Brand Names

How to Use

Cromolyn oral inhalation is using to help prevent symptoms of asthma or bronchospasm - wheezing or difficulty in breathing. Cromolyn will not relieve an asthma or a bronchospasm attack that has already started. It is important to use cromolyn at regular times as directed by your family doctor.

Use cromolyn inhalation only as directed . Do not use more of it and do not use it more often than your family doctor ordered. To do so may increase the risk of side effects.

Cromolyn inhalation usually comes with patient directions. Read them carefully before using this drug. If you do not understand the directions that come with the inhaler or if you are not sure how to use the inhaler, ask your health care professional to show you how to use it. Always ask your health care professional to check regularly how you use the inhaler to make sure you are using it properly.

For diseaseds using cromolyn inhalation aerosol :

• The cromolyn aerosol canister provides about 112 or 200 inhalations, depending on the size of the canister your family doctor ordered. You must try to keep a record of the number of inhalations you use so you will know when the canister is almost empty. This canister, unlike some other aerosol canisters, can't be floated in water to test its fullness.
• When you use the inhaler for the first time, or if you have not using it in a while, the inhaler may not deliver the right amount of drug with the first puff. Therefore, before using the inhaler, test or prime it.
• To test or prime the inhaler :
  • Insert the drug container - canister firmly into the clean mouthpiece according to the manufacturer's directions. Check to make sure the canister is placed properly into the mouthpiece.
  • Take the cap off the mouthpiece and shake the inhaler three or four times.
  • Hold the inhaler well away from you at arm's length and press the top of the canister, spraying the drug one time into the air. The inhaler will now be ready to provide the right amount of drug when you use it.
• To use the inhaler :
  • Using your thumb and one or two fingers, hold the inhaler upright, with the mouthpiece end down and pointing toward you.
  • Take the cap off the mouthpiece. Check the mouthpiece to make sure it is clear. Do not use the inhaler with any other mouthpieces.
  • Gently shake the inhaler three or four times.
  • Hold the mouthpiece away from your mouth and breathe out slowly and completely to the end of a normal breath.
  • Use the inhalation method recommended by your family doctor.
    • Open-mouth method: Place the mouthpiece about 1 to 2 inches - 2 fingerwidths in front of your widely opened mouth. Make sure the inhaler is aimed into your mouth so the spray does not hit the roof of your mouth or your tongue. Avoid spraying in eyes.
    • Closed-mouth method: Place the mouthpiece in your mouth between your teeth and over your tongue with your lips closed tightly around it. Make sure your tongue or teeth are not blocking the opening.
  • Tilt your head back a little. Start to breathe in slowly through your mouth. At the same time, press the top of the canister once to get one puff of drug. Continue to breathe in slowly for 3 to 4 seconds until you have taken a full deep breath. It is important to press down on the canister and breathe in slowly at the same time so the drug gets into your lungs. This step may be difficult at first. If you are using the closed-mouth method and you see a fine mist coming from your mouth or nose, the inhaler is not being using correctly.
  • Hold your breath as long as you can up to 10 seconds - count slowly to ten. This gives the drug time to settle into your airways and lungs.
  • Take the mouthpiece away from your mouth and breathe out slowly.
  • If your family doctor has told you to inhale more than 1 puff of drug at each dose, wait about 1 minute between puffs. Then, gently shake the inhaler again and take the second puff following exactly the same steps you using for the first puff. Breathe in only one puff at a time.
  • When you are finished using the inhaler, wipe off the mouthpiece and replace the cap.
  • Keep track of the number of sprays you have using from the inhaler, and discard the inhaler after the labeled maximum number of sprays has been using.

Your family doctor may want you to use a spacer device with the inhaler. A spacer makes the inhaler easier to use. It allows more of the drug to reach your lungs, rather than staying in your mouth and throat.

• To use a spacer device with the inhaler :
  • Attach the spacer to the inhaler according to the manufacturer's directions. There are various types of spacers available, but the method of breathing remains the same with most spacers.
  • Gently shake the inhaler and spacer well.
  • Hold the mouthpiece of the spacer away from your mouth and breathe out slowly and completely.
  • Place the mouthpiece of the spacer into your mouth between your teeth and over your tongue with your lips closed around it.
  • Press down on the canister top once to release one puff of drug into the spacer. Then, within 1 or 2 seconds, begin to breathe in slowly and deeply through your mouth for 5 to 10 seconds. Count the seconds while inhaling.
  • Hold your breath as long as you can up to 10 seconds - count slowly to 10.
  • Breathe out slowly.
  • Wait a minute between puffs. Then, gently shake the inhaler and spacer again and take the second puff, following exactly the same steps you using for the first puff. Do not spray more than one puff at a time into the spacer.
  • When you are finished using the inhaler, remove the spacer device from the inhaler and replace the cap.

Clean the inhaler, mouthpiece and spacer at least once a week.

• To clean the inhaler :
  • Remove the canister from the inhaler and set the canister aside. Do not get the canister wet.
  • Wash the mouthpiece, cap and the spacer in warm soapy water. Rinse well with warm, running water.
  • Shake off the excess water and let the inhaler parts air dry completely before putting the inhaler back together.

For diseaseds using cromolyn capsules for inhalation :

• Do not swallow the capsules. The drug will not work if you swallow it .
• This drug is using with a special inhaler, either the Spinhaler or the Halermatic . If you do not understand the directions that come with the inhaler or if you are not sure how to use the inhaler, ask your health care professional to show you how to use it. Always ask your health care professional to check regularly how you use the inhaler to make sure you are using it properly.
• If you are using cromolyn capsules for inhalation with the Spinhaler :
  • To load the Spinhaler :
    • Make sure your hands are clean and dry.
    • Insert the capsule into the inhaler just before using this drug.
    • Hold the inhaler upright with the mouthpiece pointing down. Unscrew the body of the inhaler from the mouthpiece.
    • Keep the mouthpiece pointing down and the propeller on the spindle. Remove the foil from the capsule and insert the colored end of the cromolyn capsule firmly into the cup of the propeller. Avoid too much handling of the capsule, because moisture from your hands may make the capsule soft.
    • Make sure the propeller moves freely.
    • Screw the body of the inhaler back into the mouthpiece and make certain that it is fastened well.
    • While keeping the inhaler upright with the mouthpiece pointing down, slide the grey outer sleeve down firmly until it stops. This will puncture the capsule. Then slide the sleeve up as far as it will go. This step may be repeated a second time to make sure the capsule is punctured.
  • To use the Spinhaler :
    • Check to make sure the mouthpiece is properly attached to the body of the inhaler.
    • Hold the inhaler away from your mouth and breathe out slowly to the end of a normal breath.
    • Place the mouthpiece in your mouth, close your lips around it and tilt your head back. Do not block the mouthpiece with your teeth or tongue.
    • Take a deep and rapid breath. You must hear and feel the vibrations of the rotating propeller as you breathe in.
    • Take the inhaler from your mouth and hold your breath for a few seconds or as long as possible.
    • Hold the inhaler away from your mouth and breathe out slowly and completely to the end of a normal breath. Do not breathe out through the inhaler because this may prevent the inhaler from help you.
    • Keep taking inhalations of this drug until all the powder from the capsule is inhaled. A light dusting of powder remaining in the capsule is normal and is not a sign that the inhaler is not help you.
    • Throw away the empty capsule. Then return the inhaler to the container and replace the lid on the container.
  • To clean the Spinhaler :
    • At least once a week, brush off any powder left sticking to the propeller.
    • Take the inhaler apart and wash the parts of the inhaler with clean, warm water.
    • Wash the inside of the propeller shaft by moving the propeller on and off the steel spindle under water.
    • Shake out the excess water.
    • Allow all parts of the inhaler to dry completely before putting it back together.
    • The Spinhaler must be replaced after 6 months.
• If you are using cromolyn capsules for inhalation with the Halermatic :
  • To load the Halermatic :
    • Make sure your hands are clean and dry.
    • Insert the capsule cartridge into the inhaler just before using this drug.
    • Remove the mouthpiece cover. Then pull off the mouthpiece.
    • Push a cromolyn capsule cartridge firmly down to the bottom of the slot.
    • Slide the mouthpiece back on the body of the inhaler. Push down slowly as far as the mouthpiece will go. This punctures the capsule cartridge and lifts it into the rotation chamber. Do not repeat this step because the capsule cartridge needs to be punctured only once.
  • To use the Halermatic :
    • Hold the inhaler away from your mouth and breathe out slowly to the end of a normal breath.
    • Place the mouthpiece in your mouth, close your lips around it and tilt your head back. Do not block the flow of drug into the lungs with your teeth or tongue.
    • Breathe in quickly and steadily through the mouthpiece.
    • Hold your breath for a few seconds to keep the drug in the lungs as long as possible. Then take the inhaler away from your mouth.
    • Hold the inhaler well away from your mouth and breathe out to the end of a normal breath. Do not breathe out through the inhaler because this may prevent the inhaler from help you.
    • Keep taking inhalations of this drug until all the powder from the capsule is inhaled. A light dusting of powder remaining in the capsule is normal and is not a sign that the inhaler is not help you.
    • Throw away the empty capsule cartridge.
  • To clean the Halermatic :
    • Brush away powder deposits each day with a brush.
    • When powder deposits build up, wipe them away with a slightly damp cloth.
    • The mouthpiece may be washed separately if necessary. However, do not wet the blue-based body of the inhaler. Be sure the mouthpiece grid is dry before putting the inhaler back together.
    • The Halermatic must be replaced every 6 months.

For diseaseds using cromolyn inhalation solution :

• Cromolyn inhalation solution comes in a small glass container called an ampul. The ampul must be broken gently to empty the contents. If you do not understand the manufacturer's directions, ask your health care professional to show you what to do.
• Do not use the solution in the ampul if it is cloudy or contains particles.
• To break and empty the ampul :
  • The glass ampul is weak at each end so the ends can be broken easily by hand.
  • Hold the ampul away from the nebulizer and your face when you break it. Hold the ampul at an angle and carefully break off the lower end. No solution will come out.
  • Turn the ampul over so the open end faces up. Place a forefinger carefully over the open end.
  • Keep your finger firmly in place and break off the lower end of the ampul.
  • To empty the ampul, hold it over the bowl of the nebulizer unit and remove your finger to let the solution flow out.
  • Throw away any solution left in the nebulizer after you have taken your treat.
• Use this drug only in a power-operated nebulizer that has an adequate flow rate and is equipped with a face mask or mouthpiece. Your family doctor will advise you on which nebulizer to use. Make sure you understand exactly how to use it. Hand-squeezed bulb nebulizers can't be using with this drug. If you have any questions about this, check with your family doctor.

For diseaseds using cromolyn oral inhalation regularly - for example, every day:

• In order for cromolyn to work properly, it must be inhaled every day in regularly spaced doses as ordered by your family doctor . Up to 4 weeks may pass before you feel the full effects of the drug.

Dosage

The number of doses you take each day, the time allowed between doses, and the length of time you take the drug depend on the medical problem for which you are taking cromolyn inhalation.

• For inhalation aerosol dosage form:
  • For prevention of asthma symptoms:
    • Adults and children 5 years of age or older 2 inhalations - puffs taken four times a day with doses spaced four to six hours apart.
    • Children up to 5 years of age Cromolyn inhalation aerosol must not be using in child younger than 5 years of age.
  • For prevention of bronchospasm causing by exercise or a condition or substance:
    • Adults and children 5 years of age or older 2 inhalations - puffs taken at least ten to fifteen - but not more than sixty minutes before exercise or exposure to any condition or substance that may cause an attack.
    • Children up to 5 years of age Cromolyn inhalation aerosol must not be using in child younger than 5 years of age.
• For capsule for inhalation dosage form:
  • For prevention of asthma symptoms:
    • Adults and children 2 years of age or older 20 mg - contents of 1 capsule using in an inhaler, taken four times a day with doses spaced four to six hours apart.
    • Children up to 2 years of age The capsule for inhalation must not be using in child younger than 2 years of age.
  • For prevention of bronchospasm causing by exercise or a condition or substance:
    • Adults and children 2 years of age or older 20 mg - contents of 1 capsule using in an inhaler, taken at least ten to fifteen - but not more than sixty minutes before exercise or exposure to any condition or substance that may cause an attack.
    • Children up to 2 years of age The capsule for inhalation must not be using in child younger than 2 years of age.
• For inhalation solution dosage form:
  • For prevention of asthma symptoms:
    • Adults and children 2 years of age or older 20 mg - contents of 1 ampul using in a nebulizer. This drug must be using four times a day with doses spaced four to six hours apart. Use a new ampul of solution for each dose.
    • Children up to 2 years of age Cromolyn inhalation solution must not be using in child younger than 2 years of age.
  • For prevention of bronchospasm causing by exercise or a condition or substance:
    • Adults and children 2 years of age or older 20 mg - contents of 1 ampul using in a nebulizer. This drug must be using at least ten to fifteen - but not more than sixty minutes before exercise or exposure to any condition or substance that may cause an attack. Use a new ampul of solution for each dose.
    • Children up to 2 years of age Cromolyn inhalation solution must not be using in child younger than 2 years of age.

Missed dose If you are using cromolyn regularly and you miss a dose, use it as soon as possible. Then use any remaining doses for that day at regularly spaced times.

Storage To store this drug:

• Keep out of the reach of children.
• Store the aerosol or solution form of this drug at room temperature away from heat or cold. Keep this drug from freezing.
• Store the capsule or solution form of this drug away from direct light. Store the aerosol form of this drug away from direct sunlight.
• Do not store the capsule form of this drug in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the drug to break down.
• Do not puncture, break, or burn the aerosol container, even if it is empty.
• Do not keep outdated drug or drug no longer needed. Be sure that any discarded drug is out of the reach of children.