Use this medicine only as directed by your doctor. Do not use more of it and do not use it more often than recommended on the label, unless otherwise directed by your doctor. Using the medicine more often may increase the chance of serious unwanted effects.
This medicine should come with a patient information leaflet and patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. If you do not understand the directions or you are not sure how to use the nebulizer, ask your doctor to show you what to do. Also, ask your doctor to check how you use the inhaler to make sure you are using it properly.
You will use this medicine with an inhaler device called a nebulizer connected to an air compressor. The nebulizer turns the medicine into a fine mist that you breathe in through your mouth and to your lungs. Your caregiver will show you how to use your nebulizer and compressor.
Do not swallow or inject the solution.
To use the inhalation solution in the nebulizer:
Use the medicine immediately after opening the foil pouch. Do not use if the solution turns pinkish to brownish in color or if it becomes cloudy.
Place the inhalation solution in the medicine reservoir or nebulizer cup on the machine.
Connect the nebulizer to the face mask or mouthpiece. Connect the nebulizer to the compressor.
To inhale the medicine, place the mouthpiece in your mouth, then turn on the compressor. Breathe in deeply and steadily until no more mist is formed in the nebulizer reservoir.
Use the nebulizer for about 5 to 10 minutes, or until the medicine in the nebulizer cup is gone.
Clean all the parts of the nebulizer after each use.
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
For oral inhalation dosage form (solution):
For maintenance treatment of COPD:
Adults—15 micrograms (mcg) 2 times a day (morning and evening) by nebulization. The total dose should not be more than 30 mcg per day.
Children—Use and dose must be determined by your doctor.
If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
Ask your healthcare professional how you should dispose of any medicine you do not use.
Store unopened vials of this medicine in the refrigerator. Do not freeze. An open vial of medicine must be used right away.
You may also store the unopened foil pouches of this medicine can also be stored at room temperature, away from heat and direct light, for up to 6 weeks. Throw away any unused medicine after 6 weeks.