This item is used to control and prevent symptoms (wheezing and shortness of breath) brought on 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 drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of medications understood as long-acting agonists that are beta. 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 sudden shortness of breath or asthma attacks. If sudden breathing issues occur, use your quick-relief inhaler (such as for example albuterol, also called salbutamol in some national countries) as prescribed.
Read the Medication Guide provided by your pharmacist before you start using this medication and each time you get a refill. Read the patient instructions for guidelines on what to make use of this inhaler properly. If you've got any relevant questions, ask your doctor or pharmacist.
Use this device in a level, flat place. Inhale this medication by mouth as directed by your doctor, often twice daily (in the morning and evening, 12 hours apart). You might or may not taste/feel the medication when you inhale. Either is normal. Do not exhale in to the unit.
Never take the inhaler apart or clean the mouthpiece or any the main device. Close the device after each use.
If you work with other inhalers at the time that is same wait at the least 1 minute between the use of every medication, and make use of this drug last.
Gargle and rinse your mouth with water after each use with this medication to greatly help prevent irritation and yeast infections (thrush) within the mouth and neck. Do not ingest the rinse water.
The dosage is situated on your condition that is medical, and response to therapy.
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. Each day to help you remember, use it at the same times. Do not increase your dose, use this medication more frequently, or stop making use of it without first consulting your medical professional. Also, do not use other beta that is long-acting while using 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 medical practitioner 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 may have withdrawal symptoms if the drug is suddenly stopped. Some conditions (such as asthma, allergies) may become even worse when the drug is suddenly stopped. To avoid withdrawal symptoms (such as weakness, weight loss, sickness, muscle pain, hassle, tiredness, dizziness), your physician may direct you to definitely slowly 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 right away. See also Precautions section.
It might take a week or much longer before you obtain the benefit that is full of drug. Tell your physician if your problem doesn't improve or if it worsens.
Learn which of your inhalers you need to use every single day (controller drugs) and that you should make use of when your breathing abruptly worsens (quick-relief drugs). Pose a question to your physician in advance that which you should do 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, 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. 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 might occur. If some of these effects persist or aggravate, tell your doctor promptly.
Understand that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have adverse that is serious.
This medication might raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total outcomes 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 medical help right away.
Tell your physician right away if any of these not likely but serious adverse effects happen: white patches on tongue/in mouth, signs of illness (such as for instance fever, persistent sore neck), 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 some of these rare but serious side impacts occur: chest pain, fast/irregular heartbeat, severe dizziness, fainting, seizures.
A very severe reaction that is allergic this product is rare. However, get help that is medical away if you notice any apparent symptoms of a severe allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This will be not a list that is complete of side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the usa -
Phone your doctor for medical advice about adverse effects. You might 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 utilizing this system, tell your physician or pharmacist if you have any other allergies if you are allergic to fluticasone or salmeterol; or. 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.
Before using this medication, inform your doctor or pharmacist your health background, especially of: current/past infections (such as tuberculosis, herpes), high blood pressure, bone loss (weakening of bones), heart disease (such as upper body pain, heart attack, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye issues (such as cataracts, glaucoma), seizures, liver disease.
Salmeterol may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can hardly ever cause serious (rarely deadly) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical help immediately.
The possibility of QT prolongation may be increased for those who have certain conditions that are medical are taking other drugs which will cause QT prolongation. Before applying this product, tell 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 in the EKG), family members history of certain heart problems (QT prolongation in the EKG, unexpected cardiac death).
Low levels of potassium or magnesium within the blood may increase your risk also 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 safely.
This medication 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 prevent the spread of infection. Avoid contact with people who have actually infections that may spread to others (such as chickenpox, measles, flu). Check with your physician in the event that you have been exposed to an infection or even for more details.
If you have 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 right away if you develop unusual/extreme tiredness or weight loss. Carry a warning card or ID that is medical that says you use (or have used) corticosteroid medications.
Before having surgery, tell your doctor or dentist about all the products you use (including prescribed drugs, nonprescription drugs, and herbal products).
Older adults with COPD may be at greater danger for pneumonia while using the this drug. Older grownups may also be more sensitive to the unwanted effects with this medication, 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 effect on final adult height is unknown. Begin to see the doctor regularly so your child's height may be checked.
During maternity, this medication should be utilized just when clearly required. Discuss the risks and benefits with your physician.
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.