See All
Preferences
My Communities
My Discussions
My Email Digests
Does anyone else share my concerns?? I am at a loss for what to do about this... One of these links is on the FDA website and is the letter from King Pharmaceuticals and why they are stopping production. I have copied and pasted a section of the letter.
"We would like to inform you that after careful consideration, King Pharmaceuticals?, Inc. will soon discontinue the manufacture of INTAL? Inhaler (cromolyn sodium inhalation aerosol). King will continue to accept orders for INTAL until current inventories are exhausted, so the exact date of product unavailability is not known. This action is not the result of any safety or efficacy issues regarding this product.
This decision is based upon many factors, including our inability to identify a qualified manufacturer for chlorofluorocarbon propellant inhalers and our inability, despite best efforts, to reformulate INTAL? to a chlorofluorocarbon-free or hydrofluoroalkane (HFA) propellant formulation. We are providing this notification to you as a healthcare professional so that patients currently using INTAL can be effectively and efficiently transitioned to alternative therapies. Because of the planned phase out of INTAL, please refrain from initiating treatment with this product. INTAL? will remain available through pharmacies and wholesalers until current supplies are depleted. INTAL? is distributed through King Pharmaceuticals?, Inc. No additional product will be available after King, pharmacy and wholesaler supplies are exhausted.
If you have any questions or concerns, you may contact our Professional Information Services Department at 800 776-3637."
www.empr.com/Intal-Inhaler-discontinued/article/141142/
www.fda.gov/downloads/Drugs/DrugSafety/DrugShortages/UCM175032.pdf
Link: www.aaaai.org/patients/resources/medicationguide/cromolin_theophylline.stm
Hope this thought helps. Take care & good luck. Judy
Intal was the ONLY medication we found that settles out my airways, prevents chronic asthma issues and stopped my asthma cough. So believe me I share your concerns.
There was a nebulized formula of this medication but I believe it was discontinued a few years ago. I contacted my pharmacy but they have not seen it in years, but they are going to do some checking for me as to whether or not its still available.
I also put a call in to Kings pharmaceuticals and I am waiting a return call....I will let you know what I find out.
Mattie
Solution 1: Intal was originally available as a spincap. A device held a capsule full of Intal powder, a capsule very much like any other, and needles punched two holes in the capsule. The patient then inhaled through the device, where a propeller spun the capsule, giving a steady stream of the fine powder, which was inhaled naturally. I used the spincaps until they were discontinued in the 1980's. Why on earth would a drug maker not revive the system? It used the air as a propellant.
Solution 2: We all need to write to Congress and the White House about creating an exception for medical use to the CFC outlaw. CFC's were eating away the ozone layer, but it has been repairing itself over the past 15 years, even while asthma inhalers were still using CFC propellants. Evidently, they are not harming the ozone.
I will be writing my letters now.
My son has been on this inhaler for years. He also has glaucoma. His eye specialist says this is the only non steriod inhaler out there and that steroid inhalers are known to raise the pressure in the eyes which is extremely bad for him. If we go we a steroid inhaler his eye doctor must moniter the pressure every 4-6 weeks. Not good at all. We are trying to find alternatives but it doesn't look good. I will keep you posted.
EWhite

My pharmacy did some research but there are so far no indications the nebulized formulation will be discontinued yet. It is currently still being manufactured by five different companies.
I use the OTC cromolyn nasal spray and for me it IS as effective as the inhaler, so that is an option you can try.
Otherwise there is no other medication of this class to substitute the Intal with.
check with your doctor and see if you can get a prescription for the nebulized solution.
For those of us who rely on Intal inhalers, we all understand your frustration.
Good luck
Mattie
Xolair is indicated for people older than 12 whose more severe asthma is resistant to other therapies. Check your insurance policy, as there may be restrictions on paying for Xolair. It is fairly expensive. And yes, there have been instances reported of anaphylaxis, and researchers are trying to figure out why that is.
Singulair has a mild asthma controller effect, and doesn't work for everyone. Some people have side effects. However, it might be worth a try.
Salmeterol (brand name Serevent) is a long acting bronchodilator. Due to FDA black-box warnings, no good physician would prescribe Serevent by itself for a person with asthma. The black-box warnings were to advise physicians and consumers that use of Serevent ALONE (without an inhaled steroid) increased the risk of death in people with asthma. Commonly asthmatics use Serevent as part of the combination medication Advair.
You may find more suggestions for alternatives on the aaaai.org website, here: aaaai.org/patients/resources/medication_guide.asp
Based on conversations on this and Dr. Enright's asthma board, my impression is that not many people take Accolate, which is in the same category of med as Singulair (leukotriene modifiers).
Unfortunately Tilade, which is in the same class of meds as Intal, has also been discontinued for essentially the same reason that the Intal inhaler has been discontinued: www.fda.gov/downloads/Drugs/DrugSafety/DrugShortages/ucm089433.pdf
Just wondering -- what was the inhaled steroid that your son had a bad reaction to, and what exactly was his reaction? It is true that not all the inhaled steroids are the same -- for example, dry powder inhalers contain additional ingredients to make them powdery. For example, the dry powder inhaler Asmanex contains lactose (milk protein), so people allergic to milk would not be able to take that medication.
Hopefully some of this information will help you. Take care and good luck. Judy
Does your pharmacy get it overseas? All the chain pharmacies in my area have not had it for 2 years, and I'm paying $150/month via a Canandian online pharmacy.
Since King decided to burn us again with trashing the MDI Intal, I found a few non US pharmacies that will ship.
Sorry creatures of the pack ice, but me staying out of the hospital will save more green house gases being made than my little MDI.
And it took me years to get off the steroids, and I just can't take them. I'm not drinking the Flovent/Advair Kool Aide all the allergists and pulmonary doctors are handing out.
Interesting that the EU and Australia will still have it.
NJ
4 years on Xolair, which was a total waste and time sucker. Time sucker because my allergist made me stay the 2 hours after the shot, which is in the FDA guide lines. Between the insurance hassles, wasting 2 hours of my life twice a month and minimal results, I wouldn't go back.
Singulair, I might as well been popping Tic-Tacs. Did nothing for me.
Tilade was discontinued about 2 years ago in the US. Intal was the last mast cell stabilizer availiable in the US. I heard you can get Tilade via online pharmacies. I have never used it.
When I'm not on Intal, my asthma medications increase to at least 4. When I have my steady supply from Canada, I take Intal qid and Zantac 300 mg/day.
This is why I feel burned. I trade Intal for steroids, albuterol, Singulair (which makes the doctors happy but does squat for me), some antihistamine which will poop out and I'll have to try another. It is all madness.
But if I'm sick and miserable, health care is making money.
Good luck
NJ
According to Teva's website it is still available in the generic form.
www.tevausa.com/default.aspx?pageid=76
I also found it at an online pharmacy: (and I am sure if they have it others do as well)
www.drugstore.com/pharmacy/prices/drugprice.asp?ndc=00172640659&trx=1Z5006
My pharmacy did a check and found five different manufacturers still producing the generic nebulized cromolyn.
You didn't say where you live, but all I can tell you is that I picked up a box this month so it is still available.
Mattie
Women's Health Newsletter
Find out what women really need.
Helpful Tips
Helpful Resources
Related News
Related Drug Reviews
- Drug Name User Reviews
Report Problems to the
Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
For more information, visit the Duke Health Asthma and Allergies Center
Other Asthma Information
More Related Exchanges
The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment.
Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately.
Health Solutions From Our Sponsors
©2005-2013 WebMD, LLC. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment. See additional information.



