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Advair Information
Uses
Advair is a combination "controller"
medicine for long-term (maintenance) treatment to prevent
or decrease the symptoms of asthma (e.g., wheezing,
trouble breathing), and chronic lung disease (e.g.,
emphysema, bronchitis, COPD). It works to open the airways
of the lungs in two ways (decreasing bronchiolar swelling
and causing muscle relaxation). It may also be used
to treat other breathing conditions as determined by
your doctor. Advair does not work immediately
and should not be used for acute asthma attacks. Use
other "quick-relief" medicines/inhalers for
sudden shortness of breath or asthma attacks.
How To Use
Follow the directions for using Advair provided
by your doctor. Advair comes with a patient information
leaflet. Read it carefully. Refer to the illustrated
directions provided for instruction on the correct use
of this device. Ask your doctor, nurse, or pharmacist
any questions that you may have about Advair.
Always activate and use this device in a level, horizontal
position. Do not breathe into (exhale into) the inhaler.
Do not use a spacer. Inhale Advair usually twice
daily, in the morning and in the evening (12 hours apart),
or as directed by your doctor. Your dose is based on
your condition and response to treatment. Gargle and
rinse your mouth after using Advair to help prevent
dryness, relieve throat irritation, and to prevent mouth
infections (e.g., thrush). Do not swallow the rinse
solution. CONTINUE TO USE THIS MEDICINE even if you
feel well. Do not miss any doses. If you have been using
a "quick-relief" beta agonist inhaler (such
as salbutamol/albuterol) on a regular daily schedule
(such as 4 times daily), you must discontinue this schedule
and only use it "as needed" for acute asthma
attacks. Consult your doctor. If you find that your
"quick-relief" inhaler is not working as well
or if you need to use it more often than usual, (i.e.,
using 4 or more puffs daily or using more than 1 inhaler
every 8 weeks) tell your doctor or pharmacist promptly.
This may be a sign of worsening asthma which is a serious
condition. Do not take the inhaler apart or wash the
mouthpiece of the inhaler. STORE THIS MEDICINE at room
temperature as directed on the package, away from heat,
moisture, or light. Keep the inhaler dry at all times.
IF YOU MISS A DOSE OF THIS MEDICINE, use it as soon
as possible. If it is almost time for your next dose,
skip the missed dose and go back to your regular dosing
schedule. Do NOT use 2 doses at once.
Side Effects
SIDE EFFECTS that may occur while taking Advair
include hoarseness (dysphonia), throat irritation, headache,
cough, or dry mouth or throat. If they continue or are
bothersome, check with your doctor. CHECK WITH YOUR
DOCTOR IMMEDIATELY if you experience white patches on
tongue or mouth, or if your mouth/tongue becomes swollen
and painful. CONTACT YOUR DOCTOR IMMEDIATELY if you
experience any of the following unlikely but serious
side effects: weight gain, vision changes, trouble sleeping,
tremors, seizures, severe muscle weakness or cramping,
fast/irregular heartbeat, numbness or tingling in hands
or feet, chest pain, or worsening of asthma symptoms
(e.g., wheezing, coughing). AN ALLERGIC REACTION to
Advair is unlikely but seek immediate medical
attention if it occurs. Symptoms of an allergic reaction
include rash, itching, swelling, dizziness, or trouble
breathing. Rarely, your wheezing might actually increase
immediately after using Advair (paradoxical bronchospasm).
If this occurs, use your "quick-relief" inhaler
(such as albuterol). Seek immediate medical attention
if your breathing does not improve at that time. If
you notice other effects not listed above, contact your
doctor, nurse, or pharmacist.
Precautions
DO NOT STOP USING THIS MEDICINE without first checking
with your doctor. Some conditions may become worse when
the medicine is suddenly stopped. Your dose may need
to be gradually decreased. DO NOT EXCEED THE RECOMMENDED
DOSE or use Advair 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 Advair. Using Advair alone, with other
medicines, or with alcohol may lessen your ability to
drive or to perform other potentially dangerous tasks.
Limit alcoholic beverages. BEFORE YOU BEGIN TAKING ANY
NEW MEDICINE, either prescription or over-the-counter,
check with your doctor or pharmacist. Check the labels
on all your medicines (e.g., cough-and-cold products,
diet aids) because they may contain ingredients that
could increase your heart rate and blood pressure. Ask
your pharmacist about the safe use of those products.
If you have switched from an oral corticosteroid (e.g.,
prednisone tablets) to this inhaler within the past
12 months, or if you have been using this product in
higher-than-usual doses and suddenly stop using it,
your body may not produce enough natural steroids. You
may need to start taking additional corticosteroids,
especially if your body is stressed due to a major infection,
surgery, or injury. Consult your doctor or pharmacist
for more details, and inform them that you use (or have
used) any type of corticosteroid. Carry a warning card
stating that you may need supplemental corticosteroids
(e.g., prednisone) during stress periods (such as trauma
or major surgery). Contact your doctor if you experience
any symptoms of low steroid levels including unusual
weakness, weight loss, fainting, or dizziness. Caution
is advised when using Advair in the elderly because
they may be more sensitive to the effects of the medicine,
especially the effects on the heart (cardiovascular).
Caution is advised when using Advair in children.
Though it is very unlikely to occur with inhaled steroids
(fluticasone), Advair may decrease a child's
growth rate, but not necessarily their final adult height.
Though it is very unlikely with inhaled steroid use,
children using Advair might be prone to serious
cases of common infections, such as chickenpox or measles.
Avoid exposing the child to such diseases. Consult the
doctor or pharmacist for more details. FOR WOMEN: IF
YOU PLAN ON BECOMING PREGNANT, discuss with your doctor
the benefits and risks of using Advair during
pregnancy. ONE OF THE MEDICINES IN THIS PRODUCT (SALMETEROL)
IS EXCRETED in breast milk; it is unknown if the other
medicine (fluticasone) passes into breast milk. DO NOT
BREAST-FEED while using Advair.
Drug Interactions
Drug interactions can result in unwanted side effects
or prevent a medicine from doing its job. Use our drug
interaction checker to find out if your medicines interact
with each other.
Overdose
If overdose is suspected, contact your local poison
control center or emergency room immediately. Symptoms
of overdose may include seizures, chest pain, unusually
fast/irregular heartbeat, severe muscle weakness, muscle
cramping, and fainting.
Notes
Carry an identification card at all times that states
you are taking Advair. IT IS IMPORTANT that you
keep all doctor and laboratory appointments while you
are using Advair. Laboratory and/or medical tests
(e.g., IOP, children's rate of growth) should be performed
periodically to monitor your progress or check for side
effects. Consult your doctor for more information. Learn
to use a peak flow meter, use it daily, and promptly
report worsening asthma (such as readings in the yellow
or red range or increased use of quick-relief inhalers).
Try to avoid irritants that may trigger an asthma attack
such as smoke, pollen, pet dander, dust, or molds. DO
NOT SHARE THIS MEDICINE with others for whom it was
not prescribed. KEEP THIS MEDICINE out of the reach
of children and pets. IF USING THIS MEDICINE FOR AN
EXTENDED PERIOD OF TIME, obtain refills before your
supply runs out.
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Advair