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Perforomist Inhalation Solution

Generic Name: formoterol (inhalation) (for MOE ter all)
Brand Names: Perforomist, Foradil Aerolizer>

Medically reviewed on Feb 4, 2018

What is Perforomist inhalation?

Perforomist inhalation (formoterol) is a long-acting bronchodilator. It relaxes muscles in the airways to improve breathing.

Perforomist is to prevent bronchospasm in adults with chronic obstructive pulmonary disease (COPD), including emphysema and chronic bronchitis.

Perforomist inhalation may also be used for purposes not listed in this medication guide.

Important Information

Do not use Perforomist to treat a sudden bronchospasm attack. It will not work fast enough. Use only a fast-acting inhalation medicine.

Formoterol may increase the risk of death or hospitalization in people with asthma, but the risk in people with COPD is not known.

Seek medical attention you have worsening breathing problems, or if you think your medications are not working as well.

Before taking this medicine

You should not use Perforomist if you are allergic to formoterol.

Formoterol may increase the risk of death or hospitalization in people with asthma, but the risk in people with COPD is not known. Talk with your doctor about your individual risk.

To make sure Perforomist inhalation is safe for you, tell your doctor if you have ever had:

It is not known whether Perforomist will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It is not known whether formoterol inhalation passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

How should I use Perforomist inhalation?

Use Perforomist exactly as prescribed by your doctor. Follow all directions on your prescription label. Use only the prescribed dose of this medicine, and do not use it for longer than your doctor recommends.

The usual dose of Perforomist inhalation solution is one ready-to-use vial, twice a day (morning and evening) breathed in through your nebulizer machine. Follow your doctor's dosing instructions very carefully. Do not use more than 2 vials of Perforomist inhalation solution a day.

Perforomist is not a rescue medicine. It will not work fast enough to treat a bronchospasm attack. Use only a fast acting inhalation medicine for an attack. Tell your doctor if any of your medicines seem to stop working as well in controlling your COPD.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

Perforomist solution is for use only with a standard jet nebulizer machine connected to an air compressor. Do not mix this medicine with other medicines in the nebulizer. Do not take this medicine by mouth or swallow it while inhaling.

To use the Perforomist solution with a nebulizer:

  • Open the foil pouch and single-use vial. Squeeze all of the medicine out into the chamber of the nebulizer. Attach the mouthpiece or face mask to the drug chamber. Then, attach the chamber to the compressor.

  • Sit upright in a comfortable position. Place the mouthpiece into your mouth or put the face mask on, covering your nose and mouth. Turn on the compressor.

  • Breathe in slowly and evenly until you have inhaled all of the medicine (usually 5 to 10 minutes). The treatment is complete when no more mist is formed by the nebulizer and the drug chamber is empty.

  • Clean the nebulizer after each use. Follow the cleaning directions that came with your nebulizer.

Use Perforomist inhalation regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Seek medical attention if you think your medications are not working as well.

Store this medicine at room temperature away from moisture and heat. Keep all vials in their original packaging until you are ready to use a dose. Throw away any Perforomist solution vials that have not been used within 3 months.

See also: Dosage Information (in more detail)

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include chest pain, fast or irregular heartbeats, nervousness, tremors, feeling weak or light-headed, fainting, or seizure (convulsions).

What should I avoid while using Perforomist inhalation?

Do not use a second form of formoterol (Bevespi, Dulera, Symbicort) or other long-acting inhaled bronchodilator unless your doctor tells you to. This includes arformoterol (Brovana), indacaterol (Arcapta), olodaterol (Striverdi, Stiolto Respimat), salmeterol (Advair, Serevent), or vilanterol (Breo Ellipta, Anoro Ellipta).

Perforomist side effects

Get emergency medical help if you have signs of an allergic reaction to Perforomist: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have;

  • wheezing, choking, or other breathing problems after using this medicine;

  • chest pain, pounding heartbeats or fluttering in your chest;

  • nervousness, trouble sleeping;

  • worsening breathing problems;

  • high blood sugar - increased thirst or urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, weight loss; or

  • low potassium - leg cramps, constipation, numbness or tingling, muscle weakness or limp feeling.

Common Perforomist side effects may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Perforomist?

Tell your doctor about all your current medicines and any you start or stop using, especially:

This list is not complete. Other drugs may interact with formoterol inhalation, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Perforomist only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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