This item is used to control and avoid symptoms (wheezing and shortness of breath) due to asthma or lung that is ongoing (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 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 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 issues occur, use your quick-relief inhaler (such as 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 directions on how to use this inhaler properly. If you've got any relevant questions, ask your doctor or pharmacist.
Make use of this device in a degree, flat place. Breathe this medication by mouth as directed by your doctor, frequently twice day-to-day (in the and evening, 12 hours apart) morning. You may or might not taste/feel the drug when you inhale. Either is normal. Do not exhale into the unit.
Usually do not just take the inhaler apart or wash the mouthpiece or any the main unit. Close the device after each use.
If you are using other inhalers at the time that is same wait at the very least 1 moment between the use of every medication, and make use of this drug last.
Gargle and rinse water after each use to your mouth of this medication to simply help prevent discomfort and yeast infections (thrush) within the mouth and throat. Do not swallow the rinse water.
The dosage is based on your condition that is medical, and response to therapy.
Use this medication frequently in order to get 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. 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 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 discomfort, headache, tiredness, dizziness), your medical professional may direct one 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 section.
It may take 1 week or longer before you have the full benefit of this drug. Tell your physician if your problem will not improve or if it worsens.
Learn which of your inhalers you should utilize every single day (controller drugs) and that you simply should utilize when your breathing instantly worsens (quick-relief drugs). Pose a question to your doctor ahead of time 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 discomfort, headache, or stomach upset may take place. If any one 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 adverse effects because he or. Many people using this medication do not have serious adverse effects.
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 might cause severe worsening that is sudden of 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 any of these unlikely but serious side effects occur: white spots on tongue/in lips, signs of illness (such as for example temperature, persistent sore throat), mental/mood changes (such as nervousness), sleep problems, vision problems (such as blurred vision), increased thirst/urination, muscle cramps, shaking (tremors).
Get help that is medical away if some of these rare but severe side impacts happen: chest pain, fast/irregular heartbeat, severe dizziness, fainting, seizures.
A very serious allergic reaction to this product is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
That is maybe 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 -
Call your physician for medical advice about side effects. 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 adverse effects to Health Canada at 1-866-234-2345.
Before utilizing the 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 allergies or other problems. Confer with your pharmacist for more details.
Before using this medication, inform your doctor or pharmacist your medical history, especially of: current/past infections (such as tuberculosis, herpes), high blood pressure, bone loss (weakening of bones), heart disease (such as upper body pain, coronary arrest, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye dilemmas (such as for instance cataracts, glaucoma), seizures, liver condition.
Salmeterol may cause a condition which affects the heart rhythm (QT prolongation). QT prolongation can seldom cause serious (rarely fatal) fast/irregular heartbeat and other signs (such as serious dizziness, fainting) that need medical help right away.
The risk of QT prolongation may be increased when you have certain conditions that are medical are taking other medications that may cause QT prolongation. Before using this product, inform your doctor or pharmacist of all the medications you are taking and in the event that you have any of the following conditions: specific heart problems (heart failure, sluggish heartbeat, QT prolongation into 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 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 properly.
This medicine might mask signs of infection. It can make you more likely to get infections or may worsen any current infections. Consequently, wash your hands well to stop the spread of disease. Avoid contact with those who have infections that may spread to others (such as chickenpox, measles, flu). Check with your physician if you are exposed to an infection or 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 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 physician or dentist about all the products you utilize (including prescribed drugs, nonprescription medications, and herbal products).
Older adults with COPD may be at greater risk for pneumonia while using this drug. Older grownups are often more sensitive to the side-effects with this medication, especially QT prolongation (see above).
This medication may slow a child down's growth if used for a long time, but poorly controlled asthma may also slow down growth. The effect on final adult height is unknown. Start to see the doctor regularly which means that your child's height can be checked.
During maternity, this medication should be utilized only whenever clearly required. Discuss the risks and benefits with your doctor.
It is unknown if this medicine passes into breast milk. Consult your medical professional before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
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Airmail: 2-3 business weeks, EMS: 3-8 business days.