This product is used to control and stop 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: salmeterol and fluticasone. 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 drugs known 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 school or work.
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 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 instructions that are patient instructions how to use this inhaler properly. If you've got any relevant questions, ask your doctor or pharmacist.
Utilize this device in a degree, flat position. Breathe this medication by mouth as directed by your doctor, frequently twice daily (in the morning and evening, 12 hours apart). You might or might not taste/feel the medication when you inhale. Either is normal. Do not exhale in to the device.
Don't take the apart that is inhaler clean the mouthpiece or any area of the unit. Close the device after each use.
If you are using other inhalers at the same time, wait at the very least 1 minute between the use of every 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) in the mouth and throat. Do not ingest the rinse water.
The dosage is based on your condition that is medical, and response to therapy.
Use this medicine frequently in order to obtain 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 medicine more frequently, or stop utilizing it without first consulting your medical professional. Also, do not use other long-acting beta agonists while 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.
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 may 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 avoid withdrawal symptoms (such as weakness, weight loss, sickness, muscle discomfort, frustration, tiredness, dizziness), your doctor may direct one to gradually reduce the dose of your old medication after you begin using this product. Consult your pharmacist or doctor for more details, and report any withdrawal reactions right away. See also Precautions area.
It could take 7 days or much longer before you obtain the benefit that is full of medication. Tell your medical practitioner if your trouble doesn't enhance or if it worsens.
Learn which of your inhalers you need to use every day (controller medications) and which you should use should your breathing suddenly worsens (quick-relief drugs). Pose a question to your doctor ahead of time 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 by yourself and when you must get medical help right away.
Hoarseness, throat discomfort, headache, or stomach upset may take place. If any one 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 adverse effects because he or. Many people using this medication do not have adverse that is serious.
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 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.
Tell your physician right away if any of these not likely but serious adverse effects occur: white patches on tongue/in lips, signs of infection (such as for example fever, persistent sore neck), mental/mood changes (such as nervousness), trouble sleeping, vision issues (such as blurred eyesight), increased thirst/urination, muscle cramps, shaking (tremors).
Get medical help right away if some of these rare but severe part results 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 in the event that you notice any apparent symptoms of a severe allergic attack, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This will be not a list that is complete of adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In america -
Call your medical practitioner for medical advice about side impacts. You may report effects that are side 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 effects that are side 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 for instance lactose, milk proteins), which can cause allergic reactions or other problems. Talk to your pharmacist for more information.
Before using this medication, tell your doctor or pharmacist your health background, especially of: current/past infections (such as tuberculosis, herpes), high bloodstream pressure, bone loss (osteoporosis), cardiovascular disease (such as upper body pain, coronary arrest, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye dilemmas (such as for example cataracts, glaucoma), seizures, liver condition.
Salmeterol may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as serious dizziness, fainting) that need medical attention immediately.
The possibility of QT prolongation may be increased if you have certain medical conditions or are taking other medications that will cause QT prolongation. Before by using this product, inform your doctor or pharmacist of most the medications you take and in the event that you have any of the following conditions: specific heart problems (heart failure, sluggish heartbeat, QT prolongation in the EKG), family members history of certain heart problems (QT prolongation into the EKG, unexpected cardiac death).
Lower levels of potassium or magnesium within the bloodstream may increase your risk also 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. Therefore, wash your hands well to prevent the spread of disease. Avoid contact with people who have infections that may spread to other people (such as chickenpox, measles, flu). Check with your medical practitioner if you happen 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 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 right away if you develop unusual/extreme weight or tiredness 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 employ (including prescribed drugs, nonprescription drugs, and herbal products).
Older adults with COPD may be at greater danger for pneumonia while using the this drug. Older adults can also be more sensitive to the unwanted effects with this medication, particularly QT prolongation (see above).
This medication may slow down a child's growth if employed for a number of years, but poorly controlled asthma also can slow down growth. The effect on final adult height is unknown. Start to see the doctor regularly so your kid's height can be checked.
During maternity, this medication ought to be used just whenever demonstrably required. Discuss the risks and benefits with your physician.
It is unknown if this medication passes into breast milk. Consult your physician before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.