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


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


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


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


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


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


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


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


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


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


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