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danger of advair in copd
(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 danger of advair in copd. It is used to preventasthma attacks from occurring danger of advair in copd. Your doctor may prescribe another medicine tokeep on hand to treat asthma attacks danger of advair in copd.
• Do not use more of this medication than is prescribed for you danger of advair in copd.
• Use Advair consistently, as directed, even when you are feeling better danger of advair in copd. 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 danger of advair in copd. Talk to your doctor or other healthcare professional if your symptoms do notimprove or if they get worse danger of advair in copd.
• It is very important that you use your Advair inhaler properly, so thatthe medicine gets into your lungs danger of advair in copd. Do not use a spacer with this product danger of advair in copd. Talkto your doctor about proper inhaler use danger of advair in copd.
• 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 danger of advair in copd. An increased need for medication could be an early sign ofa serious asthma attack danger of advair in copd.
• 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 danger of advair in copd.


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


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 danger of advair in copd.
• 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 danger of advair in copd.
• Advair inhalation is in the FDA pregnancy C danger of advair in copd. This means that it is notknown whether Advair inhalation will harm an unborn baby danger of advair in copd. Do not use this medicationwithout first talking to your doctor if you are pregnant danger of advair in copd.
• It is not known whether Advair pass into breast milk danger of advair in copd. Do not use Advairinhalation without first talking to your doctor if you are breast-feeding ababy danger of advair in copd.
• Advair inhalation is not approved for use by children younger than 12years of age danger of advair in copd.


How should I use Advair inhalation?
• Use Advair inhalation exactly as directed by your doctor danger of advair in copd. Read the informationinsert included with your inhaler danger of advair in copd. If you do not understand these directions,ask your pharmacist, nurse, or doctor to explain them to you danger of advair in copd.
• Advair inhalation is usually used as one inhalation twice a day (morningand evening approximately 12 hours apart) danger of advair in copd. Follow your doctor's instructions danger of advair in copd.
• To use the Advair (Advair Diskus) inhaler:
· Snap the mouthpiece into position danger of advair in copd. Hold the Diskus level and away fromyour mouth, breathe out fully, away from the mouthpiece danger of advair in copd. (Do not breathe outinto the Diskus mouthpiece.) Put the mouthpiece to your lips danger of advair in copd. Take a steady,deep breath in through your mouth danger of advair in copd. Remove the mouthpiece from your mouth danger of advair in copd. Holdyour breath for about 10 seconds danger of advair in copd. Breathe out slowly away from the mouthpiece danger of advair in copd. Close the Diskus danger of advair in copd. The Diskus is now ready for your next scheduled dose danger of advair in copd.
· To reduce the chance of developing a yeast infection in your mouth,rinse your mouth after using Advair inhalation danger of advair in copd.
· It is very important that you use your Advair inhaler properly, sothat the medicine gets into your lungs danger of advair in copd. Do not use a spacer with this product danger of advair in copd. Talk to your doctor about proper inhaler use danger of advair in copd.
· Never wash the mouthpiece or any part of the Diskus device danger of advair in copd. Keep itdry at all times danger of advair in copd.
• Do not use more of this medication than is prescribed for you danger of advair in copd.
• Use Advair consistently, as directed, even when you are feeling better danger of advair in copd. 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 danger of advair in copd. Talk to your doctor or other healthcare professional if your symptoms do notimprove or if they get worse danger of advair in copd.
• Advair will not stop an attack after it has started danger of advair in copd. It is used to preventasthma attacks from occurring danger of advair in copd. Your doctor may prescribe another medicine tokeep on hand to treat asthma attacks danger of advair in copd.
• 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 danger of advair in copd.
• 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 danger of advair in copd. An increased need for medication could be an early sign ofa serious asthma attack danger of advair in copd.
• Continue to take any oral steroid (pills or liquid) that your doctorhas prescribed for you danger of advair in copd. Advair inhalation is not a substitute for an oral steroid danger of advair in copd.
• 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 danger of advair in copd. Discuss with your doctor the precautions necessary whendiscontinuing an oral steroid danger of advair in copd.
• Store this medication at room temperature away from moisture and heat danger of advair in copd. The Diskus inhalation device is not reusable danger of advair in copd. 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 danger of advair in copd. There are 60 doses per Diskus danger of advair in copd. Do not attempt to take the deviceapart danger of advair in copd.


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


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


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


What are the possible side effects of Advair inhalation?
• Serious side effects from Advair inhalation are not likely to occur danger of advair in copd. 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 danger of advair in copd.
• Other, less serious side effects may be more likely to occur danger of advair in copd. 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 danger of advair in copd.
• Side effects other than those listed here may also occur danger of advair in copd. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome danger of advair in copd.


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 danger of advair in copd.
• 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 danger of advair in copd.
• Drugs other than those listed here may also interact with Advair inhalationor affect your condition danger of advair in copd. Talk to your doctor and pharmacist before taking anyprescription or over-the-counter medicines danger of advair in copd.


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


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