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What is the most important information I should know about Advair inhalation?
• Advair will not stop an attack after it has started fda advair diskus recall 2004. It is used to preventasthma attacks from occurring fda advair diskus recall 2004. Your doctor may prescribe another medicine tokeep on hand to treat asthma attacks fda advair diskus recall 2004.
• Do not use more of this medication than is prescribed for you fda advair diskus recall 2004.
• Use Advair consistently, as directed, even when you are feeling better fda advair diskus recall 2004. 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 fda advair diskus recall 2004. Talk to your doctor or other healthcare professional if your symptoms do notimprove or if they get worse fda advair diskus recall 2004.
• It is very important that you use your Advair inhaler properly, so thatthe medicine gets into your lungs fda advair diskus recall 2004. Do not use a spacer with this product fda advair diskus recall 2004. Talkto your doctor about proper inhaler use fda advair diskus recall 2004.
• 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 fda advair diskus recall 2004. An increased need for medication could be an early sign ofa serious asthma attack fda advair diskus recall 2004.
• 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 fda advair diskus recall 2004.


What is Advair inhalation?
• Fluticasone is a steroid fda advair diskus recall 2004. It prevents the release of substances in thebody that cause inflammation fda advair diskus recall 2004. Salmeterol is a bronchodilator fda advair diskus recall 2004. It works by relaxingmuscles in the airways to improve breathing fda advair diskus recall 2004.
• Advair inhalation is used to prevent asthma attacks fda advair diskus recall 2004. It is used onlyto prevent asthma attacks, not to treat an attack already in progress fda advair diskus recall 2004. It willnot work fast enough to give relief during an attack fda advair diskus recall 2004.
• Advair may also be used for purposes other than those listed in thismedication guide fda advair diskus recall 2004.


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 fda advair diskus recall 2004.
• 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 fda advair diskus recall 2004.
• Advair inhalation is in the FDA pregnancy C fda advair diskus recall 2004. This means that it is notknown whether Advair inhalation will harm an unborn baby fda advair diskus recall 2004. Do not use this medicationwithout first talking to your doctor if you are pregnant fda advair diskus recall 2004.
• It is not known whether Advair pass into breast milk fda advair diskus recall 2004. Do not use Advairinhalation without first talking to your doctor if you are breast-feeding ababy fda advair diskus recall 2004.
• Advair inhalation is not approved for use by children younger than 12years of age fda advair diskus recall 2004.


How should I use Advair inhalation?
• Use Advair inhalation exactly as directed by your doctor fda advair diskus recall 2004. Read the informationinsert included with your inhaler fda advair diskus recall 2004. If you do not understand these directions,ask your pharmacist, nurse, or doctor to explain them to you fda advair diskus recall 2004.
• Advair inhalation is usually used as one inhalation twice a day (morningand evening approximately 12 hours apart) fda advair diskus recall 2004. Follow your doctor's instructions fda advair diskus recall 2004.
• To use the Advair (Advair Diskus) inhaler:
· Snap the mouthpiece into position fda advair diskus recall 2004. Hold the Diskus level and away fromyour mouth, breathe out fully, away from the mouthpiece fda advair diskus recall 2004. (Do not breathe outinto the Diskus mouthpiece.) Put the mouthpiece to your lips fda advair diskus recall 2004. Take a steady,deep breath in through your mouth fda advair diskus recall 2004. Remove the mouthpiece from your mouth fda advair diskus recall 2004. Holdyour breath for about 10 seconds fda advair diskus recall 2004. Breathe out slowly away from the mouthpiece fda advair diskus recall 2004. Close the Diskus fda advair diskus recall 2004. The Diskus is now ready for your next scheduled dose fda advair diskus recall 2004.
· To reduce the chance of developing a yeast infection in your mouth,rinse your mouth after using Advair inhalation fda advair diskus recall 2004.
· It is very important that you use your Advair inhaler properly, sothat the medicine gets into your lungs fda advair diskus recall 2004. Do not use a spacer with this product fda advair diskus recall 2004. Talk to your doctor about proper inhaler use fda advair diskus recall 2004.
· Never wash the mouthpiece or any part of the Diskus device fda advair diskus recall 2004. Keep itdry at all times fda advair diskus recall 2004.
• Do not use more of this medication than is prescribed for you fda advair diskus recall 2004.
• Use Advair consistently, as directed, even when you are feeling better fda advair diskus recall 2004. 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 fda advair diskus recall 2004. Talk to your doctor or other healthcare professional if your symptoms do notimprove or if they get worse fda advair diskus recall 2004.
• Advair will not stop an attack after it has started fda advair diskus recall 2004. It is used to preventasthma attacks from occurring fda advair diskus recall 2004. Your doctor may prescribe another medicine tokeep on hand to treat asthma attacks fda advair diskus recall 2004.
• 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 fda advair diskus recall 2004.
• 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 fda advair diskus recall 2004. An increased need for medication could be an early sign ofa serious asthma attack fda advair diskus recall 2004.
• Continue to take any oral steroid (pills or liquid) that your doctorhas prescribed for you fda advair diskus recall 2004. Advair inhalation is not a substitute for an oral steroid fda advair diskus recall 2004.
• 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 fda advair diskus recall 2004. Discuss with your doctor the precautions necessary whendiscontinuing an oral steroid fda advair diskus recall 2004.
• Store this medication at room temperature away from moisture and heat fda advair diskus recall 2004. The Diskus inhalation device is not reusable fda advair diskus recall 2004. 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 fda advair diskus recall 2004. There are 60 doses per Diskus fda advair diskus recall 2004. Do not attempt to take the deviceapart fda advair diskus recall 2004.


What happens if I miss a dose?
• Take the missed dose as soon as you remember fda advair diskus recall 2004. If it is almost time foryour next regularly scheduled dose, skip the missed dose and use the next oneas directed fda advair diskus recall 2004. Do not use a double dose of this medication fda advair diskus recall 2004.


What happens if I overdose?
• Seek emergency medical attention fda advair diskus recall 2004.
• Symptoms of a salmeterol and fluticasone overdose may include anginaor chest pain, irregular or rapid heartbeats, seizures, tremor, weakness, headache,nausea, and vomiting fda advair diskus recall 2004.


What should I avoid while using Advair inhalation?
• Avoid known items or activities that make you asthma symptoms worse fda advair diskus recall 2004. Clean areas where dust or pet fur may aggravate your condition fda advair diskus recall 2004.
• Avoid exposing yourself to known sources of infection fda advair diskus recall 2004. Stay away frompeople with chicken pox, measles, or any other type of infection fda advair diskus recall 2004. Your immunesystem may not be strong enough to fight off an infection while you are usingAdvair inhalation fda advair diskus recall 2004.


What are the possible side effects of Advair inhalation?
• Serious side effects from Advair inhalation are not likely to occur fda advair diskus recall 2004. 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 fda advair diskus recall 2004.
• Other, less serious side effects may be more likely to occur fda advair diskus recall 2004. 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 fda advair diskus recall 2004.
• Side effects other than those listed here may also occur fda advair diskus recall 2004. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome fda advair diskus recall 2004.


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 fda advair diskus recall 2004.
• 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 fda advair diskus recall 2004.
• Drugs other than those listed here may also interact with Advair inhalationor affect your condition fda advair diskus recall 2004. Talk to your doctor and pharmacist before taking anyprescription or over-the-counter medicines fda advair diskus recall 2004.


Where can I get more information?
• Your pharmacist has additional information about Advair inhalation writtenfor health professionals that you may read fda advair diskus recall 2004.

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