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


What is Advair inhalation?
• Fluticasone is a steroid side effects of the drug advair. It prevents the release of substances in thebody that cause inflammation side effects of the drug advair. Salmeterol is a bronchodilator side effects of the drug advair. It works by relaxingmuscles in the airways to improve breathing side effects of the drug advair.
• Advair inhalation is used to prevent asthma attacks side effects of the drug advair. It is used onlyto prevent asthma attacks, not to treat an attack already in progress side effects of the drug advair. It willnot work fast enough to give relief during an attack side effects of the drug advair.
• Advair may also be used for purposes other than those listed in thismedication guide side effects of the drug 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 the drug 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 the drug advair.
• Advair inhalation is in the FDA pregnancy C side effects of the drug advair. This means that it is notknown whether Advair inhalation will harm an unborn baby side effects of the drug advair. Do not use this medicationwithout first talking to your doctor if you are pregnant side effects of the drug advair.
• It is not known whether Advair pass into breast milk side effects of the drug advair. Do not use Advairinhalation without first talking to your doctor if you are breast-feeding ababy side effects of the drug advair.
• Advair inhalation is not approved for use by children younger than 12years of age side effects of the drug advair.


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


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


What happens if I overdose?
• Seek emergency medical attention side effects of the drug 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 the drug advair.


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


What are the possible side effects of Advair inhalation?
• Serious side effects from Advair inhalation are not likely to occur side effects of the drug 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 the drug advair.
• Other, less serious side effects may be more likely to occur side effects of the drug 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 the drug advair.
• Side effects other than those listed here may also occur side effects of the drug advair. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome side effects of the drug 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 the drug 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 the drug advair.
• Drugs other than those listed here may also interact with Advair inhalationor affect your condition side effects of the drug advair. Talk to your doctor and pharmacist before taking anyprescription or over-the-counter medicines side effects of the drug 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 the drug advair.


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