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This item is used to control and avoid symptoms (wheezing and shortness of breath) brought on by asthma or lung that is ongoing (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 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 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 issues occur, use your quick-relief inhaler (such as albuterol, also called salbutamol in some national countries) as recommended.

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Read the Medication 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 how to make use of this inhaler properly. If you have any relevant concerns, ask your doctor or pharmacist.

Use this device in a level, flat position. Breathe this medicine by mouth as directed by your doctor, usually twice daily (in the morning and evening, 12 hours apart). You might or may well not taste/feel the medication when you inhale. Either is normal. Do not exhale in to the unit.

Never 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 same time, wait at the least 1 minute between the use of each medication, and make use of this drug last.

Gargle and rinse your mouth with water after each use of this medication to simply help prevent discomfort and yeast infections (thrush) into the mouth and throat. Do not ingest the rinse water.

The dosage is based on your medical condition, age, and response to therapy.

Use this medication regularly 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 doctor. Also, do not use other beta that is long-acting while using the 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 medication is suddenly stopped. Some conditions (such as asthma, allergies) may become worse when the drug is suddenly stopped. To stop withdrawal symptoms (such as weakness, weight loss, nausea, muscle discomfort, hassle, tiredness, dizziness), your doctor may direct you to definitely slowly reduce 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 appropriate away. See also Precautions section.

It might take 1 week or longer before you have the full benefit of this medication. Tell your physician if your problem does not enhance or if it worsens.

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Learn which of your inhalers you should use each day (controller medications) and that you should make use of should your breathing instantly worsens (quick-relief drugs). Pose a question to your physician in advance 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 you must get medical help right away by yourself and when.

Side Effects

Hoarseness, throat discomfort, headache, or stomach upset might occur. If any of these effects persist or worsen, inform your doctor promptly.

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Keep in mind that your doctor has prescribed this medicine she has judged that the benefit to you is greater than the risk of side effects because he or. Many people using this medication do not have serious side effects.

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 might 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.

Inform your physician right away if any of these unlikely but serious side effects occur: white patches on tongue/in lips, signs of disease (such as for example fever, persistent sore throat), mental/mood changes (such as nervousness), sleep problems, vision dilemmas (such as blurred eyesight), increased thirst/urination, muscle cramps, shaking (tremors).

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Get help that is medical away if any of these rare but serious part impacts 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 if you notice any symptoms of a severe allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

That is maybe not a list that is complete of side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In america -

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Call your doctor for medical advice about side results. You could report side effects to FDA at 1-800-FDA-1088 or at

In Canada - Call your doctor for medical advice about part effects. You may report effects that are side Health Canada at 1-866-234-2345.


Before utilizing this product, tell your physician 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 allergic reactions or other problems. Confer with your pharmacist for more details.

Before using this medication, inform your doctor or pharmacist your medical background, especially of: current/past infections (such as tuberculosis, herpes), high bloodstream pressure, bone loss (weakening of bones), cardiovascular disease (such as chest pain, coronary arrest, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye dilemmas (such as for example cataracts, glaucoma), seizures, liver condition.

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Salmeterol may cause a state of being which affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely deadly) fast/irregular heartbeat and other symptoms (such as serious dizziness, fainting) that need medical attention immediately.

The possibility of QT prolongation may be increased when you yourself have certain medical conditions or are taking other medications that may cause QT prolongation. Before making use of this product, inform your doctor or pharmacist of all the drugs you take and in the event that you have some of the following conditions: specific heart problems (heart failure, slow heartbeat, QT prolongation within 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 use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Speak to your doctor about using this medication properly.

This medication may mask signs of infection. It can make you more likely to get infections or may worsen any infections that are current. Consequently, wash your hands well to avoid the spread of infection. Avoid contact with those who have actually infections that may spread to other people (such as chickenpox, measles, flu). Check with your medical practitioner in the event that you are 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 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 physician or dentist about all the products you employ (including prescription drugs, nonprescription drugs, and organic products).

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Older adults with COPD may be at greater risk for pneumonia while using the this drug. Older grownups can also be more sensitive to the side effects with this drug, specially QT prolongation (see above).

This medication may slow down a child's growth if useful for quite a while, but poorly controlled asthma may also slow down growth. The effect on final adult height is unknown. Start to see the doctor regularly so your child's height may be checked.

During pregnancy, this medication is utilized only when demonstrably needed. Discuss the risks and benefits with your physician.

It is unknown if this medicine passes into breast milk. Consult your medical professional before breast-feeding.

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