Epinephrine Hydrochloride Inhalation vapour, solution

What is this medicine?

EPINEPHRINE (ep i NEF rin) helps open up air passages and make breathing easier for people with mild asthma.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of the following conditions:

• diabetes
• glaucoma
• heart disease
• high blood pressure
• mental depression or illness
• over active thyroid
• prostate trouble
• seizures
• an unusual or allergic reaction to epinephrine, sulfites, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

This medicine is for use with a nebulizer. Nebulizers convert the solution into an aerosol for inhalation through the mouth. Make sure you know how to use the nebulizer correctly. Ask your doctor or health care professional if you are not sure. Do not use more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed. While this medicine may be used in children as young as 4 years for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
• medicines for colds and breathing difficulties
• medicines for hay fever and other allergies
• procarbazine
• stimulant medicines for attention disorders, weight loss, or to stay awake

This medicine may also interact with the following medications:

• caffeine
• medicines for depression, anxiety, or psychotic disturbances

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Do not use this medicine unless your doctor has told you that you have asthma.

Check with your doctor or health care professional if your symptoms do not start to get better within 20 minutes of inhalation, or if they get worse. You should also contact your doctor or health care professional if you need to use this medicine more than 12 times in one day, or if you use this medicine more than 9 times per day for more than 3 days a week, or if you have more than 2 asthma attacks in one week.

Do not treat yourself for coughs, colds or allergies without checking with your doctor or health care professional. Some products may contain ingredients that will increase the effects of your medicine.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• breathing problems
• chest pain or palpitations
• fast, irregular heartbeat
• flushing (reddening of the skin)
• pain, tingling, numbness in the hands or feet
• vomiting

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• anxiety or nervousness
• headache
• nausea

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Do not freeze. Protect from light. Throw away any unused medicine after the expiration date.

NOTE:This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.