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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 medicine is needed every day. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.The presence of other medical problems may affect the use of this medicine. In the Salmeterol Multi-center Asthma Research Trial (SMART), a 28-week safety study, patients received salmeterol 42 mcg or placebo via metered-dose aerosol with a chlorofluorocarbon (CFC) propellant (CFC preparation no longer commercially available in the US) twice daily in addition to their usual asthma therapy. No teratogenic effects were observed at oral salmeterol doses of 0.6 mg/kg (20 times the maximum recommended daily inhalation dosage based on comparison of AUC data). If the inhaler has not been used for more than 4 weeks or if the inhaler was dropped, the inhaler should be test sprayed twice into the air (away from the face) and shaken well for 5 seconds before each spray.The cap covering the mouthpiece should be slipped off the mouthpiece; the strap on the cap will stay attached to the mouthpiece. Call your doctor if you or your child start having increased sputum (spit) production, change in sputum color, fever, chills, increased cough, or an increase in breathing problems. Do not use more of it and do not use it more often than your doctor ordered. Fluticasone and salmeterol is a combination of two medicines that are used to help control the symptoms of asthma and improve breathing. Symbicort (budesonide / formoterol) is a combination of two medicines that works well for people with worsening asthma or COPD.

Claim Your Advair Diskus Savings Card. Patients should inform their clinician of liver dysfunction prior to initiation of therapy.Clinicians should remain vigilant for the possible development of pneumonia in patients with COPD who are receiving the inhalation powder preparation containing salmeterol in fixed combination with fluticasone propionate (Advair Diskus), since the clinical features of pneumonia and COPD exacerbations frequently overlap. The other, salmeterol, is a long-acting bronchodilator that opens up the airways. By using the FSA debit card, your expenses are auto-adjudicated (electronically approved or disapproved) from the card and you may not need to submit additional receipts to your FSA Administrator. Salmeterol in fixed combination with fluticasone propionate should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.Reproduction studies in male and female rats using oral salmeterol dosages of up to 2 mg/kg daily (representing 160 times the recommended clinical dosage on a mg/m basis) have not revealed evidence of harm to the fetus.

Although such effects are uncommon after administration of salmeterol at recommended dosages, if they occur, discontinuance of the drug may be needed. So, if you opted in for $1,200 a year for your FSA, you could use that amount on the first day (if you wanted to). Some FSA Administrators could still require a receipt to substantiate a claim. No clinically important changes in glucose or potassium concentrations were reported in clinical studies in patients with asthma receiving salmeterol oral inhalation powder. The drug should be used during other stages of pregnancy only if the potential benefit justifies the potential risk to the fetus. Although not all of these side effects may occur, if they do occur they may need medical attention.Check with your doctor immediately if any of the following side effects occur:Get emergency help immediately if any of the following symptoms of overdose occur:Some side effects may occur that usually do not need medical attention.

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