Generic Name: CROMOLYN SODIUM ORAL INHALATION
Pronunciation: (kroe' moe lin)
Trade Name(s): Intal
Why it is prescribed: Cromolyn sodium is used to prevent
the breathing difficulty i.e., bronchospasm of asthma attacks
due to exercise, allergies, and other factors.
When it is to be taken: Cromolyn sodium must be taken on
a regular schedule (usually three or four times a day) to prevent
asthma attacks or allergy symptoms. It is not used after an asthma
attack has started. It is most effective when used before exposure
to substances that cause allergies (e.g., pollen). If you have
seasonal allergies, use cromolyn sodium until the season is over.
To prevent breathing difficulty, use cromolyn sodium less than
one hour before exercising or exposure to a substance known to
cause bronchospasm. Follow the instructions on your prescription
label carefully. Allergy symptoms and asthma usually improve within
two to four weeks, although improvement in asthma may not occur
for six to eight weeks. When used before exercise, cromolyn sodium
prevents breathing difficulty for up to four hours.
How it should be taken: Cromolyn sodium inhalation comes
as a powder in capsules, an aerosol, and a liquid for use in a
special inhaler. Do not swallow the capsules. Do not remove a
capsules from its foil until you are ready to use it, and handle
it as little as possible. Moisture from your hands will soften
it. Before you take cromolyn sodium, read the written instructions
that come with it. Ask your doctor to demonstrate the proper technique,
and practice using your inhalation device while in his or her
presence. If you have difficulty in getting the medication into
your lungs, a spacer may help. If you are using other inhalations
as well as cromolyn sodium for asthma, ask your doctor which to
use first.
Special Instruction:
1. Inhalation devices require regular cleaning and may need to
be replaced periodically.
2. Follow the instructions that come with your device.
3. Do not use more or less of the medication than as prescribed
by your doctor.
4. If your symptoms have not improved after four weeks, notify
your doctor.
5. If you forget to take a dose, take the missed dose as soon
as you remember it. Take any remaining doses for that day at evenly
spaced intervals. Do not take a double dose.
Side Effects:
1. Irritation of the throat and air passages, bad taste, cough.
Rinse your mouth and gargle after each dose. Be sure that you
use the inhaler correctly. If these side effects continue, contact
your doctor.
2. Increased difficulty breathing, wheezing, sneezing, and stuffy
nose. Contact your doctor if these effects are severe or persist.
3. Lightheadedness. Remove the mouthpiece or mask and pause for
a while.
Other Precautions:
1. Before using cromolyn sodium powder in capsules for inhalation,
tell your doctor if you have a lactase deficiency.
2. Before using this medication, tell your doctor if you have
a history of heart disease.
3. Women who are pregnant or breast-feeding should inform their
doctors.
4. Do not use cromolyn sodium after an asthma attack has started;
it can make breathing more difficult.
5. Do not allow anyone else to use this medication.
Storage Conditions: Keep cromolyn sodiun out of the reach
of children. Store it at room temperature. Protect it from heat,
light, and moisture.