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Loxapine powder

Pronunciation

Generic Name: loxapine (LOX-a-peen)
Brand Name: Adasuve

Loxapine powder may cause bronchospasm (narrowing of the airways) that can cause serious breathing problems. Your doctor will check you for breathing problems before and after you use loxapine powder. Tell your doctor right away if you have wheezing, coughing, chest tightness, or shortness of breath after you use loxapine powder.

Because of the risk of severe breathing problems, loxapine powder is only available through the Adasuve Risk Evaluation and Mitigation Strategy (REMS) program.

Loxapine powder should only be given in a health care facility enrolled in the Adasuve REMS program. Loxapine powder is an antipsychotic. It may increase the risk of death when used to treat mental problems caused by dementia in elderly patients. Most of the deaths were linked to heart problems or infection. Loxapine powder is not approved to treat mental problems caused by dementia.


Loxapine powder is used for:

Treating agitation in certain patients with schizophrenia or bipolar I disorder. It may also be used for other conditions as determined by your doctor.

Loxapine powder is a typical antipsychotic. Exactly how loxapine powder works is not known.

Do NOT use loxapine powder if:

  • you are allergic to any ingredient in loxapine powder or to amoxapine
  • you have had wheezing following a treatment with loxapine powder in the past
  • you have or have had asthma, chronic obstructive pulmonary disease (COPD), or other lung or breathing problems
  • you are having chest tightness, wheezing, coughing, or shortness of breath
  • you are taking medicines to treat asthma or COPD

Contact your doctor or health care provider right away if any of these apply to you.

Before using loxapine powder:

Some medical conditions may interact with loxapine powder. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a history of other mental problems, glaucoma, difficulty urinating, neuroleptic malignant syndrome (NMS), Parkinson disease, or seizures
  • if you have a history of heart attack or other heart problems (eg, heart failure, irregular heartbeat), stroke or mini-stroke, blood vessel problems (eg, in the brain), or high or low blood pressure
  • if you are dehydrated, have low blood volume, drink alcohol, or use street drugs

Some MEDICINES MAY INTERACT with loxapine powder. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Barbiturates (eg, phenobarbital), benzodiazepines (eg, lorazepam), narcotics (eg, codeine), phenothiazines (eg, chlorpromazine), or tricyclic antidepressants (eg, amitriptyline) because the risk of side effects, such as severe breathing problems or severe drowsiness, may be increased
  • Anticholinergics (eg, scopolamine) because they may increase the risk of loxapine powder's side effects

This may not be a complete list of all interactions that may occur. Ask your health care provider if loxapine powder may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use loxapine powder:

Use loxapine powder as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Loxapine powder comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get loxapine powder refilled.
  • Loxapine powder is for oral inhalation only. It will be given at your doctor's office, hospital, or clinic. Your health care provider will teach you how to use it. Be sure you understand how to use loxapine powder. Follow the procedures you are taught when you use a dose.
  • Your health care provider will check you for breathing problems after you use loxapine powder and at least every 15 minutes for at least 1 hour after you use it.
  • You should receive loxapine powder only under direct medical supervision by a doctor experienced in the use of loxapine powder.
  • If you miss a dose of loxapine powder, contact your doctor right away.

Ask your health care provider any questions you may have about how to use loxapine powder.

Important safety information:

  • Loxapine powder may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use loxapine powder with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Do not drink alcohol while you are using loxapine powder.
  • Check with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using loxapine powder; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
  • Loxapine powder may cause dizziness, light-headedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. This may be more likely to occur when you start to take loxapine powder, and also if your dose increases. To prevent these effects, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
  • Do not become overheated or dehydrated in hot weather or while you are being active; heatstroke, dizziness, or fainting may occur.
  • NMS is a possibly fatal syndrome that can be caused by loxapine powder. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once if you have any of these symptoms.
  • Tell your doctor or dentist that you take loxapine powder before you receive any medical or dental care, emergency care, or surgery.
  • Use loxapine powder with caution in the ELDERLY because they may be more sensitive to its effects.
  • Loxapine powder should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using loxapine powder while you are pregnant. Using loxapine powder during the third trimester may result in uncontrolled muscle movements or withdrawal symptoms in the newborn. Discuss any questions or concerns with your doctor. It is not known if this medicine is found in breast milk. Do not breast-feed while taking loxapine powder.

Possible side effects of loxapine powder:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Bad, bitter, or metallic taste in the mouth; drowsiness; sore throat.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; confusion; cough; fainting; fast or irregular heartbeat; increased sweating; mask-like face; neck spasms; new or worsening mental or mood changes; one-sided weakness; restlessness; seizures; severe or persistent dizziness, light-headedness, or headache; shortness of breath; slurred speech; stiff or rigid muscles; throat tightness; tongue sticking out; tremor; trouble swallowing or breathing; trouble urinating; vision changes; wheezing.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of loxapine powder:

Loxapine powder is handled and stored by a health care provider. Keep loxapine powder out of the reach of children and away from pets.

General information:

  • If you have any questions about loxapine powder, please talk with your doctor, pharmacist, or other health care provider.
  • Loxapine powder is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take loxapine powder or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about loxapine powder. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to loxapine powder. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using loxapine powder.

Review Date: August 8, 2016

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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