IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

METAPROTERENOL - INHALATION PRE-MIXED SOLUTION

(met-uh-pro-TAIR-en-ohl)

COMMON BRAND NAME(S): Alupent, Arm-A-Med

USES: This medication works in the lung to dilate breathing passages making breathing easier. It is used to treat acute asthma attacks and bronchospasm in persons with certain lung diseases.

HOW TO USE: This medication is inhaled into the lungs using special breathing equipment known as a hand held nebulizer. A health care professional will demonstrate the proper way to use the equipment. Make sure you understand how to operate the nebulizer and ask any questions you may have. Use this medication as directed. Do not increase your dose or use this more frequently than directed. Excessive use may lead to a loss of effectiveness while increasing the chance for side effects. Do not stop using this medication without first consulting your doctor. If you find yourself using this more than usual, or your symptoms do not improve or worsen after using this, contact your doctor immediately.

SIDE EFFECTS: Tremor, nervousness, shakiness, headache, nausea, heartburn, lightheadedness, difficulty sleeping, unusual taste in mouth, hoarseness or dry throat may occur the first several days as your body adjusts to the medication. If any of these effects continue or become bothersome, inform your doctor. Inform your doctor if you develop: a rapid heartbeat, chest pain, dizziness, coughing. In the unlikely event you have an allergic reaction to this drug, seek medical attention immediately. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before using this drug, tell your doctor your medical history, especially of: an overactive thyroid, heart disease, high blood pressure, epilepsy, diabetes, drug allergies. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this drug is excreted into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of any over-the-counter or prescription medication you may take, including: blood pressure drugs, drugs for chest pain, drugs for diabetes, antidepressants, diuretics (e.g., hydrochlorothiazide). Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include chest pain, fast or irregular heartbeat, headache, tremors, nervousness, weakness, and dizziness.

NOTES: Do not share this medication with others.

MISSED DOSE: If you miss a dose, take it as soon as remembered; do not take it if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

STORAGE: Store the solution below 77 degrees F (25 degrees C) protected from light. Do not store in the bathroom. Discard the solution if it turns brown, yellow, pink, cloudy or contains particles.

MEDICAL ALERT: Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).

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Copyright 2004 by First DataBank, Inc.