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Stiolto Respimat, Inspiolto
This is a description of the medication and its properties; this summary is not intended to replace medical advice.
Olodaterol belongs to a class of drugs known as long-acting beta agonists (LABAs). Those with asthma using LABA medications have had serious (sometimes fatal) breathing problems related to asthma, though this is rare. Asthma-related breathing problems have presented themselves in people with asthma who use LABA medications. Tiotropium/olodaterol is not approved for the treatment of asthma.
Stiolto Respimat is used to keep symptoms caused by ongoing lung disease (chronic obstructive pulmonary disease including emphysema and chronic bronchitis) under control as well as a preventative measure for these symptoms (such as shortness of breath, and wheezing).
If you are using the Stiolto inhaler for the first time or if you have not used it in 3 days or longer or for more than 21 days follow the instructions to prime the inhaler. Inhale the medication as your doctor tells you (generally 2 puffs once per day) leaving 1 minute between inhalations. If you are prescribed other inhalers as well, wait 1 minute between using each medication.
Nervousness, shaking (tremor), or trouble sleeping may occur. Tell your doctor or pharmacist immediately if these effects persist or worsen. The majority of people who use this medication do not have serious side effects. Remember that your doctor has prescribed this to you because they have judged that the benefits for you are greater than the risk of side effects. Make sure to check your blood pressure often and ensure you tell your doctor if the results are high as this medication can raise your blood pressure.
Some serious side effects are: difficult/painful urination, muscle cramps/weakness, as well as increased thirst/urination. If you are experiencing these systems get in touch with your doctor right away. If you notice any of the following very serious side effects get medical help right away: fast/irregular heartbeat, severe dizziness, fainting, chest pain, eye redness/swelling/pain, vision changes (such as blurred vision or seeing rainbows surrounding lights in the dark).
Rarely, Stiolto can cause sudden intense wheezing/difficulty breathing right after use. If you experience this use your quick-relief inhaler and get medical help promptly. Serious allergic reactions to this drug are rare. If you notice any symptoms of a serious allergic reaction including: rash, severe dizziness, trouble breathing, or itching/swelling (especially of the tongue/face/throat) please contact a medical professional instantly.
Before using Stiolto, tell your doctor or pharmacist if you are allergic to tiotropium or olodaterol; or to ipratropium; or if you have any other allergies. There may be inactive ingredients in this product which can potentially cause allergic reactions or additional problems. Talk to a pharmacist for more information.
Inform your doctor and pharmacist of you medical history before taking this medication especially of: heart problems (such as irregular heartbeat, chest pain, or previous heart attack), diabetes, personal or family history of glaucoma (angle-closure type) overactive thyroid, diabetes, high blood pressure, or difficulty urinating (due to an enlarged prostate for example). Olodaterol can cause a condition affecting the heart rhythm (QT prolongation). QT prolongation rarely causes serious (rarely fatal) irregular/fast heartbeat as well as other symptoms (such as fainting or severe dizziness) that require immediate medical attention.
If you have certain medical conditions or are taking other medications that can cause QT prolongation your risk of QT prolongation may increase. Tell your doctor or pharmacist all of the medications you take and whether you have any of these conditions: certain heart problems or family history of certain heart problems including QT prolongation in the EKG, slow heartbeat, heart failure or sudden cardiac death. Potassium or magnesium present in the blood at low levels can also raise the risk of QT prolongation.
If you use diuretics/“water pills” or if you have conditions such as severe diarrhea, sweating or vomiting the risk of QT prolongation may escalate. Tell your doctor or dentist about all of the products you use before having surgery. Elderly patients may be more likely to experience side effects of this drug, especially QT prolongation. This medication should only be used during pregnancy when it’s clearly needed. Consult your doctor before breastfeeding as it is not known if this medication passes into breast milk.
Taking this medication in conjunction with other drugs can increase the risk of serious side effects. Talk to your doctor before beginning, changing the dosage of, or stopping any medications.
Call 911 or poison control if someone has overdosed with Stiolto and has symptoms including: fast/irregular heartbeat, severe dizziness, fainting or chest pain.
If you miss a dose of Stiolto, use it as soon as you remember. If it is nearly time for you next dose of Stiolto Respimat skip the missed dose and then take the next at your regular time. Do not catch up by doubling the dose.
Store Stiolto at room temperature away from light and moisture. Do not freeze. Do not store in the bathroom. Keep all medications away from children and pets. Unless told to do so do not flush medications down the toilet or pour them into a drain. When this product is expired or is no longer needed dispose of properly, you can consult your local waste disposal company or a pharmacist.
STIOLTO – TIOTROPIUM/OLODATEROL – INHALATION