This item is used to control and steer clear of symptoms (wheezing and shortness of breath) due to asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema). It contains 2 medications: salmeterol and fluticasone. Fluticasone belongs to a class of drugs referred to as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs understood as long-acting beta agonists. It works by opening airways in the lungs to make breathing easier. Controlling symptoms of breathing problems can decrease time lost from school or work.
This medication must regularly be used to be effective. It does not work right away and should not be used to relieve shortness that is sudden of or asthma attacks. If sudden breathing problems occur, make use of your quick-relief inhaler (such as for example albuterol, also called salbutamol in some national countries) as recommended.
Read the drugs Guide provided by your pharmacist you get a refill before you start using this medication and each time. Read the instructions that are patient directions on how to make use of this inhaler properly. If you have got any relevant concerns, ask your doctor or pharmacist.
Use this device in a level, flat place. Breathe this medication by mouth as directed by your doctor, usually twice daily (in the and evening, 12 hours apart) morning. You might or may not taste/feel the drug when you inhale. Either is normal. Do not exhale in to the device.
Usually do not take the inhaler apart or clean the mouthpiece or any part of the device. Close the device after each use.
If you use other inhalers at the same time, wait at least 1 moment between the use of each medication, and make use of this drug last.
Gargle and rinse water after each use to your mouth of the medication to simply help prevent irritation and yeast infections (thrush) in the mouth and throat. Do not swallow the rinse water.
The dosage is situated on your condition that is medical, and response to treatment.
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Use this medication frequently in order to obtain the benefit that is most from it. This medication works best if used at evenly spaced intervals. To help you remember, use it at the same times each day. Do not increase your dose, use this medication more frequently, or stop using it without first consulting your medical professional. Also, do not use other beta that is long-acting while using the this medication.
If you have been using a quick-relief inhaler (such as albuterol, also called salbutamol in some countries) on a regular daily schedule (such as 4 times daily), you must stop this schedule and only use the quick-relief inhaler as needed for sudden shortness of breath/asthma attacks. Consult your physician for details.
If you are regularly using a different corticosteroid taken by mouth (such as prednisone), you should not stop using it unless directed by your doctor. You might have withdrawal symptoms if the medication is suddenly stopped. Some conditions (such as asthma, allergies) may be even worse when the medication is suddenly stopped. To prevent withdrawal signs (such as weakness, weight loss, sickness, muscle pain, frustration, tiredness, dizziness), your physician may direct you to definitely slowly reduce the dose of your medication that is old after begin using this product. Consult your doctor or pharmacist for more details, and report any withdrawal reactions appropriate away. See also Precautions part.
It might take 1 week or much longer before you obtain the full benefit of this medication. Tell your medical practitioner if your condition does not enhance or if it worsens.
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Learn which of your inhalers you should use each and every day (controller drugs) and that you should use if your breathing abruptly worsens (quick-relief drugs). Pose a question to your medical practitioner ahead of time everything you should do if you use your quick-relief inhaler more often (more than 2 days a week), or if your quick-relief inhaler does not seem to be working well if you have new or worsening cough or shortness of breath, wheezing, increased sputum, worsening peak flow meter readings, waking up at night with trouble breathing. Learn when you can treat sudden breathing problems by yourself and when you must get medical help right away.
Hoarseness, throat irritation, headache, or stomach upset may occur. If some of these effects persist or aggravate, tell your doctor promptly.
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Understand that your doctor has prescribed this medication she has judged that the benefit to you is greater than the risk of side effects because he or. Many people using this medication do not have side that is serious.
This medication might raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total results are high.
Infrequently, this medication could potentially cause severe sudden worsening of breathing problems/asthma immediately after use. If you have sudden worsening of breathing, use your quick-relief inhaler and get help that is medical away.
Tell your doctor right away if any of these unlikely but side that is serious happen: white patches on tongue/in lips, signs of infection (such as fever, persistent sore throat), mental/mood changes (such as nervousness), trouble sleeping, vision dilemmas (such as blurred eyesight), increased thirst/urination, muscle cramps, shaking (tremors).
Get help that is medical away if some of these rare but serious part results happen: chest pain, fast/irregular heartbeat, severe dizziness, fainting, seizures.
A very serious allergic reaction to this product is rare. However, get help that is medical away in the event that you notice any apparent symptoms of a serious hypersensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This will be maybe not a list that is complete of side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In america -
Call your medical practitioner for medical advice about side impacts. You may possibly report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your medical professional for medical advice about part effects. You may report side effects to Health Canada at 1-866-234-2345.
Before using this product, tell your physician or pharmacist if you are allergic to fluticasone or salmeterol; or if you have any other allergies. This product may contain ingredients that are inactivesuch as for example lactose, milk proteins), which can cause allergic reactions or other problems. Confer with your pharmacist for more information.
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Before using this medicine, tell your doctor or pharmacist your medical history, especially of: current/past infections (such as tuberculosis, herpes), high blood pressure, bone loss (weakening of bones), cardiovascular illnesses (such as upper body pain, coronary attack, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye issues (such as for example cataracts, glaucoma), seizures, liver illness.
Salmeterol may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other signs (such as serious dizziness, fainting) that need medical help right away.
The possibility of QT prolongation may be increased if you have certain conditions that are medical are taking other medications that could cause QT prolongation. Before making use of this product, inform your doctor or pharmacist of all of the the medications you are taking and if you have any of the following conditions: certain heart problems (heart failure, sluggish heartbeat, QT prolongation into the EKG), family members history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).
Low levels of potassium or magnesium in the bloodstream may also increase your risk of QT prolongation. This risk may increase if you have conditions such as severe sweating, diarrhea, or vomiting if you use certain drugs (such as diuretics/"water pills") or. Talk to your doctor about using this medication properly.
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This medicine may mask signs of infection. It can make you more likely to get infections or may worsen any current infections. Consequently, wash your hands well to stop the spread of disease. Avoid contact with individuals who have infections that may spread to other people (such as chickenpox, measles, flu). Check with your physician if you have been exposed to an infection or even for more details.
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If you've got been using this product in higher-than-usual doses for a long time, it may be more difficult for your body to respond to physical stress if you have switched from a corticosteroid taken by mouth (such as prednisone tablets) to this inhaler within the past 12 months, or. Therefore, before having surgery or emergency treatment, or that you are using this medication or have used a corticosteroid taken by mouth within the past 12 months if you get a serious illness/injury, tell your doctor or dentist. Tell your doctor appropriate away if you develop unusual/extreme tiredness or weight loss. Carry a warning card or medical ID bracelet that says you use (or have used) corticosteroid medications.
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Before having surgery, tell your physician or dentist about all the products you employ (including prescription drugs, nonprescription drugs, and herbal products).
Older adults with COPD may be at greater risk for pneumonia while using this drug. Older adults may also be more sensitive to the unwanted effects of the medication, particularly QT prolongation (see above).
This medication may slow a child down's growth if employed for quite a while, but poorly controlled asthma may also slow down growth. The impact on final adult height is unknown. See the doctor regularly which means that your child's height are checked.
During pregnancy, this medication should really be used just when plainly required. Discuss the risks and benefits with your physician.
It is unknown if this medicine passes into breast milk. Consult your doctor before breast-feeding.
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