This product 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: fluticasone and salmeterol. Fluticasone belongs to a class of medications referred to as corticosteroids. It functions by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of medications known 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 be used regularly 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 problems occur, use your quick-relief inhaler (such as for instance 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 patient instructions for guidelines on how to make use of this inhaler properly. If you have any relevant concerns, ask your doctor or pharmacist.
Utilize this device in a level, flat position. Breathe this medication by mouth as directed by your doctor, often twice day-to-day (in the and evening, 12 hours apart) morning. You might or may well not taste/feel the medication when you inhale. Either is normal. Do not exhale to the unit.
Never take the apart that is inhaler clean the mouthpiece or any an element of the unit. Close the device after each use.
If you use other inhalers at the time that is same wait at least 1 minute between the use of every medication, and use this drug last.
Gargle and rinse your mouth with water after each use of this medication to help prevent irritation and yeast infections (thrush) in the mouth and neck. Do not ingest the rinse water.
The dosage relies on your medical condition, age, and response to treatment.
Use this medication frequently 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 making use of it without first consulting your doctor. 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 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 may have withdrawal symptoms if the medication is suddenly stopped. Some conditions (such as asthma, allergies) may be even worse when the drug is suddenly stopped. To avoid withdrawal signs (such as weakness, weight loss, sickness, muscle discomfort, headache, tiredness, dizziness), your physician may direct you to definitely 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 section.
It could take a week or longer before you get the benefit that is full of medication. Tell your physician if your trouble doesn't enhance or if it worsens.
Learn which of your inhalers you should utilize every single day (controller medications) and which you should use when your breathing unexpectedly worsens (quick-relief drugs). Ask your doctor 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.
Hoarseness, throat irritation, headache, or stomach upset may occur. If any of these effects persist or worsen, tell your doctor promptly.
Remember 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 outcomes are high.
Infrequently, this medication might 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 unlikely but serious side effects occur: white spots on tongue/in lips, signs of disease (such as fever, persistent sore neck), mental/mood changes (such as nervousness), sleep problems, vision dilemmas (such as blurred eyesight), increased thirst/urination, muscle cramps, shaking (tremors).
Get medical help right away if some of these rare but severe side results occur: 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 outward indications of a severe allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is certainly not a list that is complete of adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the US -
Call your physician for medical advice about adverse results. You could 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 part effects. You may report effects that are side Health Canada at 1-866-234-2345.
Before making use of this product, tell your physician 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 allergies or other problems. Speak to your pharmacist for additional information.
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), cardiovascular illnesses (such as chest pain, coronary arrest, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye issues (such as cataracts, glaucoma), seizures, liver infection.
Salmeterol may cause a state of being which affects the heart rhythm (QT prolongation). QT prolongation can hardly ever cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away.
The risk of QT prolongation may be increased when you yourself have certain medical conditions or are taking other medications that will cause QT prolongation. Before applying this product, tell your doctor or pharmacist of all the medications you are taking and in the event that you have some of the following conditions: specific heart problems (heart failure, sluggish heartbeat, QT prolongation into the EKG), family members history of certain heart problems (QT prolongation into the EKG, sudden cardiac death).
Lower levels of potassium or magnesium in the blood 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. Confer with your doctor about using this medication safely.
This medication might mask signs of infection. It can make you more likely to get infections or may worsen any infections that are current. Therefore, wash your hands well to stop the spread of infection. Avoid contact with those who have actually 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 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 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 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 medical practitioner or dentist about all the products you use (including prescription drugs, nonprescription medications, and organic products).
Older adults with COPD may be at greater risk for pneumonia while using this drug. Older grownups may also be more sensitive to the unwanted effects of this drug, particularly QT prolongation (see above).
This medication may slow a child down's growth if useful for a number of years, but poorly controlled asthma also can slow down growth. The impact on final adult height is unknown. Start to see the doctor regularly which means that your child's height is checked.
During pregnancy, this medication ought to be used just whenever plainly 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.
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Airmail: 2-3 business weeks, EMS: 3-8 business days.