This medication is used to prevent symptoms (wheezing
and shortness of breath) caused by asthma. It is also used to prevent
wheezing and shortness of breath caused by exercise, cold/dry/polluted air,
or allergens such as pollen. Controlling breathing problems may decrease
time lost from work or school. If you use this medication you may not need
to use other asthma drugs (such as corticosteroids) as
often.
Cromolyn belongs to a class of medications called mast
cell stabilizers. It works by preventing release of certain natural
chemicals (such as histamines) that may cause swelling of the airways and
breathing problems.
This medication must be used regularly to prevent asthma
symptoms. It does not work right away and should not be used to relieve
sudden asthma attacks. If an asthma attack occurs, use your quick-relief
inhaler as prescribed.
Read the Patient Information Leaflet provided by your
pharmacist before you start using cromolyn and each time you get a refill.
Follow the illustrated directions for the proper use of this medication. If
you have any questions, ask your doctor or pharmacist.
This product is used with special breathing equipment
(power nebulizer with face mask or mouthpiece). Make sure you understand
how to use the machine and how to properly clean it to prevent infections.
A parent or other responsible adult should supervise a child who is using
this type of machine. Ask your doctor, pharmacist, or respiratory therapist
about the proper use of the equipment with this medication.
Before using, check this product for particles or
discoloration. If either is present, do not use the liquid. Do not mix this
medication with other solutions or products in the
nebulizer.
Inhale this medication by mouth as directed by your
doctor, usually 4 times daily. If you are using this medication to prevent
breathing problems related to exercise, cold/dry air, or allergens, use it
within 10 to 15 minutes, but not more than 60 minutes, before
exposure.
If you are using other inhaled medications, ask your
doctor when to use each of the medications and in what order you should use
them.
Learn which of your inhalers/medications you should use
every day (controller drugs) and which you should use if your breathing
suddenly worsens (quick-relief drugs). Ask your doctor ahead of time what
you should do if you have new or worsening cough or shortness of breath,
wheezing, increased sputum, worsening peak flow meter readings, waking up
at night with trouble breathing, if you use your quick-relief inhaler more
often (more than 2 days a week), or if your quick-relief inhaler does not
seem to be working well. Learn when you can treat sudden breathing problems
by yourself and when you must get medical help right away.
Use this medication regularly in order to get the most
benefit from it. This medication works best if always used at evenly spaced
intervals. To help you remember, use it at the same times each day. Do not
increase your dose, use it more often, or stop using this medication
without first asking your doctor. Dosage is based on your medical
condition, your age, response to treatment, and use of other asthma
medications. Your doctor may lower your dose once the medication starts to
work. Follow your doctor's instructions carefully.
It may take up to 4 weeks of regular use before the full
benefit of this drug takes effect.
Coughing, stuffy nose, sneezing, headache, nausea, or
tearing may occur. If any of these effects last or get worse, tell your
doctor or pharmacist promptly.
Remember that this medication has been prescribed
because your doctor has judged that the benefit to you is greater than the
risk of side effects. Many people using this medication do not have serious
side effects.
Tell your doctor right away if you have any serious side
effects, including:
- dizziness
- painful/frequent urination
- joint swelling/pain
- swollen glands around the cheek (parotid gland)
- muscle weakness
- heartburn
Rarely, this medication may cause severe sudden
worsening of breathing problems/asthma immediately after use. If you have
sudden worsening of breathing, use your quick-relief inhaler and get
medical help right away.
A very serious allergic reaction to this drug is rare.
However, get medical help right away if you notice any symptoms of a
serious allergic reaction, including:
- rash
- itching/swelling (especially of the face/tongue/throat)
- severe dizziness
- trouble breathing
This is not a complete list of possible side effects. If
you notice other effects not listed above, contact your doctor or
pharmacist.
In the US - Call your doctor for medical advice about side effects.
You may report side effects to FDA at 1-800-FDA-1088 or at
www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about
side effects. You may report side effects to Health Canada at
1-866-234-2345.
Before using cromolyn, tell your doctor or pharmacist if
you are allergic to it; or if you have any other allergies. This product
may contain inactive ingredients, which can cause allergic reactions or
other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or
pharmacist your medical history, especially of:
- liver problems
- kidney problems
Before having surgery, tell your doctor or dentist about
all the products you use (including prescription drugs, nonprescription
drugs, and herbal products).
During pregnancy, this medication should be used only
when clearly needed. Discuss the risks and benefits with your
doctor.
It is unknown if this drug passes into breast milk.
Consult your doctor before breastfeeding.
Drug interactions may change how your medications work
or increase your risk for serious side effects. This document does not
contain all possible drug interactions. Keep a list of all the products you
use (including prescription/nonprescription drugs and herbal products) and
share it with your doctor and pharmacist. Do not start, stop, or change the
dosage of any medicines without your doctor's approval.
If someone has overdosed and has serious symptoms such
as passing out or trouble breathing, call 911. Otherwise, call a poison
control center right away. US residents can call 1-800-222-1222. Canada
residents can call 1-844-764-7669.
Do not share this medication with others.
Learn to use a peak flow meter, use it daily, and
promptly report worsening asthma (such as readings in the yellow/red range,
increased use of quick-relief inhalers).
Avoid substances that can worsen breathing problems by
causing irritation or allergic reaction, such as smoke, pollen, pet dander,
dust, and mold.
Because the flu virus can worsen breathing problems, ask
your doctor or pharmacist if you should have a flu shot every
year.
If you miss a dose, use it as soon as you remember. Use
the remaining doses for that day at evenly spaced intervals. Do not double
the dose to catch up.
Store at room temperature in the foil pouches away from
light. Keep all medications away from children and pets.
Do not flush medications down the toilet or pour them
into a drain unless instructed to do so. Properly discard this product when
it is expired or no longer needed. Consult your pharmacist or local waste
disposal company.