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Serevent (Salmeterol)

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Serevent (Salmeterol) is a beta receptor stimulant used to prevent or minimize problems in persons with breathing difficulties including asthma and chronic obstructive disorders of the lungs such as chronic bronchitis or emphysema. It works by opening the air passages in the lungs to improve breathing. It will not stop an asthma attack once one has started. Salmeterol is generally combined with another effective controller-type asthma medicine (such as an inhaled corticosteroid). This medicine may also be used to treat other conditions as determined by your doctor.

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About Serevent (Salmeterol):

Product Type: Asthma

Brand name: Serevent Generic name: Salmeterol What is the most important information I should know about Serevent? • Data from a large study of people using Serevent has shown a small but significant increased risk of asthma-related deaths. Discuss with your doctor the risks and benefits of using Serevent before starting treatment. • Do not use Serevent more often than is prescribed by your doctor. Doing so could seriously affect the heart and could even lead to death. Generally Serevent should not be used more often than every 12 hours. • Seek medical attention if you notice that you require more than your usual or more than the maximum amount of any asthma medication in a 24-hour period. An increased need for medication could be an early sign of a serious asthma attack. • Serevent is a long-acting medication used to treat chronic asthma. It does not treat acute asthma attacks. • Do not substitute Serevent for any of your other asthma medications especially if you are having an acute asthma attack. • It is very important to use the Serevent inhaler properly so that the medicine gets into the lungs. Your doctor may want you to use a spacer with the inhaler. (A spacer should not be used with the Serevent Diskus inhaler.) Talk to your doctor about proper inhaler use. What is Serevent? • Serevent is a bronchodilator. It works by relaxing muscles in the airways to improve breathing. • Serevent is used to treat asthma. It is used only to prevent asthma attacks not to treat an attack already in progress. It will not work fast enough to give relief during an attack. Serevent is also used in the treatment of chronic obstructive pulmonary disease (COPD) including emphysema and chronic bronchitis. • Serevent may also be used for conditions other than those listed in this medication guide. What should I discuss with my healthcare provider before using Serevent? • Data from a large study of people using Serevent has shown a small but significant increased risk of asthma-related deaths. Discuss with your doctor the risks and benefits of using Serevent before starting treatment. • Before using this medication tell your doctor if you have heart disease or high blood pressure; irregular heartbeats; epilepsy or another seizure disorder; diabetes; an overactive thyroid (hyperthyroidism); liver disease; or kidney disease. • You may require a dosage adjustment or special monitoring during therapy if you have any of the conditions listed above. • Serevent is in the FDA pregnancy category C. This means that it is not known whether Serevent will be harmful to an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. • It is not known whether Serevent passes into breast milk. Do not use Serevent without first talking to your doctor if you are breast-feeding a baby. • Serevent inhalation aerosol is approved for use by children 12 years of age and older. Serevent Diskus is approved for use by children 4 years of age and older. How should I use Serevent? • Use Serevent exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • If you are using Serevent to prevent exercise-induced asthma take a dose 30 to 60 minutes before exercising or as directed by your doctor. Another dose should not be taken for at least 12 hours. • To use the inhaler: Shake the inhaler several times and uncap the mouthpiece. Breathe out fully. For best results hold the inhaler 1 to 2 inches in front of your open mouth or attach a spacer to the inhaler and place the spacer in your mouth above your tongue and past your teeth. Take a deep slow breath as you push down on the canister. Hold your breath for 10 seconds then exhale slowly. If you place your inhaler directly into your mouth you may not receive the correct amount of medicine because it will be propelled onto the back of your tongue and/ or throat. If you do use your inhaler directly in your mouth be sure that it is above your tongue and past your teeth. If your doses consist of more than one puff each wait for at least 1 full minute after each puff then repeat the procedure. Keep your inhaler clean and dry. Keep the mouthpiece capped to avoid getting dirt inside it. Clean your inhaler once a day by removing the canister and immersing the mouthpiece in warm water. Allow the parts to dry then reassemble the inhaler. • To use the Serevent Diskus inhaler: Snap the mouthpiece into position. Hold the Diskus level and away from your mouth breathe out fully away from the mouthpiece. (Do not breathe out into the Diskus mouthpiece.) Put the mouthpiece to your lips. Take a steady deep breath in through your mouth. Remove the mouthpiece from your mouth. Hold your breath for about 10 seconds. Breathe out slowly away from the mouthpiece. Close the Diskus. The Diskus is now ready for your next scheduled dose. Never wash the mouthpiece or any part of the Diskus device. Keep it dry at all times. • It is very important to use the Serevent inhaler properly so that the medicine gets into the lungs. Your doctor may want you to use a spacer with the inhaler. (A spacer should not be used with the Serevent Diskus inhaler.) Talk to your doctor about proper inhaler use. • In most cases you should be able to taste or feel a dose of Serevent being delivered. If the delivery of a dose is not detected do not use another dose. Contact your healthcare provider if you have questions. • Do not use Serevent more often than is prescribed by your doctor. Doing so could seriously affect the heart and could even lead to death. Generally Serevent should not be used more often than every 12 hours. • Do not use Serevent to treat an asthma attack that has already begun. It will not work fast enough to reverse your symptoms. Have another faster-acting inhalation — such as albuterol (Ventolin Proventil) — on hand to relieve asthma attacks. • Seek medical attention if you notice that you require more than your usual or more than the maximum amount of any asthma medication in a 24-hour period. An increased need for medication could be an early sign of a serious asthma attack. • Serevent is not a substitute for steroid medications taken orally or by inhalation. Do not stop taking a steroid medication without first talking to your doctor. • It is important to use Serevent regularly to get the most benefit. Do not stop using Serevent without first talking to your doctor. • Your doctor may want you to have lung function tests or other medical evaluations during treatment with Serevent to monitor progress and side effects. • Store Serevent at room temperature. Refill the medication before you run out and before going on vacation. What happens if I miss a dose? • If it is almost time for the next regularly scheduled dose skip the missed dose and use the next one as directed. Alternatively you can use the missed dose as soon as you remember then wait at least 12 hours before using another dose of Serevent. 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 Serevent overdose include angina or chest pain irregular heartbeats or a fluttering heart seizures tremor weakness headache nausea and vomiting. What should I avoid while using Serevent? • Avoid situations that may trigger an asthma attack such as exercising in cold dry air; smoking; breathing in dust; and exposure to allergens such as pet hair. What are the possible side effects of Serevent? • Stop using Serevent and seek emergency medical attention if you experience any of the following serious side effects: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips tongue or face; or hives); increased difficulty breathing; or chest pain or irregular heartbeats. • Other less serious side effects may be more likely to occur. Continue to use Serevent and talk to your doctor if you experience headache dizziness lightheadedness or insomnia; tremor or nervousness; sweating; nausea vomiting or diarrhea; or dry mouth. • 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 Serevent? • Before using this medication tell your doctor if you are taking any of the following medicines: a beta-blocker such as atenolol (Tenormin) metoprolol (Lopressor) propranolol (Inderal) acebutolol (Sectral) bisoprolol (Zebeta) carteolol (Cartrol) carvedilol (Coreg) labetalol (Normodyne Trandate) nadolol (Corgard) or pindolol (Visken); a tricyclic antidepressant such as amitriptyline (Elavil) doxepin (Sinequan) nortriptyline (Pamelor) amoxapine (Asendin) clomipramine (Anafranil) desipramine (Norpramin) imipramine (Tofranil) or protriptyline (Vivactil); a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan) phenelzine (Nardil) or tranylcypromine (Parnate); or caffeine a diet medicine or a decongestant. • You may not be able to use Serevent 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 Serevent or affect your condition. 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Discount Prescription Drugs & Pain Medicine: Anaprox (Naproxen) Anaprox (Naproxen) is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and swelling (inflammation). It is also used to treat headaches muscle aches backaches etc. Buy Anaprox (Naproxen) and other Pain Medicine products online at Medstore. About Anaprox (Naproxen): Product Type: Pain Medicine Brand name: Anaprox Generic name: Naproxen What is anaprox? Naproxen is in a group of drugs called nonsteroidal anti-inflammatory drugs (NSAIDs). Naproxen works by reducing hormones that cause inflammation and pain in the body. Naproxen is used to treat pain or inflammation caused by conditions such as arthritis ankylosing spondylitis tendinitis bursitis gout or menstrual cramps. Naproxen may also be used for purposes other than those listed in this medication guide. What is the most important information I should know about anaprox? This medicine can increase your risk of life-threatening heart or circulation problems including heart attack or stroke. This risk will increase the longer you use anaprox. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). Seek emergency medical help if you have symptoms of heart or circulation problems such as chest pain weakness shortness of breath slurred speech or problems with vision or balance. This medicine can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking anaprox. Older adults may have an even greater risk of these serious gastrointestinal side effects. Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. This includes black bloody or tarry stools or coughing up blood or vomit that looks like coffee grounds. Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Naproxen can make your skin more sensitive to sunlight and sunburn may result. What should I discuss with my healthcare provider before taking anaprox? Taking an NSAID can increase your risk of life-threatening heart or circulation problems including heart attack or stroke. This risk will increase the longer you use an NSAID. Do not use this medicine just before or after having heart bypass surgery (also called coronary artery bypass graft or CABG). NSAIDs can also increase your risk of serious effects on the stomach or intestines including bleeding or perforation (forming of a hole). These conditions can be fatal and gastrointestinal effects can occur without warning at any time while you are taking an NSAID. Older adults may have an even greater risk of these serious gastrointestinal side effects. Do not use this medication if you are allergic to anaprox or if you have a history of allergic reaction to aspirin or other NSAIDs. Before taking anaprox tell your doctor if you are allergic to any drugs or if you have: • a history of heart attack stroke or blood clot; • heart disease congestive heart failure high blood pressure; • a history of stomach ulcers or bleeding; • liver or kidney disease; • asthma; • polyps in your nose; • a bleeding or blood clotting disorder; or • if you smoke. If you have any of these conditions you may not be able to use anaprox or you may need a dosage adjustment or special tests during treatment. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Taking anaprox during the last 3 months of pregnancy may result in birth defects. Do not take anaprox during pregnancy unless your doctor has told you to. Naproxen can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not give this medicine to a child younger than 2 years old without the advice of a doctor. How should I take anaprox? Take this medication exactly as directed on the label or as it has been prescribed by your doctor. Do not use the medication in larger amounts or use it for longer than recommended. EC-Naprosyn is a slower-acting form of anaprox and this brand should be used only for treating arthritis or ankylosing spondylitis. Follow your doctor's instructions. Do not crush chew or break an extended-release or enteric-coated tablet. Swallow the pill whole. The extended-release pill is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time. The enteric-coated pill has a special coating to protect your stomach. Breaking the pill could damage this coating. Shake the oral suspension (liquid) well just before you measure a dose. To be sure you get the correct dose measure the liquid with a marked measuring spoon or medicine cup not with a regular table spoon. If you do not have a dose-measuring device ask your pharmacist for one. If you take anaprox for a long period of time your doctor may want to check you on a regular basis to make sure this medication is not causing harmful effects. Do not miss any scheduled visits to your doctor. Store anaprox at room temperature away from moisture and heat. What happens if I miss a dose? Since anaprox is sometimes taken as needed you may not be on a dosing schedule. If you are taking the medication regularly take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and take the medicine at your next regularly scheduled time. Do not take 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. Symptoms of a anaprox overdose may include nausea vomiting stomach pain confusion drowsiness black or bloody stools coughing up blood shallow breathing fainting or coma. What should I avoid while taking anaprox? Do not use any other over-the-counter cold allergy or pain medication without first asking your doctor or pharmacist. Many medicines available over the counter contain aspirin or other medicines similar to anaprox (such as ibuprofen or ketoprofen). If you take certain products together you may accidentally take too much of this type of medication. Read the label of any other medicine you are using to see if it contains aspirin ibuprofen or ketoprofen. Do not drink alcohol while taking anaprox. Alcohol can increase the risk of stomach bleeding caused by anaprox. Avoid prolonged exposure to sunlight. Naproxen may increase the sensitivity of the skin to sunlight. Use a sunscreen and wear protective clothing when exposure to the sun is unavoidable. Naproxen 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. Stop taking anaprox and seek medical attention or call your doctor at once if you have any of these serious side effects: • chest pain weakness shortness of breath slurred speech problems with vision or balance; • black bloody or tarry stools; • coughing up blood or vomit that looks like coffee grounds; • swelling or rapid weight gain; • urinating less than usual or not at all; • nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes); • fever sore throat and headache with a severe blistering peeling and red skin rash; • bruising severe tingling numbness pain muscle weakness; or • fever headache neck stiffness chills increased sensitivity to light purple spots on the skin and/or seizure (convulsions). Keep taking anaprox and talk to your doctor if you have any of these less serious side effects: • upset stomach mild heartburn or stomach pain diarrhea constipation; • bloating gas; • dizziness headache nervousness; • skin itching or rash; • blurred vision; or • ringing in your ears. 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 anaprox? Before taking anaprox tell your doctor if you are taking any of the following drugs: • a blood thinner such as warfarin (Coumadin); • lithium (Eskalith Lithobid); • methotrexate (Rheumatrex Trexall); • diuretics (water pills) such as furosemide (Lasix); • steroids (prednisone and others); • aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as diclofenac (Cataflam Voltaren) etodolac (Lodine) flurbiprofen (Ansaid) indomethacin (Indocin) ketoprofen (Orudis) ketorolac (Toradol) mefenamic acid (Ponstel) meloxicam (Mobic) nabumetone (Relafen) piroxicam (Feldene) and others; or • an ACE inhibitor such as benazepril (Lotensin) captopril (Capoten) fosinopril (Monopril) enalapril (Vasotec) lisinopril (Prinivil Zestril) ramipril (Altace) and others. If you are using any of these drugs you may not be able to use anaprox or you may need dosage adjustments or special tests during treatment. There may be other drugs not listed that can affect anaprox. 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