TOBI PODHALER—
Designed with your patients in mind
The following case presentations are for example only.
Carl
48 years | Male
First Pa Diagnosis: Age 17
FEV1: 55%
BMI: 19.2
Average# Hospitalizations
per year: 1-2
Carl's travel doesn't always allow for a power source or refrigeration of my treatments
- Consultant for a leading food distribution company
- Proud uncle to his niece and nephew who live two states away
- Fiercely proactive about adhering to his treatment schedule and incorporates exercise into his daily routine
- Frequent visits to clients and family
Whether I am traveling for work or to visit family, I don't have the same resources for my treatments as I do when I am at home.
Josh
18 years | Male
First Pa Diagnosis: Age 10
FEV1: 63%
BMI: 50th percentile
Average# Hospitalizations
per year: ~1
Looking for ways to help decrease his treatment time
- Youngest of 3 siblings
- High school graduate moving away to college this year
- Active in theater program and will continue to pursue in college
- Believes existing nebulized treatment time will impact his busy class and extracurricular schedule
Time saved with my treatments is
time for the things I want to do.
Olivia
11 years | Female
First Pa Diagnosis: 14 months ago
FEV1: 75%
BMI: 35th percentile
Average# Hospitalizations
per year: ~1
Olivia wants to save time and have flexibility with her treatments
- Recently transitioned from elementary to middle school
- Her mom encourages Olivia to be more independent in managing her treatments
- Plays violin in the concert band and is active in her church's youth group
- Unable to eradicate her Pa and will now shift to
maintenance treatment
- It is not known if TOBI PODHALER is safe and effective when used for more than 3 cycles
Decreasing treatment time is exactly what
my daughter wants to fit her active lifestyle.
Angela
38 years | Female
First Pa Diagnosis: Age 15
FEV1: 60%
BMI: 18.1
Average# Hospitalizations
per year: ~1
Unable to take her treatments with her during her busy day
- Single mother to her 8 year old son Liam
- Works as a local Wedding Coordinator
- Difficulty fitting in all her daily treatments due to travel around town for work and Liam's school commitments and sporting events
Portability is everything for a mom
on the go and especially for one like
me who is managing their CF.
INDICATION
TOBI® PODHALER® (Tobramycin Inhalation Powder) 28 mg per capsule is indicated for the management of cystic fibrosis patients with Pseudomonas aeruginosa.
Safety and efficacy have not been demonstrated in patients under the age of 6 years, patients with forced expiratory volume in 1 second (FEV1) <25% or >80% predicted, or patients colonized with Burkholderia cepacia.
IMPORTANT SAFETY INFORMATION
TOBI PODHALER is contraindicated in patients with known hypersensitivity to any aminoglycoside.
Bronchospasm can occur with inhalation of TOBI PODHALER. Bronchospasm should be treated as medically appropriate.
Caution should be exercised when prescribing TOBI PODHALER to patients with known or suspected auditory, vestibular, renal, or neuromuscular dysfunction.
Ototoxicity, as measured by complaints of hearing loss or tinnitus, was reported by patients in the TOBI PODHALER clinical studies. Tinnitus may be a sentinel symptom of ototoxicity, and therefore the onset of this symptom warrants caution. Ototoxicity, manifested as both auditory and vestibular toxicity, has been reported with parenteral aminoglycosides. Vestibular toxicity may be manifested by vertigo, ataxia, or dizziness.
Cases of ototoxicity with aminoglycosides have been observed in patients with certain variants in the mitochondrially encoded 12S rRNA gene (MT-RNR1), particularly the m.1555A>G variant. Ototoxicity occurred in some patients even when their aminoglycoside serum levels were within the recommended range. Mitochondrial DNA variants are present in less than 1% of the general US population, and the proportion of the variant carriers who may develop ototoxicity as well as the severity of ototoxicity is unknown. In case of known maternal history of ototoxicity due to aminoglycoside use or a known mitochondrial DNA variant in the patient, consider alternative treatments other than aminoglycosides unless the increased risk of permanent hearing loss is outweighed by the severity of infection and lack of safe and effective alternative therapies.
Caution should be exercised when prescribing TOBI PODHALER to patients with known or suspected renal dysfunction. Nephrotoxicity was not observed during TOBI PODHALER clinical studies but has been associated with aminoglycosides as a class.
TOBI PODHALER should be used cautiously in patients with neuromuscular disorders, such as myasthenia gravis or Parkinson’s disease, since aminoglycosides may aggravate muscle weakness because of a potential curare-like effect on neuromuscular function.
Aminoglycosides can cause fetal harm when administered to a pregnant woman. Patients who use TOBI PODHALER during pregnancy, or who become pregnant while taking TOBI PODHALER, should be apprised of the potential hazard to the fetus. The amount of tobramycin excreted in human breast milk is unknown. However, systemic absorption of tobramycin following inhaled administration is expected to be minimal. A decision should be made whether to discontinue nursing or TOBI PODHALER. TOBI may cause intestinal flora alteration. Advise a woman to monitor the breastfed infant for loose or bloody stools and candidiasis.
Patients receiving concomitant TOBI and parenteral aminoglycoside therapy should be monitored as clinically appropriate for toxicities associated with aminoglycosides as a class. Serum tobramycin levels should be monitored.
Concurrent and/or sequential use of TOBI PODHALER with other drugs with neurotoxic, nephrotoxic, or ototoxic potential should be avoided. Some diuretics can enhance aminoglycoside toxicity by altering antibiotic concentrations in serum and tissue. TOBI PODHALER should not be administered concomitantly with ethacrynic acid, furosemide, urea, or mannitol.
In a clinical trial, the most commonly observed adverse events with TOBI PODHALER occurring at a frequency of at least 10%, were cough, lung disorder, productive cough, dyspnea, pyrexia, oropharyngeal pain, dysphonia, hemoptysis, and headache.
Please see Full Prescribing Information