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Package Leaflet: Information for the User

Foradil® 12 microgram
(formoterol fumarate)

• Treatment with Foradil may lead to your blood level of potassium becoming
too low. This may make you more susceptible to abnormal heart rhythm.
Therefore, your doctor may monitor your blood level of potassium, especially
if you have severe asthma
• Treatment with Foradil may lead to increased sugar levels in the blood.
Therefore, you might need to monitor your blood sugar levels if you are

Pregnancy, breast-feeding and fertility

The medicine is called Foradil 12 microgram capsules but it will be referred to
as Foradil through the remainder of this leaflet.

If you are pregnant or breast-feeding, think you may be pregnant or are
planning to have a baby, ask your doctor or pharmacist for advice before taking
this medicine.

Read all of this leaflet carefully before you start taking this medicine
because it contains important information for you.

Driving and using machines


Keep this leaflet. You may need to read it again.


If you have any further questions, ask your doctor or pharmacist.

In some patients, Foradil has been reported to cause dizziness. If you feel
dizzy, do not drive or operate machinery.


This medicine has been prescribed for you only. Do not pass it on to
others. It may harm them, even if their signs of illness are the same as


If you get any side effects, talk to your doctor or pharmacist. This includes
any possible side effects not listed in this leaflet (see section 4).

What is in this leaflet:
1. What Foradil is and what it is used for
2. Before you take Foradil
3. How to take Foradil
4. Possible side effects
5. How to store Foradil
6. Contents of the pack and other information

1. What Foradil is and what it is used for
The Foradil pack includes a blister pack of capsules containing the medicine
and an inhaler device for taking the medicine. The capsules are for inhalation
use only.
Instructions for using the inhaler are given later on in the leaflet.
The active ingredient in this medicine is formoterol fumarate. Formoterol is one
of a group of medicines called long-acting bronchodilators. It makes breathing
easier by relaxing muscle spasms in the air passages of the lungs.
• Foradil is used to treat asthma in people who are already taking inhaled
steroids but still have symptoms such as wheezing and breathlessness.
Taking Foradil regularly together with inhaled steroids will help to prevent
breathing problems
• Foradil is also used to treat breathing problems in patients with chronic
obstructive pulmonary disease (COPD)

Foradil contains lactose
If you have been told by your doctor that you have an intolerance to some
sugars, contact your doctor before taking this medicinal product.

3. How to take Foradil
Always take this medicine exactly as your doctor or pharmacist has told you.
Check with your doctor or pharmacist if you are not sure.
Foradil capsules must only be used with the inhaler provided. You must not try
to inhale them using another inhaler. Also, do not put other types of capsules
into the inhaler supplied with Foradil.
Do not swallow the capsules. The contents of the capsule must be
inhaled using the inhaler provided.

For the treatment of asthma
Adults and the elderly
• The usual dose is 1 puff (1 capsule=1 puff) morning and evening
• The usual dose for more severe cases is 2 puffs (2 capsules) morning and
• You should not take more than 4 capsules in a day
Children aged 6 and over
• The usual dose is 1 puff (1 capsule=1 puff) morning and evening
• A child should not take more than 2 capsules in a day.
When you have asthma you must also be taking an inhaled steroid at the
same time as Foradil.

For the treatment of COPD (Chronic Obstructive Pulmonary
Adults and the elderly

2. Before you take Foradil
Do not take Foradil if:
• you are allergic to formoterol fumarate dihydrate or any of the other
ingredients of this medicine (listed in section 6).
Foradil is not suitable for children under six years of age.
Talk to your doctor or pharmacist before taking Foradil if you:
• are taking any other asthma medicine
• suffer from any heart problems
• have high blood pressure
• have an overactive thyroid gland
• have an aneurysm (area where an artery is swollen because the wall of the
artery is weak)
• have a heart disorder such as abnormal electrical signal called “prolongation
of QT interval”
• are diabetic
• have pheochromocytoma (a tumor of the adrenal gland that can affect blood

• The usual dose is 1 puff in the morning and evening
Children under 18
• Not applicable
The effects of this medicine will normally last for 12 hours. If you do get attacks
of wheezing between doses, do not take extra doses of Foradil. Your doctor
will have prescribed another medicine for this purpose. If you are not sure
about this, check with your doctor.
• Do not stop or reduce the dose of Foradil or any other medicine for your
breathing just because you feel better, without talking to your doctor first. It is
very important to use these medicines regularly
• Do not increase your dose of Foradil without talking to your doctor first
• If you feel sick or very shaky or if you have an unusually fast heart beat, your
Foradil dose may be too high. Tell your doctor as soon as possible

How to use the capsules with the inhaler device
A child should be shown how to use the inhaler correctly and should only use it
with the help of an adult.

Other medicines and Foradil
Tell your doctor or pharmacist if you are taking, have recently taken or might
take any other medicines, particularly:
• Medicines for heart conditions including irregular heart beats, angina and
heart failure
• Medicines for high blood pressure
• Beta blockers (either as tablets or eye drops)
• Water tablets (diuretics)
• Medicines for depression, for example, monoamine oxidase inhibitors
(MAOIs) or tricyclics
• Anti-histamines or cold remedies (including any bought from the chemist)
• Medicines called ‘steroids’. Your doctor will know which these are
• Sympathomimetic agents, which are adrenaline-like medicines used to treat
asthma and nasal congestion
• Phenothiazines, which are a group of medicines which control mental
disorders such as schizophrenia, mania, psychotic conditions and anxiety
• Xanthines, for example theophylline or aminophylline, which are a class of
medicines used to treat asthma and chronic obstructive airways diseases
• Macrolides (for example Erythromycin) used to treat bacterial infections
• Anaesthetics like Halogenated hydrocarbons (for example Halothane). These
drugs are used to produce anaesthesia during surgery
• Anticholinergic drugs (for example Ipratropium bromide) used to treat
gastrointestinal disorders and genitourinary disorders


Pull off the cap.

Other special warnings
• You must not use Foradil to treat a sudden asthma attack. Your doctor will
have given you another inhaler (a ‘reliever’) for this
• It is very important to keep using your other asthma medicines, (inhaled
steroids known as a ‘preventer’), regularly. DO NOT stop using them or
change the dose when you start using Foradil
• If you feel that you are getting breathless or wheezy while you are using
Foradil, you should continue to use it, but go to see your doctor as soon as
possible in case you need another medicine

Hold the base of the inhaler firmly and
turn the mouthpiece in the direction of the arrow
on the bottom of the mouthpiece to open.

Take one of today’s capsules out of the
blister strip. Place it in the capsule- shaped
compartment in the base of the inhaler. It is
important that you remove the capsule from the
blister pack only immediately before you use it.

• An allergic reaction such as if you feel faint (you might have low blood
pressure), have a rash, or experience itching or facial swelling. This may
affect up to 1 in 1,000 people
• If you feel you have muscle weakness, muscle spasms or an abnormal heart
rhythm (these could mean you have a low blood potassium level). This may
affect up to 1 in 1,000 people
• If you feel you have an irregular heart beat or a fast heart beat. This may
affect up to 1 in 1,000 people
• If you feel a crushing chest pain (symptoms of angina pectoris). This may
affect up to 1 in 10,000 people.
The side effects listed below have also been reported.

Twist the mouthpiece to the closed
position until it clicks.

Common (may affect up to 1 in 10 people)
Headache, tremor, palpitations.
Uncommon (may affect up to 1 in 100 people)
Agitation, anxiety, feeling nervous, difficulties with sleeping, dizziness, fast
heart beat, throat irritation, dry mouth, muscle cramps, muscle pain, worsening
of asthma.
Rare (may affect up to 1 in 1,000 people)
Very rare side effects (may affect up to 1 in 10,000 people)
Distorted sense of taste, swelling of hands, ankles or feet, variations in blood
pressure. Excessive thirst, frequent urination and tiredness over an extended
period of time (a possible indication of high blood sugar).

Keeping the inhaler upright, firmly
squeeze the two blue buttons once only. This will
pierce the capsule. Release the buttons. Although
the capsule is now pierced, the powder will not be
released until you inhale it.

Not known (frequency cannot be estimated from the available data)
Headache and dizziness (symptoms of high blood pressure), cough and rash.
Some of these effects may wear off as you get used to the medicine.
If any of the symptoms become troublesome, or if you notice anything
else not mentioned here, please go and see your doctor. He/she may
want to give you a different medicine.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes any
possible side effects not listed in this leaflet. You can also report side effects
directly via the Yellow Card Scheme at:
By reporting side effects you can provide more information on the safety of this


Breathe out fully.

5. How to store Foradil
• Protect from moisture and heat. Do not store above 25ºC.
• Do not remove the capsules from the blister until you are ready to use them.
• Keep out of the sight and reach of children.
• Do not use Foradil after the expiry date which is printed on the outside of the
• If your doctor tells you to stop taking Foradil, please take any unused
capsules back to your pharmacist to be destroyed.
• If the medicine becomes discoloured or shows any other signs of
deterioration, you should seek the advice of your pharmacist who will advice
you what to do.

Place the mouthpiece in your
mouth and tilt your head slightly backwards.
Close your lips around the mouthpiece and
breathe in as quickly and as deeply as you
can. As you breathe in, you will inhale the
medicine into your lungs.
You should hear the capsule spinning in the
inhaler. If you do not hear this whirring noise,
the capsule may be stuck in the
compartment. If this occurs, open the inhaler
and loosen the capsule by prising it out of the
compartment. Do not try to loosen the
capsule by repeatedly pressing the buttons.
If you have heard the whirring
noise, hold your breath for as long as you comfortably can while
taking the inhaler out of your mouth. Then breathe normally. Open
the inhaler to see if any powder is still in the capsule. If there is still
powder in the capsule repeat steps 6 to 8.

• Do not throw them away with your normal household water or waste. This will
help to protect the environment.

6. Further information
Each hard gelatin capsule contains 12 micrograms of the active ingredient
formoterol fumarate dihydrate. The capsules also contain: lactose
monohydrate, gelatine, shellac, black iron oxide (E172), propylene glycol and
ammonium hydroxide 28%.
The pack contains an inhaler and a blister pack containing 60 capsules.
The hard gelatin capsules are clear, printed with “CG” on one cap and “FXF”
on the other cap and contain a white powder for inhalation. The blue and white
plastic breath actuated inhaler device has “Foradil” printed on the front and
marked “CE” on the base.


10. Replace the cap.

This product is manufactured by Novartis Poland Sp. z.o.o., ul. Marynarska 15,
02-674 Warsaw, Poland. It is procured from within the EU and repackaged by
Mediwin Limited, Product Licence Holder: Mediport Limited,
13 Martello Enterprise Centre, Courtwick Lane, Littlehampton, West Sussex,
BN17 7PA, United Kingdom.

11. If you need to clean the inhaler, wipe the mouthpiece and capsule
compartment with a dry cloth or a clean soft brush.



After use, tip out the empty capsule and close the mouthpiece.

Very occasionally, very small pieces of the capsule shell can get in the mouth.
If this happens, you may be able to feel these pieces on your tongue. The
capsule shell is made of gelatin which is harmless to humans, and will soften or
dissolve in the mouth and be swallowed. The chances of this happening will be
increased if the capsule is pierced many times (Step 5); hence it is
recommended that you do this only once for each capsule.

If you forget to take Foradil
If you miss a dose, take it as soon as you remember. Then go on as before. Do
not double the dose to make up for the forgotten dose.

What if you take too much?
If you, or anyone else, accidentally takes too much, tell your doctor or your
nearest hospital casualty department immediately. Take your medicine pack
with you so that people can see what you have taken.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not
everybody gets them.

Some side effects can be serious
Stop using Foradil and tell your doctor straight away if you notice:
• Bronchospasm with wheezing or coughing and difficulty in breathing. This
may affect up to 1 in 100 people

PL No: 18980/0831

The device conforms with Directive 93/42/EEC
FORADIL® is a registered trade mark of Novartis AG.
Date of leaflet preparation: 07/02/2017

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Further information

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