Indications & Dose:
Reversible airways obstruction in patients requiring longterm regular bronchodilator therapy
Nocturnal asthma in patients requiring longterm regular bronchodilator therapy
Prophylaxis of exercise-induced bronchospasm in patients requiring long-term regular bronchodilator therapy
Chronic asthma in patients who regularly use an inhaled corticosteroid
Child 6–11 years: 12 micrograms twice daily, a daily dose of 24 micrograms of formoterol should be sufficient for the majority of children, particularly for younger agegroups; higher doses should be used rarely, and only when control is not maintained on the lower dose Child 12–17 years: 12 micrograms twice daily, dose may be increased in more severe airway obstruction; increased to 24 micrograms twice daily, a daily dose of 24 micrograms of formoterol should be sufficient for the majority of children, particularly for younger agegroups; higher doses should be used rarely, and only when control is not maintained on the lower dose
Adult: 12 micrograms twice daily, dose may be increased in more severe airway obstruction; increased to 24 micrograms twice daily
Child 12–17 years: 12 micrograms twice daily, dose may be increased in more severe airway obstruction;
increased to 24 micrograms twice daily, a daily dose of 24 micrograms of formoterol should be sufficient for the majority of children, particularly for younger agegroups; higher doses should be used rarely, and only when control is not maintained on the lower dose
Adult: 12 micrograms twice daily, dose may be increased in more severe airway obstruction; increased to 24 micrograms twice daily Chronic obstructive pulmonary disease
Adult: 12 micrograms twice daily
Adult: 12 micrograms twice daily (max. per dose 24 micrograms), for symptom relief additional doses may be taken to maximum daily dose; maximum 48 micrograms per day
Child 6–17 years: 6–12 micrograms 1–2 times a day (max. per dose 12 micrograms), occasionally doses up to the maximum daily may be needed, reassess treatment if additional doses required on more than 2 days a week; maximum 48 micrograms per day
Adult: 6–12 micrograms 1–2 times a day, increased if necessary up to 24 micrograms twice daily (max. per dose 36 micrograms), occasionally doses up to the maximum daily may be needed, reassess treatment if additional doses required on more than 2 days a week; maximum 72 micrograms per day
Relief of bronchospasm
Child 6–17 years: 6–12 micrograms
Adult: 6–12 micrograms
Prophylaxis of exercise-induced bronchospasm
Child 6–17 years: 6–12 micrograms, dose to be taken before exercise
¶ Adult: 12 micrograms, dose to be taken before exercise
Chronic obstructive pulmonary disease
Adult: 12 micrograms 1–2 times a day (max. per dose 24 micrograms), for symptom relief additional doses up to maximum daily dose can be taken; maximum 48 micrograms per day
Contraindications:
Side Effects:
CNS: Nervousness, headache, tremors dizziness
CV: Angina, hypertension or hypotension, tachycardia, arrhythmias, palpitation
EENT: Dysphonia, pharyngitis
GI: Dry mouth, nausea, abdominal pain, dyspepsia
METAB: Hypokalemia, hyperglycemia, metabolic acidosis
MS: Muscle cramps
RESP: Broncho spasm, coughing
SKIN: Rash, pruritus
MISC: Fatigue, malaise, insomnia, fever.
Cautions:
Precautions:
Interaction:
Non-potassium sparing diureticc, xanthine derivatives, steroids:
Theoretical increase in the potential for hypokalemia b-blockers: Decreased action of formoterol, cardioselective b-blockers preferable if concurrent use necessary (e.g., following myocardial infarction)
MAO-inhibitors, tricyclic anti-depressants. Theoretical increase in the potential for prolongation of QTc interval
Warnings:
Adverse Effects:
Lactations:
Pregnancy category C; 3-agonists may potentially interfere with uterine contractility during labor; excretion into breast milk unknown, use caution in nursing mothers
Special Precautions:
Counselling:
Side Effects Or Adverse Reactions:
Patient And Carer Advice:
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