Advair--types of drugs

What is Advair?

Advair contains fluticasone and salmeterol. Fluticasone is a steroid. Advair prevents the release of substances in the body that cause inflammation. Salmeterol is a bronchodilator. It works by relaxing muscles in the airways to improve breathing.

Advair is used to prevent asthma attacks. It is also used to prevent flare-ups or worsening of chronic obstructive pulmonary disease (COPD) associated with chronic bronchitis and/or emphysema.

Advair may also be used for other purposes not listed in this medication guide.

Important information about Advair

Do not use Advair to treat an asthma attack that has already begun.

Salmeterol may increase the risk of asthma-related death. Use only the prescribed dose of Advair, and do not use it for longer than your doctor recommends. Follow all patient instructions for safe use. Talk with your doctor about your individual risks and benefits of using this medication.

Before using Advair, tell your doctor if you have a food or drug allergy, heart disease, high blood pressure, a seizure disorder, an infection, a weak immune system, diabetes, glaucoma, tuberculosis, osteoporosis, a thyroid disorder, or liver disease.

Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack. If you use a peak flow meter at home, call your doctor if your numbers are lower than normal.

Before using Advair

Do not use Advair if you are allergic to fluticasone (Flonase, Flovent), salmeterol (Serevent), or milk proteins, or if you are having an asthma attack or severe COPD symptoms.

To make sure you can safely use Advair, tell your doctor if you have any of these other conditions:

· a food or drug allergy;

· heart disease or high blood pressure;

· epilepsy or other seizure disorder;

· any type of infection;

· a weak immune system;

· diabetes;

· glaucoma;

· tuberculosis;

· osteoporosis;

· a thyroid disorder; or

· liver disease.

FDA pregnancy category C. It is not known whether Advair is harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether fluticasone and salmeterol passes into breast milk or if it could harm a nursing baby. Do not use Advair without telling your doctor if you are breast-feeding a baby.

See also: Advair pregnancy and breastfeeding warnings (in more detail)

Advair can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication.

Do not give this medication to a child younger than 4 years old.

Long-term use of steroids may lead to bone loss (osteoporosis), especially if you smoke, if you do not exercise, if you do not get enough vitamin D or calcium in your diet, or if you have a family history of osteoporosis.

How should I use Advair?

Use Advair exactly as it was prescribed for you. Do not use Advair in larger amounts, or use it for longer than recommended by your doctor. Follow all patient instructions for safe use.

Advair comes with patient instructions for safe and effective use, and directions for priming the inhaler device if needed. Follow these directions carefully.

Salmeterol may increase the risk of asthma-related death. Talk with your doctor about your individual risks and benefits of using this medication.

Do not use Advair to treat an asthma attack that has already begun. It will not work fast enough. Use only a fast-acting inhalation medication.

Advair Diskus is a powder form of fluticasone and salmeterol that comes with a special inhaler device pre-loaded with blister packs containing measured doses of the medicine. The device opens and loads a blister each time you use the inhaler. This device is not to be used with a spacer.

Advair HFA is an aerosol form of fluticasone and salmeterol that comes in a canister that is used with an actuator inhaler device. Use only the inhaler device provided with Advair HFA. This device is not to be used with a spacer.

Shake the Advair HFA inhaler for at least 5 seconds before each spray.

Keep track of the number of sprays you have used and throw away the Advair HFA canister after 120 sprays, even if it feels like there is still medicine in it.

If you also use a steroid medication, do not stop using the steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about using less and less of the steroid before stopping completely.

Carry an identification card or wear a medical alert ID to let others know that you may need an oral steroid in an emergency.

Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack. If you use a peak flow meter at home, call your doctor if your numbers are lower than normal.

Use all of your medications as directed by your doctor. Talk with your doctor if your medications do not seem to work as well in treating or preventing attacks. Do not change your doses or medication schedule without advice from your doctor.

Store Advair at room temperature away from moisture and heat. Keep the Advair HFA canister away from high heat, such as open flame or in a car on a hot day. The canister may explode if it gets too hot.

What happens if I miss a dose?

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include angina or chest pain, fast or irregular heartbeats, seizures, tremor, weakness, headache, nausea, and vomiting.

What should I avoid while using Advair?

Do not use a second form of salmeterol (such as Serevent) or use a similar inhaled bronchodilator such as formoterol (Foradil) unless your doctor has told you to.

Advair can lower the blood cells that help your body fight infections. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medicines.

Advair side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Advair: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

· bronchospasm (wheezing, chest tightness, trouble breathing);

· fast or uneven heart beats, restless feeling, tremor;

· fever, chills, stabbing chest pain, cough with yellow or green mucus;

· blurred vision, eye pain, or seeing halos around lights;

· white patches or sores inside your mouth or on your lips; or

· worsening asthma symptoms.

Less serious Advair side effects include:

· headache, dizziness;

· nausea, vomiting, diarrhea;

· dry mouth, nose, or throat;

· stuffy nose, sinus pain, cough, sore throat; or

· hoarseness or deepened voice.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Advair side effects (in more detail)

What other drugs will affect Advair?

Before using Advair, tell your doctor about all other medicines you use, especially:

· amiodarone (Cordarone);

· a diuretic or "water pill";

· HIV medicines such as atazanavir (Reyataz), ritonavir (Norvir), indinavir (Crixivan), nelfinavir (Viracept), or saquinavir (Invirase);

· an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam);

· an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), desipramine (Norpramin), fluoxetine (Prozac), nefazodone, or imipramine (Tofranil)

· antibiotics such as clarithromycin (Biaxin) or telithromycin (Ketek);

· antifungal medications such as ketoconazole (Nizoral) or itraconazole (Sporanox); or

· a beta-blocker such as atenolol (Tenormin), carvedilol (Coreg), metoprolol (Lopressor, Toprol), and others.

This list is not complete and there may be other drugs that can interact with Advair. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Adipex-P--types of drugs

What is Adipex-P?

Adipex-P (phentermine) is a stimulant that is similar to an amphetamine. Adipex-P is an appetite suppressant that affects the central nervous system.

Adipex-P is used togther with diet and exercise to treat obesity (overweight) in people with risk factors such as high blood pressure, high cholesterol, or diabetes.

Adipex-P may also be used for other purposes not listed in this medication guide.

Important information about Adipex-P

Taking Adipex-P together with other diet medications such as fenfluramine (Phen-Fen) or dexfenfluramine (Redux) can cause a rare fatal lung disorder called pulmonary hypertension. Do not take Adipex-P with any other diet medications without your doctor's advice.

Adipex-P may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Drinking alcohol can increase certain side effects of this medicine.

Adipex-P is only part of a complete program of treatment that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely.

Adipex-P may be habit-forming and should be used only by the person it was prescribed for. Never share Adipex-P with another person, especially someone with a history of drug abuse or addiction. Keep track of the amount of medicine used from each new bottle. Adipex-P is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription. Do not stop using Adipex-P suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using this medicine.

Before taking Adipex-P

Do not use Adipex-P if you have taken an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) in the last 14 days. Serious, life threatening side effects can occur if you use Adipex-P before the MAO inhibitor has cleared from your body.

Taking Adipex-P together with other diet medications such as fenfluramine (Phen-Fen) or dexfenfluramine (Redux) can cause a rare fatal lung disorder called pulmonary hypertension. Do not take Adipex-P with any other diet medications without your doctor's advice.

You should not take Adipex-P if you are allergic to it, or if you have:

· coronary artery disease (hardening of the arteries);

· heart disease;

· severe or uncontrolled high blood pressure;

· overactive thyroid;

· glaucoma;

· if you have a history of drug or alcohol abuse; o

· if you are allergic to other diet pills, amphetamines, stimulants, or cold medications.

If you have any of these other conditions, you may need a Adipex-P dose adjustment or special tests:

· high blood pressure;

· diabetes; or

· a thyroid disorder.

FDA pregnancy category C. It is not known whether Adipex-P will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using Adipex-P. Phentermine can pass into breast milk and may harm a nursing baby. You should not breast-feed while taking Adipex-P. Do not give this medication to a child younger than 16 years old.

See also: Adipex-P pregnancy and breastfeeding warnings (in more detail)

Adipex-P may be habit-forming and should be used only by the person it was prescribed for. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

How should I take Adipex-P?

Take Adipex-P exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

It is best to take Adipex-P on an empty stomach before breakfast or within 2 hours after breakfast.

To prevent sleep problems, take Adipex-P early in the day, no later than 6:00 pm.

Talk with your doctor if you have increased hunger or if you otherwise think the medication is not working properly. Taking more of Adipex-P will not make it more effective and can cause serious, life-threatening side effects.

Adipex-P should be taken only for a short time, such as a few weeks.

Do not stop taking Adipex-P suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using Adipex-P.

Store at room temperature away from moisture and heat.

Keep track of the amount of medicine used from each new bottle. Adipex-P is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

See also: Adipex-P dosage (in more detail)

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of Adipex-P can be fatal.

Overdose symptoms may include confusion, hallucinations, panic, feeling hostile or aggressive, nausea, vomiting, diarrhea, stomach cramps, irregular heartbeat, rapid breathing, overactive reflexes, confusion, hallucinations, seizure (convulsions), feeling light-headed, or fainting.

What should I avoid while taking Adipex-P?

Drinking alcohol can increase certain side effects of Adipex-P. Phentermine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Adipex-P side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Adipex-P: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

· feeling short of breath, even with mild exertion;

· chest pain, feeling like you might pass out;

· swelling in your ankles or feet;

· pounding heartbeats or fluttering in your chest;

· confusion or irritability, unusual thoughts or behavior;

· feelings of extreme happiness or sadness; or

· dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).

Less serious Adipex-P side effects may include:

· feeling restless or hyperactive;

· headache, dizziness, tremors;

· sleep problems (insomnia);

· dry mouth or an unpleasant taste in your mouth;

· diarrhea or constipation, upset stomach; or

· increased or decreased interest in sex, impotence.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Adipex-P side effects (in more detail)

What other drugs will affect Adipex-P?

Tell your doctor about all other medicines you use, especially:

· blood pressure medications;

· insulin or oral diabetes medication;

· guanethidine (Ismelin); or

· an antidepressant such as citalopram (Celexa), fluoxetine (Prozac, Sarafem, Symbyax), paroxetine (Paxil), sertraline (Zoloft), and others.

This list is not complete and other drugs may interact with Adipex-P. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.