Salmeterol inhalation powder
What does salmeterol inhalation powder do?
SALMETEROL (Serevent(R) Diskus(R)) is a slow-acting bronchodilator, a medicine that opens up air passages and makes breathing easier. Salmeterol is for regular use to help prevent asthma attacks and is not for use in an acute asthma attack. It can also be used to prevent exercise-induced bronchospasm, at least 30 to 60 minutes before exercise is started. Because salmeterol would take too long to work, you must have a quick-acting bronchodilator (such as albuterol) readily available for use in an asthma attack. Salmeterol can be used along with inhaled or oral corticosteroids. If you are on these other medications, you should continue to take them as directed by your health care professional.
What should my health care professional know before I use salmeterol?
They need to know if you have any of the following conditions:
• heart disease, or irregular heartbeat
• high blood pressure
• over active thyroid
• seizures (convulsions)
• an unusual or allergic reaction to salmeterol, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
How should I use this medicine?
Salmeterol inhalation powder is for regular inhalation through the mouth. Follow the directions on the prescription label. Open and prepare mouthpiece of the diskus device and slide device lever to activate the first dose (see package instructions). Do not advance the lever more than once at any one time as this will release further doses that will be wasted. Holding the diskus mouthpiece level to, but away from, the mouth, breathe out as much air as is comfortable. Do not breathe into the mouthpiece! Next, place the device mouthpiece loosely between your open lips and over your tongue, keeping the device level with your mouth. Slowly breathe the dose in. Hold your breath for at least 10 seconds and then exhale (breathe out). After use, close the diskus device as directed. This will also reset the dose dispensing lever for your next scheduled dose. Do not use more than one puff at a time. Use your inhaler at regular intervals. Do not use more often than directed.
If you are taking this medicine for the prevention of exercise induced asthma only, follow the directions of your health care professional. You will take 1 inhalation 30—60 minutes before you start to exercise. Additional salmeterol doses should not be used within 12 hours after administering this dose. Do not use more often than directed.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. Children of ages 4 and up have used salmeterol for the treatment of asthma.
What if I miss a dose?
If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.
What other medicines can interact with salmeterol?
• arsenic trioxide
• beta-blockers, often used for high blood pressure or heart problems
• certain antibiotics (such as clarithromycin, erythromycin, gatifloxacin, grepafloxacin, levofloxacin, moxifloxacin, sparfloxacin)
• medicines for colds and breathing difficulties
• medicines for high blood pressure
• some medicines for treating depression or mental illness (amoxapine, maprotiline, pimozide, phenothiazines, tricyclic antidepressants)
• medicines to control heart rhythm (examples: amiodarone, digoxin, disopyramide, dofetilide, flecainide, procainamide, quinidine, sotalol)
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check before starting or stopping any of your medicines.
What side effects may I notice from using salmeterol?
Side effects that you should report to your prescriber or health care professional as soon as possible:
• difficulty breathing, wheezing
• dizziness, giddiness
• fast heartbeat, palpitations, chest pain
• skin rash, hives
• swelling of the face
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
• muscle cramps and pains
• nausea, vomiting
• sore throat
• stomach ache
• stuffy nose