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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 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 work or school.

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 issues occur, use your quick-relief inhaler (such as for example albuterol, also called salbutamol in some national countries) as recommended.

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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 got any relevant concerns, ask your doctor or pharmacist.

Make use of this device in a degree, flat position. Inhale this medication by mouth as directed by your doctor, usually twice day-to-day (in the and evening, 12 hours apart) morning. You may or may well not taste/feel the drug when you inhale. Either is normal. Do not exhale to the device.

Usually do not just take the inhaler apart or clean the mouthpiece or any part of the unit. Close the device after each use.

If you are using other inhalers at the same time, 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 with this medication to simply help prevent irritation and yeast infections (thrush) into the mouth and throat. Do not ingest the rinse water.

The dosage is situated on your condition that is medical, and response to treatment.

Use this medicine regularly in order to get 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 medicine more frequently, or stop utilizing it without first consulting your medical professional. Additionally, do not use other long-acting beta agonists when 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 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 might have withdrawal symptoms if the drug is suddenly stopped. Some conditions (such as asthma, allergies) may become worse when the medication is suddenly stopped. To avoid withdrawal signs (such as weakness, weight loss, sickness, muscle pain, frustration, tiredness, dizziness), your doctor may direct you to slowly reduce 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 area.

It may take 7 days or longer before you have the benefit that is full of medication. Tell your physician if your problem does not improve or if it worsens.

Learn which of your inhalers you need to use every single day (controller medications) and that you should utilize should your breathing unexpectedly worsens (quick-relief drugs). Ask your physician in advance what 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 by yourself and when you must get medical help right away.

Negative Effects

Hoarseness, throat discomfort, headache, or stomach upset might occur. If any one of these effects persist or worsen, inform 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 side effects because he or. Many people using this medication do not have serious side effects.

This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total results are high.

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Infrequently, this medication could 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.

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Inform your doctor right away if some of these unlikely but side that is serious happen: white patches on tongue/in lips, signs of illness (such as for instance temperature, persistent sore throat), mental/mood changes (such as nervousness), sleep disorders, 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 part effects happen: chest pain, fast/irregular heartbeat, severe dizziness, fainting, seizures.

A very severe reaction that is allergic this product is rare. However, get medical help right away if you notice any signs and symptoms of a severe allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

That is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the usa -

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Call your doctor for medical advice about side impacts. You'll report side effects to FDA at 1-800-FDA-1088 or at

In Canada - Call your doctor for medical advice about side effects. You may report effects that are side Health Canada at 1-866-234-2345.

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Before utilizing this product, 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 inactive ingredients (such as lactose, milk proteins), which can cause allergic reactions or other problems. Confer with your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical background, especially of: current/past infections (such as tuberculosis, herpes), high blood pressure, bone loss (weakening of bones), heart disease (such as chest pain, coronary arrest, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye problems (such as cataracts, glaucoma), seizures, liver infection.

Salmeterol may cause a state of being which affects the heart rhythm (QT prolongation). QT prolongation can seldom cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention straight away.

The possibility of QT prolongation may be increased when you yourself have certain medical conditions or are taking other drugs that may cause QT prolongation. Before applying this product, inform your doctor or pharmacist of all the drugs you take and in the event that you have some of the following conditions: certain heart problems (heart failure, sluggish heartbeat, QT prolongation within the EKG), family history of certain heart problems (QT prolongation into the EKG, sudden cardiac death).

Lower levels of potassium or magnesium within 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. Confer with your doctor about using this medication properly.

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 stop the spread of illness. Avoid contact with people who have infections that may spread to others (such as chickenpox, measles, flu). Check with your medical practitioner if you have now been exposed to an infection or even for more details.

If you have 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.

Before having surgery, tell your physician or dentist about all the products you use (including prescribed drugs, nonprescription drugs, and natural products).

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Older adults with COPD may be at greater risk for pneumonia while using this drug. Older adults are often more sensitive to the negative effects of the medication, especially QT prolongation (see above).

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This medication may slow down a child's growth if used for quite a long time, but poorly controlled asthma may also slow down growth. The effect on final adult height is unknown. Begin to see the doctor regularly so that your kid's height may be checked.

During maternity, this medication must be used just whenever obviously required. Discuss the risks and benefits with your medical professional.

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It is unknown if this medicine passes into breast milk. Consult your doctor before breast-feeding.

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