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  Salmeterol

Salmeterol

Pronunciation

(sal ME te role)

Brand Names

Serevent®; Serevent® Diskus®

Canadian/Mexican Brand Names

Zantirel® (Mexico)

Therapeutic Categories

Adrenergic Agonist Agent; Beta2-Adrenergic Agonist Agent; Bronchodilator

What is this medicine used for?

  • This medicine is used to open the airways in diseases like asthma and COPD where spasm may cause breathing problems.
  • It should not be used for immediate treatment of breathing problems. This is a long-term treatment.
  • Keep the right inhaler handy for immediate breathing problems. If you are not sure which one that is then call healthcare provider.

How does it work?

  • Salmeterol works at sites in the airways to relax the muscle and improve oxygen delivery.

How is it best taken?

  • For inhaling (puffing) only by an inhaler.
  • A spacer can be used with the inhaler for easier delivery. This gets more medicine into the lungs.
  • Check inhaler use with healthcare provider at each visit. Using the inhaler the right way is very important. Shake well before using.
  • Do not use a spacer with the inhaled powder.
  • Always keep device dry; never wash.

What do I do if I miss a dose?

  • Take a missed dose as soon as possible.
  • If it is almost time for the next dose, skip the missed one. Return to your regular schedule.
  • Do not take a double dose or extra doses.
  • Do not change dose or stop taking medicine without talking with healthcare provider.

What are the precautions when taking this medicine?

  • Wear disease medical alert identification for lung disease.
  • Limit caffeine (teas, coffee, colas) and chocolate intake. May cause nervousness and anxiety.
  • For exercise-induced asthma, take 30-60 minutes (for inhaler) or 30 minutes (inhaled powder via Diskus®) before exercise. Do not take another dose for 12 hours.
  • Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
  • Tell healthcare provider if you are pregnant or plan on getting pregnant.
  • Tell healthcare provider if you are breast-feeding.

What are the common side effects of this medicine?

  • Headache. Mild pain medicine may help.
  • Cough.
  • Nervousness, shakiness.
  • Dry mouth, throat irritation. Rinse out mouth with water after each use.

What should I monitor?

  • Watch for changes in breathing. Is breathing better, worse, or the same?
  • If you are using this medicine for asthma, monitor with peak flow meter.
  • Follow up with healthcare provider.

Reasons to call healthcare provider immediately

  • Signs of a life-threatening reaction. These include wheezing; tightness in the chest; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, or throat.
  • Unable to get breathing attack under control.
  • Very nervous and excitable.
  • Chest pains, fast heartbeats, shortness of breath, or decreased ability to walk.
  • Any rash.
  • No improvement in condition or feeling worse.

How should I store this medicine?

  • Store at room temperature with nozzle end down. Protect from freezing and direct sunlight.
  • Metered-dose inhalers should be at room temperature for best effects.
  • Store inhalation powder in a dry place, at room temperature. Protect from direct heat and sunlight. Throw away after every dose has been used, or 6 weeks after opening.

General statements

  • Do not share your medicine with others and do not take anyone else's medicine.
  • Keep all medicine out of the reach of children and pets.
  • Keep a list of all your medicines (prescription, herbal/supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, pharmacist, physician assistant)
  • Talk with healthcare provider before starting any new medicine, including over-the-counter or natural products (herbs, vitamins).

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