HOW TO USE: Make sure you understand how to use the device properly and how this medication should be used in relation to other asthma drugs. Refer to the illustrated directions provided by the manufacturer for instructions on the correct use of this device. Ask your pharmacist or doctor if there is anything in the illustration you do not understand. Always activate and use this device in a level, horizontal position. Usually, this medicine is used twice daily, (one inhalation in the morning and one in the evening) or use as directed by your doctor. Do not use it more frequently without your doctor's approval. If you find that your fast-acting inhaler is not working as well or if you need to use it more often than usual (i.e., using 4 or more puffs daily, or using more than 1 inhaler every 8 weeks), tell your doctor or pharmacist promptly. This may be a sign of worsening asthma which is a serious condition. You should use this medication 30 to 60 minutes before exercise when using it to prevent exercise-induced asthma. Never exhale into the device. Do not use with a spacer. Never wash the mouthpiece or any part of the device. It must be kept dry. Rinse your mouth after using to help prevent dry mouth and to relieve throat irritation. If you find your symptoms do not improve or they worsen after using this, contact your doctor immediately.

SIDE EFFECTS: Dry mouth, irritated throat, dizziness, headache, lightheadedness, heartburn, loss of appetite, altered taste sensation, restlessness, anxiety, nervousness, trembling, and sweating may occur but should subside as your body adjusts to the medication. If these symptoms persist or worsen, inform your doctor. To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water or use saliva substitute. Inform your doctor if you experience: chest pain, pounding heartbeat. In the unlikely event you have an allergic reaction to this drug, seek medical attention immediately. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before using this drug, tell your doctor your medical history especially of: heart disease, high blood pressure, overactive thyroid gland, epilepsy, diabetes, any drug allergies. This drug should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known if this drug is excreted into breast milk. Consult your doctor before breast-feeding.

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You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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