doctor about all medications, vitamins, herbal remedies, and supplements you are taking. Also tell your doctor if you smoke or drink alcohol.
Things to keep in mind when using the medicine
- See your doctor regularly: Check your health status and see your doctor regularly. If your symptoms do not improve or worsen, let them know.
- Use a rescue inhaler in case of an emergency: As we mentioned earlier, do not use this medicine if you suddenly have difficulty breathing. Use the rescue inhaler that has been given to you for that. If you have to use the rescue inhaler frequently, it means that your condition is not under control. Call your doctor immediately.
- If you experience shortness of breath after taking this medicine: Some people may experience increased difficulty breathing after taking this medicine. If this happens, stop using the medicine immediately, use your 'rescue inhaler', and call your doctor.
- Ask before taking medicine for other illnesses: Before taking medicine from the pharmacy for things like coughs and colds, ask your doctor. Some medicines may interact with Formoterol.
What are the possible side effects?
Like any medication, this one can have side effects. They can be divided into two main categories.
| Side effects that should be reported to your doctor immediately | |
|---|---|
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue or throat. |
| Changes in heart rate | Fast or irregular heartbeat, dizziness, chest pain, difficulty breathing. |
| Increased blood pressure | This can be confirmed by a doctor's examination. |
| Muscle pain or limping | Muscle pain or cramps. |
| Increased difficulty breathing after using the medicine | Wheezing or trouble breathing that is worse after use. |
| Things that are usually not serious, but should be reported to the doctor if they persist | |
| Cough | Headache |
| Runny or stuffy nose | Sore throat |
| Tremors | Difficulty falling asleep |
How to store medicine?
- Refrigeration (best method): Store unopened vials in the refrigerator in their foil pouch. Do not break the vial until ready to use. Once broken, use immediately.
- Storage at room temperature: This medicine can be stored at room temperature for up to 3 months. Keep it in the foil packet. Keep it away from excessive heat and cold. Discard after 3 months or when the expiration date (whichever comes first).
- Disposing of expired or unwanted medication: Ask your doctor for advice on how to safely dispose of expired medication.
Take-Home Message
- Formoterol is a 'controller' medication used daily to control the disease, not a 'rescue' medication used in emergencies.
- If you suddenly become short of breath, always use your rescue inhaler.
- Tell your doctor about all medical conditions you have and all other medications you take.
- If you experience increased difficulty breathing after taking this medication, stop taking the medication immediately and call your doctor.
- Store the medicine properly, discard it after it expires, and never share this medicine with others.











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