ee Figure A).
(Figure A)
If you are taking several different medicines inhaled through your mouth, your healthcare provider will tell you how to take your medicines the right way.
If you are doing therapies for cystic fibrosis (chest physiotherapy), you should take TOBI Podhaler after your therapies are done.
If you inhale too much TOBI Podhaler, tell your healthcare provider right away.
If you accidentally swallow TOBI Podhaler capsules, tell your healthcare provider right away.
Use a new Podhaler device every 7 days.
Caregivers should help children who are 10 years of age and younger use TOBI Podhaler, and should keep watching them use their TOBI Podhaler until they are able to use it the right way without help.
What are the possible side effects of TOBI Podhaler?
TOBI Podhaler can cause serious side effects, including:
hearing loss or ringing in the ears (ototoxicity). Tell your healthcare provider right away if you have hearing loss or you hear noises in your ears such as ringing or hissing. Tell your healthcare provider if you develop vertigo, difficulty with balance or dizziness.
worsening kidney problems (nephrotoxicity). TOBI Podhaler is in a class of drugs which may cause worsening kidney problems, especially in people with known or suspected kidney problems. Your healthcare provider may do a blood test to check how your kidneys are working while you are using TOBI Podhaler.
worsening muscle weakness. TOBI Podhaler is in a class of drugs which can cause muscle weakness to get worse in people who already have problems with muscle weakness (myasthenia gravis or Parkinson’s disease).
severe breathing problems (bronchospasm). Tell your healthcare provider right away if you get any of these symptoms of bronchospasm with using TOBI Podhaler:
shortness of breath with wheezing
coughing and chest tightness
TOBI Podhaler is in a class of drugs which may cause harm to an unborn baby.
The most common side effects of TOBI Podhaler include:
cough
worsening of lung problems or cystic fibrosis
productive cough
shortness of breath
fever
sore throat
changes in your voice (hoarseness)
coughing up blood
headache
altered taste
Laboratory tests show reduced tobramycin activity against Pseudomonas aeruginosa bacteria in some patients with the use of TOBI Podhaler. The relationship between these lab results and how well TOBI Podhaler works is not clear. Let your healthcare provider know if your symptoms worsen.
Some patients may be unable to continue TOBI Podhaler and need to consider alternative therapies. Tell your healthcare provider about any side effect that bothers you enough to stop treatment or that does not go away.
These are not all of the possible side effects of TOBI Podhaler. For more information, ask your healthcare provider or pharmacist.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
General information about the safe and effective use of TOBI Podhaler
Medicines are sometimes prescribed for purposes other than those listed in a patient information leaflet. Do not use TOBI Podhaler for a condition for which it was not prescribed. Do not give TOBI Podhaler to other people, even if they have the same problem you have. It may harm them.
This leaflet summarizes the most important information about TOBI Podhaler. If you would like more information, talk with your healthcare provider. You can ask your heal