Mannitol Dry Powder Inhaler (Cystic Fibrosis)

What is this medication?

MANNITOL (MAN i tol) treats cystic fibrosis (CF). It works by thinning mucus, making it easier to clear from the lungs. This prevents the buildup of mucus, which improves breathing and reduces the risk of infection.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): BRONCHITOL

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

• Coughing up blood
• An unusual or allergic reaction to mannitol, other medications, foods, dyes, or preservatives
• Pregnant or trying to get pregnant
• Breast-feeding

How should I use this medication?

This medication is inhaled through the mouth. Do not swallow the capsules. Take it as directed on the prescription label at the same times every day. Use your short-acting "quick-relief" medication 5 to 15 minutes before every dose of this medication. Do not use this medication more often than directed. Keep taking it unless your care team tells you to stop.

This medication comes with INSTRUCTIONS FOR USE. Ask your pharmacist for directions on how to use this medication. Read the information carefully. Talk to your pharmacist or care team if you have questions.

Talk to your care team about the use of this medication in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medication?

Interactions are not expected.

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.

You must use your quick-acting inhaler 5 to 15 minutes before every dose of this medication. This helps prevent wheezing and feeling breathless. Use your short-acting rescue medication if you have sudden breathing problems. If you feel very breathless during use of this medication, let your care team know right away.

What side effects may I notice from receiving this medication?

Side effects that you should report to your care team as soon as possible:

• Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
• Coughing up blood
• Wheezing or trouble breathing

Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):

• Cough
• Fever
• Irritation inside the mouth or throat
• Severe joint pain
• Sore throat
• Vomiting

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

Keep out of the reach of children and pets.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Keep this medication in the original container until you are ready to take it. If your medication is stored at temperatures more than 30 degrees C (86 degrees F), get rid of it. Do not refrigerate. Do not freeze. Get rid of the inhaler after 7 days of use and get a new one.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.