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FORADIL 12 MICROGRAM DRY POWDER CAPSULES FOR INHALATION

Active substance(s): FORMOTEROL FUMARATE DIHYDRATE

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4. Possible side effects

PATIENT INFORMATION LEAFLET

5. How to store Foradil

Ref:LTT0089/030316/1/F

®

Foradil is suitable for most people, but, like all
medicines, it can sometimes cause side effects
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 might affect up to 1 in
100 people.
• 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 might affect less than 1 in 10,000 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)
• If you feel you have an irregular heart beat or a
fast heart beat. This might affect up to 1 in 10
people.
• If you feel a crushing chest pain (symptoms of
angina pectoris). This might affect less than 1 in
1000 people.
The side effects listed below have also been
reported.
Up to 1 in 10 people have experienced:
Headache, tremor, palpitations.
Up to 1 in 100 people have experienced:
Agitation, anxiety, feeling nervous, difficulties with
sleeping, dizziness, fast heart beat, throat
irritation, dry mouth, muscle cramps, muscle pain,
worsening of asthma.
Very rare side effects (likely to affect less than
1 in 10,000 patients):
Nausea, distorted sense of taste, swelling of
hands, ankles or feet, variations in blood pressure.
It is not known how frequently these effects
may happen:
Excessive thirst, frequent urination and tiredness
over an extended period of time (a possible
indication of high blood sugar). 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.

Do not store above 25oC.
Store in the original package.
Protect from heat.
Protect from moisture.
Do not take the capsules out of the blister pack
until you need them.

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:
www.mhra.gov.uk/yellowcard. By reporting
side effects you can provide more information on
the safety of this medicine.

(formoterol fumarate)
What you need to know about Foradil
Your doctor has decided that you need this
medicine to help treat your condition.

2. Things to consider before you start to take
Foradil

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 pack.

Please read this leaflet carefully before you
start to take your medicine. It contains
important information. Keep the leaflet in a safe
place because you may want to read it again.

Some people MUST NOT take Foradil. Talk to
your doctor if:
• you know you’re allergic to Foradil, or if you
have ever had an unusual or allergic reaction to
formoterol or inhaled lactose
• you are breastfeeding

If your tablets become discoloured or show any
other signs of deterioration, consult your
pharmacist who will tell you what to do.

If you have any other questions, or if there is
something you don’t understand, please ask
your doctor or pharmacist.

Foradil is not suitable for children under six years
of age.

If your doctor tells you to stop taking Foradil,
please take any unused capsules back to your
pharmacist to be destroyed.

This medicine has been prescribed for you. Never
give it to someone else. It may not be the right
medicine for them even if their symptoms seem to
be the same as yours.

Medicines should not be disposed of via
wastewater or household waste. Ask your
pharmacist how to dispose of medicines no longer
required. These measures will help to protect the
environment.

If any of the side effects gets serious, or if you
notice any side effects not listed in this leaflet,
please tell your doctor or pharmacist.

6. Further information
Each hard gelatin capsule contains 12 micrograms
of the active ingredient formoterol fumarate
dihydrate.
The capsules also contain lactose monohydrate,
gelatin, shellac, black iron oxide (E 172),
propylene glycol and ammonium hydroxide 28%.
Pack contains a cream plastic inhaling device with
a light blue base, press button and cap. Foradil is
a white inhalation powder in a clear capsule with
‘CG’ printed in black on the body and ‘FXF’ printed
in black on the cap.
The pack contains an inhaler and a blister pack
containing 60 capsules.
Manufacturer and Product Licence Holder
Foradil is manufactured by Novartis Poland Sp.
z.o.o., ul. Marynarska 15, 02-674 Warsaw, Poland
and procured from within the EU.
Product Licence Holder: LTT Pharma Limited,
Redditch, B98 0RE and repackaged by Lexon
(UK) Ltd, B98 0RE.

POM
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.

Foradil 12 microgram Dry Powder Capsules for Inhalation

PL 33723/0089

Foradil is a registered trademark of Astellas
Pharma Inc.
Aerolizer is a registered trademark of Novartis AG
Leaflet revision date: 03/03/16

Blind or partially sighted?
Is this leaflet hard to see or read?
Phone Lexon (UK) Limited,
Tel: 01527 505414 for help.

Your medicine is called Foradil 12 microgram Dry
Powder Capsules for Inhalation, throughout this
leaflet it will be referred to as Foradil.
In this leaflet:
1. What Foradil is and what it’s used for
2. Things to consider before you start to take
Foradil
3. How to take Foradil
4. Possible side effects
5. How to store Foradil
6. Further information
1. What Foradil is and what it’s used for
The Foradil pack includes a blister pack of
capsules containing the medicine and an inhaler
device for taking the medicine.
Instructions for using the inhaler are given later on
in the leaflet.
The active ingredient in this medicine is
formoterol. 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).

The very small amount of lactose in Foradil is
unlikely to cause problems in lactose intolerant
patients.
You should also ask yourself these questions
before taking Foradil. If the answer to any of
these questions is YES, tell your doctor or
pharmacist because Foradil might not be the
right medicine for you.
• Is this the only asthma medicine you have?
• Do you suffer from any heart problems?
• Do you have high blood pressure?
• Do you have an overactive thyroid gland?
• Do you have an aneurysm (area where an artery
is swollen because the wall of the artery is
weak?)
• Do you have a heart disorder such as abnormal
electrical signal called “prolongation of QT
interval”?
• Are you diabetic?
• Do you have pheochromocytoma (a tumor of the
adrenal gland that can affect blood pressure)?
• Are you pregnant?
Are you taking other medicines?
Some medicines can interfere with your treatment.
Make sure your doctor knows if you are taking any
of the following:
• 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

• You should not take more than 4 capsules in a

Always tell your doctor about all the medicines you
are taking. This means medicines you have
bought yourself as well as medicines on
prescription from your doctor.

When you have asthma you must also be
taking an inhaled steroid at the same time as
Foradil.





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.
• 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 diabetic
Will there be any problems with driving or
using machinery?
In some patients, Foradil has been reported to
cause dizziness. If you feel dizzy, do not drive or
operate machinery.

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.

For the treatment of COPD (Chronic
Obstructive Pulmonary Disease)
Adults and the elderly
• 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.

3. How to take Foradil
The doctor will tell you how much Foradil to take
and when to take it. Always follow his/her
instructions carefully. The dose will be on the
pharmacist’s label. Check the label carefully. If you
are not sure, ask your doctor or pharmacist. Keep
using the inhaler for as long as you have been told
unless you have any problems. In that case, check
with your doctor.

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 evening.

3. 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.

4. Twist the mouthpiece
to the closed position
until it clicks.

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.

8. 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.
9. After use, tip out the empty capsule and close
the mouthpiece.
10. Replace the cap.
11. If you need to clean the inhaler, wipe the
mouthpiece and capsule compartment with a
dry cloth or a clean soft brush.

5. 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.

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.
What if you forget to take a dose?
If you miss a dose, take it as soon as you
remember. Then go on as before. Do not double
the dose.

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.



2. 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.

7. 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.

6. Breathe out fully.

1. Pull off the cap.

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.

Ref:LTT0089/030316/1/B

4. Possible side effects
Foradil is suitable for most people, but, like all
medicines, it can sometimes cause side effects
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 might affect up to 1 in
100 people.
• 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 might affect less than 1 in 10,000 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)
• If you feel you have an irregular heart beat or a
fast heart beat. This might affect up to 1 in 10
people.
• If you feel a crushing chest pain (symptoms of
angina pectoris). This might affect less than 1 in
1000 people.
The side effects listed below have also been
reported.
Up to 1 in 10 people have experienced:
Headache, tremor, palpitations.
Up to 1 in 100 people have experienced:
Agitation, anxiety, feeling nervous, difficulties with
sleeping, dizziness, fast heart beat, throat
irritation, dry mouth, muscle cramps, muscle pain,
worsening of asthma.
Very rare side effects (likely to affect less than
1 in 10,000 patients):
Nausea, distorted sense of taste, swelling of
hands, ankles or feet, variations in blood pressure.
It is not known how frequently these effects
may happen:
Excessive thirst, frequent urination and tiredness
over an extended period of time (a possible
indication of high blood sugar). 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:
www.mhra.gov.uk/yellowcard. By reporting
side effects you can provide more information on
the safety of this medicine.

PATIENT INFORMATION LEAFLET

5. How to store Formoterol fumarate dihydrate
Do not store above 25oC.
Store in the original package.
Protect from heat.
Protect from moisture.
Do not take the capsules out of the blister pack
until you need them.
Keep out of the sight and reach of children.
Do not use Formoterol fumarate dihydrate after
the expiry date which is printed on the outside of
the pack.
If your tablets become discoloured or show any
other signs of deterioration, consult your
pharmacist who will tell you what to do.
If your doctor tells you to stop taking Formoterol
fumarate dihydrate, please take any unused
capsules back to your pharmacist to be destroyed.
Medicines should not be disposed of via
wastewater or household waste. Ask your
pharmacist how to dispose of medicines no longer
required. These measures 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,
gelatin, shellac, black iron oxide (E 172),
propylene glycol and ammonium hydroxide 28%.
Pack contains a cream plastic inhaling device with
a light blue base, press button and cap.
Formoterol fumarate dihydrate is a white inhalation
powder in a clear capsule with ‘CG’ printed in
black on the body and ‘FXF’ printed in black on
the cap.
The pack contains an inhaler and a blister pack
containing 60 capsules.
Manufacturer and Product Licence Holder
Formoterol fumarate dihydrate is manufactured by
Novartis Poland Sp. z.o.o., ul. Marynarska 15,
02-674 Warsaw, Poland and procured from within
the EU. Product Licence Holder: LTT Pharma
Limited, Redditch, B98 0RE and repackaged by
Lexon (UK) Ltd, B98 0RE.

POM

PL 33723/0089

Aerolizer is a registered trademark of Novartis AG
Leaflet revision date: 03/03/16

Blind or partially sighted?
Is this leaflet hard to see or read?
Phone Lexon (UK) Limited,
Tel: 01527 505414 for help.

Ref:LTT0089/030316/2/F

Formoterol Fumarate Dihydrate 12 microgram Dry Powder
Capsules for Inhalation
(formoterol fumarate)
What you need to know about Formoterol
fumarate dihydrate
Your doctor has decided that you need this
medicine to help treat your condition.
Please read this leaflet carefully before you
start to take your medicine. It contains
important information. Keep the leaflet in a safe
place because you may want to read it again.
If you have any other questions, or if there is
something you don’t understand, please ask
your doctor or pharmacist.
This medicine has been prescribed for you. Never
give it to someone else. It may not be the right
medicine for them even if their symptoms seem to
be the same as yours.
If any of the side effects gets serious, or if you
notice any side effects not listed in this leaflet,
please tell your doctor or pharmacist.
Your medicine is called Formoterol fumarate
dihydrate12 microgram Dry Powder Capsules for
Inhalation, throughout this leaflet it will be referred
to as Formoterol fumarate dihydrate.
In this leaflet:
1. What Formoterol fumarate dihydrate is and what
it’s used for
2. Things to consider before you start to take
Formoterol fumarate dihydrate
3. How to take Formoterol fumarate dihydrate
4. Possible side effects
5. How to store Formoterol fumarate dihydrate
6. Further information
1. What Formoterol fumarate dihydrate is and
what it’s used for
The Formoterol fumarate dihydrate pack includes a
blister pack of capsules containing the medicine
and an inhaler device for taking the medicine.
Instructions for using the inhaler are given later on
in the leaflet.
The active ingredient in this medicine is formoterol.
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.





Formoterol fumarate dihydrate is used to treat
asthma in people who are already taking inhaled
steroids but still have symptoms such as
wheezing and breathlessness.
Taking Formoterol fumarate dihydrate regularly
together with inhaled steroids will help to prevent
breathing problems.
Formoterol fumarate dihydrate is also used to
treat breathing problems in patients with chronic
obstructive pulmonary disease (COPD).

2. Things to consider before you start to take
Formoterol fumarate dihydrate
Some people MUST NOT take Formoterol
fumarate dihydrate. Talk to your doctor if:
• you know you’re allergic to Formoterol fumarate
dihydrate, or if you have ever had an unusual or
allergic reaction to formoterol or inhaled lactose
• you are breastfeeding
Formoterol fumarate dihydrate is not suitable for
children under six years of age.
The very small amount of lactose in Formoterol
fumarate dihydrate is unlikely to cause problems in
lactose intolerant patients.
You should also ask yourself these questions
before taking Formoterol fumarate dihydrate. If
the answer to any of these questions is YES,
tell your doctor or pharmacist because
Formoterol fumarate dihydrate might not be the
right medicine for you.
• Is this the only asthma medicine you have?
• Do you suffer from any heart problems?
• Do you have high blood pressure?
• Do you have an overactive thyroid gland?
• Do you have an aneurysm (area where an artery
is swollen because the wall of the arter is weak?)
• Do you have a heart disorder such as abnormal
electrical signal called “prolongation of QT
interval”?
• Are you diabetic?
• Do you have pheochromocytoma (a tumor of the
adrenal gland that can affect blood pressure)?
• Are you pregnant?
Are you taking other medicines?
Some medicines can interfere with your treatment.
Make sure your doctor knows if you are taking any
of the following:
• 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

Always tell your doctor about all the medicines you
are taking. This means medicines you have
bought yourself as well as medicines on
prescription from your doctor.
Other special warnings
• You must not use Formoterol fumarate dihydrate
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
Formoterol fumarate dihydrate.
• If you feel that you are getting breathless or
wheezy while you are using Formoterol fumarate
dihydrate, you should continue to use it, but go
to see your doctor as soon as possible in case
you need another medicine.
• Treatment with Formoterol fumarate dihydrate
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 diabetic
Will there be any problems with driving or
using machinery?
In some patients, Formoterol fumarate dihydrate
has been reported to cause dizziness. If you feel
dizzy, do not drive or operate machinery.
3. How to take Formoterol fumarate dihydrate

• The usual dose for more severe cases is 2 puffs


(2 capsules) morning and evening.
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
Formoterol fumarate dihydrate
For the treatment of COPD (Chronic
Obstructive Pulmonary Disease)
Adults and the elderly
• 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
Formoterol fumarate dihydrate. 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 Formoterol
fumarate dihydrate 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 Formoterol
fumarate dihydrate without talking to your doctor
first.
• If you feel sick or very shaky or if you have an
unusually fast heart beat, your Formoterol
fumarate dihydrate 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.

The doctor will tell you how much Formoterol
fumarate dihydrate to take and when to take it.
Always follow his/her instructions carefully. The
dose will be on the pharmacist’s label. Check the
label carefully. If you are not sure, ask your doctor
or pharmacist. Keep using the inhaler for as long
as you have been told unless you have any
problems. In that case, check with your doctor.
Formoterol fumarate dihydrate 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 Formoterol fumarate dihydrate.
• Do not swallow the capsules. The contents
of the capsule must be inhaled using the
inhaler provided.

2. 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.

3. 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.

4. Twist the mouthpiece
to the closed position
until it clicks.

7. 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.

8. 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.
9. After use, tip out the empty capsule and close
the mouthpiece.
10. Replace the cap.

5. 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.

11. If you need to clean the inhaler, wipe the
mouthpiece and capsule compartment with a
dry cloth or a clean soft brush.
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.
What if you forget to take a dose?
If you miss a dose, take it as soon as you
remember. Then go on as before. Do not double
the dose.

6. Breathe out fully.

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.

1. Pull off the cap.

For the treatment of asthma
Adults and the elderly
• The usual dose is 1 puff (1 capsule=1 puff)
morning and evening.
Ref:LTT0089/030316/2/B

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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