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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 dihydrate. Formoterol fumarate dihydrate 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)
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 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
• 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. 1. Pull off the cap. 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. 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. 6. Breathe out fully. 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. 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. 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.
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
• 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.
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) Nausea.
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).
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: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can provide more information on the safety of this medicine.
How to Store Foradil
Keep out of the sight and reach of children. Do not store above 25°C. Store the capsules in the original blister in order to protect from moisture and do not remove until immediately before use. Do not use this medicine after the expiry date which is stated on the label. The expiry date refers to the last day of that month. Do not throw away any medicine via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
2 to 3 weeks on average
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