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Formoterol fumarate

FORMOTEROL FUMARATE

Manufacturer: Teva Pharmaceuticals USA, Inc.

Score: 141.0

Quick Summary

Formoterol fumarate inhalation solution is a long-acting beta 2 -adrenergic agonist (beta 2 -agonist) indicated for the long-term, twice daily administration in the maintenance treatment of bronchoconstriction in patients with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. The recommended dose is one 20 mcg unit-dose vial administered twice daily by nebulization. Formoterol fumarate inhalation solution is not indicated to treat acute deteriorations of chronic obstructive pulmonary disease or asthma. Use of a LABA, including formoterol fumarate inhalation solution, without an inhaled corticosteroid is contraindicated in patients with asthma.

Key Clinical Findings and Indications

  • Long-term, twice daily administration in the maintenance treatment of bronchoconstriction in patients with chronic obstructive pulmonary disease (COPD)
  • Not indicated to treat acute deteriorations of chronic obstructive pulmonary disease or asthma

Important Safety Information

Warning

Use of a LABA, including formoterol fumarate inhalation solution, without an inhaled corticosteroid is contraindicated in patients with asthma

Contraindications

  • Use of a LABA, including formoterol fumarate inhalation solution, without an inhaled corticosteroid in patients with asthma

Adverse Reactions

  • Diarrhea
  • Nausea
  • Nasopharyngitis
  • Dry mouth
  • Vomiting
  • Dizziness
  • Insomnia

Dosing Recommendations

General Guidance

A total daily dose greater than 40 mcg is not recommended

COPD

Adult Dose

One 20 mcg unit-dose vial administered twice daily by nebulization

Pediatric Dose

Not indicated for use in children

Special Population Considerations

Pregnancy

  • There are limited available data with formoterol fumarate inhalation solution use in pregnant women to inform a drug-associated risk of adverse developmental outcomes
  • Beta-agonists may interfere with uterine contractility

Nursing Mothers

Pediatric Use

  • Formoterol fumarate inhalation solution is not indicated for use in children
  • The safety and effectiveness of formoterol fumarate inhalation solution in pediatric patients have not been established

Geriatric Use

  • Of the 586 subjects who received formoterol fumarate inhalation solution in clinical studies, 284 were 65 years and over, while 89 were 75 years and over
  • No overall differences in safety or effectiveness were observed between these subjects and younger subjects

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