 Prescription Drugs & Asthma Treatment |
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Spiriva (Tiotropium) |
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Prescription Drugs & Asthma Treatment » Allergy » Spiriva (Tiotropium) Spiriva is an anticholinergic medication. Spiriva prevents narrowing of the airways. Spiriva is used in the treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD) such as chronic bronchitis and emphysema. Buy Spiriva (Tiotropium) and other Allergy products online at Medstore. Buy Online at Medstore - Click Here!
About Spiriva (Tiotropium): Product Type: Allergy Brand name: Spiriva Generic name: Tiotropium What is the most important information I should know about Spiriva? Spiriva is not intended for use during acute bronchospastic attacks (sudden occurrence of difficulty breathing). It may not be able to open your airways and allow you to breath. Tiotropium is used to prevent attacks it should not be used as a rescue medication. It is very important that you use the tiotropium inhaler properly so that the medicine gets into the lungs. Talk to your healthcare provider about proper inhaler use. In rare cases Spiriva has been associated with the development of narrow-angle glaucoma an eye disorder. Contact your doctor immediately if you develop symptoms suggestive of narrow-angle glaucoma such as eye pain or discomfort blurred vision visual halos around objects color distortion or redness of the eyes. Do not allow the powder to come into contact with the eyes. This may cause blurring of vision and dilation of the pupils. If contact with the eyes occurs flush with water and seek medical attention if side effects occur. What is Spiriva? Spiriva is an anticholinergic medication. Tiotropium prevents narrowing of the airways. Spiriva is used in the treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD) such as chronic bronchitis and emphysema. Spiriva may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before using Spiriva? Do not use Spiriva without first talking to your doctor if you have: an allergy to ipratropium (Atrovent Combivent) or atropine; narrow-angle glaucoma; kidney disease; enlargement of the prostate; or difficulty urinating. You may not be able to use Spiriva or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Spiriva is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not use Spiriva without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether tiotropium passes into breast milk. Do not use Spiriva without first talking to your doctor if you are breast-feeding a baby. How should I use Spiriva? Use Spiriva exactly as directed by your doctor. If you do not understand these instructions ask your pharmacist nurse or doctor to explain them to you. Tiotropium capsules are intended for use in the inhaler provided. Do not swallow the capsules. Do not use the inhaler device to administer any medications other than tiotropium. The tiotropium capsules should be stored in the sealed blisters and only removed immediately before use. The drug should be used immediately after the packaging over an individual capsule is opened or else its effectiveness may be reduced. If additional capsules are accidentally exposed to air they should be thrown away and not used. Separate a blister card along the perforated line. Carefully peel back the aluminum foil using the tab until one capsule is fully visible. Peel back the foil only as far as the "STOP" line printed on the foil to prevent exposure of more than one capsule. After using the first capsule the 2 remaining capsules in the blister strip should be used over the next 2 consecutive days. To use the inhaler: Open the dust cap on the inhaler device by pulling it upwards. Then open the mouthpiece. Insert the capsule in the center chamber. It does not matter which end of the capsule is placed in the chamber. Close the mouthpiece firmly until you hear a click leaving the dust cap open. Hold the inhaler device with the mouthpiece upwards and press the piercing button completely in one time and release. This makes holes in the capsule and allows the medication to be released when you breathe in through the mouthpiece. Breathe out fully away from the mouthpiece. Never breathe into the mouthpiece. Raise the inhaler to your mouth and close your lips tightly around the mouthpiece. Keep your head in an upright position and breathe in slowly and deeply but at a rate sufficient to hear the capsule vibrate. Breathe in until your lungs are full. Hold your breath as long as is comfortable and at the same time take the inhaler out of your mouth. Resume normal breathing. To ensure you get the full dose breathe out once again place the inhaler back in your mouth and breathe in deeply again. After completing a dose open the mouthpiece and tip out the used capsule and dispose. Close the mouthpiece and dust cap for storage of the inhaler. Spiriva is usually used once a day. Follow your doctor's instructions. Do not use more of the medication or use it more often than is directed. The tiotropium capsules contain only a small amount of powder and as a result the capsule is only partially filled. After using a dose you may notice that a tiny amount of the powder is left in the capsule. This is normal. It is very important that you use the tiotropium inhaler properly so that the medicine gets into the lungs. Talk to your healthcare provider about proper inhaler use. It is important to use Spiriva regularly to get the most benefit. Spiriva is not intended for use during acute bronchospastic attacks (sudden occurrence of difficulty breathing). It may not be able to open your airways and allow you to breath. Tiotropium is used to prevent attacks it should not be used as a rescue medication. Your doctor may want you to have lung function tests or other medical evaluations during treatment with Spiriva to monitor progress and side effects. Normally during a one-month period of use the inhaler device does not need to be cleaned. However if cleaning is necessary open the dust cap and mouth piece. Open the base by lifting the piercing button. Rinse the entire inhaler with warm water to remove any powder. Do not use cleaning agents or detergents. Tip out any water and air-dry leaving the dust cap mouthpiece and base open. It takes about 24 hours to air dry so if cleaning is needed do it immediately following a dose so it will be ready for the next dose. Do not use the inhaler if it is wet. The outside of the inhaler can be cleaned with a damp not wet tissue. Store Spiriva at room temperature away from moisture and heat. Store the capsules unopened in the blister packaging. Do not store the capsules in the inhaler. What happens if I miss a dose? Use the missed dose as soon as you remember. However if it is almost time for the next regularly scheduled dose skip the missed dose and use the next one as directed. Do not use a double dose of this medication. What happens if I overdose? Seek emergency medical attention if an overdose is suspected. Symptoms of a tiotropium overdose may include altered mental status shaking abdominal pain and constipation. What should I avoid while using Spiriva? Do not allow the powder to come into contact with the eyes. This may cause blurring of vision and dilation of the pupils. If contact with the eyes occurs flush with water and seek medical attention if side effects occur. What are the possible side effects of Spiriva? In rare cases Spiriva has been associated with the development of narrow-angle glaucoma an eye disorder. Contact your doctor immediately if you develop symptoms suggestive of narrow-angle glaucoma such as eye pain or discomfort blurred vision visual halos around objects color distortion or redness of the eyes. If you experience either of the following serious side effects stop using Spiriva and seek emergency medical attention or contact your doctor immediately: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); or increased difficulty breathing. Other less serious side effects may be more likely to occur. Continue to use Spiriva and talk to your doctor if you experience dry mouth; constipation; difficult or painful urination; or increased heart rate. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Spiriva? Before using Spiriva talk to your doctor if you are taking any of the following medicines: ipratropium (Atrovent); albuterol and ipratropium (Combivent DuoNeb); dicyclomine (Bentyl) propantheline (Pro-Banthine) mepenzolate (Cantil) methscopolamine (Pamine) and scopolamine (Transderm-Scop). You may not be able to use Spiriva or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. Drugs other than those listed here may also interact with Spiriva or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines including vitamins minerals and herbal products Generic Spiriva (Tiotropium) Spiriva (Tiotropium) 18mcg 180 caps 18mcg 45 caps 9mcg 10 inhalers 18mcg 60 caps 9mcg 2 inhalers 18mcg 75 caps 9mcg 3 inhalers 18mcg 90 caps 9mcg 4 inhalers 9mcg 5 inhalers Tiotropium Spiriva
View more Allergy 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
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