SIDE EFFECTS

The following table shows the adverse reactions that were reported in patients previously receiving bronchodilators and/or orally inhaled corticosteroids in two double-blind, placebo-controlled US clinical studies, in which 519 adult and pediatric patients age 4-78 years (279 males and 240 females) were treated with the AEROSPAN Inhalation Aerosol (80 mcg to 320 mcg twice daily for 12 weeks) or placebo. The mean duration of exposure was 76.7, 78.2, 80.5, and 69.4 days for AEROSPAN Inhalation Aerosol 80 mcg, 160 mcg, 320 mcg, and placebo, all dosed twice daily, respectively. The table includes all events (whether considered drug-related or non-drug-related by the investigators) that occurred at a rate of > 3% in any AEROSPAN Inhalation Aerosol group and were more common than in the placebo group. In considering these data, the increased average duration of exposure for AEROSPAN Inhalation Aerosol patients should be taken into account, compared with placebo-treated patients.

Adverse Events with > 3% incidence reported in controlled clinical studies with AEROSPAN Inhalation Aerosol (% of patients)

The following other adverse events occurred in patients in these clinical studies using AEROSPAN Inhalation Aerosol with an incidence of 1 to 3% and were more common in AEROSPAN Inhalation Aerosol than in the placebo group.

Body As A Whole: abdominal pain, chest pain, infection, neck pain

Digestive System: diarrhea, gastroenteritis, nausea, oral moniliasis

Metabolic And Nutritional Disorders: edema

Musculoskeletal System: myalgia

Nervous System: dizziness, insomnia, migraine

Respiratory System: bronchitis, laryngitis, voice alteration

Skin And Appendages: erythema multiforme

Special Senses: conjunctivitis, ear pain, taste perversion

Urogenital System: dysmenorrhea, vaginitis

Cases of growth suppression have been reported for orally inhaled corticosteroids (see PRECAUTIONS, Pediatric Use section.)

Adverse Events From Other Sources

Two 52-week open label safety studies of AEROSPAN Inhalation Aerosol were conducted in 162 asthma patients 12 to 60 years of age and in 152 asthma patients 4 to 11 years of age. The adverse event profile exhibited in these studies was similar to that seen in the two 12-week studies.

The following additional adverse events were derived from clinical studies conducted with flunisolide CFC inhalation aerosol with a frequency of ≥ 1% and not described above:

Body as a Whole: flu, decreased appetite, chills, increased appetite, weight gain, malaise, peripheral edema, sweating, weakness

Gastrointestinal System: upset stomach, heartburn, constipation, gas, abdominal fullness

Cardiovascular System: palpitations, hypertension, tachycardia

Nervous System: headache, irritability, shakiness, anxiety, depression, faintness, fatigue, hyperactivity, hypoactivity, moodiness, numbness, vertigo,

Respiratory System: cold symptoms, nasal congestion, upper respiratory tract infection, chest congestion, hoarseness, runny nose, sinus congestion, sinus drainage, sinus infection, sneezing, sputum, wheezing, chest tightness, bronchospasm, dyspnea, head stuffiness, nasal irritation, pleurisy, pneumonia, sinus discomfort

Skin and Appendages: eczema, pruritus, acne, urticaria

Special Senses: loss of smell, loss of taste, ear infection, blurred vision, eye discomfort, eye infection

Hemic and Lymph: capillary fragility, enlarged lymph nodes

Mouth and Throat: sore throat, dry throat, glossitis, mouth irritation, phlegm, throat irritation

Read the entire FDA prescribing information for Aerospan HFA (Flunisolide Hemihydrate) »