Indacaterol (By breathing)

Introduction

Indacaterol (in-da-KAT-er-ol)

Treats breathing problems caused by COPD (chronic obstructive pulmonary disease), including chronic bronchitis and emphysema. This medicine is a bronchodilator.

Brand Name(s)

Arcapta Neohaler

There may be other brand names for this medicine.

When This Medicine Should Not Be Used

You should not use this medicine if you have had an allergic reaction to indacaterol, or during an acute COPD flare-up. Do not use this medicine if you have asthma. Some people with asthma have had more severe asthma attacks when they used this medicine.

How to Use This Medicine

Powder Under Pressure, Capsule

  • Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
  • You will use this medicine with a special inhaler device called the Neohaler?. The medicine capsule should not be swallowed. It is placed only into the Neohaler? inhaler that comes with the package. This device opens the capsule and loads the powder medicine from the capsule into the air chamber. You then inhale the powder through the mouthpiece. Your caregiver will show you how to use your inhaler.
  • You may reuse your inhaler. But use a new inhaler with each refill of your medicine. Do not use the inhaler for this medicine with any other medicine.
  • This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. Ask your pharmacist for the Medication Guide if you do not have one.
  • This medicine comes with patient instructions. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.

If a dose is missed:

  • If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose. Do not use this medicine more than one time every 24 hours.

How to Store and Dispose of This Medicine

  • Keep the medicine in the blister card until you are ready to use it. Store at room temperature, away from heat, moisture, and direct light. Do not freeze.
  • Ask your pharmacist, doctor, or health caregiver about the best way to dispose of the used medicine container and any leftover medicine. You will also need to throw away old medicine after the expiration date has passed.
  • Keep all medicine away from children and never share your medicine with anyone.

Drugs and Foods to Avoid

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

  • This medicine should not be used together with similar inhaled medicines such as arformoterol (Brovana?), budesonide/formoterol (Symbicort®), formoterol (Foradil®, Perforomist?), salmeterol (Serevent®), or salmeterol/fluticasone (Advair®).
  • Make sure your doctor knows if you are also using erythromycin (Ery-Tab®), ketoconazole (Nizoral®), ritonavir (Norvir®), theophylline (Theo-Dur®), verapamil (Calan®, Isoptin®, Verelan®), certain blood pressure medicines (such as atenolol, metoprolol, propranolol, Inderal®, Tenormin®, or Toprol®), a diuretic or "water pill" (such as furosemide, hydrochlorothiazide [HCTZ], torsemide, Demadex®, or Lasix®), or a steroid medicine (such as dexamethasone, prednisolone, prednisone, or Medrol®). Tell your doctor if you have used an MAO inhibitor (such as Eldepryl®, Marplan®, Nardil®, or Parnate®) within the past 2 weeks.
  • Tell your doctor if you are also using arsenic trioxide (Trisenox®), cisapride (Propulsid®), dofetilide (Tikosyn®), medicine for depression (such as amitriptyline, fluoxetine, nortriptyline, Elavil®, Pamelor®, Prozac®, Sarafem®, or Vivactil®), certain antibiotics (such as erythromycin, levofloxacin, moxifloxacin, sparfloxacin, Avelox®, Levaquin®, or Zagam®), or medicine to treat mental illness (such as haloperidol, mesoridazine, pimozide, prochlorperazine, quetiapine, thioridazine, ziprasidone, Compazine®, Geodon®, Haldol®, Mellaril®, Orap®, Serentil®, or Seroquel®).

Warnings While Using This Medicine

  • Make sure your doctor knows if you are pregnant or breastfeeding, or if you have heart or blood vessel disease, heart rhythm problems (such as QT prolongation), high blood pressure, diabetes, seizures, an overactive thyroid, or low potassium in the blood.
  • Tell your doctor if you are also using other medicines for your COPD. Your doctor may want you to stop using the other medicine and use it only during a severe COPD attack. Follow your doctor's instructions on how you should take your medicine.
  • This medicine should not be used if you are having a severe COPD attack, or if symptoms of COPD attack has already started. Your doctor may prescribe another medicine for you to use in case of an acute COPD attack. If the other medicine does not work as well, tell your doctor right away.
  • This medicine may cause paradoxical bronchospasm, which means your breathing or wheezing will get worse. Paradoxical bronchospasm may be life-threatening. Stop using this medicine and check with your doctor right away if you have coughing, difficulty with breathing, shortness of breath, or wheezing after using this medicine.
  • Hypokalemia (low potassium in the blood) may occur while you are using this medicine. Check with your doctor right away if you have more than one of the following symptoms: decreased urine; dry mouth; increased thirst; loss of appetite; mood changes; muscle pain or cramps; nausea or vomiting; numbness or tingling in the hands, feet, or lips; seizures; shortness of breath; uneven heartbeat; or unusual tiredness or weakness.
  • This medicine may affect blood sugar levels. If you are diabetic and notice a change in the results of your blood or urine sugar tests, check with your doctor.
  • The powder in the capsule contains lactose (milk sugar) and a small amount of milk proteins. Make sure your doctor knows if you have severe milk protein allergy before you start using this medicine.
  • If your symptoms do not improve or if they get worse, call your doctor.
  • Your doctor will need to check your progress at regular visits while you are using this medicine. Be sure to keep all appointments.

Possible Side Effects While Using This Medicine

Call your doctor right away if you notice any of these side effects:

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Chest pain or shortness of breath.
  • Cough, fever, chills, sore throat, runny or stuffy nose, and body aches.
  • Dry mouth, increased thirst, muscle cramps, nausea, or vomiting.
  • Fast, pounding, or uneven heartbeat.
  • Increased asthma attacks or other breathing problems.
  • Increased hunger or thirst.
  • Seizures or tremors.
  • Swelling in your hands, ankles, or feet.
  • Troubled breathing.
  • Unusual tiredness or weakness.

If you notice these less serious side effects, talk with your doctor:

  • Headache or dizziness.
  • Muscle or bone pain.
  • Rash or itching skin.
  • Upset stomach.

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088

Version Info

  • Last Reviewed on 06/12/2013

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This page was last updated: September 18, 2013

         
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