This item is used to control and stop symptoms (wheezing and shortness of breath) caused by 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 called corticosteroids. It functions reducing the irritation and swelling of the airways. Salmeterol belongs to the class of medications understood 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 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 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 Medication 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 use this inhaler properly. If you have any relevant concerns, ask your doctor or pharmacist.
Use this device in a level, flat place. Inhale this medicine by mouth as directed by your doctor, usually twice day-to-day (in the morning and evening, 12 hours apart). You might or may not taste/feel the drug when you inhale. Either is normal. Do not exhale into the device.
Usually do not take the apart that is inhaler clean the mouthpiece or any part of the device. Close the device after each use.
If you work with other inhalers at the same time, wait at the very least 1 minute between the use of each and every medication, and use this drug last.
Gargle and rinse your mouth with water after each use with this medication to help prevent irritation 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 treatment.
Use this medicine regularly in order to obtain the benefit that is most 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 medicine more frequently, or stop using it without first consulting your doctor. Additionally, 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 medical practitioner 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 be even worse when the medication is suddenly stopped. To stop withdrawal symptoms (such as weakness, weight loss, sickness, muscle discomfort, frustration, tiredness, dizziness), your doctor may direct you to definitely gradually lower the dose of your medication that is old after begin using this product. Consult your pharmacist or doctor for more details, and report any withdrawal reactions right away. See also Precautions area.
It may take a week or longer before you have the full benefit of this medication. Tell your physician if your problem doesn't enhance or if it worsens.
Learn which of your inhalers you should utilize every single day (controller medications) and that you simply should utilize if your breathing unexpectedly worsens (quick-relief drugs). Ask your medical practitioner 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 by yourself and when you must get medical help right away.
Hoarseness, throat irritation, headache, or stomach upset may take place. If some of these effects persist or aggravate, 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 adverse effects.
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 could potentially 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 doctor right away if some of these unlikely but serious adverse effects occur: white spots on tongue/in mouth, signs of disease (such as for example temperature, persistent sore throat), mental/mood changes (such as nervousness), trouble sleeping, vision issues (such as blurred vision), increased thirst/urination, muscle cramps, shaking (tremors).
Get medical help right away if some of these rare but serious part effects occur: chest pain, fast/irregular heartbeat, severe dizziness, fainting, seizures.
A very serious reaction that is allergic this product is rare. However, get medical help right away in the event that you notice any apparent symptoms of a severe hypersensitive reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This will be not a list that is complete of side effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the US -
Call your medical practitioner for medical advice about side results. You may possibly report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your medical professional for medical advice about side effects. You may report adverse effects to Health Canada at 1-866-234-2345.
Before utilizing this product, tell your medical professional 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 allergy symptoms or other problems. Speak to your pharmacist for more information.
Before using this medication, tell your doctor or pharmacist your medical background, especially of: current/past infections (such as tuberculosis, herpes), high bloodstream pressure, bone loss (osteoporosis), heart disease (such as chest pain, coronary arrest, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye issues (such as cataracts, glaucoma), seizures, liver condition.
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 signs (such as severe dizziness, fainting) that need medical attention immediately.
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 making use of this product, tell your doctor or pharmacist of all the drugs you are taking and if you have any of the following conditions: specific heart problems (heart failure, slow heartbeat, QT prolongation within the EKG), family history of certain heart problems (QT prolongation in the EKG, unexpected cardiac death).
Low 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. Talk to your doctor about using this medication safely.
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 infection. Avoid contact with those who have infections that may spread to others (such as chickenpox, measles, flu). Check with your physician in the event that you happen exposed to an infection or even for more details.
If you have got 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 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 when using this drug. Older grownups are often more sensitive to the side effects of this drug, specially QT prolongation (see above).
This medication may slow a child down's growth if useful for a long time, but poorly controlled asthma can also slow down growth. The effect on final adult height is unknown. See the doctor regularly which means that your kid's height may be checked.
During maternity, this medication must certanly be utilized only when demonstrably needed. Discuss the risks and benefits with your medical professional.
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.