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advair warning
(flew TIH cah sone and sal MEE teh rall)

What is the most important information I should know about Advair inhalation?
• Advair will not stop an attack after it has started advair warning. It is used to preventasthma attacks from occurring advair warning. Your doctor may prescribe another medicine tokeep on hand to treat asthma attacks advair warning.
• Do not use more of this medication than is prescribed for you advair warning.
• Use Advair consistently, as directed, even when you are feeling better advair warning. Improvement in your condition may occur within 30 minutes of using a dose, howeverit may be one week or more before the full benefit of this medication is achieved advair warning. Talk to your doctor or other healthcare professional if your symptoms do notimprove or if they get worse advair warning.
• It is very important that you use your Advair inhaler properly, so thatthe medicine gets into your lungs advair warning. Do not use a spacer with this product advair warning. Talkto your doctor about proper inhaler use advair warning.
• Seek medical attention if you notice that you require more than yourusual or more than the maximum amount of a short-acting asthma medication ina 24-hour period advair warning. An increased need for medication could be an early sign ofa serious asthma attack advair warning.
• Do not use an inhaled, long-acting bronchodilator such as salmeterol(Serevent) or other inhaled steroid medicines during treatment with Advair inhalationunless otherwise directed by your doctor advair warning.


What is Advair inhalation?
• Fluticasone is a steroid advair warning. It prevents the release of substances in thebody that cause inflammation advair warning. Salmeterol is a bronchodilator advair warning. It works by relaxingmuscles in the airways to improve breathing advair warning.
• Advair inhalation is used to prevent asthma attacks advair warning. It is used onlyto prevent asthma attacks, not to treat an attack already in progress advair warning. It willnot work fast enough to give relief during an attack advair warning.
• Advair may also be used for purposes other than those listed in thismedication guide advair warning.


What should I discuss with my healthcare provider before using Advair?
• Before using Advair, tell your doctor if you have
· a viral, bacterial, or fungal infection of any kind;
· ever had an allergic reaction to fluticasone (Flovent, Flonase) orsalmeterol (Serevent);
· heart disease or high blood pressure;
· epilepsy or another seizure disorder;
· diabetes;
· glaucoma;
· tuberculosis;
· an overactive thyroid (hyperthyroidism); or
· liver disease advair warning.
• You may not be able to use Advair inhalation or you may require a dosageadjustment or special monitoring during treatment if you have any of the conditionslisted above advair warning.
• Advair inhalation is in the FDA pregnancy C advair warning. This means that it is notknown whether Advair inhalation will harm an unborn baby advair warning. Do not use this medicationwithout first talking to your doctor if you are pregnant advair warning.
• It is not known whether Advair pass into breast milk advair warning. Do not use Advairinhalation without first talking to your doctor if you are breast-feeding ababy advair warning.
• Advair inhalation is not approved for use by children younger than 12years of age advair warning.


How should I use Advair inhalation?
• Use Advair inhalation exactly as directed by your doctor advair warning. Read the informationinsert included with your inhaler advair warning. If you do not understand these directions,ask your pharmacist, nurse, or doctor to explain them to you advair warning.
• Advair inhalation is usually used as one inhalation twice a day (morningand evening approximately 12 hours apart) advair warning. Follow your doctor's instructions advair warning.
• To use the Advair (Advair Diskus) inhaler:
· Snap the mouthpiece into position advair warning. Hold the Diskus level and away fromyour mouth, breathe out fully, away from the mouthpiece advair warning. (Do not breathe outinto the Diskus mouthpiece.) Put the mouthpiece to your lips advair warning. Take a steady,deep breath in through your mouth advair warning. Remove the mouthpiece from your mouth advair warning. Holdyour breath for about 10 seconds advair warning. Breathe out slowly away from the mouthpiece advair warning. Close the Diskus advair warning. The Diskus is now ready for your next scheduled dose advair warning.
· To reduce the chance of developing a yeast infection in your mouth,rinse your mouth after using Advair inhalation advair warning.
· It is very important that you use your Advair inhaler properly, sothat the medicine gets into your lungs advair warning. Do not use a spacer with this product advair warning. Talk to your doctor about proper inhaler use advair warning.
· Never wash the mouthpiece or any part of the Diskus device advair warning. Keep itdry at all times advair warning.
• Do not use more of this medication than is prescribed for you advair warning.
• Use Advair consistently, as directed, even when you are feeling better advair warning. Improvement in your condition may occur within 30 minutes of using a dose, howeverit may be one week or more before the full benefit of this medication is achieved advair warning. Talk to your doctor or other healthcare professional if your symptoms do notimprove or if they get worse advair warning.
• Advair will not stop an attack after it has started advair warning. It is used to preventasthma attacks from occurring advair warning. Your doctor may prescribe another medicine tokeep on hand to treat asthma attacks advair warning.
• Do not use an inhaled, long-acting bronchodilator such as salmeterol(Serevent) or other inhaled steroid medicines during treatment with Advair inhalationunless otherwise directed by your doctor advair warning.
• Seek medical attention if you notice that you require more than yourusual or more than the maximum amount of a short-acting asthma medication ina 24-hour period advair warning. An increased need for medication could be an early sign ofa serious asthma attack advair warning.
• Continue to take any oral steroid (pills or liquid) that your doctorhas prescribed for you advair warning. Advair inhalation is not a substitute for an oral steroid advair warning.
• If you are switching from an oral steroid (pills or liquid) to Advairinhalation, carry or wear identification that will let others know that youmay require a systemic steroid during a severe asthma attack or during anothertraumatic situation advair warning. Discuss with your doctor the precautions necessary whendiscontinuing an oral steroid advair warning.
• Store this medication at room temperature away from moisture and heat advair warning. The Diskus inhalation device is not reusable advair warning. Throw away the device 1 monthafter removal from the moisture-protective foil overwrap pouch or after everydose has been used (when the dose indicator reads "0"), whichevercomes first advair warning. There are 60 doses per Diskus advair warning. Do not attempt to take the deviceapart advair warning.


What happens if I miss a dose?
• Take the missed dose as soon as you remember advair warning. If it is almost time foryour next regularly scheduled dose, skip the missed dose and use the next oneas directed advair warning. Do not use a double dose of this medication advair warning.


What happens if I overdose?
• Seek emergency medical attention advair warning.
• Symptoms of a salmeterol and fluticasone overdose may include anginaor chest pain, irregular or rapid heartbeats, seizures, tremor, weakness, headache,nausea, and vomiting advair warning.


What should I avoid while using Advair inhalation?
• Avoid known items or activities that make you asthma symptoms worse advair warning. Clean areas where dust or pet fur may aggravate your condition advair warning.
• Avoid exposing yourself to known sources of infection advair warning. Stay away frompeople with chicken pox, measles, or any other type of infection advair warning. Your immunesystem may not be strong enough to fight off an infection while you are usingAdvair inhalation advair warning.


What are the possible side effects of Advair inhalation?
• Serious side effects from Advair inhalation are not likely to occur advair warning. If you experience any of the following serious side effects, stop using Advairinhalation and seek emergency medical attention or notify your doctor immediately:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives);
· chest pain or irregular heartbeats;
· numbness, tingling, or pain;
· a rash or unexplained open sores or bruising; or
· worsening breathing or asthma symptoms advair warning.
• Other, less serious side effects may be more likely to occur advair warning. Continueto take Advair inhalation and talk to your doctor if you experience
· dry mouth, nose, or throat after use;
· yeast (or another) infection in the mouth or throat (white patches);
· hoarseness or deepening of the voice, cough, or sore throat;
· nausea, vomiting, or diarrhea;
· dizziness, headache, tremor, or nervousness advair warning.
• Side effects other than those listed here may also occur advair warning. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome advair warning.


What other drugs will affect Advair inhalation?
• Before using Advair inhalation, tell your doctor and pharmacist if youare taking any of the following medications:
· another oral, nasal, or inhaled steroid;
· a beta-blocker such as atenolol (Tenormin), metoprolol (Lopressor),propranolol (Inderal), and others;
· a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan),phenelzine (Nardil), or tranylcypromine (Parnate);
· a tricyclic antidepressant such as amitriptyline (Elavil), doxepin(Sinequan), nortriptyline (Pamelor), and others;
· a diuretic (water pill) such as hydrochlorothiazide (HydroDiuril, Esidrix,Oretic, Microzide), chlorothiazide (Diuril), furosemide (Lasix), and others;or
· caffeine (in food or medicines), a diet medicine, or a decongestantsuch as phenylpropanolamine, pseudoephedrine, or phenylephrine advair warning.
• You may not be able to use Advair, or you may require a dosage adjustmentor special monitoring during treatment if you are taking any of the medicineslisted above advair warning.
• Drugs other than those listed here may also interact with Advair inhalationor affect your condition advair warning. Talk to your doctor and pharmacist before taking anyprescription or over-the-counter medicines advair warning.


Where can I get more information?
• Your pharmacist has additional information about Advair inhalation writtenfor health professionals that you may read advair warning.


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