This item is used to control and prevent symptoms (wheezing and shortness of breath) caused by 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 medications known as corticosteroids. It functions reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs known 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 be used regularly 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 issues occur, make use of your quick-relief inhaler (such as albuterol, also called salbutamol in some national countries) as prescribed.
Read the Medication Guide provided by your pharmacist you get a refill before you start using this medication and each time. Read the instructions that are patient guidelines on what to make use of this inhaler properly. If you have any relevant concerns, ask your doctor or pharmacist.
Make use of this device in a degree, flat position. Breathe this medicine by mouth as directed by your doctor, usually twice day-to-day (in the morning and evening, 12 hours apart). You may or may well not taste/feel the drug when you inhale. Either is normal. Do not exhale to the unit.
Usually do not just take the inhaler apart or wash the mouthpiece or any part of the unit. Close the device after each use.
If you are using other inhalers at the time that is same wait at the least 1 minute 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 help prevent irritation and yeast infections (thrush) into the mouth and neck. Do not ingest the rinse water.
The dosage relies on your medical condition, age, and reaction to therapy.
Use this medicine regularly in order to obtain the most benefit from it. This medication works best if used at evenly spaced intervals. Each day to help you remember, use it at the same times. Do not increase your dose, use this medication more frequently, or stop using it without first consulting your doctor. Also, do not use other beta that is long-acting when using this medication.
You must stop this schedule and only use the quick-relief inhaler as needed for sudden shortness of breath/asthma attacks 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. Consult your doctor 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 drug is suddenly stopped. Some conditions (such as asthma, allergies) may become even worse when the medication is suddenly stopped. To avoid withdrawal symptoms (such as weakness, weight loss, nausea, muscle pain, frustration, tiredness, dizziness), your medical professional may direct you to definitely gradually lower the dose of your old medication after you begin using this product. Consult your doctor or pharmacist for more details, and report any withdrawal reactions appropriate away. See also Precautions area.
It could take 1 week or much longer before you get the full benefit of this drug. Tell your doctor if your problem doesn't improve or if it worsens.
Learn which of your inhalers you should utilize every single day (controller drugs) and that you should use if your breathing unexpectedly worsens (quick-relief drugs). Ask your doctor in advance what 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 you must get medical help right away by yourself and when.
Hoarseness, throat irritation, headache, or stomach upset may occur. If any of these effects persist or worsen, inform your doctor promptly.
Understand that your doctor has prescribed this medicine 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 serious side effects.
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 may 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 medical help right away.
Tell your doctor right away if any of these unlikely but serious adverse effects occur: white spots on tongue/in mouth, signs of infection (such as fever, persistent sore throat), mental/mood changes (such as nervousness), trouble sleeping, vision issues (such as blurred eyesight), increased thirst/urination, muscle cramps, shaking (tremors).
Get medical help right away if any of these rare but severe part effects 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 signs and symptoms of a serious allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This might be not a complete list of possible side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In america -
Call your doctor for medical advice about adverse results. You'll report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your physician for medical advice about side effects. You may report effects that are side Health Canada at 1-866-234-2345.
Before making use of this system, tell your medical professional or pharmacist if you have any other allergies if you are allergic to fluticasone or salmeterol; or. This product may contain inactive ingredients (such as for example lactose, milk proteins), which can cause allergy symptoms or other problems. Confer with your pharmacist for more details.
Before using this medicine, tell your doctor or pharmacist your health background, especially of: current/past infections (such as tuberculosis, herpes), high bloodstream pressure, bone loss (osteoporosis), heart problems (such as upper body pain, heart attack, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye problems (such as for instance cataracts, glaucoma), seizures, liver disease.
Salmeterol may cause a state of being which affects the heart rhythm (QT prolongation). QT prolongation can hardly ever cause serious (rarely deadly) fast/irregular heartbeat and other signs (such as serious dizziness, fainting) that need medical attention straight away.
The risk of QT prolongation may be increased for those who have certain medical conditions or are taking other medications which will cause QT prolongation. Before applying this product, inform your doctor or pharmacist of most the medications you are taking and in the event that you have some of the following conditions: particular heart problems (heart failure, sluggish heartbeat, QT prolongation in the EKG), family members history of certain heart problems (QT prolongation into the EKG, unexpected cardiac death).
Low levels of potassium or magnesium into 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. Speak to your doctor about using this medication properly.
This medicine may mask signs of infection. It can make you more likely to get infections or may worsen any infections that are current. Consequently, wash your hands well to stop the spread of illness. Avoid contact with individuals who have infections that may spread to other people (such as chickenpox, measles, flu). Consult your physician if you are exposed to an infection or for more details.
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 weight or tiredness loss. Carry a warning card or ID that is medical that says you use (or have used) corticosteroid medications.
Before having surgery, tell your physician or dentist about all the products you employ (including prescription drugs, nonprescription medications, and herbal products).
Older adults with COPD may be at greater risk for pneumonia when using this drug. Older grownups may also be more sensitive to the negative effects of this drug, specially QT prolongation (see above).
This medication may slow down a child's growth if useful 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 so that your kid's height could be checked.
During maternity, this medication should really be utilized just when obviously needed. Discuss the risks and benefits with your doctor.
It is unknown if this medication passes into breast milk. Consult your physician before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Trackable Courier Service takes 5 - 9 days, Airmail service takes 14 - 21 days.