Nebulizers and other COPD Devices

Just as it’s important to select the appropriate medicine, selecting the appropriate delivery device can play an important role in managing your COPD. There are several types of COPD medication devices used to administer COPD treatments, including metered-dose inhalers (MDIs), dry-powder inhalers (DPIs) and nebulizers. Talk to your doctor about which one is right for you.

A nebulizer is a small device used to convert a liquid medication, such as twice-daily PERFOROMIST® (formoterol fumarate), into a fine mist that you breathe in through a mouthpiece or facemask. Learn more about using a nebulizer.

Test your knowledge about nebulizers

Neb IQ Quiz

With so many misconceptions about nebulizers, here’s a fun way to understand the facts and fiction. Take the Neb IQ Quiz. Confirm what you already know. Plus, learn a few new things about nebbing. Ready to test your neb knowledge?

Let's go!

1. Fact or Fiction?

Nebulizers are large and cumbersome.

Fact Fiction

Fiction: New nebulizers are small, portable, handheld devices. Some devices are even battery-operated.

2. Fact or Fiction?

A nebulizer requires hand-breath coordination.

Fact Fiction

Fiction: Nebulizers do not require hand-breath coordination. Calm, even, deep breathing is required.

3. Fact or Fiction?

It takes about 10 minutes to administer medicine with a nebulizer.

Fact Fiction

Fact: Usually, nebulized PERFOROMIST® (formoterol fumarate) can be administered in less than 10 minutes.
Please note: set-up and cleanup may require more time.

4. Fact or Fiction?

A nebulizer is only for people in the hospital.

Fact Fiction

Fiction: Many new nebulizers are portable, battery-operated, handheld devices that fit right in your pocket or a carrying case. You can use a nebulizer while watching TV, reading email, or spending time with family.

5. Fact or Fiction?

Nebulizers are covered under Medicare.

Fact Fiction

Fact: Nebulizers are covered under Medicare Part B.

6. Fact or Fiction?

You have to carry a nebulizer with you when you go out.

Fact Fiction

Fiction: When using a nebulizer for maintenance therapy, you need to use it only twice a day, morning and evening. Nebulization takes about 10 minutes to administer. If you need to travel, there are lightweight, portable nebulizers that run on batteries.

7. Fact or Fiction?

A nebulizer is only for sick people.

Fact Fiction

Fiction: A nebulizer may be an option for any person with moderate-to-severe COPD. It’s one of the ways COPD maintenance medications are administered. It is important to talk to your doctor about which device is best for you.

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Important Safety Information

People with asthma who take long-acting beta2 adrenergic agonist (LABA) medicines such as PERFOROMIST have an increased risk of death from asthma problems. It is not known whether LABA medicines, such as PERFOROMIST, increase the risk of death in people with COPD. Get emergency medical care if breathing problems worsen quickly, or you use your rescue inhaler medicine but it does not relieve your breathing problems

Indication

PERFOROMIST Inhalation Solution is used long term, twice a day (morning and evening), in controlling symptoms of chronic obstructive pulmonary disease (COPD) in adults with COPD. PERFOROMIST is for inhalation use only through a standard jet nebulizer connected to an air compressor and should not be swallowed or injected.

Important Safety Information

PERFOROMIST should not be used in children.

PERFOROMIST is not for use to treat sudden symptoms of COPD and should not be used more than twice a day. Always have a short-acting beta2-agonist with you to treat sudden symptoms.

Tell your healthcare professional about all of your health conditions, including if you:

  • have heart problems
  • have high blood pressure
  • have diabetes
  • have seizures
  • have thyroid problems
  • have liver problems
  • are pregnant or planning to become pregnant. It is not known if PERFOROMIST Inhalation Solution can harm an unborn baby.
  • are breastfeeding. It is not known if PERFOROMIST Inhalation Solution passes into breast milk and if it can harm your baby.

Tell your healthcare professional about all medicines you take including prescription and non-prescription medications, vitamins, and herbal supplements. PERFOROMIST and certain medicines may interact with each other and cause serious side effects.

PERFOROMIST can cause serious side effects including:

  • Increased risk of death from asthma problems (See Boxed Warning above)
  • Sudden shortness of breath immediately after use of PERFOROMIST
  • Serious allergic reactions including rash, hives, swelling of the face, mouth, and tongue, and breathing problems. Call your healthcare professional or get emergency medical care if you get any symptoms of a serious allergic reaction.
  • Chest pain
  • Increased or decreased blood pressure
  • A fast and irregular heartbeat
  • Low blood potassium
  • High blood sugar
  • High blood acid

The most common side effects of PERFOROMIST include:

  • Headache
  • Tremor
  • Nervousness
  • Dry mouth
  • Muscle cramps
  • Nausea, vomiting
  • Diarrhea
  • Dizziness
  • Trouble sleeping
  • If your COPD symptoms worsen over time do not increase your dose of PERFOROMIST, instead call your healthcare professional.

Click here for full Prescribing Information, including Boxed Warning and Medication Guide.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Prescribing Information Show More

Important Safety Information

People with asthma who take long-acting beta2 adrenergic agonist (LABA) medicines such as PERFOROMIST have an increased risk of death from asthma problems. It is not known whether LABA medicines, such as PERFOROMIST, increase the risk of death in people with COPD. Get emergency medical care if breathing problems worsen quickly, or you use your rescue inhaler medicine but it does not relieve your breathing problems

Indication

PERFOROMIST Inhalation Solution is used long term, twice a day (morning and evening), in controlling symptoms of chronic obstructive pulmonary disease (COPD) in adults with COPD. PERFOROMIST is for inhalation use only through a standard jet nebulizer connected to an air compressor and should not be swallowed or injected.

Important Safety Information

PERFOROMIST should not be used in children.

PERFOROMIST is not for use to treat sudden symptoms of COPD and should not be used more than twice a day. Always have a short-acting beta2-agonist with you to treat sudden symptoms.

Tell your healthcare professional about all of your health conditions, including if you:

  • have heart problems
  • have high blood pressure
  • have diabetes
  • have seizures
  • have thyroid problems
  • have liver problems
  • are pregnant or planning to become pregnant. It is not known if PERFOROMIST Inhalation Solution can harm an unborn baby.
  • are breastfeeding. It is not known if PERFOROMIST Inhalation Solution passes into breast milk and if it can harm your baby.

Tell your healthcare professional about all medicines you take including prescription and non-prescription medications, vitamins, and herbal supplements. PERFOROMIST and certain medicines may interact with each other and cause serious side effects.

PERFOROMIST can cause serious side effects including:

  • Increased risk of death from asthma problems (See Boxed Warning above)
  • Sudden shortness of breath immediately after use of PERFOROMIST
  • Serious allergic reactions including rash, hives, swelling of the face, mouth, and tongue, and breathing problems. Call your healthcare professional or get emergency medical care if you get any symptoms of a serious allergic reaction.
  • Chest pain
  • Increased or decreased blood pressure
  • A fast and irregular heartbeat
  • Low blood potassium
  • High blood sugar
  • High blood acid

The most common side effects of PERFOROMIST include:

  • Headache
  • Tremor
  • Nervousness
  • Dry mouth
  • Muscle cramps
  • Nausea, vomiting
  • Diarrhea
  • Dizziness
  • Trouble sleeping
  • If your COPD symptoms worsen over time do not increase your dose of PERFOROMIST, instead call your healthcare professional.

Click here for full Prescribing Information, including Boxed Warning and Medication Guide.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

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