Common Uses: This product is a combination "controller" medicine for long-term treatment to prevent or decrease the symptoms of asthma and chronic lung diseases such as emphysema, bronchitis, or 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. This medicine 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.
Generic Name: E: FLUTICASONE (flew-TICK-uh-sone) and SALMETEROL (sal-MET-er-all)
[Advair Discus]. Medications should only be taken in accordance with the advice of your medical professional.
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How to use this Medicine: Follow the directions for using this medicine provided by your doctor. This medicine 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 this medicine. Always activate and use this device in a level, horizontal position. Do not breathe into the inhaler. Do not use a spacer. 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 (e.g., 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. 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. CONTINUE TO USE THIS MEDICINE even if you feel well. Do not miss any doses. 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.
Mexican name is Seretide
Cautions: 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 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. Using this medicine 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 this medicine 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 this medicine in children. Though it is very unlikely to occur with inhaled steroids (fluticasone), this medicine 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 this medicine 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 this medicine 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 this medicine.
Possible Side Effects: SIDE EFFECTS that may occur while taking this medicine 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., increased difficulty breathing, wheezing, coughing). AN ALLERGIC REACTION to this medicine 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 this medicine (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.
100 mcg/50 60 doses
500 mcg/50 60 doses
250 mcg/50 60 doses

For years, Americans living near Canada and Mexico have taken advantage of the low cost prescription drugs available across the border, allowing them to purchase brand name and generic medicines like Advair Discus at
substantial savings compare to prices in the United States. You must only take medications in accordance with the advice of your doctor or medical professional and you must only take prescription drugs if you are in possession of a valid prescription.
[Advair Discus]
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