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|ProAir HFA Aerosol

ProAir HFA Aerosol

ProAir HFA Aerosol is used for:

Treating or preventing breathing problems in patients who have asthma or certain other airway diseases. It may be used to prevent breathing problems caused by exercise. It may also be used for other conditions as determined by your doctor.

ProAir HFA Aerosol is a sympathomimetic (beta agonist) bronchodilator. It works by relaxing the smooth muscle in the airway, which allows air to flow in and out of the lungs more easily.

Do NOT use ProAir HFA Aerosol if:

• you are allergic to any ingredient in ProAir HFA Aerosol
• you are using another short-acting sympathomimetic bronchodilator (eg, metaproterenol)

Contact your doctor or health care provider right away if any of these apply to you.

Before using ProAir HFA Aerosol:

Some medical conditions may interact with ProAir HFA Aerosol. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have a history of heart problems, (eg, fast or irregular heartbeat, low blood output), blood vessel problems, high blood pressure, or low blood potassium levels
• if you have a history of seizures, diabetes, an overactive thyroid, kidney problems, or an adrenal gland tumor (pheochromocytoma)
• if you have ever had an unusual reaction to another sympathomimetic medicine (eg, pseudoephedrine)
• if you are taking a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) or tricyclic antidepressant (eg, amitriptyline), or if you have taken either of these medicines within the last 14 days

Some MEDICINES MAY INTERACT with ProAir HFA Aerosol. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood potassium levels may be increased
• Catechol-O-methyltransferase (COMT) inhibitors (eg, entacapone), MAOIs (eg, phenelzine), short-acting sympathomimetic bronchodilators (eg, metaproterenol), stimulants (eg, amphetamine), sympathomimetics (eg, pseudoephedrine), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of ProAir HFA Aerosol"s side effects
• Beta-blockers (eg, propranolol) because they may decrease ProAir HFA Aerosol"s effectiveness
• Digoxin because its effectiveness may be decreased by ProAir HFA Aerosol

This may not be a complete list of all interactions that may occur. Ask your health care provider if ProAir HFA Aerosol may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use ProAir HFA Aerosol:

Use ProAir HFA Aerosol as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• An extra patient leaflet is available with ProAir HFA Aerosol. Talk to your pharmacist if you have questions about this information.
• ProAir HFA Aerosol is for oral inhalation only. Do not spray in the eyes. If you get ProAir HFA Aerosol in the eyes, rinse immediately with cool tap water.
• Prime the inhaler before the first use, any time it has not been used for more than 2 weeks, or if it has been dropped. To prime the inhaler, point it away from you and others. Spray 3 times, shaking well before each spray.
• Before using ProAir HFA Aerosol, be sure that the canister is properly placed in the inhaler unit. Shake well before each use. Remove the protective cap from the mouthpiece and check to make sure there are no hidden foreign objects. Breathe out slowly and completely. Place the mouthpiece fully into the mouth and close the lips around it, unless your doctor has told you otherwise. Your doctor may have told you to hold the inhaler 1 or 2 inches (2 or 3 centimeters) away from the open mouth or to use a special spacing device. As you start to take a slow deep breath, press the canister and mouthpiece together at exactly the same time. This will release a dose of ProAir HFA Aerosol. Continue breathing in slowly and deeply and hold for as long as comfortable (up to 10 seconds), then breathe out slowly through pursed lips or your nose. If more than 1 inhalation is to be used, wait a 1 minute and repeat the above steps. Keep the spray away from your eyes.
• ProAir HFA Aerosol may cause dry mouth or an unpleasant taste in your mouth. Rinsing your mouth with water after each dose may help relieve these effects.
• Clean the plastic mouthpiece and cap at least once a week to prevent blockage. Remove the metal canister. Rinse in warm running water for 30 seconds. Shake off excess water, and then allow the mouthpiece to air dry completely (eg, overnight). After the plastic case and cap dry, replace the canister. Spray 1 time into the air away from yourself and others. Place the cap back on the mouthpiece. Do NOT allow the metal canister to become wet.
• If you must use the inhaler before it is completely dry, shake the excess water off of the plastic mouthpiece. Shake the canister well, then insert into the plastic case and spray 1 time into the air away from yourself and others. You may then use a dose. After your dose, rewash the plastic case and air dry completely.
• If the inhaler becomes blocked, wash the plastic case as directed.
• This inhaler contains 200 sprays. Do not use this inhaler after 200 sprays have been used. It may not give the correct amount of medicine with each spray.
• Do not use ProAir HFA Aerosol with any other mouthpiece. Do not use this mouthpiece with any other medicine.
• Do not stop using ProAir HFA Aerosol without checking with your doctor.
• If you miss a dose of ProAir HFA Aerosol and you are using it regularly, use it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use ProAir HFA Aerosol.

Important safety information:

• ProAir HFA Aerosol may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use ProAir HFA Aerosol with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• ProAir HFA Aerosol may sometimes cause severe breathing problems right after you use a dose. When this problem occurs, it is often after the first use of a new canister or vial. If this happens, seek medical care at once.
• If your usual dose does not work well, your symptoms become worse, or you need to use it more often than normal, contact your doctor at once. This may be a sign of seriously worsening asthma. Your doctor may need to change your dose or medicine.
• ProAir HFA Aerosol should work for up to 4 to 6 hours. Do NOT use more than the recommended dose or use more often than prescribed without checking with your doctor. The risk of severe heart problems and sometimes death may be increased with overuse of ProAir HFA Aerosol.
• Some patients may have trouble using ProAir HFA Aerosol correctly. Some may also get mouth sores or a bad taste in the mouth after using it. If you have any of these problems, ask your health care provider if a spacing device may help.
• Tell your doctor or dentist that you take ProAir HFA Aerosol before you receive any medical or dental care, emergency care, or surgery.
• Talk with your doctor or pharmacist about all of your asthma medicines and how to use them. Do not start, stop, or change the dose of any asthma medicine unless your doctor tells you to.
• Keep track of how many inhalations you use. When your medicine supply begins to run low, call your doctor or pharmacy as soon as possible for a refill.
• Do NOT place the canister in water to try to determine how much medicine you have left.
• The contents of this canister are under pressure. Do NOT puncture, break, or burn container, even if it appears empty.
• Diabetes patients - ProAir HFA Aerosol may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Use ProAir HFA Aerosol with caution in the ELDERLY; they may be more sensitive to its effects.
• ProAir HFA Aerosol should be used with extreme caution in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.
• Caution is advised when using ProAir HFA Aerosol in CHILDREN; they may be more sensitive to its effects.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using ProAir HFA Aerosol while you are pregnant. It is not known if ProAir HFA Aerosol is found in breast milk. If you are or will be breast-feeding while you use ProAir HFA Aerosol, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of ProAir HFA Aerosol:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Cough; headache; nervousness; sinus inflammation; sore or dry throat; tremor; trouble sleeping; unusual taste in mouth.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fast or irregular heartbeat; new or worsened trouble breathing; pounding in the chest; severe headache or dizziness; unusual hoarseness; wheezing.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center ( http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include chest pain; fast or irregular heartbeat; seizures; severe headache or dizziness; severe or persistent nervousness or trouble sleeping; tremor.

Store ProAir HFA Aerosol upright between 59 and 77 degrees F (15 and 25 degrees C). Do not freeze. Contents are under pressure. Do not puncture. Do not use or store near heat or open flame. Do not expose the container to temperatures above 120 degrees F (48 degrees C). The container may burst. Store the inhaler with the mouthpiece down. Do not use after the expiration date on the container or box. Keep ProAir HFA Aerosol out of the reach of children and away from pets.

General information:

• If you have any questions about ProAir HFA Aerosol, please talk with your doctor, pharmacist, or other health care provider.
• ProAir HFA Aerosol is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about ProAir HFA Aerosol. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.