Precautions

Drug information provided by: Merative, Micromedex®

It is very important that your doctor check your progress at regular visits to see if this medicine is working properly and to check for any unwanted effects.

Tell your doctor about other medicines you are using for COPD. Follow your doctor's instructions on how you should take your medicine.

This medicine should not be used if you are having a COPD attack, or if symptoms of a COPD attack has already started. Your doctor will prescribe another medicine for you to use in case of an acute attack. If the other medicine does not work as well, tell your doctor right away.

This medicine should not be used together with similar inhaled medicines, such as arformoterol (Brovana®), formoterol (Foradil®, Perforomist®), glycopyrrolate (Robinul®), indacaterol (Onbrez®), ipratropium (Atrovent, Apovent®, Ipraxa®, Rinatec®), olodaterol (Striverdi® Respimat®), salmeterol (Serevent®), tiotropium (Spiriva®, Braltus®), umeclidinium (Incruse™ Ellipta®), or vilanterol.

This medicine may increase the chance of asthma-related problems. Be sure to read about these risks in the Medication Guide and talk to your doctor or pharmacist about any questions or concerns that you have.

This medicine may cause paradoxical bronchospasm, which means your breathing or wheezing will get worse. Paradoxical bronchospasm may be life-threatening. Check with your doctor right away if you have coughing, difficulty breathing, shortness of breath, or wheezing after using this medicine.

This medicine may cause serious allergic reactions, including anaphylaxis and angioedema, which can be life-threatening and require immediate medical attention. Call your doctor right away if you have a rash, itching, trouble breathing, trouble swallowing, or any swelling of your hands, face, mouth, or throat while you are using this medicine.

This medicine may increase your risk for heart and blood vessel problems, including changes in heart rhythm. Check with your doctor right away if you have dizziness, fainting spells, severe tiredness, chest pain, trouble with breathing, sudden or severe headache, or fast or irregular heartbeat.

Check with your doctor right away if blurred vision, difficulty in reading, or any other change in vision occurs during or after treatment. Your doctor may want your eyes be checked by an ophthalmologist (eye doctor).

This medicine may affect blood sugar and potassium levels. If you have heart disease or diabetes and notice a change in the results of your blood or urine sugar or potassium tests, check with your doctor.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.