budesonide/formoterol (4.5 micrograms) hfa inhaler - oral, Symbicort (cont.)
USES: This product contains 2 medications, budesonide and formoterol. It is an inhaler used as a long-term (maintenance) treatment to prevent or decrease wheezing and trouble breathing caused by asthma or ongoing lung disease (such as COPD). It works in the airways by decreasing swelling and relaxing muscles. Controlling symptoms of breathing problems can decrease time lost from work or school.This product should not be used to treat sudden attacks of breathing trouble. Your doctor should prescribe a quick-relief inhaler (e.g., albuterol/salbutamol) for sudden shortness of breath/asthma attacks while you are using this medication. You should always have a quick-relief inhaler with you. Consult your doctor or pharmacist for more details.In patients with asthma, this medication should not be used when breathing problems can be controlled with inhaled corticosteroids (e.g., flunisolide, fluticasone) and occasional use of quick-relief inhalers. (See also Warning section.)If you are regularly taking corticosteroids by mouth (e.g., prednisone), you should not stop using them or use this inhaled medication instead. Continue to follow your doctor's instructions on taking the corticosteroids by mouth.
HOW TO USE: Read the Medication Guide provided by your pharmacist before you start using this medication and each time you get a refill. Refer to the illustrated directions provided by the manufacturer for directions on how to use this inhaler. If any of the information is unclear, consult your doctor or pharmacist.Before each dose, shake the inhaler well for 5 seconds. Inhale this medication by mouth, usually twice daily or as directed by your doctor. Dosage is based on your medical condition and response to treatment. Use this medication regularly to receive the most benefit from it. To help you remember, use it at the same times each day. The manufacturer recommends that adults and children older than 11 years should not use more than 4 inhalations daily. Do not use this medication more frequently or use more inhalations than prescribed. Doing so may increase the risk of side effects.Gargle and rinse your mouth with water after using this medication to help prevent dryness and mouth infections (e.g., thrush) and relieve throat irritation. Do not swallow the rinse water.To clean your inhaler, wipe the outside of the mouthpiece once a week with a dry tissue. Do not use water or other liquids. Do not take the inhaler apart.Do not stop using this medication or change your dose without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. Your dose may need to be gradually decreased.If you have been using a quick-relief inhaler (e.g., albuterol/salbutamol) on a regular daily schedule (such as 4 times daily), you must stop this schedule and only use the quick-relief inhaler as needed for sudden shortness of breath/asthma attacks. Consult your doctor for details.If this medication stops working well, or if you need to use your quick-relief inhaler more often than usual (4 or more puffs daily or use of more than 1 inhaler every 8 weeks), seek immediate medical attention. It may be a sign of worsening asthma, which is a serious condition.It may take 1 week or longer before you get the full benefit of this drug. Tell your doctor if your condition persists or worsens.
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