This item is used to control and stop 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: fluticasone and salmeterol. Fluticasone belongs to a class of drugs referred to as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs 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 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 sudden shortness of breath or asthma attacks. If sudden breathing dilemmas occur, make use of 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 instructions that are patient directions on what to utilize this inhaler properly. If you've got any relevant concerns, ask your doctor or pharmacist.
Utilize this device in a level, flat position. Inhale this medicine by mouth as directed by your doctor, usually twice day-to-day (in the morning and evening, 12 hours apart). You may or may well not taste/feel the medication when you inhale. Either is normal. Do not exhale into the unit.
Don't take the apart that is inhaler clean the mouthpiece or any the main device. Close the device after each use.
If you use other inhalers at the same time, wait at least 1 moment between the use of each medication, and use this drug last.
Gargle and rinse water after each use to your mouth of the medication to simply help prevent irritation and yeast infections (thrush) within the mouth and throat. Do not ingest the rinse water.
The dosage is situated on your condition that is medical, and reaction to treatment.
Use this medicine frequently in order to get the most benefit from it. This medication works best if used at evenly spaced intervals. To help you remember, use it at the same times each day. Do not increase your dose, use this medication more frequently, or stop using it without first consulting your doctor. Also, do not use other beta that is long-acting 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 physician 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 might have withdrawal symptoms if the drug is suddenly stopped. Some conditions (such as asthma, allergies) may become even worse when the medication is suddenly stopped. To avoid withdrawal signs (such as weakness, weight loss, sickness, muscle discomfort, hassle, tiredness, dizziness), your physician may direct you to gradually 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 could take 1 week or longer before you obtain the full benefit of this drug. Tell your physician if your trouble will not improve or if it worsens.
Learn which of your inhalers you should utilize every single day (controller medications) and which you should use in the event your breathing unexpectedly worsens (quick-relief drugs). Ask your doctor in advance 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 discomfort, headache, or stomach upset may take place. If some of these effects persist or worsen, 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 side effects. Many people using this medication do not have side that is serious.
This medication may 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 help that is medical away.
Inform your doctor right away if any of these unlikely but serious adverse effects happen: white spots on tongue/in mouth, signs of infection (such as for example 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 some of these rare but severe side effects happen: chest pain, fast/irregular heartbeat, severe dizziness, fainting, seizures.
A very serious reaction that is allergic this product is rare. However, get help that is medical away if you notice any outward indications of a severe hypersensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This will be maybe not a complete list of possible side 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 effects. You could report side effects to 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 utilizing the 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 ingredients that are inactivesuch as for example lactose, milk proteins), which can cause allergies or other problems. Talk to your pharmacist for more information.
Before using this medication, inform your doctor or pharmacist your medical history, especially of: current/past infections (such as tuberculosis, herpes), high bloodstream pressure, bone loss (osteoporosis), heart problems (such as upper body pain, coronary attack, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye problems (such as cataracts, glaucoma), seizures, liver illness.
Salmeterol may cause a condition which affects the heart rhythm (QT prolongation). QT prolongation can hardly ever cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as serious dizziness, fainting) that need medical attention straight away.
The risk of QT prolongation may be increased when you have certain medical conditions or are taking other medications which will cause QT prolongation. Before making use of this product, inform your doctor or pharmacist of most the drugs you are taking and in the event that you have some of the following conditions: certain heart problems (heart failure, sluggish heartbeat, QT prolongation into the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).
Low levels of potassium or magnesium within 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 current infections. Consequently, wash your hands well to avoid the spread of disease. Avoid contact with individuals who have infections that may spread to other people (such as chickenpox, measles, flu). Consult with your physician in the event that you are exposed to an infection or even for more details.
If you have switched from a corticosteroid taken by mouth (such as prednisone tablets) to this inhaler within the past 12 months, or 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. 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 weight or tiredness 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 prescription drugs, nonprescription medications, and natural 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 with this drug, especially QT prolongation (see above).
This medication may slow down a child's growth if useful for quite a long time, but poorly controlled asthma may also slow down growth. The impact on final adult height is unknown. Start to see the doctor regularly which means that your kid's height may be checked.
During pregnancy, this medication should be used just whenever plainly 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.
Airmail: 2-3 business weeks, EMS: 3-8 business days.