Berotec® inhalation aerosol

Boehringer Ingelheim (Canada) Ltd.

Generic Name:
fenoterol hydrobromide

Product Illustration Form:
metered dose aerosol inhaler

oral inhalation

Why is it prescribed?

Berotec® inhalation aerosol contains fenoterol hydrobromide.

Fenoterol is used to relieve and prevent bronchospasm associated with asthma, chronic bronchitis, emphysema and other pulmonary disorders where bronchospasm is a complicating factor.


Side Effects

Berotec® inhalation aerosol contains fenoterol hydrobromide.

Along with its needed effects, fenoterol may cause some unwanted or undesirable effects. Generally, fenoterol is well tolerated and many people will not experience unwanted effects. The severity and duration of these effects are dependant on many factors including duration of therapy, dose, route of administration and individual response. Possible unwanted effects include:

  • nervousness
  • slight palpitations
  • fine tremor
  • headache
  • dizziness
  • cough
  • bad taste

  • increased heart rate
  • nausea
  • muscle cramps
  • weakness

  • restlessness
  • irritability

Many of these unwanted effects, especially the most common ones, may disappear with continued use. Check with the doctor or pharmacist if any of them continue or become bothersome.


Precautions and Warnings for Berotec® inhalation aerosol

Berotec® inhalation aerosol contains fenoterol hydrobromide

Currently, fenoterol is not recommended for use in children under 12 years of age.
Never exceed the maximum dosage set by your physician. If you find that you are not responding to your usual dose, your asthma may be worsening and you should contact your physician to revise your treatment plan. Increasing the dose, especially over extended periods, can lead to tolerance. If you are using fenoterol for an acute asthma episode and the condition continues or worsens, stop using the fenoterol and call your doctor immediately. Drug Interactions: Be sure to tell your doctor and pharmacist about any prescription or over-the-counter medications you are taking. The following drugs and drug classes have been known to interact with fenoterol:

  • MAO (monoamine oxidase) inhibitors (e.g. phenelzine, tranylcypromine)
  • tricyclic antidepressants (e.g. amitriptyline)
  • some beta-blockers (e.g. propranolol)
  • epinephrine
  • other bronchodilators (e.g. salbutamol)

Use is not recommended in the following situations:
  • allergy to fenoterol or any component of the preparation
  • cardiac arrhythmia (irregular heartbeat) associated with tachycardia (increased heart rate)

Caution recommended in the following situations:
  • hyperthyroidism
  • diabetes
  • heart disease

Use in pregnancy: Contact your doctor or pharmacist if you suspect that you may be pregnant.
Use while breastfeeding: Fenoterol is excreted in the breast milk. Consult your doctor or pharmacist before you begin breastfeeding.


Patient Information

The Berotec® inhaler is intended for inhalation only. Your doctor or pharmacist should have instructed you on the proper use and care of your Berotec® inhaler. It is advisable to have your technique reassessed by the pharmacist for the first 2 or 3 refills of your prescription.
Each inhaler comes with a leaflet that you should keep on hand for quick reference.
Remember to shake the inhaler before each use.
Some people experience dry mouth and throat after use. Rinsing your mouth with water may help prevent the dryness.
Berotec® usually takes about 5 minutes to start it's bronchodilating effect. If you are uncertain that you require more than 1 puff of Berotec®, wait 5 minutes between doses.
This is rescue medication and should be carried with you at all times.
Each canister usually contains 200 doses so it is important to keep a record of approximately when it should be replaced. To avoid problems, many people keep 2 inhalers on hand. Your inhaler should be stored at room temperature between 15 to 30 degrees centigrade. Do not to leave your inhaler in the glove compartment of the car or in places where temperatures can reach 30 degrees centigrade, as this may cause the canister to burst. The contents of the canister is under pressure and should never be punctured, used or stored near heat or open flame. Devices (e.g. spacers) are available to assist you in using your inhaler. Although these devices are not necessary, they have been shown to increase effectiveness and help people who are unable to coordinate inhalation with actuation of the inhaler. Your doctor or pharmacist will help you choose the device most suited to your needs.
The inhaler should be cleaned and cared for according to manufacturer's instructions.


Directions for Use

For immediate relief of symptoms, the usual adult dose is 1 (100 mcg) puff.
If required, a second puff can be taken after 5 minutes. If regular use is necessary, the recommended adult dose is 1 to 2 (100 mcg) puffs 3 to 4 times a day. A maximum of 8 puffs per day should not be exceeded.


Lung Diseases Treated with this Drug

  • asthma
  • bronchitis
  • bronchospasm associated with COPD
  • chronic bronchitis (COPD)
  • COPD
  • emphysema (COPD)


Need More Information?

For more information contact your physician, pharmacist, other health care professional or for general questions call your local lung association.