This product is used to control and steer clear of 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 medications called corticosteroids. It works by 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 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 dilemmas occur, make use of your quick-relief inhaler (such as for example albuterol, also called salbutamol in some national countries) as prescribed.
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 instructions on what 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 medicine by mouth as directed by your doctor, often twice daily (in the and evening, 12 hours apart) morning. You may or might not taste/feel the medication when you inhale. Either is normal. Do not exhale to the device.
Do not take the apart that is inhaler wash the mouthpiece or any an element of the device. Close the device after each use.
If you use other inhalers at the same time, wait at the least 1 minute between the use of each and every medication, and make use of this drug last.
Gargle and rinse water after each use to your mouth of the medication to greatly help prevent irritation and yeast infections (thrush) in the mouth and throat. Do not ingest the rinse water.
The dosage relies on your medical condition, age, and response to treatment.
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 medicine more frequently, or stop utilizing it without first consulting your medical professional. Also, do not use other long-acting beta agonists 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.
Unless directed by your doctor if you are regularly using a different corticosteroid taken by mouth (such as prednisone), you should not stop using it. You may have withdrawal symptoms if the medication is suddenly stopped. Some conditions (such as asthma, allergies) may be worse when the medication is suddenly stopped. To stop withdrawal signs (such as weakness, weight loss, nausea, muscle pain, headache, tiredness, dizziness), your medical professional may direct you to 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 part.
It could take 1 week or longer before you obtain the full benefit of this medication. Tell your medical practitioner if your condition will not enhance or if it worsens.
Learn which of your inhalers you need to use every single day (controller medications) and that you simply should utilize in case your breathing unexpectedly 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 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 worsen, tell your doctor promptly.
Keep in mind that your doctor has prescribed this medication she has judged that the benefit to you is greater than the risk of adverse 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 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.
Inform your physician right away if some of these unlikely but serious side effects happen: white spots on tongue/in mouth, signs of illness (such as for instance temperature, 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 help that is medical away if any of these rare but serious side results occur: 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 if you notice any symptoms of a serious hypersensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
That is 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 medical practitioner for medical advice about adverse impacts. You could report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about part 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 are allergic to fluticasone or salmeterol; or if you have any other allergies. This product may contain ingredients that are inactivesuch as lactose, milk proteins), which can cause allergy symptoms or other problems. Talk to your pharmacist for more details.
Before using this medicine, inform your doctor or pharmacist your medical history, especially of: current/past infections (such as tuberculosis, herpes), high blood pressure, bone loss (osteoporosis), heart problems (such as chest pain, coronary arrest, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye problems (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 signs (such as severe dizziness, fainting) that need medical help straight away.
The risk of QT prolongation may be increased when you yourself have certain conditions that are medical are taking other drugs which could cause QT prolongation. Before applying this product, inform your doctor or pharmacist of most the medications you take and in the event that you have some of the following conditions: particular heart problems (heart failure, sluggish heartbeat, QT prolongation in the EKG), household history of certain heart problems (QT prolongation in the EKG, unexpected cardiac death).
Lower levels of potassium or magnesium in the blood may increase your risk also of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Speak to your doctor about using this medication properly.
This medication might 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 disease. Avoid contact with people who have actually infections that may spread to others (such as chickenpox, measles, flu). Check with your doctor if you were exposed to an infection or even 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 if you get a serious illness/injury, tell your doctor or dentist that you are using this medication or have used a corticosteroid taken by mouth within the past 12 months. Tell your doctor appropriate away if you develop unusual/extreme weight or tiredness loss. Carry a warning card or medical ID bracelet that says you use (or have used) corticosteroid medications.
Before having surgery, tell your medical practitioner or dentist about all the products you employ (including prescription drugs, nonprescription drugs, and herbal products).
Older adults with COPD may be at greater danger for pneumonia while using this drug. Older grownups are often more sensitive to the side-effects of this medication, especially QT prolongation (see above).
This medication may slow a child down's growth if employed for a number of years, but poorly controlled asthma also can slow down growth. The effect on final adult height is unknown. Start to see the doctor regularly so that your kid's height are checked.
During pregnancy, this medication must be used only whenever demonstrably needed. Discuss the risks and benefits with your physician.
It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.