Striverdi Respimat

Indications

Olodaterol is used as a long-term (maintenance) treatment to prevent and decrease wheezing and shortness of breath caused by breathing problems (such as chronic obstructive pulmonary disease, including chronic bronchitis and emphysema).

Olodaterol belongs to the class of drugs known as long-acting beta-agonists (LABAs). Olodaterol is known as a bronchodilator. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily.

Controlling symptoms of breathing problems can decrease time lost from work or school. This medication does not work right away and should not be used for sudden attacks or breathing trouble.

Use and Dosage

Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. Follow the illustrated directions for the proper use of this medication. If you have any questions, ask your doctor or pharmacist.

Follow the instructions for priming the inhaler if you are using it for the first time, or if you have not used it for a long time (such as more than 3 days or 21 days). When priming the inhaler, make sure to spray toward the ground (away from the face) so that you do not get the medication into your eyes.

Inhale this medication by mouth as directed by your doctor, usually once a day. Wait at least 1 minute between each inhalation.

If you are using other inhalers at the same time, wait at least 1 minute between the uses of each medication.

Do not use more of this medication or use it more often than prescribed since this may cause serious side effects. Do not use more than 2 inhalations of olodaterol a day.

Use this medication regularly to get the most benefit from it. To help you remember, use it at the same time each day. Do not stop taking this medication without consulting your doctor.

If you have been using a quick-relief inhaler (albuterol, salbutamol) on a regular daily schedule (such as 4 times daily), your doctor will direct you to stop this schedule and only use the quick-relief inhaler as needed for sudden shortness of breath. Consult your doctor for details.

Learn which of your inhalers you should use every day and which you should use if your breathing suddenly worsens (quick-relief drugs). Ask your doctor ahead of time what you should do if you have a new or worsening cough or shortness of breath, wheezing, increased sputum, waking up at night with trouble breathing, if you use your quick-relief inhaler more often, or if your quick-relief inhaler does not seem to be working well. Learn when you can treat sudden breathing problems by yourself and when you must get medical help right away.

Side Effects

Get emergency medical help if you have signs of an allergic reaction to Striverdi Respimat: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

• Tremors, nervousness, chest pain, or fast or pounding heartbeats
• Wheezing, choking, or other breathing problems after using this medicine
• Worsening breathing problems
• High blood sugar – increased thirst, increased urination, dry mouth, or fruity breath odor
• Low potassium level – leg cramps, constipation, irregular heartbeats, fluttering in your chest, numbness or tingling, or muscle weakness or limp feeling

Common Striverdi Respimat side effects may include:

• Cold symptoms such as stuffy nose, sneezing, or sore throat
• Cough, shortness of breath, or chest discomfort
• Diarrhea
• Dizziness
• Pain or burning when you urinate
• Back pain or joint pain
• Rash

This is not a complete list of side effects and others may occur. 

Cautions

• Before taking olodaterol, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
• Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as irregular heartbeat, angina, and previous heart attack), high blood pressure, diabetes, seizures, and overactive thyroid (hyperthyroidism).
• Olodaterol may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, and fainting) that need medical attention right away.
• The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using olodaterol, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).
• Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/”water pills”) or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using olodaterol safely.
• Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
• Older adults may be more sensitive to the side effects of this drug, especially QT prolongation (see above).
• During pregnancy, this medication should be used only when needed. Discuss the risks and benefits with your doctor.
• It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.

Forms and Strengths

Striverdi Respimat is available in the following forms and strengths:

• Striverdi Respimat Inhaler:
  • 2.5 mcg

FAQ

What happens if I miss a dose?

Use the medicine as soon as you can but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

Do not use the medicine more than once in 24 hours.

What happens if I overdose?

Seek emergency medical attention. An overdose of olodaterol can be fatal.

Overdose symptoms may include chest pain, fast or irregular heartbeats, nervousness, tremors, muscle cramps, feeling light-headed, and fainting.

What should I avoid while using Striverdi Respimat?

Avoid getting this medicine in your eyes.

Do not use a second inhaled bronchodilator that contains olodaterol or a similar medicine (such as formoterol, arformoterol, indacaterol, salmeterol, or vilanterol).

Resources:

1. https://www.webmd.com/drugs/2/drug-166803/striverdi-respimat-inhalation/details
2. https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/203108s006lbl.pdf
3. https://www.drugs.com/striverdi-respimat.html#side-effects