Fluticasone (floo-TIK-a-sone) & Salmeterol (sal-ME-te-role)

Fluticasone and salmeterol is a combination of two medicines that are used to help control the symptoms of asthma and improve lung function. It is used when a patient's asthma has not been controlled sufficiently on other asthma medicines or when a patient's condition is so severe that more than one maintenance medicine is needed. However, this medicine will not relieve an asthma attack that has already started.

This medicine must be used with a short-acting beta 2 agonist (e.g. albuterol) for the treatment of an asthma attack or asthma symptoms that need immediate attention.

This is a combination "controller" medicine for long-term treatment of asthma and chronic lung diseases (such as emphysema, chronic bronchitis, or COPD). It works to open the airways of the lungs in two ways decreasing bronchiolar swelling and causing muscle relaxation. This medicine should not be used for acute asthma attacks.

Advair Diskus :Follow the directions for using this medicine provided by your doctor. Ask your doctor, nurse, or pharmacist any questions that you may have about the usage of this medicine. Your dose is based on your condition and response to treatment. Gargle and rinse your mouth after using this medicine to help prevent dryness, relieve throat irritation, and to prevent mouth infections (such as thrush). Do not swallow the rinse solution. If you have been using a "quick-relief" beta agonist inhaler (such as salbutamol/albuterol) on a regular daily schedule, you must discontinue this schedule and only use it "as needed" for acute asthma attacks. Consult your doctor. Keep the inhaler dry at all times.

Fluticasone Propionate & Salmeterol Inhalation Powder : This medication is indicated for usage of long term maintainance of asthma in patients and for maintainance treatment of airflow obstruction in patients with COPD associated with chronic bronchitis. This medication is NOT indicated for relief of acute bronchospasm. This medication is to be used with a Novolizer Device. (This Device is available under the Asthma Section)

Advair Rotacaps: Rotacaps are to be used with the Rotahaler Device; which is available under the Asthma section.

Consult a pediatrician for the use of this medicine in children.

If you notice any of the symptoms listed below or any other symptoms which seem severe/persistent contact your doctor immediately.

Wheezing
Weakness
Chest Pain
Rash/Hives
Fever/Chills
Lightheadedness
Vomiting/Nausea
Vision Difficulties
Breathing Difficulties

Tricyclic antidepressants (amitriptyline [e.g., Elavil], amoxapine [e.g., Asendin], clomipramine [e.g., Anafranil], desipramine [e.g., Norpramin], doxepin [e.g., Sinequan], imipramine [e.g., Tofranil], nortriptyline [e.g., Pamelor], protriptyline [e.g., Vivactil], trimipramine [e.g., Surmontil]) or


Monoamine oxidase (MAO) inhibitor activity (isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], selegiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate])�??Taking fluticasone and salmeterol while you are taking or within 2 weeks of taking MAO inhibitors may increase side effects


Beta-adrenergic receptor blocking agents (acebutolol [e.g., Sectral], atenolol [e.g., Tenormin], betaxolol [e.g., Kerlone], bisoprolol [e.g., Zebeta], carteolol [e.g., Cartrol], carvedilol [e.g., Coreg], celiprolol [e.g., Cardem], esmolol [e.g., Brevibloc], labetalol [e.g., Normodyne], metoprolol [e.g., Lopressor], nadolol [e.g., Corgard], oxprenolol [e.g., Trasicor], penbutolol [e.g., Levatol], pindolol [e.g., Visken], propranolol [e.g., Inderal], sotalol [e.g., Betapace], timolol [e.g., Blocadren])�??Use of these medicines can block the beneficial effect of salmeterol


Beta2-adrenergic agonist, long lasting (e.g., Bitolterol mesylate)�??You should not use additional salmeterol or other inhaled long-lasting beta2-agonist
Ritonavir (e.g. Norvir)�??Use may increase your risk of fluticasone side effects

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

LONG-ACTING BETA-AGONIST SUCH AS SALMETEROL MAY INCREASE THE RISK OF AN ASTHMA-RELATED DEATH. African American patients and patients prescribed salmeterol when their asthma condition is worsening may have an increased risk of asthma-related death. If you experience signs of worsening asthma and find that your fast-acting inhaler is not working as well or if you need to use it more often than usual (such as using 4 or more puffs daily or using more than 1 inhaler every 8 weeks), seek immediate medical attention. This may be a sign of worsening asthma which is a very serious condition. DO NOT SUDDENLY STOP using this medicine.

Do not double doses to make up for a missed dose.

Ask your doctor or pharmacist for more information.

Keep out of the reach of children.
Store at room temperature, away from heat and moisture.

The inhaler contents should be used within 1 month after opening the moisture-protective foil wrap or before the expiration date, whichever comes first.

DO NOT STOP USING THIS MEDICINE without first checking with your doctor. Some conditions may become worse when the medicine is suddenly stopped. DO NOT EXCEED THE RECOMMENDED DOSE or use this medicine more often than prescribed without checking with your doctor. Doing so would decrease the effectiveness of the medicine and increase the risk of side effects. THIS MEDICINE MAY CAUSE DIZZINESS. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Limit alcoholic beverages.