Mometasone and Formoterol

Name: Mometasone and Formoterol

How is this medicine (Mometasone and Formoterol) best taken?

Use this medicine as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • Follow how to use as you have been told by the doctor or read the package insert.
  • To gain the most benefit, do not miss doses.
  • Keep using mometasone and formoterol as you have been told by your doctor or other health care provider, even if you feel well.
  • Prepare puffer (inhaler) before first use, when puffer has not been used for more than 5 days, or if it has been dropped. Spray 4 test sprays into the air. Shake well before each test spray.
  • For breathing in only.
  • Keep out of your eyes.
  • If this medicine gets in the eyes, rinse with a lot of water. If eye irritation lasts for a while, talk with the doctor.
  • Shake well before use.
  • Rinse out mouth after each use. Do not swallow the rinse water. Spit it out.
  • Put the cap back on after you are done using your dose.
  • Have your puffer (inhaler) use checked with your doctor at each visit. Read and follow facts on how to use the puffer. Make sure you use the puffer the right way.
  • Use new puffer (inhaler) with each refill.
  • Do not take the device apart or wash it in water. Clean the mouthpiece at least every 7 days of use by using a dry wipe.
  • If using more than 1 type of puffer (inhaler), ask the doctor which puffer to use first.

What do I do if I miss a dose?

  • Skip the missed dose and go back to your normal time.
  • Do not take 2 doses at the same time or extra doses.

If OVERDOSE is suspected

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

How do I store and/or throw out Mometasone and Formoterol?

  • Store at room temperature. Throw away any part not used after labeled number of doses are used.
  • Store in a dry place. Do not store in a bathroom.
  • Protect from heat or open flame. Do not puncture or burn even if it seems empty.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

Consumer Information Use and Disclaimer

  • If your symptoms or health problems do not get better or if they become worse, call your doctor.
  • Do not share your drugs with others and do not take anyone else's drugs.
  • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
  • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
  • This medicine comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time this medicine is refilled. If you have any questions about mometasone and formoterol, please talk with the doctor, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about mometasone and formoterol. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using mometasone and formoterol.

Review Date: October 4, 2017

Pharmacologic Category

  • Beta2 Agonist, Long-Acting
  • Beta2-Adrenergic Agonist, Long-Acting
  • Corticosteroid, Inhalant (Oral)

Off Label Uses

Chronic obstructive pulmonary disease (stable):

Based on the Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2014 update to the guidelines for the management of chronic obstructive pulmonary disease (COPD), regular treatment with inhaled corticosteroids improves symptoms, lung function, and quality of life, and reduces frequency of exacerbations in COPD patients with a forced expiratory volume (FEV)1 <60% predicted. Long term treatment with inhaled corticosteroids added to long-acting bronchodilators is recommended for patients with severe and very severe COPD and frequent exacerbations that are not adequately controlled by long-acting bronchodilators.

Contraindications

Hypersensitivity to mometasone, formoterol, or any component of the formulation; status asthmaticus or other acute episodes of asthma.

Canadian labeling: Additional contraindications (not in US labeling): Cardiac tachyarrhythmias; untreated systemic fungal, bacterial, viral or parasitic infections, active tuberculous infection of the respiratory tract, or ocular herpes simplex.

Documentation of allergenic cross-reactivity for corticosteroids and/or sympathomimetics are limited. However, because of similarities in chemical structure and/or pharmacologic actions, the possibility of cross-sensitivity cannot be ruled out with certainty.

Dosing Renal Impairment

There are no dosage adjustments provided in the manufacturer’s labeling (has not been studied).

Pregnancy Considerations

Animal reproduction studies have not been conducted with this combination. See individual agents.

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