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80 Cards in this Set

  • Front
  • Back
what is albuterol used for
This medicine is known as a bronchodilator. Bronchodilators are commonly used to treat the symptoms of lung diseases such as emphysema, bronchitis, and asthma. They relieve difficulty in breathing, shortness of breath, coughing, and wheezing. They may be used before exercise to prevent exercise-induced asthma.
before taking albuterol tell your healthcare provider if you have
an allergy to any medicine
diabetes
high blood pressure
heart disease including abnormal heartbeat and angina (chest pain)
hypokalemia (low blood potassium)
seizures
thyroid problems

Talk with your healthcare provider if you are using any other short-acting aerosol bronchodilator or beta blocker medicine. When you use these medicines together with this one, it may affect your heart.

Females of childbearing age: Tell your healthcare provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without your healthcare provider's approval.
how to use an mdi inhaler
Wash your hands before using this medicine. Prime the aerosol unit before using it for the first time. Do this by pressing on the top of the canister with your index finger 4 times to release 4 puffs of mist into the air away from your face and eyes. You may also have to prime the aerosol unit if it hasn't been used for several days. If you are not using a spacer, the technique most often recommended is as follows:
Shake the metered dose inhaler (MDI) vigorously.
Hold the MDI upright so the mouthpiece is at the bottom.
Breathe out fully through the mouth expelling as much air from the lungs as possible.
Hold the unit upright between your index finger on top and your thumb at the bottom of the unit. The best way to use the MDI is to hold the mouthpiece 1-and-1/2 to 2 inches in front of an open mouth (about 2 to 3 finger widths). Try this technique first. It helps keep medicine from ending up in your mouth, which may cause increased side effects. It also helps medicine to reach your lungs rather than the back of the throat. If the open mouth technique is too hard, you may also place the MDI mouthpiece directly into your mouth and close your lips snugly around it. Talk with your provider or pharmacist about this.
Press the MDI down once so it releases a spray of medicine into your mouth while you breathe in slowly through the mouth. (One spray is called a puff.) Each time you press down, a metered (measured) dose is delivered.
Continue breathing in as slowly and deeply as possible.
Hold your breath for 5 to 10 seconds, or as long as is comfortable (this gives the medicine time to reach the airways). Before breathing out, remove the inhaler from your mouth and release your index finger from the canister.
Breathe out slowly through your nose.
Take a few normal breaths, wait at least 1 minute, and then repeat steps 1 through 8 for another inhalation (puff) if required. Take the number of puffs prescribed by your healthcare provider
how to use an mdi inhaler with a spacer
Wash your hands before using this medicine. Prime the aerosol unit before using it for the first time. Do this by pressing on the top of the canister with your index finger 4 times to release 4 puffs of mist into the air away from your face and eyes. (Always keep the aerosol mist away from your eyes to avoid irritation.) You should also prime the aerosol unit if it hasn't been used for several days.
Shake the metered dose inhaler (MDI) vigorously.
Hold the MDI upright so the mouthpiece is at the bottom.
Insert the mouthpiece of the inhaler into the rubber-sealed end of the spacer.
Place the spacer into your mouth. Breathe slowly in and out of the spacer several times.
Press the MDI down once so it releases a spray of medicine into the spacer while you breathe in deeply through your mouth. Each time you press down, a metered (measured) dose is delivered. (One spray is called a puff.)
Hold your breath for 5 to 10 seconds. If you are unable to hold your breath, another method is to breathe in and out slowly for 3 to 5 breaths.
If your provider prescribes more than 1 puff, wait 1 minute, and then repeat steps 1 through 7. Take the number of puffs prescribed by your healthcare provider
what if you miss a dose of albuterol
If you miss a dose, use it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and use the next one as directed. Do not use double doses. If you are not sure of what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider.
what to watch out for with albuterol
Check with your healthcare provider or pharmacist before using any nonprescription medicines, especially other inhaled medicines.

If you need to use the medicine more often, if your symptoms do not improve, or if your condition gets worse, contact your healthcare provider right away.

Diabetics: This medicine may affect your blood sugar level and change the amount of insulin or other diabetes medicines you may need. Talk to your healthcare provider about this
SE of albuterol
Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives; itching; rash; trouble breathing; tightness in your chest; swelling of your lips, tongue, and throat).

Serious (report these to your healthcare provider right away): Chest pain, increased trouble breathing, irregular or fast heartbeat, hallucinations (seeing or hearing things that are not there).

Other: Hoarseness, coughing, dry mouth, nausea, dizziness, headache, restlessness, trouble sleeping, trembling, pounding heartbeat, weakness
drug interations with albuterol
beta blockers such as metoprolol (Lopressor, Toprol XL), propranolol (Inderal), and nadolol (Corgard)
digoxin (Lanoxin)
diuretics such as hydrochlorothiazide (HydroDIURIL, Esidrix, Oretic) and furosemide (Lasix)
MAO inhibitor antidepressants such as phenelzine (Nardil), tranylcypromine (Parnate), and isocarboxazid (Marplan) (Do not take this medicine and an MAO inhibitor within 14 days of each other.)
medicines that contain phenylephrine, pseudoephedrine, ephedrine, or caffeine (such as cough and cold medicines, pain medicines, stimulants, or weight loss medicines)
other bronchodilators
tricyclic antidepressants such as amitriptyline, nortriptyline (Aventyl, Pamelor), imipramine (Tofranil), doxepin (Sinequan), and maprotiline (Ludiomil) (Do not take this medicine and a tricyclic antidepressant within 14 days of each other.)

Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all healthcare providers who treat you about all the products you are taking
how to store albuterol
Aerosol inhaler: Store at room temperature protected from heat. Do not puncture the canister. Do not use near heat or an open flame. Do not throw inhaler into an open fire or incinerator.

Nebulizer solution: Store at room temperature. Keep containers tightly closed. Protect from heat and bight light. Do not use solutions that are cloudy or discolored

If you have the AccuNeb solution and remove a vial from the foil pouch but do not use it right away, keep it out of bright light and use it within 1 week. Use the medicine only if it is clear and not cloudy
what is ipratropium used for
This medicine comes in two forms: a medicine you inhale through your mouth and a nasal spray.

The inhaled form treats breathing problems caused by asthma, bronchitis, or emphysema. It is breathed into your lungs through your mouth.

The nasal spray (in a non-aerosol pump bottle) is used to relieve a runny nose caused by colds or allergies. It does not relieve nasal congestion, sneezing, or postnasal drip (dripping from the back of the nose directly into the throat).
what to tell your healthcare provider before strating ipratropium
Do not use this medicine if you are allergic to soy lecithin or related food products such as soybeans and peanuts, or if you are allergic to atropine. Talk to your healthcare provider about this.

Before taking this medicine, tell your healthcare provider if you have ever had:


an allergic reaction to any medicine, or to soy or peanuts
glaucoma
an enlarged prostate gland or trouble urinating

Females of childbearing age: Tell your healthcare provider if you are pregnant or plan to become pregnant. Do not breast-feed while taking this medicine without your healthcare provider's approval.
how to use ipratropium
Shake the metered dose inhaler (MDI) vigorously.
Hold the MDI upright so the mouthpiece is at the bottom.
The best way to use the MDI is to hold the mouthpiece 1-and-1/2 to 2 inches in front of an open mouth (about 2 to 3 finger widths). Try this technique first. It helps keep medicine from ending up in your mouth, which may cause increased side effects. It also helps medicine to reach your lungs rather than the back of the throat. If the open mouth technique is too difficult, you may also place the MDI mouthpiece directly into your mouth and close your lips snugly around it. Talk with your provider or pharmacist about this.
Breathe out normally.
Press the MDI down once so it releases a spray of medicine into your mouth while you breathe in slowly. (One spray is called a puff.) Each time you press down, a metered (measured) dose is delivered.
Continue breathing in as slowly and deeply as possible.
Hold your breath for 5 to 10 seconds, or as long as is comfortable (this gives the medicine time to reach the airways).
Breathe out slowly.
Take a few normal breaths and then repeat steps 1 through 8 for another inhalation (puff) if required. Take the number of puffs prescribed by your healthcare provider
what if you miss a dose
Use this medicine regularly as prescribed. If you miss a dose, use it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and use the next one as directed. Do not use double doses. If you are not sure of what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider
what to watch out for with ipratropium
This medicine is not intended to treat sudden bronchospasm (severe gasping for breath). Your healthcare provider will prescribe a medicine that you inhale through your mouth for fast relief.

Contact your healthcare provider if your breathing does not improve with use of this medicine.

Getting the aerosol or the solution in your eyes may cause temporary blurred vision, worsening of glaucoma, or eye pain. To keep the medicine out of your eyes, close your mouth around the mouthpiece when using the aerosol or nebulizer
SE ipratropium
Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives; itching; rash; trouble breathing; tightness in your chest; swelling of your lips, tongue, and throat).

Serious (report these to your healthcare provider right away): Increased trouble breathing, fast heartbeat, chest pain.

Other: Headache, nausea, vomiting, dizziness, dry mouth or throat, hoarseness, cough, blurred vision, nosebleeds
interactions with ipratropium
When you take this medicine with other medicines, it can change the way this or any of the other medicines work. Nonprescription medicines, vitamins, natural remedies, and certain foods may also interact. Using these products together might cause harmful side effects. Talk to your healthcare provider if you are taking:


anticholinergic medicines such as atropine (Donnatal, Sal-Tropine), clidinium bromide, hyoscyamine (Levbid, Levsin, Levsinex), scopolamine (Transderm-Scop), methantheline (Banthine), methscopolamine (Pamine), propantheline (Pro-Banthine), and tolterodine (Detrol)
dronabinol (Marinol)
storage of ipratroproium
Store this medicine at room temperature. Keep the container tightly closed. Protect it from heat, high humidity, and bright light
what is combivent used for
This medicine is used to treat chronic obstructive pulmonary disease. It is a combination of 2 bronchodilators (medicines that make your breathing easier). It is used when a single medicine is not completely effective.
what to tell your healthcare provider before starting combivent
an allergic reaction to soya lecithin (soybeans or peanuts) or any medicine
an enlarged prostate gland or bladder problems
diabetes
glaucoma
heart disease
high blood pressure
liver or kidney disease
seizures
thyroid disease

Do not use this medicine if you are allergic to soy (soybean) products or peanuts.

Females of childbearing age: Tell your healthcare provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without your healthcare provider's approval.
how to use combivent
Shake the MDI vigorously.
Hold the MDI upright so the mouthpiece is at the bottom.
The best way to use the MDI is to hold the mouthpiece 1-and-1/2 to 2 inches in front of an open mouth (about 2 to 3 finger widths). Try this technique first. It helps keep medicine from ending up in your mouth, which may cause increased side effects. It also helps medicine to reach your lungs rather than the back of the throat. If the open mouth technique is too difficult, you may also place the MDI mouthpiece directly into your mouth and close your lips snugly around it. Talk with your provider or pharmacist about this.
Breathe out normally.
Press the MDI down once so it releases a spray of medicine into your mouth while you breathe in slowly. (One spray is called a puff.)
Continue breathing in as slowly and deeply as possible.
Hold your breath for 5 to 10 seconds, or as long as is comfortable (this gives the medicine time to reach the airways).
Breathe out slowly.
Take a few normal breaths and then repeat steps 1 through 8 for another inhalation (puff) if required. Take the number of puffs prescribed by your healthcare provider.

Do not use more than 12 sprays in 24 hours. If you are not sure how many sprays to use or if you do not understand how to use the pump, ask your healthcare provider or pharmacist to explain
what to watch out for with combivent
The effects of this medicine usually last at least 4 to 5 hours. If you need to use the medicine more often, or if your condition becomes worse, contact your healthcare provider right away.

This medicine can cause serious shortness of breath. Talk to your healthcare provider about this and the symptoms to watch for.

Do not spray this medicine in or near your eyes because it can cause eye pain, blurred vision, worsening of narrow-angle glaucoma, or vision halos. If you get some medicine in your eyes, flush them with cool water and contact your healthcare provider.

An adult should supervise the use of this medicine by a child
SE combivent
Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Life-threatening (Report these to your healthcare provider right away. If you are unable to reach your healthcare provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives, itching, tightness in your chest, trouble breathing, swelling of the lips, face, tongue, or throat), severe shortness of breath.

Other: Increased heart rate, muscle tremors or shakiness, coughing, stuffy nose, dry mouth, nausea, sore throat.
interactions with combivent
When you take this medicine with other medicines, it can change the way this or any of the other medicines work. Nonprescription medicines, vitamins, natural remedies, and certain foods may also interact. Using these products together might cause harmful side effects. Talk to your healthcare provider if you are taking:


alpha blockers such as doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin), tamsulosin (Flomax), and alfuzosin (Uroxatral)
anticholinergic agents such as atropine (Sal-Tropine, Antrocol), glycopyrrolate (Robinul), mepenzolate (Cantil), propantheline bromide (Pro-Banthine), and tridihexethyl chloride (Pathilon)
beta blockers such as atenolol (Tenormin), betaxolol (Kerlone), carteolol, pindolol, timolol, sotalol (Betapace), acebutolol (Sectral), nadolol (Corgard), metoprolol (Lopressor, Toprol XL), and propranolol (Inderal)
diuretics (water pills) such as bumetanide (Bumex), ethacrynic acid (Edecrin), furosemide (Lasix), torsemide (Demadex), chlorothiazide (Diuril), hydrochlorothiazide (Microzide, Oretic), hydroflumethiazide (Diucardin), and polythiazide (Renese)
MAO inhibitors such as phenelzine (Nardil), tranylcypromine (Parnate), and isocarboxazid (Marplan) (Do not take an MAO inhibitor and this medicine within 14 days of each other.)
tricyclic antidepressants such as amitriptyline, nortriptyline (Aventyl, Pamelor), imipramine (Tofranil), and doxepin (Sinequan). Do not take a tricyclic antidepressant and this medicine within 14 days of each other
how to store combivnet
Store this medicine at room temperature. Protect it from heat, high humidity, and bright light. Aerosol units are under pressure. Keep away from heat or flames; do not puncture. Do not use any medicine after the expiration date
what is fluticosone used for
This medicine is a steroid that is inhaled through the mouth as long-term treatment to prevent asthma attacks. You may be able to reduce the dose of other steroids that you take in pill form to treat asthma.

This medicine will not stop asthma attacks that have already started. Your healthcare provider will prescribe another medicine to be used during an attack
what to tell your healtcare provider before using fluticosone
Before taking this medicine, tell your healthcare provider if you have ever had an allergic reaction to any medicine or to milk proteins. Tell your provider if you have any kind of infection or fever, especially tuberculosis or herpes.

Females of childbearing age: Talk with your healthcare provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without your healthcare provider's approval
how to use fluticosone
wash hands before use
Shake the metered dose inhaler (MDI) vigorously.
Hold the MDI upright so the mouthpiece is at the bottom.
The best way to use the MDI is to hold the mouthpiece 1-and-1/2 to 2 inches in front of an open mouth (about 2 to 3 finger widths). Try this technique first. It helps keep medicine from ending up in your mouth, which may cause increased side effects. It also helps medicine to reach your lungs rather than the back of the throat. If the open mouth technique is too difficult, you may also place the MDI mouthpiece directly into your mouth and close your lips snugly around it. Talk with your provider or pharmacist about this.
Breathe out normally.
Press the MDI down once so it releases a spray of medicine into your mouth while you breathe in slowly. (One spray is called a puff.) Each time you press down, a metered (measured) dose is delivered.
Continue breathing in as slowly and deeply as possible.
Hold your breath for 5 to 10 seconds, or as long as is comfortable (this gives the medicine time to reach the airways).
Breathe out slowly.
Take a few normal breaths and then repeat steps 1 through 8 for another inhalation (puff) if required.
Rinse your mouth with water after each use to prevent thrush (a fungal infection that shows up as white spots on your tongue and in your mouth).
what if you miss a dose of fluticosone
Use the medicine on the schedule your healthcare provider prescribes for you. If you miss a dose, use it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and take the next one as directed. Do not take double doses. If you are not sure about what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider.
what to watch out for with fluticosone
If while using this medicine you have trouble catching your breath or begin gasping for air, contact your healthcare provider or get emergency medical care right away.

You may get infections more easily when you are taking this medicine. Stay away from people with colds, flu, or other infections. If you are exposed to an infectious disease, contact your healthcare provider right away. Chickenpox or measles may be more serious than usual while you are using this medicine. Also, do not have any vaccines without getting your healthcare provider's approval first.

If you have any injury, surgery, infection, severe asthma attacks, or periods of stress, you may need to take more steroids by mouth. Report any of these problems to your healthcare provider right away.

If your asthma does not improve, or if it gets worse, contact your healthcare provider.

An adult should supervise the use of this medicine by a child.

This medicine may limit growth in children who take it in high doses for more than 4 weeks
SE of fluticosone
Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives; itching; rash; trouble breathing; tightness in your chest; swelling of your lips, tongue, and throat).

Serious (report these to your healthcare provider right away): Trouble breathing or catching your breath.

Other: Headache, dizziness, sore throat, hoarseness, stuffy nose, chest infection, white patches in your mouth
ineractions with fluticosone
When you take this medicine with other medicines, it can change the way this or any of the other medicines work. Nonprescription medicines, vitamins, natural remedies, and certain foods may also interact. Using these products together might cause harmful side effects. Talk to your healthcare provider if you are taking:


anti-HIV medicines such as darunavir (Prezista) and tipranavir (Aptivus)
ketoconazole (Nizoral
how to store fluticosone
Store this medicine at room temperature. Store the canister with nozzle side down. Protect it from freezing and direct sunlight. Do not puncture the can. Protect it from heat to keep the can from exploding
what is advair used for
This combination of two medicines is inhaled through the mouth. It helps prevent or decrease wheezing and trouble breathing from asthma or chronic lung disease
what to tell your healthcare provider before starting advair
an allergic reaction to any medicine or to milk proteins
an infection such as herpes or tuberculosis (TB)
a weakened immune system from diseases such as HIV/AIDS or from cancer chemotherapy, or radiation therapy
diabetes
eye problems such as cataracts or glaucoma
heart disease or irregular heartbeat
high blood pressure
liver disease
osteoporosis
seizures
thyroid disorder

Also tell your healthcare provider if you are taking a corticosteroid such as prednisone by mouth.

Females of childbearing age: Tell your healthcare provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without your healthcare provider's approval.
how to use advair
To open the inhaler, push the thumbgrip away from you as far as it will go. You will hear a click and feel a snap. When open, the mouthpiece will appear.
Slide the mouthpiece lever away from you as far as it will go until it clicks. The inhaler is now ready to use. If you close the inhaler or push the lever again, you will lose medicine.
Turn your head away from the inhaler, and breathe out to the end of a normal breath. Do not breathe into the inhaler.
Hold the inhaler level and put the mouthpiece between your lips. Close your lips around the mouthpiece.
Breathe in through your mouth as deeply as you can. Do not breathe through your nose.
Hold your breath and remove the mouthpiece from your mouth. Hold your breath for 5 to 10 seconds, or as long as is comfortable before breathing out slowly. This gives the medicine time to settle in your airways and lungs.
Turn your head away from the inhaler, and breathe out slowly. Do not breathe into the inhaler.
To close the inhaler, place your thumb on the thumbgrip, and slide it back toward you as far as it will go. You will hear it click shut.
Keep the inhaler dry. Do not wash it. You may use a dry cloth to wipe it clean.
rinse mouth and spit do not swallow
what if you miss a dose of advair
If you miss a dose, use it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and use the next one as directed. Do not use double doses. If you are not sure of what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider.
what to watch for with advair
If your healthcare provider prescribes another medicine to be inhaled, ask how long you should wait between doses of the different medicines.

Do not use this medicine for sudden breathing problems or asthma attacks that have already started. Your healthcare provider will prescribe a short-acting inhaled medicine to use when you have an asthma attack.

If your asthma is quickly getting worse, it may be life-threatening. Long-acting beta2-adrenergic agonists may increase the risk of asthma-related death. Talk with your healthcare provider about this. If you have any of the following signs of worsening asthma, call your healthcare provider right away:


You need to use more puffs than usual of your short-acting inhaler or use it more often.
You have severe breathing trouble that does not improve, such as persistent wheezing, coughing, or shortness of breath.
You have a bluish color in your lips or fingernails or are unable to speak.

Treatment with this medicine may affect bone density. Your healthcare provider may order tests to determine if this medicine is affecting your bones.

You may get infections more easily when you are taking this medicine. Stay away from people with colds, flu, or other infections. If you are exposed to an infectious disease, contact your healthcare provider right away. Also, do not have any vaccines without getting your healthcare provider's approval first
SE advair
Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives; itching; rash; trouble breathing; tightness in your chest; swelling of your lips, tongue, and throat).

Serious (report these to your healthcare provider right away): Trouble breathing or catching your breath, cough, chest pain, irregular heartbeat, unexplained bruising or sores, fever, joint or muscle pain, white patches in your mouth.

Other: Headache, runny or stuffy nose, nausea, vomiting, dry mouth, dizziness, hoarseness, diarrhea, shakiness
interactions with advair
When you take this medicine with other medicines, it can change the way this or any of the other medicines work. Nonprescription medicines, vitamins, natural remedies, and certain foods may also interact. Using these products together might cause harmful side effects. Talk to your healthcare provider if you are taking:


antibiotics such as ciprofloxacin (Cipro), clarithromycin (Biaxin), doxycycline (Adoxa, Doryx, Vibramycin), erythromycin (EES, Ery-Tab, Erythrocin), and telithromycin (Ketek)
antifungals such as itraconazole (Sporanox) and ketoconazole (Nizoral)
beta blockers such as atenolol (Tenormin), carteolol, bisoprolol (Zebeta), pindolol, metoprolol (Lopressor, Toprol XL), nadolol (Corgard), propranolol (Inderal), timolol, and betaxolol (Kerlone)
diuretics (water pills) such as bumetanide (Bumex), ethacrynic acid (Edecrin), furosemide (Lasix), torsemide (Demadex), chlorothiazide (Diuril), hydrochlorothiazide (Microzide, Oretic), hydroflumethiazide (Diucardin), and polythiazide (Renese)
imatinib (Gleevec)
MAO inhibitor antidepressants such as isocarboxazid (Marplan), phenelzine (Nardil), and tranylcypromine (Parnate) (Do not take this medicine and an MAO inhibitor within 14 days of each other.)
medicines to treat HIV such as indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), ritonavir (Norvir), and saquinavir (Fortovase, Invirase)
other long-acting beta2-adrenergic agonists to treat breathing or lung problems such as formoterol (Foradil) or salmeterol (Serevent)
tricyclic antidepressants such as amitriptyline, nortriptyline (Aventyl, Pamelor), imipramine (Tofranil), and doxepin (Sinequan) (Do not take this medicine and an antidepressant within 14 days of each other)
storage of advair
Store this medicine at room temperature. Keep the container tightly closed. Protect it from heat, high humidity, and bright light.

Keep the device in the foil pouch until you are ready to use the medicine. Discard the device 1 month after opening the pouch or when the dosage counter shows 0, whichever comes first
What is formoterol fumarate inhalation (Foradil) used for?
This long-acting medicine is inhaled to:
* prevent asthma attacks (It does not stop asthma attacks that have already started.)
* prevent wheezing caused by exercise in people who have lung problems
* treat chronic obstructive pulmonary (lung) disease such as chronic bronchitis or emphysema

This medicine is not usually used alone. It is usually used with steroids or other medicines to improve breathing.
Before taking albuterol tell your healthcare provider if you have ever had...
* an allergic reaction to any medicine or to milk products
* a thyroid disorder
* diabetes
* heart disease
* high blood pressure
* long QT syndrome (problems with electrical activity in the heart muscle)
* seizures

Tell your health care provider about all other medicines you are taking or using for your breathing problem.

Females of childbearing age: Tell your health care provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without discussing with your health care provider.
How to use formoterol fumarate inhalation (Foradil)...
* To prevent exercise-induced asthma, use this medicine 15 minutes before you exercise.
* Additional doses should not be used for 12 hours.
* Do not use extra medicine before exercise if you already are taking twice a day.
* For other conditions, take this medicine exactly as your health care provider prescribes. Do not take more or less or take it longer than prescribed. Do not stop using this medicine or any other medicine without your health care provider's approval.

If you have the Aerolizer Inhaler:

Do not wash and reuse your old inhaler. Always use the new Aerolizer that comes with each prescription refill. Do not use the Aerolizer with a spacer and do not exhale into the device.

* To use the Aerolizer:
1. Remove the capsule containing the medicine from the foil pouch just before using it.
2. Put the capsule in the well of the Aerolizer inhaler. Do not put the capsule in the mouthpiece.
3. Press both side buttons once to puncture the capsule and release the medicine. You will hear a click when you puncture the capsule.
4. Breathe out fully, then put the mouthpiece in your mouth and close your lips around the mouthpiece. Tilt your head back slightly.
5. Breathe in rapidly and deeply through the mouthpiece.
6. Hold your breath for 5 to 10 seconds, or as long as is comfortable (this gives the medicine time to reach the airways).
7. Breathe out slowly.
8. Open the Aerolizer to see if any powder is left. If it is, repeat the inhalation.

Do not swallow the capsules. Use them in the Aerolizer only. If tiny bits of the medicine reach your mouth, they will melt in your saliva.

Rinse your mouth with water and spit out the rinse right after you use this medicine. This may reduce the risk of thrush (a fungus infection) in your mouth. It may also help reduce aftertaste, dry mouth, and hoarseness.

If you are using other inhaled medicines, ask your healthcare provider or pharmacist which you should use first. Use inhaled medicines 10 minutes apart from each other.
What to watch out for with formoterol fumarate inhalation (Foradil)?
• Do not use this medicine for sudden breathing problems or asthma attacks that have already started. Your health care provider will prescribe a short-acting inhaled medicine to use when you have an asthma attack.
• Long-acting beta2-adrenergic agonists may increase the risk of asthma-related death. Talk with your health care provider about this. If you have any of the following signs of worsening asthma, call your health care provider right away:
o You need to use more puffs than usual of your short-acting inhaler or use it more often.
o You have severe breathing trouble that does not improve, such as persistent wheezing, coughing, or shortness of breath.
o You have a bluish color in your lips or fingernails or are unable to speak.
• This medicine may increase your heart rate or blood pressure. Talk with your health care provider about this.
• This medicine may make you dizzy. Do not drive or operate machinery unless you are fully alert.
What are the possible side effects of formoterol fumarate inhalation (Foradil)?
* Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your health care provider if you have any side effects that continue or get worse.

* Life-threatening (Report these to your health care provider right away. If you are unable to reach your health care provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives, itching, rash, swelling of your tongue or throat, tightness in your chest, increased trouble breathing).
* Serious (report these to your health care provider right away): Chest pain, fast or irregular heartbeat, cough.

* Other: Nausea, dizziness, tremor, trouble sleeping, headache, muscle cramps, hoarseness, dry mouth, sore throat, runny nose.
What products might interact with Formoterol Fumarate (Foradil)?
When you take this medicine with other medicines, it can change the way this or any of the other medicines work. Nonprescription medicines, vitamins, natural remedies, and certain foods may also interact. Using these products together might cause harmful side effects.

Talk to your health care provider if you are taking:
* MAO inhibitor antidepressants such as phenelzine (Nardil), tranylcypromine (Parnate), and isocarboxazid (Marplan) (Do not take an MAO inhibitor and this medicine within 14 days of each other.)
* selegiline (Eldepryl)
* procarbazine (Matulane)

Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all health care providers who treat you about all the products you are taking.
How should I store Formoterol Fumarate (Foradil)?
Store the medicine at room temperature. Do not open the blister packs until just before the capsules are needed for use. Do not wash the inhaler. Keep it away from heat and moisture. Handle the medicine with dry hands.
What if I miss a dose of Formoterol Fumarate (Foradil)?
If you miss a dose, skip the missed dose and use the next one as directed. Do not use double doses. If you are not sure of what to do if you miss a dose, or if you miss more than one dose, contact your health care provider.
What products might interact with tiotropium bromide inhalation (Spiriva HandiHaler)
?
When you take this medicine with other medicines, it can change the way this or any of the other medicines work. Nonprescription medicines, vitamins, natural remedies, and certain foods may also interact. Using these products together might cause harmful side effects.

Talk to your healthcare provider if you are taking:
* ipratropium (Atrovent)
* potassium chloride
* secretin
* pramlintide (Symlin)

If you are using other inhaler medicines, talk with your healthcare provider about which medicine to use first.

Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all healthcare providers who treat you about all the products you are taking.
How should I store tiotropium bromide inhalation (Spiriva HandiHaler) ?
Store this medicine at room temperature. Keep the capsules in the foil package until you are ready to use one. Do not store capsules in the HandiHaler device. Once the capsules are exposed to air, they are less effective. Protect the foil package from heat, high humidity, and bright light.
What if I miss a dose of tiotropium bromide inhalation (Spiriva HandiHaler) ?
If you miss a dose, take it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and take the next one as directed. Do not take double doses. If you are not sure of what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider.
How do I use tiotropium bromide inhalation (Spiriva HandiHaler)?
* Check the label on the medicine for directions about your specific dose. Use this medicine daily, exactly as your healthcare provider prescribes. Do not use more of it, use it more often, or use it for a longer period than prescribed.

* These capsules are only for use in the HandiHaler. Do not swallow these capsules. Keep the capsules in the sealed package until you are ready to use them.

* To use the HandiHaler:
1. Open the inhaler by pulling the dust cap upwards. Then open the mouthpiece.
2. Place the capsule in the center chamber. It does not matter which end of the capsule is placed in the chamber.
3. Close the mouthpiece firmly until you hear a click, leaving the dust cap open.
4. Hold the HandiHaler device with the mouthpiece upwards and press the piercing button completely in once, and release. This makes holes in the capsule and allows the medicine to be released when you breathe in. Be careful not to get powder from the capsule in your eyes.
5. Turn your head away from the inhaler, and breathe out to the end of a normal breath. Do not breathe into the inhaler.
6. Raise the HandiHaler device to your mouth and close your lips tightly around the mouthpiece. Keep your head in an upright position and breathe in slowly and deeply but so that you hear the capsule vibrate.
7. Hold your breath and remove the mouthpiece from your mouth. Hold your breath for 5 to 10 seconds, or as long as is comfortable. This gives the medicine time to settle in your airways and lungs.
8. Turn your head away from the inhaler, and breathe out slowly. Do not breathe into the inhaler.
9. Repeat steps 6 through 8 to make sure you get the full dose.
10. After you have finished taking your daily dose, open the mouthpiece again. Tip out the used capsule and dispose. Close the mouthpiece and dust cap to store the HandiHaler device.
11. Keep the inhaler dry. Do not wash it. You may use a dry cloth to wipe it clean.

If you are using other inhaler medicines, talk with your healthcare provider about which medicine to use first.
What should my healthcare provider know before I take tiotropium bromide inhalation (Spiriva HandiHaler)?
Tell your healthcare provider if you have ever had:
* an allergic reaction to any medicine
* an enlarged prostate gland
* asthma
* bladder neck obstruction (trouble urinating)
* kidney disease
* myasthenia gravis
*narrow angle glaucoma

Females of childbearing age: Talk with your healthcare provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without your healthcare provider's approval.
what is tiotropium bromide inhalation (Spiriva HandiHaler) used for
This medicine is inhaled through your mouth to treat breathing problems caused by COPD, such as chronic bronchitis or emphysema.
what to watch out for with tiotropium bromide inhalation (Spiriva HandiHaler)
This medicine is not used to treat acute bronchospasm (sudden wheezing, coughing, and shortness of breath). Your healthcare provider will prescribe a medicine that you inhale through your mouth for fast relief. Contact your healthcare provider if your breathing does not improve with use of this medicine. If this medicine gets in your eyes it can cause pain and blurred vision. If this happens, flush your eyes with water and contact your healthcare provider right away.
SE of tiotropium bromide inhalation (Spiriva HandiHaler)
Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse. * Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives; itching; rash; trouble breathing; tightness in your chest; swelling of your lips, tongue, and throat). * Serious (report these to your healthcare provider right away): Blurred vision, eye pain, increased heart rate, chest pain, trouble urinating. * Other: Dry mouth, constipation, stomach pain, nausea, sore throat, runny or stuffy nose.
what is budesonide (Pulmicort Flexhaler) used for
If you take oral steroids for your asthma, this medicine may reduce your need for the pills.
before taking budesonide (Pulmicort Flexhaler) tell your healthcare provider if you have
Before you use this medicine, tell your healthcare provider if you have ever had: an allergic reaction to any medicine, eye problems such as cataracts, glaucoma, or eye infections, osteoporosis, or tuberculosis. Also, tell your provider if you are taking prednisone or other steroid medicines, or if you take other medicines for asthma, including nonprescription products. Tell your provider if you have any kind of infection. Females of childbearing age: Tell your healthcare provider if you are pregnant or plan to become pregnant while using this medicine. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while using this medicine without your healthcare provider's approval.
how to use budesonide (Pulmicort Flexhaler)
This medicine must be inhaled regularly to be effective. Check the label on the medicine for directions about your specific dose. Use the medicine exactly as your healthcare provider prescribes. You may feel better in a day or two, or you may need to use the medicine for several weeks to receive its full benefit. Do not increase or decrease the dosage on your own. Continue to take any other medicines that your healthcare provider has prescribed for you. Do not stop using this medicine without your provider's approval. If you are not getting results, contact your healthcare provider. Place the mouthpiece between your lips and breathe in deeply and forcefully. Do not breathe out through the Turbuhaler. Do not use the Turbuhaler with a spacer. Because a small amount of powder is delivered in each dose, you may not taste or sense the powder entering your lungs. This is normal. If you have used the inhaler properly, you have probably gotten a full dose. Rinse your mouth with water and spit out the rinse right after you use this medicine. This may reduce the risk of thrush (a fungus infection) in your mouth. It may also help reduce aftertaste, dry mouth, and hoarseness. An adult should supervise the use of this medicine by a child.
what if you miss a dose of budesonide (Pulmicort Flexhaler)
Use this medicine on the schedule your healthcare provider prescribes for you. If you miss a dose, use it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and take the next one as directed. Do not take double doses. If you are not sure what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider.
what to watch out for with budesonide (Pulmicort Flexhaler)
If you have switched from steroid tablets to this inhaler, your body may not produce enough natural steroids. You may need to take steroid tablets during periods of stress such as injury, surgery, infection, or severe asthma attacks. Talk with your healthcare provider about this. If you need emergency care, surgery, or dental work, tell the healthcare provider or dentist you are taking this medicine. Do not use this medicine for sudden breathing problems or asthma attacks that have already started. Your healthcare provider will prescribe a short-acting inhaled medicine to use when you have an asthma attack. If your symptoms do not improve in 2 to 4 weeks, or if they get worse, contact your healthcare provider. If you use this medicine for a long time, your healthcare provider will want to see you regularly to see how this medicine is affecting you. Keep all appointments for checkups and eye exams. When taken in high doses for 4 weeks or more, it is possible that this medicine may slightly limit growth in children. You may get infections more easily when you are taking this medicine. Stay away from people with colds, flu, or other infections. If you are exposed to an infectious disease, contact your healthcare provider right away. Chickenpox or measles may be more serious than usual while you are using this medicine. Also, do not have any vaccines without getting your healthcare provider's approval first. This medicine may cause an increase in wheezing or trouble breathing right after taking the medicine. You should always have a fast-acting inhaled bronchodilator medicine with you to treat sudden wheezing. Talk with your healthcare provider about this.
SE of budesonide (Pulmicort Flexhaler)
Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse. Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives; itching; rash; trouble breathing; tightness in your chest; swelling of your lips, tongue, and throat). Serious (report these to your healthcare provider right away): Trouble breathing or catching your breath, rash, infections, rounding (fattening) of the face, white patches in or around your mouth, trouble swallowing, fever, muscle aches and pains, unexplained tiredness, vision changes. Other: Sore throat, hoarseness, cough, stuffy nose, headache, nausea.
drug interations with budesonide (Pulmicort Flexhaler)
ketoconazole (Nizoral)
how to store budesonide (Pulmicort Flexhaler)
Store the medicine at room temperature. Do not wash the inhaler. Keep it away from heat and moisture.
what is pirbuterol (Maxair Autohaler) used for
"This medicine is known as a bronchodilator. Bronchodilators are commonly used to treat the symptoms of lung diseases such as emphysema, bronchitis, and asthma. They relieve difficulty in breathing, shortness of breath, coughing, and wheezing. They may be used before exercise to prevent exercise-induced asthma.
before taking pirbuterol (Maxair Autohaler) tell your healthcare provider if you have
"Before taking this medicine, tell your healthcare provider if you have:


an allergy to any medicine
diabetes
high blood pressure
heart disease including abnormal heartbeat and angina (chest pain)
hypokalemia (low blood potassium)
seizures
thyroid problems

Talk with your healthcare provider if you are using any other short-acting aerosol bronchodilator or beta blocker medicine. When you use these medicines together with this one, it may affect your heart.

Females of childbearing age: Tell your healthcare provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without your healthcare provider's approval.

"
how to use pirbuterol (Maxair Autohaler)
"This medicine is inhaled by mouth from an aerosol inhaler.
Check the label on the medicine for directions about your specific dose. Use this medicine exactly as your healthcare provider prescribes. Do not change your dosage without your healthcare provider's approval. Using too much may increase the risk of side effects. An adult should supervise the use of this medicine by a child.
Usually you will use this medicine according to a regular schedule. Ask your healthcare provider if you should use this medicine during an asthma attack.
If you are using any other inhaled medicine, wait at least 5 minutes between doses of your medicines.
Carefully read and follow all directions that come in your medicine package.
1. Wash your hands before using this medicine. Prime the aerosol unit before using it for the first time or if it has not been used in 48 hours. Use the test fire slide on the bottom of the mouthpiece to release 2 priming sprays into the air away from your face and eyes. Then you can use the medicine.
2. Remove the mouthpiece cover. (Pull down on the lip on the back of the cover).
3. Hold the inhaler upright with arrows pointing up. While still upright, flip the lever on the top until it snaps into place.
4. Shake the inhaler gently several times.
5. Breathe out normally.
6. Place the mouthpiece fully in your mouth and close your lips around it. Hold the unit upright. Do not hold the inhaler on the bottom.
7. Breathe in deeply through the mouthpiece. Continue to take a full deep breath when you hear a click and feel a soft puff. This means the medicine has been released.
8. Hold your breath for 5 to 10 seconds, or as long as is comfortable (this gives the medicine time to reach the airways). Before breathing out, remove the inhaler from your mouth.
9. Breathe out slowly.
10. Continue to hold the inhaler upright while you lower the lever. Lower the lever after each use of the inhaler and replace the mouthpiece cover.
11. If your healthcare provider has prescribed more than one inhalation (puff), wait 1 minute, then repeat the above steps.
"
what if you miss a dose of pirbuterol (Maxair Autohaler)
If you miss a dose, use it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and use the next one as directed. Do not use double doses. If you are not sure of what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider.
what to watch out for with pirbuterol (Maxair Autohaler)
"Check with your healthcare provider or pharmacist before using any nonprescription medicines, especially other inhaled medicines.

If you need to use the medicine more often, if your symptoms do not improve, or if your condition gets worse, contact your healthcare provider right away.

Diabetics: This medicine may affect your blood sugar level and change the amount of insulin or other diabetes medicines you may need. Talk to your healthcare provider about this.

"
SE of pirbuterol (Maxair Autohaler)
"Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse.

Serious (report these to your healthcare provider right away): Chest pain, increased trouble breathing, irregular or fast heartbeat, hallucinations (seeing or hearing things that are not there).

Other: Hoarseness, coughing, dry mouth, nausea, dizziness, headache, restlessness, trouble sleeping, trembling, pounding heartbeat, weakness.

"
drug interations with pirbuterol (Maxair Autohaler)
"When you take this medicine with other medicines, it can change the way this or any of the other medicines work. Nonprescription medicines, vitamins, natural remedies, and certain foods may also interact. Using these products together might cause harmful side effects. Talk to your healthcare provider if you are taking:
• beta blockers such as metoprolol (Lopressor, Toprol XL), propranolol (Inderal), and nadolol (Corgard)
• digoxin (Lanoxin)
• diuretics such as hydrochlorothiazide (HydroDIURIL, Esidrix, Oretic) and furosemide (Lasix)
• MAO inhibitor antidepressants such as phenelzine (Nardil), tranylcypromine (Parnate), and isocarboxazid (Marplan) (Do not take this medicine and an MAO inhibitor within 14 days of each other.)
• medicines that contain phenylephrine, pseudoephedrine, ephedrine, or caffeine (such as cough and cold medicines, pain medicines, stimulants, or weight loss medicines)
• other bronchodilators
• tricyclic antidepressants such as amitriptyline, nortriptyline (Aventyl, Pamelor), imipramine (Tofranil), doxepin (Sinequan), and maprotiline (Ludiomil) (Do not take this medicine and a tricyclic antidepressant within 14 days of each other.)
Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all healthcare providers who treat you about all the products you are taking.
"
how to store pirbuterol (Maxair Autohaler)
"Aerosol inhaler: Store at room temperature protected from heat. Do not puncture the canister. Do not use near heat or an open flame. Do not throw inhaler into an open fire or incinerator.
what is salmeterol (Serevent Diskus) used for
This long-acting medicine is used to: prevent asthma attacks (It does not stop asthma attacks that have already started.), prevent wheezing caused by exercise in people who have lung problems, and treat chronic obstructive pulmonary (lung) disease such as chronic bronchitis or emphysema. This medicine is usually used with other medicines to improve breathing.
before taking salmeterol (Serevent Diskus) tell your healthcare provider if you have
Before taking this medicine, tell your healthcare provider if you have ever had: an allergic reaction to any medicine, an irregular or fast heartbeat, an overactive thyroid gland, diabetes, glaucoma, heart disease, high blood pressure, liver disease, or seizures. Do not take this medicine if you have taken an MAO inhibitor within the last 14 days. A dangerous interaction can occur that can cause very serious side effects. Females of childbearing age: Talk with your healthcare provider if you are pregnant or plan to become pregnant. It is not known whether this medicine will harm an unborn baby. Do not breast-feed while taking this medicine without your healthcare provider's approval.
how to use salmeterol (Serevent Diskus)
Check the label on the medicine for directions about your specific dose. Use this medicine exactly as your healthcare provider prescribes. Do not use more or less or use it longer than prescribed. Try to use it the same times each day. Do not stop using this medicine without your healthcare provider's approval. If you are using this medicine to prevent exercise-induced asthma, use this medicine 30 minutes before you exercise. Do not use this medicine again for 12 hours. Do not use extra medicine before exercise if you are already taking this medicine twice a day. 1. Hold the Diskus in one hand and put the thumb of your other hand on the thumbgrip. Push your thumb away from you as far as it will go until the mouthpiece appears and snaps into position. 2. Hold the Diskus in a level, straight position with the mouthpiece towards you. Slide the lever away from you as far as it will go until it clicks. The Diskus is now ready to use. (Every time the lever is pushed back, a dose is ready to inhale. This is shown by a decrease in numbers on the dose counter. Do not close the device. Do not play with the lever. Do not advance the lever more than once.) 3. Holding the Diskus level and away from your mouth. Before inhaling your dose of Diskus, breathe out as far as is comfortable. (Never breathe out into the Diskus mouthpiece.) 4. Put the mouthpiece to your lips. Breathe in quickly and deeply through the Diskus, not through your nose. 5. Remove the Diskus from your mouth. Hold your breath for 5 to 10 seconds, or for as long as is comfortable. Breathe out slowly. 6. When you are finished taking a dose, close the Diskus. Put your thumb on the thumbgrip and slide the thumbgrip back towards you as far as it will go. The Diskus will click shut. Never exhale into the Diskus. Never attempt to take the Diskus apart. Never wash the mouthpiece or any part of the Diskus. Keep it dry. Always activate and use the Diskus in a level, horizontal position. Do not use the Diskus with a spacer.
what if you miss a dose of salmeterol (Serevent Diskus)
If you miss a dose, use it as soon as you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and use the next one as directed. Do not use double doses. If you are not sure of what to do if you miss a dose, or if you miss more than one dose, contact your healthcare provider.
what to watch out for with salmeterol (Serevent Diskus)
Do not use this medicine for sudden breathing problems or asthma attacks that have already started. Your healthcare provider will prescribe a short-acting inhaled medicine to use when you have an asthma attack. Do not use this medicine more often than prescribed. Using too much can cause serious side effects. If your asthma is quickly getting worse, it may be life-threatening. Long-acting beta2-adrenergic agonists may increase the risk of asthma-related death. Talk with your healthcare provider about this. If you have any of the following signs of worsening asthma, call your healthcare provider right away: You need to use more puffs than usual of your short-acting inhaler or use it more often. You have severe breathing trouble that does not improve, such as persistent wheezing, coughing, or shortness of breath. You have a bluish color in your lips or fingernails or are unable to speak. You may need to have lung function tests or other tests to see how the medicine affects you. Keep all appointments for these tests. Do not stop taking this medicine without your healthcare provider's approval. Suddenly stopping this medicine may be life-threatening. If you need emergency care, surgery, or dental work, tell the healthcare provider or dentist you are taking this medicine.
SE of salmeterol (Serevent Diskus)
Along with its needed effects, your medicine may cause some unwanted side effects. Some side effects may be very serious. Some side effects may go away as your body adjusts to the medicine. Tell your healthcare provider if you have any side effects that continue or get worse. Life-threatening (Report these to your healthcare provider right away. If you cannot reach your healthcare provider right away, get emergency medical care or call 911 for help): Allergic reaction (hives; itching; rash; tightness in your chest; swelling of your lips, tongue, and throat); choking; trouble swallowing; persistent wheezing, coughing, or shortness of breath; bluish color in the lips or fingernails; being unable to speak. Serious (contact your healthcare provider right away): Chest pain, fast or irregular heart beat, itching over the whole body, fever. Other: Sinus headache, joint or muscle pain, mild rash, runny or stuffy nose, shakiness, dizziness, diarrhea, nausea, throat irritation, dry mouth, upset stomach, nervousness, trouble sleeping.
drug interations with salmeterol (Serevent Diskus)
"When you take this medicine with other medicines, it can change the way this or any of the other medicines work. Nonprescription medicines, vitamins, natural remedies, and certain foods may also interact. Using these products together might cause harmful side effects. Talk to your healthcare provider if you are taking:
antibiotics such as erythromycin (Erythrocin, EryPed), clarithromycin (Biaxin), isoniazid (Nydrazid), and telithromycin (Ketek)
antifungal medicine such as ketoconazole (Nizoral) and itraconazole (Sporanox)
anti-HIV medicines such as amprenavir (Agenerase), atazanavir (Reyataz), indinavir (Crixivan), nelfinavir (Viracept), nevirapine (Viramune), delavirdine (Rescriptor), ritonavir (Norvir), and saquinavir (Fortovase, Invirase)
atomoxetine (Strattera)
beta blockers such as atenolol (Tenormin), carteolol, bisoprolol (Zebeta), pindolol, metoprolol (Lopressor, Toprol XL), nadolol (Corgard), propranolol (Inderal), timolol, and betaxolol (Kerlone)
diuretics (water pills) such as furosemide (Lasix), hydrochlorothiazide (Diuril), bumetanide (Bumex), and torsemide (Demadex)
imatinib (Gleevec)
MAO inhibitor antidepressants such as isocarboxazid (Marplan), phenelzine (Nardil), and tranylcypromine (Parnate) (Do not take an MAO inhibitor and this medicine within 14 days of each other.)
other asthma medicines you are taking by mouth, inhalation, or shots
tricyclic antidepressants such as amitriptyline, nortriptyline (Aventyl, Pamelor), imipramine (Tofranil), and doxepin (Sinequan)

The effects of this medicine may be increased if you take it with grapefruit juice. Talk with your healthcare provider about this.

Keep a list of all your medicines with you. List all the prescription medicines, nonprescription medicines, supplements, natural remedies, and vitamins that you take. Be sure that you tell all healthcare providers who treat you about all the products you are taking.

"
how to store salmeterol (Serevent Diskus)
Always keep the Diskus in a dry place. Diskus: Store at room temperature in a dry place away from direct heat or sunlight. The Diskus should be discarded in 6 weeks after removal from moisture-protective foil overwrap pouch, or after all blisters have been used, whichever comes first. The Diskus is not reusable.