Foracort HFA Inhaler 100 Md

Formoterol, the active ingredient in Formoterol Spray, is a long-acting beta-2 adrenergic receptor agonist (LABA). Its primary mechanism of action involves binding to and stimulating beta-2 adrenergic receptors in the lungs. When inhaled, formoterol relaxes the smooth muscles surrounding the airways, leading to bronchodilation. This relaxation occurs through the activation of intracellular signaling pathways, primarily involving cyclic adenosine monophosphate (cAMP). Increased cAMP levels lead to the activation of protein kinase A (PKA), which in turn inhibits the phosphorylation of myosin light chains, resulting in smooth muscle relaxation and improved airflow. Formoterol's prolonged duration of action is attributed to its ability to dissociate slowly from the beta-2 receptors, providing sustained bronchodilation over an extended period.

Formoterol

Beta2-agonist

Spray

The following are the uses of Formoterol Spary:

• Used for treating asthma and preventing asthma attacks.
• Used for long-term management of chronic obstructive pulmonary disease (COPD).
• Used to relieve symptoms such as coughing, wheezing, and shortness of breath.
• Used to open up the airways and improve breathing.
• Used as a maintenance therapy to reduce the frequency of asthma symptoms.
• Used for quick relief during sudden asthma episodes.
• Used to enhance lung function and exercise tolerance.

In the case of an overdose of Formoterol Spray, it is important to recognize the signs and symptoms, which may include increased heart rate, tremors, and nausea. Promptly seek medical assistance by contacting a healthcare professional or a poison control center. They will provide guidance on the necessary steps to address the overdose, which may include supportive care and monitoring vital signs. It is crucial to act swiftly to ensure the best possible outcome and prevent any potential complications.

In the case of a missed dose of Formoterol Spray, it is important to administer the medication as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one, as this may increase the risk of side effects. If you miss multiple doses, contact your healthcare provider for guidance on how to adjust your dosing schedule and ensure you're using the medication effectively.

To use Formoterol Spray, prime the inhaler by shaking it well, then breathe out fully, place the mouthpiece in your mouth, and as you breathe in slowly and deeply, press down on the inhaler to release the medication, holding your breath for a few seconds before exhaling.

Here are the conditions and situations when Formoterol Spray should not be used:

• Should not be used by individuals with a known allergy to Formoterol or any other similar medications.
• Not suitable for individuals with a history of severe allergic reactions to food, drugs, or other substances.
• Contraindicated in patients with a severe asthma attack or sudden worsening of asthma symptoms.
• Should not be used during an asthma attack as a rescue medication.
• Not recommended for individuals with a history of heart problems, including rapid or irregular heartbeat, and heart disease.
• Should not be used by patients with severe high blood pressure.
• Contraindicated in patients with diabetes that is not well-controlled.
• Not suitable for children below 12 years of age.
• Should not be used as a substitute for regular asthma controller medications.
• Should be avoided if you have a lung infection or disease other than asthma.

The side effects of Formoterol Spray may include:

• Tremor or shaking, especially in the hands
• Headache
• Dizziness or lightheadedness
• Dry mouth and throat irritation
• Cough or throat tightness
• Muscle cramps or joint pain
• Rapid heart rate (tachycardia)
• Chest pain

Following are the precautions and warnings for Formoterol Spray:

• Do not use Formoterol Spray if you are allergic to any of its ingredients; seek alternative medication.
• Patients with heart problems, high blood pressure, irregular heartbeats, or epilepsy should use with caution and under medical supervision.
• Formoterol Spray may cause tremors or shakiness; avoid activities that require steady hands until you know how it affects you.
• This medication may worsen existing diabetes or thyroid issues; regular monitoring is advised.
• Not recommended for children below 12 years of age without medical advice.
• Elderly patients may be more sensitive to the side effects; consult a doctor for proper dosage.
• If you have any lung diseases or a history of pneumonia, use Formoterol Spray with caution and under strict medical supervision.

Following are the drug interactions for Formoterol Spray:

• Beta blockers (e.g., propranolol, atenolol) may reduce the therapeutic effects of Formoterol.
• The combination with MAO inhibitors (MAOIs) is contraindicated due to the risk of severe hypertension and other cardiovascular side effects.
• Formoterol may interact with other sympathomimetic drugs (e.g., epinephrine, pseudoephedrine) and increase the risk of cardiovascular adverse effects.
• Concomitant use of other long-acting beta2-agonists (LABAs) is generally not recommended as it may increase the risk of adverse effects.
• Corticosteroids can enhance the effects of Formoterol and may be used together for improved asthma control.
• The effects of Formoterol may be reduced by xanthine derivatives like theophylline.
• Non-potassium-sparing diuretics (e.g., furosemide) may lower potassium levels, which can increase the risk of hypokalemia when used with Formoterol.

Following are the food interactions for Formoterol Spray:

• Formoterol can cause an increase in blood sugar levels, so patients with diabetes should monitor their blood glucose regularly and adjust their medication accordingly.
• Caffeine intake should be limited as it may enhance the effects of Formoterol and increase the risk of side effects like tremors, nervousness, and rapid heartbeat.
• Grapefruit and grapefruit juice should be consumed with caution as they can inhibit liver enzymes, potentially leading to increased Formoterol levels in the body.
• Avoid excessive consumption of foods high in vitamin K (like spinach, kale, and broccoli) as Formoterol can interact with vitamin K metabolism, affecting blood clotting.
• Alcohol may enhance the absorption of Formoterol, potentially leading to increased side effects. It's best to limit or avoid alcohol during treatment.
• High-fat meals may delay the absorption of Formoterol, potentially reducing its effectiveness. It's advisable to use the spray at least 1 hour before or 2 hours after meals.
• Certain fruits like bananas and oranges, which are rich in potassium, should be consumed in moderation as Formoterol can affect potassium levels.
• No specific dietary restrictions are necessary, but maintaining a balanced diet is advisable to support overall health during Formoterol therapy.

Formoterol Spray storage and disposal should be handled with care to maintain its effectiveness and ensure safety. Store the spray in a cool, dry place, preferably at room temperature, and avoid exposure to direct sunlight or excessive heat. Keep the medication in its original packaging, tightly sealed, to maintain its integrity and prevent contamination. Do not refrigerate or freeze the spray as it may alter its consistency. Always check the expiration date, and if the medication has passed its expiry, do not use it and dispose of it appropriately. For proper disposal, do not pour the spray down the drain or flush it; instead, follow local guidelines for pharmaceutical waste disposal or consult a healthcare professional for guidance on safe disposal methods. Keep the spray out of children's reach to prevent accidental exposure.

Following are the quick tips for Formoterol Spray:

• Wash your hands before using the spray to maintain hygiene.
• Prime the spray device before first use and if not used for a few days.
• Exhale gently, then inhale slowly and deeply while activating the spray.
• Hold your breath for a few seconds after inhalation to ensure proper medication delivery.
• Clean the spray nozzle regularly with a dry tissue to prevent blockage.
• Store the spray at room temperature, away from direct sunlight and moisture.
• Always keep a track of the number of sprays used to know when to refill.