Advair Inhaler (Salmeterol Xinafoate / Fluticasone Propionate)

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-feeding

This medicine is inhaled through the mouth. Follow the directions on the prescription label. Shake well for 5 seconds before each use. After using the inhaler, rinse your mouth with water. Make sure not to swallow the water. 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. While this drug may be prescribed for children as young as 12 years of age for selected conditions, precautions do apply.

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.

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. This medicine may increase your risk of getting an infection. Tell your doctor or health care professional if you are around anyone with measles or chickenpox, or if you develop sores or blisters that do not heal properly.

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 -changes in vision -chest pain -feeling faint or lightheaded, falls -fever or chills -irregular heartbeat 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 -tremors

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 15 and 30 degrees C (59 and 86 degrees F). Store inhaler with the mouthpiece down. Throw away the inhaler when the dose indicator reads 000, or after the expiration date, whichever comes first.

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.