How to take BRONCHITOL® (mannitol) inhalation powder

BRONCHITOL Tolerance Test

BRONCHITOL is only for adults (18 years of age or older) who have passed the BRONCHITOL Tolerance Test (BTT). Before your doctor prescribes BRONCHITOL, a trained healthcare practitioner must administer the BTT. This test will identify whether you are hyperresponsive, or sensitive, to mannitol, the main ingredient in BRONCHITOL. If during the test the measurements of your lung function fall below a certain level, or you experience bronchospasm, then you should not be prescribed BRONCHITOL. In clinical trials, 92% of adult patients passed the BTT. The BTT also lets you practice the correct way to use the inhaler and take the medication while under the supervision of a healthcare practitioner. Talk to your doctor if you have questions about starting treatment.

BRONCHITOL dosing and administration information

BRONCHITOL is for oral inhalation only. Do not swallow BRONCHITOL capsules. Capsules should only be used with the BRONCHITOL inhaler device. Use BRONCHITOL exactly as your healthcare practitioner tells you to use it.

  • Use a short-acting bronchodilator 5–15 minutes before every dose of BRONCHITOL to open your airways so the medicine can reach your lungs
  • The recommended dosage of BRONCHITOL is 400 mg twice a day
  • A full dose requires you to inhale the contents of 10 capsules using the inhaler twice a day
  • BRONCHITOL should be taken once in the morning and once in the evening
  • The evening dose should be taken 2–3 hours before bedtime
  • After 7 days of using the inhaler, throw it away and use a new one; a new inhaler is provided in every 7-day carton of BRONCHITOL
  • If you do need to wash the inhaler during the 7 days, refer to the How to clean your BRONCHITOL inhaler instructions below

Please see Patient Information within the accompanying Full Prescribing Information.

Important Safety Information

BRONCHITOL may cause serious side effects, including sudden breathing problems immediately after inhaling your medicine; coughing up of blood (hemoptysis). Call your healthcare provider or get emergency medical care right away if you cough up a large amount of blood. Please see Full Prescribing Information.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

How to clean your BRONCHITOL inhaler

Your inhaler may be used for 7 days without needing cleaning. However, if your inhaler does need cleaning :

  • Make sure your inhaler is empty
  • Wash your inhaler in warm water with the mouthpiece open
  • Shake it until there are no large water droplets left in the inhaler
  • Leave it to dry in the air by laying it on its side with the mouthpiece open
  • Allow the inhaler to dry fully (or completely) after it has been washed

These instructions and additional information can be found in the Patient Instructions For Use.

What is BRONCHITOL?

BRONCHITOL is not intended to be used as a rescue medication. Inhaler and blister pack are not actual size and are for representation only. Use an inhaled bronchodilator 5–15 minutes before taking BRONCHITOL.

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*The image is not to scale.