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The National Heart, Lung, and Blood Institute (NHLBI) and World Health Organization (WHO) guidelines recommend inhaled corticosteroids as the first step in controller therapy, with long-acting beta 2-agonists as optional add-on therapy if low-to-medium dose inhaled corticosteroids do not adequately control the patient's asthma.

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The 10 issues listed are not intended to be hierarchical or all-inclusive but do, in our view, cover the major issues related to current inhaler prescribing.

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The actual amount of drug delivered to the lung will depend on patient factors, such as inspiratory flow profile.

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National Asthma Education and Prevention Program guidelines (NAEPP 2007): HFA inhaler (refers to Flovent HFA 44 mcg, 110 mcg, and 220 mcg strengths available in US): Note: Administer in divided doses twice daily.

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LABA, such as salmeterol, one of the active ingredients in ADVAIR DISKUS, increase the risk of asthma- related death.

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When you are taking fluticasone and salmeterol, it is especially important that your healthcare professional know if you are taking any of the medicines listed below.

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What should I discuss with my healthcare provider before using fluticasone inhalation?

This will help your mouth from getting so dried out and minimize the nauseous feeling in your stomach caused from all the mouth breathing.

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In August 2003, the FDA announced the addition of new safety information and warnings to the labeling for drug products that contain salmeterol.

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The results of the interim analysis showed that subjects receiving salmeterol were at increased risk for fatal asthma events (Table 1 and Figure 1).

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.

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Who should not use FLOVENT DISKUS?

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Inhaled fluticasone propionate is reported to have greater systemic effects like other corticosteroids.

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Many people using this medication do not have serious side effects.

We found no benefit of fluticasone propionate on the rate of decline in FEV 1, although small improvements in FEV 1 were seen.

These can reduce the sense of smell, cause continual sinus infections, and breathing difficulties.

After 2 weeks of fluticasone therapy alone or in fixed combination with salmeterol at the initial dosage, if asthma is inadequately controlled, replace the current strength with a higher strength.

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Fluticasone and salmeterol may also be used for purposes not listed in this medication guide.

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Approach a doctor if your asthma medications are not proving helpful in treating or preventing asthma.

Fluticasone nasal is used to treat nasal symptoms such as congestion, sneezing, and runny nose caused by seasonal or year-round allergies.

The results of the interim analysis showed that subjects receiving salmeterol were at increased risk for fatal asthma events (see Table 1 and Figure 1).

Patients with concomitant pulmonary disease (e.

The safe and appropriate use of long-acting beta-agonists (LABAs) for the treatment of asthma has been widely debated.

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You should not use this medicine if you are allergic to fluticasone, salmeterol, or milk proteins.

If a previously effective dosage regimen of ADVAIR DISKUS fails to provide adequate improvement in asthma control, the therapeutic regimen should be reevaluated and additional therapeutic options (e.

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