Precautions and Warnings With Indacaterol Maleate
Because not everyone can safely use indacaterol maleate, make sure your doctor is aware of any allergies you have or if you are pregnant or breastfeeding. Other precautions for indacaterol maleate include warnings of potential complications this medicine might cause, such as a stimulatory effect on the heart and blood pressure. Also, contact your doctor immediately if your breathing problems worsen while using this drug.
What Should I Tell My Healthcare Provider Before Using Indacaterol Maleate?You should talk with your healthcare provider prior to using indacaterol maleate (Arcapta™) 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 to foods, dyes, or preservatives.
Also, let your healthcare provider know if you are:
- Pregnant or thinking of becoming pregnant
You should also tell your healthcare provider about all other medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
Specific Indacaterol Maleate Precautions and WarningsSome warnings and precautions to be aware of prior to using this medicine include the following:
- Long-acting beta agonists, including indacaterol maleate, may increase the risk of asthma-related deaths. It is not known if such medications also increase the risk of COPD-related deaths.
- In rare cases, indacaterol maleate can cause a worsening of bronchospasms (spasms of the airways), which is exactly the opposite of what should happen while using this medicine. Tell your healthcare provider immediately if indacaterol maleate makes your symptoms worse.
- Indacaterol maleate is used once 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.
- Indacaterol maleate can have a stimulatory effect on the heart and blood pressure, resulting in a fast heart rate (tachycardia), high blood pressure (hypertension), and an irregular heart rhythm (arrhythmia). If you have heart disease or high blood pressure, make sure your healthcare provider is aware of it. He or she may choose to use extra caution when recommending indacaterol maleate.
- People with an overactive thyroid (hyperthyroidism), diabetes, or epilepsy should use caution when using indacaterol maleate, as this drug may worsen these conditions or increase the risk for side effects.
- Indacaterol maleate can cause low blood potassium (hypokalemia).
- Indacaterol maleate may react with other medications (see Drug Interactions With Indacaterol Maleate).
- Indacaterol maleate is a pregnancy Category C medication. This means that it may not be safe to use during pregnancy. Talk to your healthcare provider about the risks and benefits of using this drug while pregnant (see Arcapta and Pregnancy for more information).
- It is unknown if indacaterol maleate passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to using the drug (see Arcapta and Breastfeeding for more information).