Striverdi
Striverdi Respimat (olodaterol) is a type of bronchodilator called long-acting beta agonist (LABA). It's used to treat chronic obstructive pulmonary disease (COPD) in adults. The typical dose is 2 inhalations once daily at the same time each day. Side effects aren't common but can include the common cold and upper respiratory tract infections.
What is Striverdi Respimat (olodaterol)?
What is Striverdi Respimat (olodaterol) used for?
- Maintenance treatment of chronic obstructive pulmonary disease (COPD)
How Striverdi Respimat (olodaterol) works
Striverdi Respimat (olodaterol) is a long-acting beta agonist (LABA). It works by relaxing the muscles in your lungs to open up your airways, making it easier to breathe.
Drug facts
| Common Brands | Striverdi |
|---|---|
| Drug Class | LABA |
| Controlled Substance Classification | Not a controlled medication |
| Generic Status | No lower-cost generic available |
| Availability | Prescription only |
Side effects of Striverdi Respimat (olodaterol)
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Common Side Effects
- Common cold (11%)
- Upper respiratory tract infections (8%)
- Bronchitis (5%)
- Cough (4%)
- Back pain (4%)
Less Common Side Effects
- Urinary tract infection
- Diarrhea
- Dizziness
- Rash
- Joint pain
Striverdi Respimat (olodaterol) serious side effects
Contact your healthcare provider immediately if you experience any of the following.
- Allergic reaction: hives; swelling of your face, lips, or tongue; difficulty breathing
- Sudden narrowing of your airways: difficulty breathing, wheezing, chest pain or tightness, cough
- Heart problems: dizziness, fatigue, weakness, tremor, irregular heartbeat, worsening symptoms of heart problem you already have
The following Striverdi Respimat (olodaterol) side effects have also been reported
Side effects that you should report to your care team as soon as possible:
- Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
- Heart rhythm changes—fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing
- Increase in blood pressure
- Muscle pain or cramps
- Wheezing or trouble breathing that is worse after use
Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):
- Headache
- Sore throat
- Tremors or shaking
- Trouble sleeping
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Pros and cons of Striverdi Respimat (olodaterol)
Pros
- A recommended medication for COPD
- The Respimat device is generally easier to use, especially for people with arthritis
- Used once per day
Cons
- Doesn't treat sudden trouble breathing
- Inhaler device has to be cleaned once a week
- Can interact with certain other medications, like beta blockers
Pharmacist tips for Striverdi Respimat (olodaterol)
- Use Striverdi Respimat (olodaterol) once per day at the same time every day to prevent COPD attacks. You can take Striverdi Respimat (olodaterol) at any time of the day. But remember to take 2 inhalations at each dose, one after the other.
- If you have sudden trouble breathing, use your rescue inhaler. Striverdi Respimat (olodaterol) won't treat a COPD attack as it's happening.
- Call your pulmonologist if your breathing or peak flow meter results worsen. Also contact your pulmonologist if you're using your rescue inhaler more often than usual. These could be signs that Striverdi Respimat (olodaterol) alone isn't enough to manage your COPD.
- Store Striverdi Respimat (olodaterol) at room temperature in a dry place away from heat or sunlight. Keep unused inhalers in the original foil pouch.
How to use Striverdi Respimat (olodaterol):
- You need to prime Striverdi Respimat (olodaterol) before using it for the first time and if you haven't used the inhaler for more than 21 days (3 weeks). After inserting the cartridge into the inhaler device, spray it towards the ground until you see a mist, then repeat the process three more times. You only need to prime the inhaler once when you get a new device. If you haven’t used your inhaler for more than 3 days, prepare the device by spraying it once towards the ground.
- To use Striverdi Respimat (olodaterol), remember TOP: Turn the base in the direction of the arrows on the inhaler until you hear a click (half a turn). Open the cap. Then, breathe out slowly and fully before you place your lips around the mouthpiece; don't cover the air vents. Press the dose-release button while you take a slow, deep breath through your mouth. Hold your breath for 10 seconds, or as long as you comfortably can.
- Be sure to clean the Striverdi Respimat (olodaterol) mouthpiece (including the metal part inside) with a damp cloth or tissue at least once a week. It's okay if the mouthpiece gets a little discolored.
- Throw away the canister 3 months after you first use it, or when you aren't able to turn the bottom of your inhaler anymore. Once your Striverdi Respimat (olodaterol) inhaler is empty, it locks and can't be used anymore.
Risks and warnings for Striverdi Respimat (olodaterol)
Striverdi Respimat (olodaterol) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Not for use in people with asthma
Striverdi Respimat (olodaterol) shouldn't be used in people with asthma. The medication hasn't been studied for this purpose, so it's not known how safe it is or how well it works for asthma. There are several other inhalers available that are specifically for people with asthma.
Not a rescue inhaler
Don't use Striverdi Respimat (olodaterol) if you're having a COPD exacerbation, which is a sudden worsening of symptoms that's often triggered by an irritant. This inhaler won't help ease breathing if you have sudden symptoms, like wheezing or trouble breathing. Always have a rescue inhaler with you to help ease any sudden COPD exacerbations.
Narrowing of your airways (bronchospasm)
Although rare, Striverdi Respimat (olodaterol) can sometimes cause a muscle spasm in your lungs (bronchospasm). This can lead to difficulty breathing, wheezing, cough, and chest discomfort. If you become short of breath after using Striverdi Respimat (olodaterol), get medical help right away.
Heart problems
- Risk factors: High blood pressure | Heart failure | Heart rate or rhythm problems | Using more Striverdi Respimat (olodaterol) than recommended
Striverdi Respimat (olodaterol) can potentially raise your blood pressure and heart rate, as well as cause changes in heart rhythm. But these side effects are typically unlikely to happen if you're taking the recommended dose of Striverdi Respimat (olodaterol). Your healthcare team might ask you to check your blood pressure and heart rate regularly at home if you have high blood pressure or other heart problems. Don't use Striverdi Respimat (olodaterol) more often than recommended because doing so raises the risk for heart problems. If you find that you need to use Striverdi Respimat (olodaterol) more often, let your care team know so they can see if you need any changes to your treatment plan. Tell your care team if you have dizziness, fatigue, tremor, rapid heartbeat, or weakness after you use Striverdi Respimat (olodaterol).
Low potassium in the blood
- Risk factors: Taking too much Striverdi Respimat (olodaterol)
Beta agonists, like Striverdi Respimat (olodaterol), can sometimes cause the potassium levels in your blood to drop too low and lead to symptoms like tiredness and muscle cramps. People who took Striverdi Respimat (olodaterol) in clinical studies didn't experience this side effect, but it's important to be aware of the symptoms.
Allergic reactions
Allergic reactions to Striverdi Respimat (olodaterol) are possible, including life-threatening reactions like facial swelling, shock, and anaphylaxis (closing of the throat). Get medical attention right away if you notice hives, rash, red skin, swelling of the lips or tongue, or difficulty breathing after using Striverdi Respimat (olodaterol).
Striverdi Respimat (olodaterol) dosage
| Dosage | Quantity | Price as low as | Price per unit |
|---|---|---|---|
| 60 inhalations of 2.5mcg/actuation | 1 respimat inhaler | $270.19 | $270.19 |
Typical dosage for Striverdi Respimat (olodaterol)
Each inhalation of Striverdi Respimat delivers 2.5 mcg of olodaterol.
Adults: The typical dose is 2 inhalations by mouth once per day.
How much does Striverdi Respimat (olodaterol) cost?
$270.19
Striverdi Respimat (olodaterol) contraindications
Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Striverdi Respimat (olodaterol) will not be safe for you to take.
- Using as treatment for asthma
- Using without an inhaled corticosteroid in people with asthma