ASTHMANEFRIN ®

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Drug Facts

Active ingredient (in each 0.5 ml)

Racepinephrine, USP 11.25 mg (as 13.5 mg of Racepinephrine HCl, USP).

Purpose

Bronchodilator

Uses

For temporary relief of mild symptoms of intermittent asthma:

• Wheezing
• Tightness of chest
• Shortness of breath

Warnings

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Asthma alert: Because asthma may be life threatening, see a doctor if you:

These may be signs that your asthma is getting worse.

• Are not better in 20 minutes
• Get worse
• Need more than 12 inhalations in 24 hours
• Use more than 9 inhalations in 24 hours for 3 or more days a week
• Have more than 2 asthma attacks in a week

OTC - DO NOT USE SECTION

Do not use:

• Unless a doctor said you have asthma
• If you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson's disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains a MAOI, ask a doctor or pharmacist before taking this product.
• If product is brown in color or cloudy

OTC - ASK DOCTOR SECTION

Ask a doctor before use if you have:

• Ever been hospitalized for asthma
• Heart disease
• High blood pressure
• Diabetes
• Thyroid disease
• Seizures
• Narrow angle glaucoma
• A psychiatric or emotional condition
• Trouble urinating due to an enlarged prostate gland

OTC - ASK DOCTOR/PHARMACIST SECTION

Ask a doctor or pharmacist before use if you are:

• Taking prescription drugs for asthma, obesity, weight control, depression, or psychiatric or emotional conditions.
• Taking any drug that contains phenylephrine, pseudoephedrine, ephedrine, or caffeine (such as for allergy, cough-cold, or pain).

OTC - STOP USE SECTION

Stop use and ask a doctor if:

• Your asthma is getting worse (See Asthma alert)
• You have difficulty sleeping
• You have a rapid heartbeat
• You have tremors, nervousness, or seizure

OTC - WHEN USING SECTION

When using this product:

• Your blood pressure or heart rate may go up. This could increase your risk of heart attack or stroke, which may cause death.
• Your risk of heart attack or stroke increases if you:Have a history of high blood pressure or heart diseaseTake this product more frequently or take more than the recommended dose.
• Avoid foods or beverages that contain caffeine
• Avoid dietary supplements containing ingredients reported or claimed to have a stimulant effect.

OTC - PREGNANCY OR BREAST FEEDING SECTION

• If pregnant or breast-feeding, ask a health professional before use.

OTC - KEEP OUT OF REACH OF CHILDREN SECTION

• Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away.

Directions

• The ingredient is used in an aqueous solution at a concentration equivalent to 1 percent epinephrine.
• Do not use more than directed
• For use in a hand-held rubber bulb nebulizer:
• Add 0.5 mL (contents of one vial) of solution to nebulizer.
• Adults and children 4 years of age and over: 1 to 3 inhalations not more often than every 3 hours. Do not use more than 12 inhalations in 24 hours. The use of this product by children should be supervised by an adult.
• Children under 4 years of age: ask a doctor.

Other Information

Storage and Handling

• Protect from light. Avoid excessive heat. Protect from freezing.
• Store between 2°C and 25°C (36°F and 77°F).
• How Supplied: Asthmanefrin ® Racepinephrine Inhalation Solution, USP 2.25% is supplied in 0.5 mL sterile vials. NDC 0487-2784-01 30 vials, each vial in an individual foil pouch.

Inactive Ingredients

Ascorbic acid, citric acid, edetate disodium, water for injection.

Questions?

1-855-999-EZAN (3926)

Monday through Friday, 8:00 a.m. to 5:00 p.m. (Eastern Standard Time).

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Manufactured By: nephron pharmaceuticals corporation West Columbia, SC 29172