This item 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 medications called corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of medications understood 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.
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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 issues occur, make use of your quick-relief inhaler (such as for example albuterol, also called salbutamol in some national countries) as prescribed.
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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 what to utilize this inhaler properly. If you have any relevant concerns, ask your doctor or pharmacist.
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Make use of this device in a degree, flat place. Breathe this medication by mouth as directed by your doctor, usually twice day-to-day (in the morning and evening, 12 hours apart). You may or might not taste/feel the medication when you inhale. Either is normal. Do not exhale to the unit.
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Do not just take the apart that is inhaler clean the mouthpiece or any area of the device. Close the device after each use.
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If you are using other inhalers at the time that is same wait at least 1 moment between the use of each and every medication, and use this drug last.
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Gargle and rinse water after each use to your mouth of this medication to simply help prevent irritation and yeast infections (thrush) into the mouth and throat. Do not ingest the rinse water.
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The dosage is based on your condition that is medical, and reaction to therapy.
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Use this medicine frequently in order to have 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 using it without first consulting your doctor. Also, do not use other long-acting beta agonists while using this medication.
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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 doctor for details.
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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 drug is suddenly stopped. Some conditions (such as asthma, allergies) may be 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 reduce the dose of your old medication after you begin using this product. Consult your doctor or pharmacist for more details, and report any withdrawal reactions right away. See also Precautions part.
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It may take a week or much longer before you have the full benefit of this drug. Tell your doctor if your condition does not enhance or if it worsens.
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Learn which of your inhalers you should utilize each day (controller drugs) and that you simply should utilize if the breathing abruptly worsens (quick-relief drugs). Pose a question to your medical practitioner in advance 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 you must get medical help right away by yourself and when.
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Hoarseness, throat irritation, headache, or stomach upset may occur. If any one of these effects persist or aggravate, inform your doctor promptly.
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Keep in mind that your doctor has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have serious side effects.
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This medication might raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total outcomes are high.
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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 help that is medical away.
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Tell your physician right away if any of these unlikely but serious side effects happen: white spots on tongue/in mouth, signs of illness (such as for instance temperature, persistent sore throat), mental/mood changes (such as nervousness), sleep problems, vision dilemmas (such as blurred vision), increased thirst/urination, muscle cramps, shaking (tremors).
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Get medical help right away if some of these rare but severe part results occur: chest pain, fast/irregular heartbeat, severe dizziness, fainting, seizures.
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A very serious reaction that is allergic this product is rare. However, get help that is medical away if you notice any signs and symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
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This might be maybe not a list that is complete of adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
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Call your physician for medical advice about side effects. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
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In Canada - Call your medical professional for medical advice about part effects. You may report effects that are side Health Canada at 1-866-234-2345.
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Before utilizing this 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 example lactose, milk proteins), which can cause allergies or other problems. Talk to your pharmacist for more information.
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Before using this medicine, inform 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 for instance cataracts, glaucoma), seizures, liver infection.
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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 serious dizziness, fainting) that need medical help straight away.
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The risk of QT prolongation may be increased when you have certain conditions that are medical are taking other medications which will cause QT prolongation. Before applying this product, tell your doctor or pharmacist of most the medications you take and if you have some of the following conditions: particular heart problems (heart failure, slow heartbeat, QT prolongation into the EKG), family members history of certain heart problems (QT prolongation in the EKG, unexpected cardiac death).
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Lower levels of potassium or magnesium within the blood may increase your risk also 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. Talk to your doctor about using this medication safely.
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This medication 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 prevent the spread of disease. Avoid contact with people who have infections that may spread to others (such as chickenpox, measles, flu). Check with your physician if you have now been exposed to an infection or even for more details.
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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 weight or tiredness loss. Carry a warning card or ID that is medical that says you use (or have used) corticosteroid medications.
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Before having surgery, tell your medical practitioner or dentist about all the products you employ (including prescription drugs, nonprescription medications, and herbal products).
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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 of the medication, particularly QT prolongation (see above).
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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 impact on final adult height is unknown. Begin to see the doctor regularly so that your child's height could be checked.
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During pregnancy, this medication must certanly be used just when plainly needed. Discuss the risks and benefits with your doctor.
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It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.
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