In a large clinical study, more people who used an asthma medication similar to indacaterol experienced more severe episodes of asthma that needed to be treated in a hospital or caused death than patients who did not use the medication. Use of indacaterol inhalation may increase the risk of serious asthma problems or death in people who have asthma. Indacaterol inhalation has not been approved by the Food and Drug Administration (FDA) to treat asthma. There is not enough information to tell whether indacaterol inhalation increases the risk of death in people who have chronic obstructive pulmonary disease (COPD; a group of lung diseases, which includes chronic bronchitis and emphysema).
Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with indacaterol inhalation and each time you refill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website ( Web Site) or the manufacturer's website to obtain the Medication Guide.
Talk to your doctor about the risks of using indacaterol inhalation.
Indacaterol inhalation is used to control wheezing, shortness of breath, coughing, and chest tightness caused by chronic obstructive pulmonary disease (COPD). Indacaterol is in a class of medications called long-acting beta agonists (LABAs). It works by relaxing and opening air passages in the lungs, making it easier to breathe.
Indacaterol inhalation comes as a powder-filled capsule to inhale by mouth using a special inhaler. It is usually inhaled once a day. Use indacaterol inhalation at around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use indacaterol inhalation exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.
Do not swallow indacaterol capsules.
Do not use indacaterol inhalation to treat sudden attacks of COPD. Your doctor will prescribe a short-acting beta agonist inhaler such as albuterol (Proventil, Ventolin) to use during attacks. If you were using this type of inhaler on a regular basis before you began treatment with indacaterol, your doctor will probably tell you to stop using it regularly, but to continue to use it to treat attacks.
If your COPD symptoms become worse, if indacaterol inhalation becomes less effective, if you need more doses than usual of the medication you use to treat sudden attacks, or if the medication you use to treat attacks does not relieve your symptoms, your condition may be getting worse. Do not use extra doses of indacaterol. Call your doctor right away.
Indacaterol inhalation controls the symptoms of COPD but does not cure the condition. Continue to use indacaterol inhalation even if you feel well. Do not stop using indacaterol inhalation without talking to your doctor. If you suddenly stop using indacaterol, your symptoms may become worse.
Before you use the indacaterol inhaler for the first time, ask your doctor, pharmacist, or respiratory therapist to show you how to use it. Practice using the inhaler while he or she watches.
Indacaterol capsules should only be used with the inhaler that comes with your prescription. Do not use the inhaler to inhale any other type of capsules. Do not put indacaterol capsules into the mouthpiece of the inhaler. Do not blow into the mouthpiece.
The inhaler is made to pierce the capsule so that the powder can be released. However, it is possible that the capsule may break into small pieces inside the inhaler. If this happens, a screen in the inhaler should stop the pieces of capsule from reaching your mouth as you inhale the medication. Very tiny pieces of the capsule may reach your mouth or throat, but they are not harmful if swallowed or inhaled. The capsule is less likely to break if you are careful to store the capsules properly, to keep the capsules in the foil package until you are ready to use them, and to pierce each capsule only once.
Store the capsules in the package and remove them immediately before use. Throw away any capsules that are removed from the packaging that are not used right away. Do not store the capsules inside the inhaler. Avoid exposing the capsules to moisture, and handle them with dry hands.
Keep the inhaler dry; do not wash it. Always use the new inhaler that comes with each refill of your medication.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.
Before using indacaterol inhalation, tell your doctor and pharmacist if you are allergic to indacaterol inhalation, any other medications, any of the ingredients in indacaterol inhalation, or milk. Ask your pharmacist or check the Medication Guide for a list of the ingredients.tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: aminophylline; antidepressants such as amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin, imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), and trimipramine (Surmontil); beta blockers such as atenolol (Tenormin), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), and propranolol (Inderal); chlorpromazine; citalopram (Celexa); clarithromycin (Biaxin); diuretics ('water pills'); droperidol (Inapsine); erythromycin (E.E.S., Erythrocin); certain medications for irregular heartbeat such as amiodarone (Cordarone, Pacerone), disopyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), procainamide, quinidine, and sotalol (Betapace); other LABAs such as formoterol (Foradil, in Symbicort) and salmeterol (Serevent, in Advair); methadone (Dolophine, Methadose); monoamine oxidase (MAO) inhibitors including isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), and tranylcypromine (Parnate); moxifloxacin (Avelox); oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), and prednisone (Deltasone); pimozide (Orap); theophylline (Theochron, Theolair); and thioridazine. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Many other medications may also interact with indacaterol inhalation, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list.tell your doctor if you have or have ever had asthma, diabetes, seizures, high blood pressure, irregular heartbeat, or heart or thyroid disease.tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using indacaterol inhalation, call your doctor.
Unless your doctor tells you otherwise, continue your normal diet.
Inhale the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take more than one dose in 24 hours.
Indacaterol inhalation may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: coughsore throatrunny noseheadachenauseashaking of a part of the body that you cannot controlnervousness
Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately or get emergency medical treatment: coughing, wheezing, or chest tightness that begins soon after you inhale indacaterolshortness of breathfast, pounding, or irregular heartbeatchest painmuscle cramps or weakness
Indacaterol inhalation may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( Web Site) or by phone (1-800-332-1088).
Keep this medication in the packaging it came in, tightly closed, and out of reach of children. Store it at room temperature and away from light, excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
Symptoms of overdose may include the following: chest painfast, pounding, or irregular heartbeatnervousnessshaking of a part of the body that you cannot controlheadachedry mouthnauseadizzinessextreme tirednessdifficulty falling asleep or staying asleepmuscle cramps
Keep all appointments with your doctor.
Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
AHFS® Consumer Medication Information. © Copyright, The American Society of Health-System Pharmacists, Inc., 7272 Wisconsin Avenue, Bethesda, Maryland. All Rights Reserved. Duplication for commercial use must be authorized by ASHP.
Selected Revisions: July 18, 2012.