How to Take PERFOROMIST® Using
Things to Keep in Mind11
- Take PERFOROMIST twice daily: once in the morning and once in the evening.
- There are two ways to store PERFOROMIST:
- Keep PERFOROMIST in a refrigerator, until the expiration date;
- Or, keep PERFOROMIST at room temperature for up to three months (90 days), or until the expiration date, whichever comes sooner.
- PERFOROMIST is used only in a standard jet nebulizer machine connected to an air compressor. Make sure you know how to use your nebulizer machine before you use it to breathe in PERFOROMIST or other medicines.
- Do not mix PERFOROMIST with other medicines in your nebulizer machine.
- PERFOROMIST comes sealed in a foil pouch. Do not open a sealed pouch until you are ready to use a dose of PERFOROMIST. Once the pouch is open, use the PERFOROMIST immediately.
- Remove vial from the foil pouch.
- Twist the cap completely off the vial and squeeze all the medicine into the nebulizer medicine cup (reservoir).
- Connect the nebulizer reservoir to the mouthpiece or facemask.
- Connect the nebulizer to the compressor.
- Sit in a comfortable, upright position. Place the mouthpiece in your mouth or put on the facemask; and turn on the compressor.
- Breathe as calmly, deeply and evenly as possible through your mouth until no more mist is formed in the nebulizer reservoir. The average nebulization time is 9 minutes. At this point, the treatment is finished.
- Discard the PERFOROMIST Inhalation Solution container and top after use.
- Clean the nebulizer (see manufacturer’s instructions).
How Long Does It Take?
The average nebulization time is about nine minutes.11 You may be able to use the time for reading, watching TV or another activity that helps you to relax.
Cleaning a Nebulizer20
Be sure to clean your nebulizer after each use.
- Disconnect the tubing from the nebulizer cup.
- Dry out any moisture in the tubing by air drying or running the compressor for 2-3 minutes.
- Disassemble nebulizer parts.
- Wash all parts in warm, soapy water—BUT DO NOT WASH THE TUBING.
- Rinse and shake off excess water and let the pieces dry on a clean cloth (or hand dry with a lint-free cloth).
- Reconnect the pieces to the nebulizer and store.
Every other day it's a good idea to soak all of the parts (except for the tubing) in one part distilled vinegar and three parts hot tap water for one hour. Rinse and air dry or dry with a clean, lint-free cloth. Parts (except tubing) may also be disinfected by boiling them in a clean pot of water for a full 10 minutes. Read the instructions that come with your nebulizer.
Additional Important Information on Taking PERFOROMIST11
Take PERFOROMIST exactly as prescribed. One ready-to-use vial of PERFOROMIST is one dose. The usual dose of PERFOROMIST is one ready-to-use vial, twice a day (morning and evening) inhaled through your nebulizer machine. The two doses should be about 12 hours apart. Do not use more than two vials of PERFOROMIST a day.
If you miss a dose of PERFOROMIST, just skip that dose. Take your next dose at your usual time. Do not take two doses at one time.
While you are taking PERFOROMIST two times each day:
- Do not use other medicines that contain a long-acting beta2-agonist (LABA) for any reason.
- You should only use your short-acting beta2-agonist (SABA) "as needed" for rescue situations (sudden episodes of shortness of breath).
PERFOROMIST does not relieve sudden symptoms of COPD. Always have a rescue inhaler with you to treat sudden symptoms. If you do not have a rescue inhaler, ask your doctor if you should have one.
Do not stop taking PERFOROMIST or other medicines to control or treat your COPD unless told to do so by your health care provider because your symptoms might get worse. Your health care provider will change your medicines as needed.
Do not take PERFOROMIST:
- more often than prescribed,
- more than prescribed for you, or
- with other LABA medicines
Call your health care provider or get emergency medical care right away if:
- your breathing problems worsen with PERFOROMIST
- you need to use your rescue inhaler more often than usual
- your rescue inhaler does not work as well as it used to for relieving symptoms
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