Instructions

Use the medicine as needed if you experience wheezing or difficulty breathing.

Doses should be spaced at least 4 hours apart.

Keep the medicine at room temperature. Avoid heat and direct light.

Ask your doctor, nurse or pharmacist to show you how to use this medicine correctly.

Each time you receive a new inhaler, you need to get it ready to use. Shake the inhaler for 5 seconds, point it away from you and then spray into the air. Repeat this 3 more times. This process is called priming the pump and removes any air from the medicine canister.

Shake the inhaler and then spray into the air once before each use.

If you are using more than one puff or more than one inhaled medicine, wait at least 1 minute between puffs.

Keep track of how many times you use the inhaler. Do not use it more than the total number of doses shown on the package.

Drug interactions can change how medicines work or increase risk for side effects. Tell your health care providers about all medicines taken. Include prescription and over-the-counter medicines, vitamins, and herbal medicines. Speak with your doctor or pharmacist before starting or stopping any medicine.

Keep all appointments for medical exams and tests while on this medicine.

Do not use more than 8 inhalations in 24 hours.

Cautions

This medicine is not recommended for use in children younger than 12.

Tell your doctor and pharmacist if you ever had an allergic reaction to a medicine.

Some patients taking this medicine have experienced serious side effects. Please speak with your doctor to understand the risks and benefits associated with this medicine.

Do not use the medication any more than instructed.

Be very careful not to spray the medicine into your eyes. Wash your hands thoroughly before touching your eyes.

Your ability to stay alert or to react quickly may be impaired by this medicine. Do not drive or operate machinery until you know how this medicine will affect you.

During pregnancy, this medicine should be used only when clearly needed. Talk to your doctor about the risks and benefits.

It is unknown if this medicine passes into breast milk. Ask your doctor before breastfeeding.

If this medicine causes more wheezing or makes it harder to breathe, stop the medicine. Get medical help right away.

If you have any trouble using the medicine, please tell your doctor, nurse or pharmacist.

Side Effects

The following is a list of some common side effects from this medicine. Please speak with your doctor about what you should do if you experience these or other side effects.

• agitated feeling or trouble sleeping
• dizziness
• high blood pressure
• nervousness
• shakiness

Call your doctor or get medical help right away if you notice any of these more serious side effects:

• chest pain
• fast or irregular heart beats
• mood changes
• muscle cramps or weakness
• worsening breathing symptoms

A few people may have an allergic reaction to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.