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Table of Contents > Drugs >  Fluticasone and Salmeterol
Fluticasone and Salmeterol
Pronunciation
Brand Names
Therapeutic Categories
What key warnings should I know about before taking this medicine?
Reasons not to take this medicine
What is this medicine used for?
How does it work?
How is it best taken?
What do I do if I miss a dose?
What are the precautions when taking this medicine?
What are the common side effects of this medicine?
What should I monitor?
Reasons to call healthcare provider immediately
How should I store this medicine?
General statements

Pronunciation
(floo TIK a sone & sal ME te role)

Brand Names
Advair™ Diskus®

Therapeutic Categories
Beta2 Agonist; Corticosteroid, Oral Inhaler

What key warnings should I know about before taking this medicine?

  • When switching from an oral steroid to an inhaled one there can be problems. Symptoms such as weakness, feeling tired, dizziness, nausea, vomiting, inability to think clearly, or low blood sugar may occur. Call healthcare provider right away if any of these occur. If you have a serious accident and are injured, have surgery, or have any type of infection you may need extra doses of oral steroids. These extra steroids will help your body deal with these stresses. Carry a warning card saying that you may need extra steroids at certain times.


Reasons not to take this medicine

  • If you have an allergy to fluticasone, salmeterol, or any other part of the medicine.
  • If you have an asthma attack.


What is this medicine used for?

  • This medicine is used for the treatment of chronic asthma to prevent attacks.
  • It is not helpful during an asthma attack.
  • The biggest benefit may be seen after 1 week of use.


How does it work?

  • Salmeterol works at sites in the airways to relax the muscle and improve oxygen delivery.
  • Fluticasone prevents and reduces irritation in the airways of the lungs. It acts to decrease inflammation.


How is it best taken?

  • For inhaling (puffing) only by an inhaler.
  • Check inhaler use with healthcare provider at each visit. Using the inhaler the right way is very important.
  • Do not suddenly stop using this medicine if you have been taking it at a high dose for a long time. Medicine should be slowly decreased.


What do I do if I miss a dose?

  • Inhale a missed dose as soon as possible.
  • If it is almost time for the next dose, skip the missed one. Return to your regular schedule.
  • Do not take a double dose or extra doses.
  • Do not change dose or stop taking medicine without talking with healthcare provider.


What are the precautions when taking this medicine?

  • Wear disease medical alert identification for lung disease.
  • Use caution in heart disease, abnormal heartbeats, high blood pressure, seizure disorders, and over-active thyroid conditions. Talk with healthcare provider.
  • Limit caffeine (for example, tea, coffee, cola) and chocolate intake. Use with this medicine may cause nervousness, shakiness, rapid heartbeats, and anxiety.
  • Do not use for acute asthma attacks or emergency situations.
  • Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
  • Tell healthcare provider if you are pregnant or plan on getting pregnant.
  • Tell healthcare provider if you are breast-feeding.


What are the common side effects of this medicine?

  • Headache. Mild pain medicine may help.
  • Risk of infection. Avoid crowds and people with infections, colds, or flu.
  • Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard candy, or chewing gum may help.
  • Cough.


What should I monitor?

  • Watch for changes in breathing. Is breathing better, worse, or the same?
  • Use of short-acting beta agonist inhaler. Increased use may indicate worsening asthma. Call healthcare provider.
  • If a child is using this medicine, monitor growth carefully.
  • Monitor your asthma condition with peak flow meter.
  • Follow up with healthcare provider.


Reasons to call healthcare provider immediately

  • Signs of a life-threatening reaction. These include wheezing; tightness in the chest; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, throat.
  • If you are exposed to chickenpox or measles.
  • Increased use of short-acting beta agonist inhaler. Increased use may indicate worsening asthma.
  • Any signs or symptoms of infection. This may include a fever greater than 99 degrees, chills, sore throat, cough, increased sputum or change in color, painful urination, mouth sores, wound that will not heal, anal itching or pain.
  • Feeling weak, tired, irritable, trembling, having rapid heartbeats, confusion, sweating, dizziness, especially if you missed a dose or recently stopped this medicine.
  • Very nervous and excitable.
  • No improvement in condition or feeling worse.


How should I store this medicine?

  • Store in a dry place at room temperature. Protect from direct heat or sunlight.
  • Throw away 1 month after removal from foil pouch.


General statements

  • Do not share your medicine with others and do not take anyone else's medicine.
  • Keep all medicine out of the reach of children and pets.
  • Keep a list of all your medicines (prescription, herbal/supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, pharmacist, physician assistant).
  • Talk with healthcare provider before starting any new medicine, including over-the-counter or natural products (herbs, vitamins).


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