This item is used to control and steer clear of 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 drugs known as corticosteroids. It functions 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 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 shortness that is sudden of or asthma attacks. If sudden breathing issues occur, use your quick-relief inhaler (such as for example 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 guidelines on how to utilize this inhaler properly. If you have got any relevant concerns, ask your doctor or pharmacist.
Use this device in a level, flat position. 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 medication when you inhale. Either is normal. Do not exhale to the unit.
Usually do not take the apart that is inhaler wash the mouthpiece or any area of the device. Close the device after each use.
If you work with other inhalers at the same time, wait at least 1 moment between the use of every medication, and use this drug last.
Gargle and rinse your mouth with water after each use with this medication to simply help prevent discomfort and yeast infections (thrush) into the mouth and neck. Do not swallow the rinse water.
The dosage relies on your condition that is medical, and reaction to therapy.
Use this medicine 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 medicine more frequently, or stop utilizing it without first consulting your medical professional. Also, 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 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 might have withdrawal symptoms if the drug is suddenly stopped. Some conditions (such as asthma, allergies) may become worse when the medication is suddenly stopped. To prevent withdrawal signs (such as weakness, weight loss, sickness, muscle pain, hassle, tiredness, dizziness), your medical professional may direct you to slowly lower the dose of your medication that is old after begin using this product. Consult your doctor or pharmacist for more details, and report any withdrawal reactions right away. See also Precautions part.
It could take 7 days or longer before you have the full benefit of this drug. Tell your medical practitioner if your problem doesn't improve or if it worsens.
Learn which of your inhalers you should use each day (controller drugs) and that you simply should make use of when your breathing suddenly worsens (quick-relief drugs). Pose a question to your doctor 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 occur. If any one 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 serious side 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 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.
Tell your doctor right away if any of these unlikely but side that is serious occur: white spots on tongue/in mouth, signs of disease (such as temperature, persistent sore neck), mental/mood changes (such as nervousness), sleep disorders, vision issues (such as blurred eyesight), increased thirst/urination, muscle cramps, shaking (tremors).
Get medical help right away if some of these rare but serious side effects occur: 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 outward indications of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This really is maybe not a complete list of possible adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In america -
Phone your medical practitioner for medical advice about side results. 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 using this product, tell your doctor 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 example lactose, milk proteins), which can cause allergy symptoms or other problems. Confer with your pharmacist for additional 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), cardiovascular illnesses (such as upper body pain, coronary attack, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye problems (such as for instance cataracts, glaucoma), seizures, liver condition.
Salmeterol may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can hardly ever cause serious (rarely deadly) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical help straight away.
The possibility of QT prolongation may be increased when you yourself have certain medical conditions or are taking other drugs that will cause QT prolongation. Before making use of this product, inform your doctor or pharmacist of all the drugs you are taking and if you have some of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation into the EKG), family members history of certain heart problems (QT prolongation into the EKG, sudden cardiac death).
Low levels of potassium or magnesium into the bloodstream may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Confer with your doctor about using this medication properly.
This medication might mask signs of infection. It can make you more likely to get infections or may worsen any infections that are current. Therefore, wash your hands well to avoid the spread of disease. Avoid contact with people who have actually infections that may spread to other people (such as chickenpox, measles, flu). Check with your doctor if you have now been 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 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 physician or dentist about all the products you use (including prescribed drugs, nonprescription drugs, and herbal products).
Older adults with COPD may be at greater risk for pneumonia while using this drug. Older adults may also be more sensitive to the side effects of the medication, particularly QT prolongation (see above).
This medication may slow down a child's growth if used for quite a long time, but poorly controlled asthma also can slow down growth. The impact on final adult height is unknown. Begin to see the doctor regularly which means that your child's height can be checked.
During maternity, this medication must be utilized only whenever plainly required. Discuss the risks and benefits with your physician.
It is unknown if this medicine passes into breast milk. Consult your physician 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.