Perforomist

Perforomist® Nebulizer is a prescription inhalation solution used for the long-term maintenance treatment of airway narrowing in people with chronic obstructive pulmonary disease (COPD). It contains formoterol, a long-acting beta2-agonist (LABA) that helps keep airways open over time. It is important to know that this medication is not approved for treating asthma and is not meant for sudden breathing problems.

• Used regularly to help manage ongoing COPD symptoms
• Belongs to a class of medicines called LABAs
• Delivered as a mist through a nebulizer device
• Not a rescue medication for sudden breathing issues
• Prescribed based on your provider’s evaluation

Perforomist® Nebulizer is taken by inhaling a mist through a nebulizer machine connected to an air compressor. It is typically used on a set schedule, such as morning and evening, to help maintain open airways throughout the day. It should always be used exactly as prescribed by your healthcare provider.

• Inhaled through a nebulizer with a mouthpiece or mask
• Usually taken twice daily, about 12 hours apart
• Each dose comes in a pre-measured vial
• Not intended for quick relief of symptoms
• Do not mix with other medications unless directed

Like all medications, Perforomist® Nebulizer may cause side effects. Many are related to how the body responds to a long-acting bronchodilator, while others may involve the digestive system or general discomfort. Some reactions may need medical attention, especially if they feel severe or unusual.

• Common: diarrhea, nausea, dry mouth, dizziness
• Respiratory symptoms like throat irritation or cold-like symptoms
• Trouble sleeping or feeling restless
• Vomiting or mild chest discomfort
• Monitor any new or worsening symptoms

Seek urgent medical care if you experience sudden worsening breathing after use or signs of an allergic reaction such as swelling, rash, or difficulty breathing.

For full detail refer to the full Important Safety / Prescribing Information

Perforomist® Nebulizer is not approved for asthma. It is labeled for long-term treatment of COPD, and using it in asthma without certain companion medications may increase risk. That’s why it’s important to follow a provider-guided treatment plan.

• Not indicated as an asthma treatment
• May carry specific risks in asthma patients
• Your provider will choose the right therapy for your condition
• Do not start or continue without medical guidance

If you’ve been prescribed this and have asthma, check with your provider to confirm it’s appropriate for you.

No, Perforomist® Nebulizer is not designed for immediate relief of sudden breathing symptoms. It is a maintenance medication used on a regular schedule to help manage symptoms over time.

• Not for sudden breathing attacks
• Does not replace a rescue inhaler
• Works best when used consistently
• Emergency symptoms need urgent care

If you experience sudden or severe breathing problems, seek medical help right away.

If you miss a dose, take it as soon as you remember - unless it’s close to your next scheduled dose. In that case, skip the missed one and continue with your regular schedule.

• Do not take two doses at the same time
• Keep your dosing routine consistent
• Use reminders if needed
• Occasional missed doses can happen

No, you should not increase how often you use Perforomist® Nebulizer without medical advice. Worsening symptoms may mean your condition needs reassessment rather than more medication.

• Increasing the dose may raise risk of side effects
• More frequent use is not a substitute for proper treatment
• Your provider may need to adjust your plan
• Sudden worsening symptoms should be evaluated

If your breathing changes, contact your provider instead of adjusting your dose.

You should not mix Perforomist® Nebulizer with other medications in the nebulizer unless your provider specifically instructs you to do so. Its compatibility with other drugs has not been established.

• Do not combine medications on your own
• Mixing may affect safety or effectiveness
• Follow professional guidance for multiple treatments
• Ask your pharmacist if unsure

If you’re prescribed more than one nebulized medication, your provider will explain how to take them safely.

There are no specific food or drink restrictions associated with Perforomist® Nebulizer. You can generally use it regardless of meals.

• No known food interactions
• Can be used before or after eating
• Stay hydrated if you experience dry mouth

If you have other health conditions or medications, your provider may give more personalized advice.

There are no specific alcohol restrictions listed in the prescribing information. However, alcohol can affect how you feel and may interact with other conditions or medications.

• No direct interaction listed in the PI
• Alcohol may worsen certain symptoms in some people
• Monitor how your body responds
• Ask your provider if you’re unsure

If you notice unusual symptoms after drinking, it’s best to limit alcohol and discuss it with your provider.

Most people can continue normal activities after using Perforomist® Nebulizer. However, if you feel dizzy or unwell, you should wait until you feel stable before driving.

• Watch for dizziness or lightheadedness
• Avoid driving if you feel impaired
• Try using the medication at home first
• Safety comes first

A typical nebulizer session with Perforomist® Nebulizer takes several minutes, depending on your device and breathing pattern. The goal is to inhale the full dose as prescribed.

• Usually takes around 5-10 minutes
• Continue until the mist stops
• Sit upright during use
• Follow your device instructions

Taking your time ensures you receive the full dose correctly.

Perforomist® Nebulizer should be stored according to label instructions to keep it effective. Temperature and light exposure are important factors.

• Store in the refrigerator when possible
• Can be kept at room temperature for a limited time
• Keep in foil pouch until ready to use
• Protect from heat and light

Check the packaging for storage timelines and discard any unused medication as directed.

Yes, Perforomist® Nebulizer is a prescription medication. You will need to be evaluated by a licensed healthcare provider before using it.

• Not available over the counter
• Requires a medical assessment
• May be part of a long-term treatment plan
• Follow-up care may be needed

Telemedicine services can help determine if this medication is appropriate for you.

Before starting, share your full medical history and current medications. This helps your provider decide if Perforomist® Nebulizer is safe and appropriate for you.

• Heart conditions or blood pressure issues
• Diabetes or thyroid disorders
• Seizure history
• Pregnancy or breastfeeding
• All medications and supplements

Clear communication helps reduce risks and ensures safer treatment.

If your symptoms are not well controlled, do not increase your dose on your own. This may signal that your condition needs reassessment.

• Your provider may adjust your treatment plan
• Additional medications may be needed
• Worsening symptoms can indicate disease progression
• Early action helps prevent complications

Perforomist® (Formoterol Fumarate) Inhalation Solution - Long-term maintenance treatment of bronchoconstriction in patients with COPD. / Source: NCBI Link: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=fb2fe258-fe2e-47f6-8adf-ca75bf6f90af / Published: May 2019