(floo TIK a sone, sal ME te rol) Brand: Advair Diskus, Advair HFA
• Do not use fluticasone and salmeterol to treat an asthma onslaught that has already begun.
• Salmeterol may magnify the risk of asthma-related death. Use only the predesigned doze of fluticasone and salmeterol, and do not use it for longer than your doctor recommends. Follow all patient instructions for safety use. Talk with your doctor about your individual risks and benefits of using this medication.
• Till using fluticasone and salmeterol, speak your doctor if you have a food or drug allergy, heart malady, tall blood pressure, a seizure mess, an infection, a weak immune system, diabetes, glaucoma, tuberculosis, osteoporosis, a thyroid mess, or liver disease.
• Seek medical attention if you think any of your asthma medications are not working as well as normal. An heighten need for medicine could be an early sign of a serious asthma onslaught. If you use a peak flow meter at house, call your doctor if your numbers are lower than normal.
• Fluticasone is a steroid. It prevents the release of substances in the body that reason inflammation. Salmeterol is a bronchodilator. It works by relaxing muscles in the airways to improve breathing.
• Fluticasone and salmeterol inhalation is used to prevent asthma attacks. It is also used to prevent flare-ups or worsening of chronic obstructive pulmonary malady (COPD) associated with chronic bronchitis and/or emphysema.
• Fluticasone and salmeterol may also be used for purposes not listed in this medicine guide.
• Do not use this medicine if you are allergic to fluticasone (Flonase, Flovent), salmeterol (Serevent), or milk proteins, or if you are having an asthma onslaught or severe COPD symptoms.
• To create certain you can safely use fluticasone and salmeterol, speak your doctor if you have any of these another conditions:
· a food or drug allergy;
· heart malady or tall blood pressure;
· epilepsy or another seizure disorder;
· any type of infection;
· a weak immune system;
· diabetes;
· glaucoma;
· tuberculosis;
· osteoporosis;
· a thyroid mess; or
· liver disease.
• FDA pregnancy category C. It is not known whether fluticasone and salmeterol is deleterious to an unborn child. Speak your doctor if you are pregnant or plan to become pregnant while using this medication.
• It is not known whether fluticasone and salmeterol passes into breast milk or if it could harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.
• Fluticasone and salmeterol inhalation can affect growth in children. Conversation with your doctor if you think your baby is not growing at a usual course while using this medication.
• Do not give this medicine to a baby younger than 4 years old.
• Long-term use of steroids may lead to bone loss (osteoporosis), especially if you smoke, if you do not exercice, if you do not get satis vitamin D or calcium in your diet, or if you have a family history of osteoporosis.
• Salmeterol may magnify the risk of asthma-related death. Use only the predesigned doze of fluticasone and salmeterol, and do not use it for longer than your doctor recommends. Follow all patient instructions for safety use. Talk with your doctor about your individual risks and benefits of using this medication.
• Do not use fluticasone and salmeterol inhalation to treat an asthma onslaught that has already begun. It will not work quick satis. Use only a fast-acting inhalation medication.
• Advair Diskus is a powder form of fluticasone and salmeterol that comes with a particular inhaler device pre-loaded with blister packs containing measured doses of the medication. The device opens and loads a blister every time you use the inhaler. This device is not to be used with a spacer.
• Advair HFA is an aerosol form of fluticasone and salmeterol that comes in a canister that is used with an actuator inhaler device. Use only the inhaler device provided with Advair HFA. This device is not to be used with a spacer.
• Shake the Advair HFA inhaler for at least 5 seconds till every spray.
• To reduce the chance of developing a yeast infection in your mouth, rinse your mouth with water after using this medicine.
• Hold track of the number of sprays you have used and throw away the Advair HFA canister after 120 sprays, even if it feels like there is still medication in it.
• If you also use a steroid medicine, do not stop using the steroid suddenly or you may have unpleasant withdrawal symptoms. Conversation with your doctor about using smaller and smaller of the steroid till stopping completely.
• Carry an identification card or wear a medical alert ID to allow others know that you may need an oral steroid in an emergency.
• Seek medical attention if you think any of your asthma medications are not working as well as normal. An heighten need for medicine could be an early sign of a serious asthma onslaught. If you use a peak flow meter at house, call your doctor if your numbers are lower than normal.
• Use all of your medications as directed by your doctor. Conversation with your doctor if your medications do not seem to work as well in treating or preventing attacks. Do not change your doses or medicine schedule without advice from your doctor.
• Store at room temperature away from moisture and heat. Hold the Advair HFA canister away from tall heat, such as open flame or in a machine on a hot day. The canister may explode if it gets too hot.
• Use the missed doze as soon as you remember. Skip the missed doze if it is nearly time for your following scheduled doze. Do not use extra medication to create up the missed dose.
• Search abnormal medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include angina or chest pain, quick or irregular heartbeats, seizures, tremor, weakness, headache, nausea, and vomiting.
• Do not use a second form of salmeterol (such as Serevent) or use a similar inhaled bronchodilator such as formoterol (Foradil) unless your doctor has told you to.
• Fluticasone and salmeterol can lower the blood cells that help your body fight infections. Avoid being around people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medicines.
• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.
• Call your doctor at once if you have any of these serious side effects:
· bronchospasm (wheezing, chest tightness, trouble breathing);
· quick or uneven heart beats, restless feeling, tremor;
· fever, chills, stabbing chest pain, cough with yellow or green mucus;
· blurred vision, eye pain, or seeing halos near lights;
· white patches or sores internal your mouth or on your lips; or
· worsening asthma symptoms.
• Smaller serious side effects include:
· headache, dizziness;
· nausea, vomiting, diarrhea;
· dry mouth, nose, or throat;
· stuffy nose, sinus pain, cough, sore throat; or
· hoarseness or deepened voice.
• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.
• Speak your doctor about all another medicines you use, especially:
· amiodarone (Cordarone);
· a diuretic or "water pill";
· HIV medicines such as atazanavir (Reyataz), ritonavir (Norvir), indinavir (Crixivan), nelfinavir (Viracept), or saquinavir (Invirase);
· an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam);
· an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), desipramine (Norpramin), fluoxetine (Prozac), nefazodone, or imipramine (Tofranil);
· antibiotics such as clarithromycin (Biaxin) or telithromycin (Ketek);
· antifungal medications such as ketoconazole (Nizoral) or itraconazole (Sporanox); or
· a beta-blocker such as atenolol (Tenormin), carvedilol (Coreg), metoprolol (Lopressor, Toprol), and others.
• This list is not complete and another drugs may interact with fluticasone and salmeterol inhalation. Speak your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal commodity. Do not start a new medicine without telling your doctor.
• Your pharmacist can provide more information about fluticasone and salmeterol inhalation.
Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.
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