When This Medicine Should Not Be Used:
This medicine is not right for everyone. Do not use it if you had an allergic reaction to olodaterol.

How to Use This Medicine:
Spray

• Your doctor will tell you how much medicine to use. Do not use more than directed.
• This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.
• This medicine is used with a device called a metered-dose inhaler. The inhaler fits on the medicine canister and turns the medicine into a fine spray that you breathe in through your mouth and to your lungs. Your caregiver will show you how to use your inhaler. Follow directions carefully.
• Prime the inhaler before use by pressing the dose release button until you see a cloud of medicine. Then press the button 3 more times. The inhaler is now ready to use.
• Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose. Do not use more than 2 puffs every 24 hours.
• Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Throw away the inhaler 3 months after its first use.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Some foods and medicines can affect how olodaterol works. Tell your doctor if you are using any of the following:
  
  • Other medicines that you inhale, especially medicines to treat asthma
  • Theophylline
  • A diuretic or water pill
  • A beta blocker medicine to lower blood pressure
  • Steroids
  • An MAO inhibitor or other medicine to treat depression

Warnings While Using This Medicine:

• Tell your doctor if you are pregnant or breastfeeding, or if you have asthma, diabetes, heart disease, heart rhythm problems (such as QT prolongation), high blood pressure, an overactive thyroid, or a history of seizures.
• This medicine may cause paradoxical bronchospasm (increased trouble breathing), which may be life-threatening. Your risk is higher if you also have asthma.
• Do not use this medicine for a sudden COPD attack. Make sure you always have your rescue medicine with you to treat sudden symptoms.
• If you use a corticosteroid medicine to control your asthma, keep using it as instructed by your doctor.
• If any of your asthma medicines do not seem to be working as well as usual, call your doctor right away. Do not change your doses or stop using your medicines without asking your doctor.
• Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.
• Keep all medicine out of the reach of children. Never share your medicine with anyone.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Chest pain, fast, pounding, or uneven heartbeat
• Dry mouth, increased thirst, muscle cramps, nausea, vomiting
• Increased trouble breathing
• Tremors

If you notice these less serious side effects, talk with your doctor:

• Cough, stuffy or runny nose, sore throat

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088