Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment

Prescription Drugs & Asthma Treatment
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Alvesco Combo (Ciclesonide / Formoterol)

Prescription Drugs & Asthma Treatment » Asthma » Alvesco Combo (Ciclesonide / Formoterol)

Alvesco Combo (Ciclesonide / Formoterol) is used for long-term treatment of asthma. It may be used to prevent breathing problems in certain patients including patients with nighttime asthma or breathing problems caused by exercise. It may be used for long-term treatment of chronic obstructive pulmonary disease (COPD).

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About Alvesco Combo (Ciclesonide / Formoterol):

Product Type: Asthma

Brand name: Alvesco Combo Generic name: Ciclesonide / Formoterol Ciclesonide / Formoterol is used for: Long-term treatment of asthma. It may be used to prevent breathing problems in certain patients including patients with nighttime asthma or breathing problems caused by exercise. It may be used for long-term treatment of chronic obstructive pulmonary disease (COPD). It may also be used for other conditions as determined by your doctor. Ciclesonide / Formoterol is a long-acting beta-agonist bronchodilator. It widens the airways in the lungs which helps you breathe more easily. Do NOT use Ciclesonide / Formoterol if: • you are allergic to any ingredient in Ciclesonide / Formoterol • you are using another medicine that has a long-acting beta-agonist (eg salmeterol) in it • you are having an asthma attack (eg sudden severe onset or worsening of asthma symptoms such as chest tightness cough shortness of breath or wheezing) Contact your doctor or health care provider right away if any of these apply to you. Before using Ciclesonide / Formoterol: Some medical conditions may interact with Ciclesonide / Formoterol. Tell your doctor or pharmacist if you have any medical conditions especially if any of the following apply to you: • if you are pregnant planning to become pregnant or are breast-feeding • if you are taking any prescription or nonprescription medicine herbal preparation or dietary supplement • if you have allergies to medicines foods or other substances • if you have had a severe allergic reaction to milk protein or are lactose intolerant • if you have a history of diabetes heart problems (eg fast or irregular heartbeat heart blood vessel problems) high blood pressure low blood potassium levels seizures or an overactive thyroid • if you have recently been to the emergency room for asthma have a history of frequent hospitalizations for asthma or have ever had a life-threatening asthma attack • if you have had an unusual reaction to a sympathomimetic medicine (eg albuterol pseudoephedrine) such as fast or irregular heartbeat overexcitement or severe trouble sleeping • if you are taking a monoamine oxidase inhibitor (MAOI) (eg phenelzine) or a tricyclic antidepressant (eg amitriptyline) or you have taken either of these medicines within the last 14 days Some MEDICINES MAY INTERACT with Ciclesonide / Formoterol. Tell your health care provider if you are taking any other medicines especially any of the following: • Corticosteroids (eg prednisone) diuretics (eg furosemide hydrochlorothiazide) or xanthines (eg theophylline) because the risk of low blood potassium or irregular heartbeat may be increased • Catechol-o-methyltransferase (COMT) inhibitors (eg entacapone) long-acting beta-agonists (eg salmeterol) MAOIs (eg phenelzine) or tricyclic antidepressants (eg amitriptyline) because they may increase the risk of Ciclesonide / Formoterol's side affects • Beta-blockers (eg propranolol) because they may decrease Ciclesonide / Formoterol's effectiveness or worsen your condition This may not be a complete list of all interactions that may occur. Ask your health care provider if Ciclesonide / Formoterol may interact with other medicines that you take. Check with your health care provider before you start stop or change the dose of any medicine. How to use Ciclesonide / Formoterol: Use Ciclesonide / Formoterol as directed by your doctor. Check the label on the medicine for exact dosing instructions. • Ciclesonide / Formoterol comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Ciclesonide / Formoterol refilled. • Ciclesonide / Formoterol is for inhalation only. Do NOT swallow the capsule. • Store Ciclesonide / Formoterol in the original blister in a dry place. Do not remove from the blister or the foil until right before use. Be sure your hands are completely dry before you handle the capsules. • Use the new inhaler that comes with each refill. Do not reuse an old inhaler. Do not use Ciclesonide / Formoterol with a different kind of inhaler. Do not try to use a spacer device with Ciclesonide / Formoterol. • To prepare the device for use remove the inhaler cover. Hold the base of the inhaler in one hand. Twist the mouthpiece toward the arrow. Then push in the buttons on each side to make sure that you can see 4 pins in the capsule chamber. • Place a capsule in the capsule chamber in the base of the inhaler. Do NOT place a capsule in the mouthpiece of the inhaler. Twist the mouthpiece back to the closed position. Hold the mouthpiece of the inhaler upright and press both buttons at the same time. You should hear a click as the capsule is pierced. Do NOT press the buttons more than once. Release the buttons. If they stay stuck pull them out using the wings on the buttons. Do not press the buttons again. • In rare cases the gelatin capsule might break into small pieces. These tiny pieces may reach the mouth or the throat after you inhale. This will not harm you. However to avoid this store Ciclesonide / Formoterol properly remove the capsule from the blister right before use and pierce the capsule only once. • To use a dose of Ciclesonide / Formoterol breathe out fully. Do NOT exhale into the device for any reason. Keep the inhaler level with the buttons to the left and the right (not up and down). Tilt your head back slightly. place the mouthpiece in your mouth and close your lips around it. Breathe in quickly and deeply though your mouth and hold your breath. You should hear a whirring noise and experience a sweet taste in your mouth. • If you do not hear a whirring noise the capsule may be stuck. If this occurs open the inhaler and loosen the capsule by allowing it to spin freely. Do NOT push the buttons again. Then repeat the inhalation process. If you are not sure if you are receiving your dose correctly contact your doctor or pharmacist. • After breathing in your dose remove the inhaler from your mouth. Continue to hold your breath for as long as possible. Then breathe out slowly. • Open the inhaler to see if any powder is still in the capsule. If any powder remains in the capsule close the inhaler. Repeat the inhalation process. Most people are able to empty the capsule in 1 or 2 inhalations. • After you have taken your dose open the inhaler remove the capsule and throw it away. Do not leave a used capsule in the inhaler. Close the mouthpiece and replace the cover. • If you are using Ciclesonide / Formoterol to prevent breathing problems caused by exercise use it at least 15 minutes before you start to exercise. Do not use another dose for at least 12 hours. If you already used Ciclesonide / Formoterol twice daily on a regular basis do NOT take an extra dose before you exercise. • Never wash the mouthpiece or any part of the inhaler. Keep it dry and always store it in a dry place. Do NOT try to take the inhaler apart. • Continue to use Ciclesonide / Formoterol even if you feel well. Do not miss any doses. • If you miss a dose of Ciclesonide / Formoterol use it as soon as possible. If it is almost time for your next dose skip the missed dose. Go back to your regular dosing schedule. Do not use 2 doses at once. Ask your health care provider any questions you may have about how to use Ciclesonide / Formoterol. Important safety information: • Ciclesonide / Formoterol may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Ciclesonide / Formoterol with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. • Ciclesonide / Formoterol will not stop an asthma attack once it has already started. Be sure to carry a short-acting bronchodilator inhaler with you at all times to treat any breathing problems that may occur between doses of Ciclesonide / Formoterol (eg severe or sudden onset of wheezing or shortness of breath). If you have any questions about which medicines stop asthma attacks check with your doctor or pharmacist. • If you have been regularly using a short-action bronchodilator inhaler (eg albuterol) talk with your doctor about how to use it with Ciclesonide / Formoterol. Short-acting bronchodilators are normally used with Ciclesonide / Formoterol to treat breathing problems that may occur between doses. • The risk of serious heart problems (eg irregular heartbeat) may be greater if you use Ciclesonide / Formoterol in high doses. Do NOT use more than recommended dose or use more often than prescribed. • If your symptoms do not get better within 1 week of starting Ciclesonide / Formoterol or if they get worse contact your doctor right away. • Tell your doctor at once if you notice that your short-acting bronchodilator inhaler does not work as well if you need to use it often (eg 4 or more times a day for more than 2 days in a row more than one canister in 8 weeks) or if you have a decrease in your peak flow meter results. • Contact your doctor or seek medical care right away if you have breathing problems that worsen quickly or if you use your short-acting bronchodilator and do not get relief. • Ciclesonide / Formoterol is not to be used in place of a corticosteroid. If you are using a corticosteroid medicine for asthma do not stop or reduce the dose unless your doctor tells you to. • Talk with your doctor or pharmacist about all of your asthma medicines and how to use them. Do not start stop or change the dose of any asthma medicine unless your doctor tells you to. • The medicine may cause severe breathing problems right after you use a dose. If this happens use your short-acting bronchodilator. Contact your doctor or seek other medical care at once. • Ciclesonide / Formoterol may raise your blood sugar. High blood sugar may make you feel confused drowsy or thirsty. It can also make you flush breathe faster or have a fruit-like breath odor. If these symptoms occur tell your doctor right away. • Lab tests including lung function and blood potassium levels may be performed while you use Ciclesonide / Formoterol. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments. • Caution is advised when using Ciclesonide / Formoterol in CHILDREN; they may be more sensitive to its effects especially nausea stomach pain and stomach upset. • Ciclesonide / Formoterol should be used with extreme caution in CHILDREN younger than 5 years old; safety and effectiveness in these children have not been confirmed. • PREGNANCY and BREAST-FEEDING: If you become pregnant discuss with your doctor the benefits and risks of using Ciclesonide / Formoterol during pregnancy. It is not known if Ciclesonide / Formoterol is found in breast milk. If you are or will be breast-feeding while you use Ciclesonide / Formoterol check with your doctor. Discuss any possible risks to your baby. Possible side effects of Ciclesonide / Formoterol: All medicines may cause side effects but many people have no or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome: • Dizziness; dry mouth; headache; nausea; nervousness; stomach pain or upset; stuffy nose; throat irritation; tiredness; tremor; trouble sleeping. Seek medical attention right away if any of these SEVERE side effects occur: • Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth face lips tongue or throat; unusual hoarseness); chest pain; fast or irregular heartbeat; fever chills or persistent sore throat; new or worsening asthma symptoms (eg increased chest tightness coughing shortness of breath wheezing); severe or persistent headache dizziness tremor or nervousness; severe or persistent muscle pain or cramps; trouble speaking. This is not a complete list of all side effects that may occur. Call your doctor for medical advice about side effects. Proper storage of Ciclesonide / Formoterol: Store Ciclesonide / Formoterol at room temperature between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat moisture and Online sunlight. Do not use Ciclesonide / Formoterol if it is past the “use by” date on the container. Keep Ciclesonide / Formoterol out of the reach of children and away from pets. General information: • If you have any questions about Ciclesonide / Formoterol please talk with your doctor pharmacist or other health care provider. • Ciclesonide / Formoterol is to be used only by the patient for whom it is prescribed. Do not share it with other people. • If your symptoms do not improve or if they become worse check with your doctor. This information is a summary only. It does not contain all information about Ciclesonide / Formoterol. If you have questions about the medicine you are taking or would like more information check with your doctor pharmacist or other health care provider

Generic Alvesco Combo (Ciclesonide / Formoterol)

Simplyone

100/6mcg 120 caps 100/6mcg 150 caps 200/6mcg 150 caps 100/6mcg 180 caps 200/6mcg 300 caps 160/6mcg 2 inhalers 400/6mcg 150 caps 100/6mcg 360 caps 200/6mcg 60 caps 160/6mcg 3 inhalers 400/6mcg 300 caps 100/6mcg 90 caps 200/6mcg 90 caps 160/6mcg 4 inhalers 400/6mcg 60 caps 160/6mcg 1 400/6mcg 120 caps 160/6mcg 5 inhalers 400/6mcg 90 caps 200/6mcg 120 caps Ciclesonide / Formoterol Alvesco Combo

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Prescription Drugs & Asthma Treatment: Advair Diskus (Fluticasone / Salmeterol) Fluticasone is a steroid. It 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 Diskus (Fluticasone and Salmeterol) inhalation 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. Buy Advair Diskus (Fluticasone / Salmeterol) and other Asthma products online at Medstore. About Advair Diskus (Fluticasone / Salmeterol): Product Type: Asthma Brand name: Advair Diskus Generic name: Fluticasone / Salmeterol What is Advair Diskus (fluticasone and salmeterol)? Fluticasone is a steroid. It 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 Diskus (fluticasone and salmeterol) inhalation 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 Diskus (fluticasone and salmeterol) may also be used for other purposes not listed in this medication guide. What is the most important information I should know about fluticasone and salmeterol? Do not use fluticasone and salmeterol to treat an asthma attack that has already begun. Before using fluticasone and salmeterol 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. Call your doctor right away if you feel that this medicine is not working as well as usual or if it makes your condition worse. Salmeterol has been shown to increase the risk of asthma-related death. It is critical that you use only the prescribed dose of this medicine and follow all patient instructions for safe use of the medication. What should I discuss with my healthcare provider before using this medication? Do not use this medication 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. Salmeterol has been shown to increase the risk of asthma-related death. It is critical that you use only the prescribed dose of this medicine and follow all patient instructions for safe use of the medication. If you have any of these other conditions you may need a dose adjustment or special tests to safely use this medication: • a food or drug allergy; • heart disease or high blood pressure; • epilepsy or other seizure disorder; • an infection of any kind; • a weak immune system; • diabetes; • glaucoma; • tuberculosis; • osteoporosis; • a thyroid disorder; or • liver disease. FDA pregnancy category C. It is not known whether fluticasone and salmeterol is harmful to an unborn baby. Before using this medication tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether fluticasone and salmeterol passes into breast milk or if it could harm a nursing baby. Do not use fluticasone and salmeterol inhalation without telling your doctor if you are breast-feeding a baby. Advair Diskus (fluticasone and salmeterol) inhalation 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. 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 this medication? Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts or use it for longer than recommended by your doctor. Follow the directions on your prescription label. This medication comes with patient instructions for safe and effective use and directions for priming the inhaler device if needed. Follow these directions carefully. Do not use fluticasone and salmeterol inhalation 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. Call your doctor right away if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks. An increased need for medication could be an early sign of a serious asthma attack. If you use a peak flow meter call your doctor if your numbers are lower than normal. Asthma is usually treated with a combination of different drugs. To best treat your condition use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor. Carry an identification card or wear a medical alert ID to let others know that you may need an oral steroid in an emergency. Store this medication 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 medication as soon as you remember. If it is almost time for the next dose skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. 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 this medication? 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 Diskus (fluticasone and salmeterol) 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. This medication side effects Get emergency medical help if you have any of these signs of an allergic reaction: 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 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. What other drugs will affect this medication? Before using fluticasone and salmeterol inhalation tell your doctor if you are using any of the following drugs: • 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) 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 fluticasone and salmeterol inhalation. 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 Generic Advair Diskus (Fluticasone / Salmeterol) Cutivate Flixonase Flixotide Flonase Flovent Diskus Flunase Seretide 250/50mcg 1 250/50mcg 2 accuhalers 500/50mcg 1 250/50mcg 3 accuhalers 500/50mcg 2 accuhalers 250/50mcg 4 accuhalers 500/50mcg 3 accuhalers 250/50mcg 5 accuhalers 500/50mcg 4 accuhalers 500/50mcg 5 accuhalers Fluticasone / Salmeterol Advair Diskus