Advair Diskus (Fluticasone Propionate / Salmeterol Xinafoate)
Generic equivalents for Advair Diskus...What are generics?
100mcg/50mcg Capsule more info
(Rx) - indicates only available by prescription
To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. read more
Fluticasone Propionate / Salmeterol Xinafoate Information
FLUTICASONE; SALMETEROL (floo TIK a sone; sal ME te role) inhalation is a combination of two medicines that decrease inflammation and help to open up the airways of your lungs. It is used to treat COPD. This medicine is also used to treat asthma. Do NOT use for an acute asthma attack. Do NOT use for a COPD attack.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.Read more...
Advair® helps to control breathing problems associated with asthma and COPD. To get the best possible results from your prescription for Advair®, use the inhaler on a regular basis as prescribed. **will this describe inhaler, diskus or both -- typically DISKUS is most common.The most common way to use Advair® is to inhale one dose from the device every 12 hours.
Advair® is NOT a rescue inhaler and should not be used to try and improve your breathing during an asthma or COPD attack.
The two medicines contained in Advair® work in different ways. Fluticasone is a type of corticosteroid that can be inhaled and works to decrease inflammation in the lungs. Salmeterol is called a long-acting beta agonist, or LABA, and works to help relax the airways in the lungs. Keeping the airways relaxed helps to manage symptoms like wheezing, cough, chest tightness, and shortness of breath.
People with breathing conditions that use inhaled medicines containing LABA drugs, like salmeterol, have a greater chance of serious complications, including death, from asthma-related episodes.
If you feel your symptoms are gradually worsening or are not well managed, talk to your doctor. Other treatment options may be better suited to your condition.
Seek emergency medical attention if you have an asthma or COPD attack and your rescue inhaler is not helping or your breathing is quickly becoming more difficult.
Use only the medications prescribed by your doctor. Do not combine other treatments with Advair® unless your doctor has specifically directed you to do so.
Do not use Advair® if you have an allergy to milk protein, other corticosteroids, or other long-acting bronchodilators. Talk to your doctor about all your allergies to be sure it is safe for you to use Advair®.
Each prescription ordered and filled for Advair® from a Canadian Pharmacy Referral Service comes with a printed medication guide. Always take time to read the medication information in the guide to be sure you are reviewing the most recent information about your medicine.
A less expensive and safe generic alternative to Advair Diskus may be available. By using a Canadian Prescription Referral Service, we can help you find a licensed Canadian or international pharmacy that can provide you with safe generic products and the best possible dollar savings. As an added safety measure, we recommend purchasing your medicines from a pharmacy that is a member of the Canadian International Pharmacy Association. Visit a website called PharmacyChecker to locate licensed and credible pharmacies.
They need to know if you have any of these conditions: -bone problems -immune system problems -diabetes -heart disease or irregular heartbeat -high blood pressure -infection -pheochromocytoma -seizures -thyroid disease -worsening asthma -an unusual or allergic reaction to fluticasone, salmeterol, other corticosteroids, other medicines, foods, dyes, or preservatives -pregnant or trying to get pregnant -breast-feedingRead more...
Medical problems may affect the way Advair® works in your body. Your doctor needs to know of every medical condition or problem you have to determine the best treatment for your asthma or COPD. Talk to your doctor about all your medical conditions even if you think they are not related to your breathing problem.
Talk to your doctor about any plans for medical or surgical procedures you have scheduled or may be considering.
Let your doctor know as soon as possible if you are exposed to someone with a contagious illness.
Work with your doctor to get a baseline bone density measurement and to routinely monitor your bone density for any changes as you continue your treatment with Advair®.
As with most medicines, interactions with other substances, including medicines prescribed by other doctors, over-the-counter products, vitamins, herbal supplements, and even alcohol use, can be dangerous. Give your doctor a complete list of everything you take.
When ordering Advair® online from a Canadian Prescription Referral Service, be sure all your doctors and healthcare providers know that you are taking this medicine. Your doctors need to know in order to prevent possible serious interactions with other medicines and medical conditions.
This medicine is inhaled through the mouth. Rinse your mouth with water after use. Make sure not to swallow the water. Follow the directions on the prescription label. Do not use a spacer device with this inhaler. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice. Make sure that you are using your inhaler correctly. Ask you doctor or health care provider if you have any questions. A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time. Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. NOTE: This medicine is only for you. Do not share this medicine with others.
If you miss a dose, use it as soon as you remember. If it is almost time for your next dose, use only that dose and continue with your regular schedule, spacing doses evenly. Do not use double or extra doses.
Do not take this medicine with any of the following medications: -MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate This medicine may also interact with the following medications: -aminophylline or theophylline -antiviral medicines for HIV or AIDS -diuretics -medicines for colds -medicines for depression or emotional conditions -medicines for fungal infections like ketoconazole and itraconazole -medicines for the heart like metoprolol, propanolol -medicines for weight loss including some herbal products -other medicine for breathing problems -pimozide -some antibiotics like clarithromycin, erythromycin, levofloxacin, linezolid, and telithromycin -vaccines
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.Read more...
Do not use Advair®, or use with extreme caution, if you are also taking drugs that are considered tricyclic antidepressants. Examples of drugs like this include:
- Elavil (amitriptyline hydrochloride)
- Anafranil (clomipramine hydrochloride)
- Sinequan (doxepin hydrochloride)
- Tofranil (imipramine hydrochloride)
- Asendin (Amoxapine)
Do not use Advair®, or use with extreme caution, if you are also taking drugs that are considered beta blockers. Drugs like these can decrease the effectiveness of Advair® plus they can sometimes cause spasms to occur in the airways. Examples of drugs like this include:
- Timoptic Eye Drops (timolol maleate)
- Coreg (carvedilol)
- Inderal (propranolol hydrochloride)
- Trandate (labetalol hydrochloride)
- Lopressor (metoprolol tartrate)
Some examples of medicines that may become stronger when combined with Advair® are listed here. This can mean that you may have side effects or an unwanted increase in the effect of the medication. A possible change in your EKG can result from the combination of Advair® with some medicines that are considered diuretics. This is not a complete list.
- Thalitone (chlorthalidone)
- Hydrodiuril (hydrochlorothiazide)
- Lozol (indapamide)
- Zaroxolyn (metolazone)
- Lasix (furosemide)
Do not change your medicines or doses on your own. If you are concerned that you may be taking medicines that can interact, check with your doctor to be sure what medicines are necessary for you. Never stop or change your prescribed medicines on your own.
Some drug interactions can be life-threatening. Other interactions can cause unwanted side effects or make the medicines more or less effective. Sometimes drug interactions can cause a medicine to exceed safe levels in the blood, similar to taking an overdose. This can happen all at once or gradually over time. A drug interaction happens when one drug causes another drug to change how it works in the body.
Many processes are at work in your body that handle drugs. Interactions can happen at different places and for different reasons. Some processes involve how your gut absorbs the medicine, others involve the way your liver works to alter medicines. Some interactions occur at the exact place in your body where the drugs connect to do their job, and others involve changes with the way the drug is eliminated from your body.
Advair® is no exception. There are many medicines that interact with the two active drugs contained in Advair®. Always check with your doctor or pharmacist to be sure you are not taking drugs that interact.
If you have a new drug added to your existing list of medications, be sure to ask your pharmacist to check it against all your other medicines.
The pharmacists at your Canadian Prescription Referral Service need a complete list of all your medicines. For your safety, the pharmacists will check for possible drug interactions with your existing medicines and any new drugs you are ordering.
Visit your doctor for regular check ups. Tell your doctor or health care professional if your symptoms do not get better. If your symptoms get worse or if you need your short-acting inhalers more often, call your doctor right away. Do not use this medicine more than every 12 hours. If you have asthma, be aware that using this medicine may increase your risk of dying from asthma- related problems. Talk to your doctor about the risks and benefits of taking this medicine. NEVER use this medicine for an acute asthma attack. If you are going to have surgery tell your doctor or health care professional that you are using this medicine. Try not to come in contact with people with the chicken pox or measles. If you do, call your doctor.Read more...
As with any new medicine, watch for signs of an allergic reaction. Symptoms can include swelling of the face, lips, tongue, or throat, difficulty breathing, tightening of the chest, and a skin rash, itching, and hives.
Stop taking the medicine and call 911 or emergency medical help if you experience signs of an allergic reaction.
Thrush infections in the mouth occur more often with this medicine. Rinsing your mouth with water after each dose can help to prevent this. Spit out the water after rinsing.
People that use Advair® are more likely to develop upper respiratory infections, throat soreness, coughing, hoarseness, voice changes, and bronchitis. See your doctor if you develop these symptoms.
Children that are prescribed Advair® may have a slowed pattern of growth. Have your child routinely checked to monitor their growth.
Some people that are prescribed Advair® are more likely to develop eye problems such as glaucoma and cataracts. See your eye doctor for regular exams to monitor any changes in your vision.
Advair® Diskus is packaged in a special device that is designed to deliver the exact amount of medicine for each dose. It is important that you know how to properly use the device to be sure you are getting the correct amount of medicine with each inhaled dose.
Carefully read the patient instructions that come with each inhaler supplied by the Canadian Prescription Referral Service. Ask your doctor or pharmacist for help if the instructions are not clear.
Side effects that you should report to your doctor or health care professional as soon as possible: -allergic reactions like skin rash or hives, swelling of the face, lips, or tongue -chest pain -dizziness or lightheaded -fever or chills -irregular heartbeat -vision problems Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome): -coughing, hoarseness, throat irritation -headache -nervousness -stomach problems -stuffy nose -tremor
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Keep out of the reach of children. Store at room temperature between 68 and 77 degrees F (20 and 25 degrees C). Do not leave your medicine in the heat or sun. Throw away 1 month after you open the package or whenever the dose indicator reads 0, whichever comes first. Throw away unopened packages after the expiration date.
NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.
Fluticasone, Salmeterol Inhalation powder