Precautions and Warnings With Arformoterol Tartrate
There are many precautions and warnings with arformoterol tartrate, as well as information on who should not take the drug, to be aware of before starting treatment. Arformoterol tartrate may worsen certain conditions, including diabetes, epilepsy, and hyperthyroidism, so tell your healthcare provider about all existing conditions you have. Do not take arformoterol tartrate if you are allergic to arformoterol or formoterol (a similar medicine).
You should talk with your healthcare provider prior to taking arformoterol tartrate (Brovana®) if you have:
- High blood pressure (hypertension)
- A fast heart rate (tachycardia)
- An irregular heart rhythm (arrhythmia)
- An overactive thyroid (hyperthyroidism)
- Seizures or epilepsy
- Heart disease of any kind, including congestive heart failure
- Any allergies, including allergies to food, dyes, or preservatives.
Also, let your healthcare provider know if you are:
- Pregnant or thinking of becoming pregnant
Make sure to tell your healthcare provider about all other medicines you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
Some warnings and precautions to be aware of with arformoterol tartrate include the following:
- Long-acting beta agonists (such as arformoterol tartrate) may increase the risk of asthma-related deaths. It is not known whether such medications also increase the risk of COPD-related deaths. It is important to note that arformoterol tartrate is not approved for asthma treatment.
- Rarely, arformoterol tartrate can cause a worsening of bronchospasms (spasms of the airways), which is exactly the opposite of what should happen. Tell your healthcare provider immediately if arformoterol tartrate makes your symptoms worse.
- Arformoterol tartrate is used twice a day, every day to help prevent COPD symptoms. It is not intended for quick relief of breathing problems (especially in emergency situations). In these instances, a "rescue inhaler" (such as albuterol) should be used, not arformoterol tartrate.
- Arformoterol tartrate can have a stimulatory effect on the heart and blood pressure. Fast heart rate (tachycardia), high blood pressure (hypertension), and irregular heart rhythm (arrhythmia) may occur. If you have heart disease or high blood pressure, make sure your healthcare provider is aware of it. He or she may wish to use particular caution if he or she recommends arformoterol tartrate in your case.
- People with an overactive thyroid (hyperthyroidism), diabetes, or epilepsy should use caution when using arformoterol tartrate, as arformoterol tartrate may worsen these conditions or increase the risk of side effects.
- Arformoterol tartrate can cause low blood potassium (hypokalemia).
- Arformoterol tartrate can interact with other medications (see Drug Interactions With Arformoterol Tartrate).
- Arformoterol tartrate is considered a pregnancy Category C medication. This means that it may not be safe for use during pregnancy. Talk to your healthcare provider about the risks and benefits of using arformoterol tartrate during pregnancy (see Brovana and Pregnancy for more information).
- It is not known whether arformoterol tartrate passes through breast milk. Therefore, if you are breastfeeding or plan to start, be sure to talk with your healthcare provider about using arformoterol tartrate (see Brovana and Breastfeeding for more information).