This product is used to control and stop symptoms (wheezing and shortness of breath) caused 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 medications known as corticosteroids. It works 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 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 example albuterol, also called salbutamol in some national countries) as recommended.
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 what to use this inhaler properly. If you have got 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, frequently 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 in to the unit.
Do not just take the apart that is inhaler wash the mouthpiece or any part of the device. Close the device after each use.
If you are using other inhalers at the time that is same wait at least 1 moment between the use of every medication, and use this drug last.
Gargle and rinse water after each use to your mouth of this medication to greatly help prevent irritation and yeast infections (thrush) into the mouth and neck. Do not swallow the rinse water.
The dosage relies on your medical condition, age, and reaction to treatment.
Use this medication regularly in order to have 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 utilizing it without first consulting your doctor. Also, do not use other beta that is long-acting when using this medication.
You must stop this schedule and only use the quick-relief inhaler as needed for sudden shortness of breath/asthma attacks 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. 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 may have withdrawal symptoms if the drug is suddenly stopped. Some conditions (such as asthma, allergies) may become even worse when the drug is suddenly stopped. To avoid withdrawal symptoms (such as weakness, weight loss, nausea, muscle pain, frustration, tiredness, dizziness), your physician may direct you to slowly 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 section.
It might take 7 days or longer before you get the full benefit of this medication. Tell your doctor if your problem will not enhance or if it worsens.
Learn which of your inhalers you need to use every single day (controller medications) and that you should use in the event your breathing unexpectedly worsens (quick-relief drugs). Ask your medical practitioner ahead of time that which 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 any of these effects persist or worsen, inform 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 side that is serious.
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 could 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 help that is medical away.
Tell your doctor right away if some of these unlikely but side that is serious happen: white patches on tongue/in lips, signs of illness (such as for example fever, persistent sore neck), mental/mood changes (such as nervousness), sleep disorders, vision issues (such as blurred vision), increased thirst/urination, muscle cramps, shaking (tremors).
Get medical help right away if any of these rare but serious part impacts happen: 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 apparent symptoms of a severe allergic 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 adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In america -
Phone your doctor for medical advice about adverse impacts. You'll 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 making use of 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 ingredients that are inactivesuch as lactose, milk proteins), which can cause allergy symptoms or other problems. Speak to your pharmacist for more details.
Before using this medicine, tell your doctor or pharmacist your medical history, especially of: current/past infections (such as tuberculosis, herpes), high blood pressure, bone loss (weakening of bones), cardiovascular illnesses (such as upper body pain, heart attack, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye dilemmas (such as cataracts, glaucoma), seizures, liver infection.
Salmeterol may cause a state of being which affects the heart rhythm (QT prolongation). QT prolongation can seldom cause serious (rarely deadly) fast/irregular heartbeat and other signs (such as severe dizziness, fainting) that need medical help right away.
The possibility of QT prolongation may be increased when you have certain medical conditions or are taking other medications which could cause QT prolongation. Before applying this product, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: specific heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation into the EKG, unexpected cardiac death).
Low levels of potassium or magnesium within the blood 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. Speak to your doctor about using this medication safely.
This medicine may 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 avoid the spread of disease. Avoid contact with those who have infections that may spread to others (such as chickenpox, measles, flu). Consult with your doctor in the event that you happen exposed to an infection or for more details.
If you've 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 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 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 use (including prescribed drugs, nonprescription medications, and natural products).
Older adults with COPD may be at greater danger for pneumonia while using this drug. Older grownups may also be more sensitive to the negative effects of this medication, specially QT prolongation (see above).
This medication may slow down a child's growth if used for quite a long time, but poorly controlled asthma can also slow down growth. The effect on final adult height is unknown. See the doctor regularly so that your child's height could be checked.
During maternity, this medication ought to be used only when clearly required. 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.