What is this medicine?

ARFORMOTEROL (AR for MOE ter ol) is a slow-acting bronchodilator. It helps keep open the airways in your lungs to make it easier to breathe. This medicine is used to treat chronic obstructive pulmonary disease (COPD) including emphysema or chronic bronchitis. Do not use in an acute COPD attack.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of the following conditions:

• diabetes
• heart disease or irregular heartbeat
• high blood pressure
• pheochromocytoma
• seizures
• thyroid disease
• an unusual or allergic reaction to arformoterol, other medicines, food, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

This medicine is used in a nebulizer. Nebulizers make a liquid into an aerosol so that you can breathe it in through your mouth and nose into your lungs. You will be taught how to use your nebulizer. Follow the directions on your prescription label. Take your medicine at regular intervals. Do not use more often than directed.

A patient information sheet for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently.

A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.

Talk to your pediatrician regarding the use of this medicine in children. This medicine is not approved for use in children.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
• procarbazine

This medicine may also interact with the following medications:

• caffeine
• diuretics
• formoterol
• medicines for colds
• medicines for depression, anxiety, or psychotic disturbances
• medicines for weight loss including some herbal products
• methadone
• salmeterol
• some antibiotics like clarithromycin, erythromycin, levofloxacin, and linezolid
• some heart medicines
• steroid hormones like dexamethasone, cortisone, hydrocortisone
• theophylline

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.