Symbicort

• Symbicort 80/4.5
• Symbicort 160/4.5

• AccuNeb
• Advair Diskus
• Advair HFA
• AirDuo Digihaler
• AirDuo RespiClick 113/14
• AirDuo RespiClick 232/14
• AirDuo RespiClick 55/14
• Albuterol
• Albuterol Sulfate
• Albuterol Sulfate ER
• Albuterol Sulfate HFA
• Anoro Ellipta
• Arcapta Neohaler
• Arformoterol Tartrate
• Asthma Relief
• Asthmanefrin Refill
• Asthmanefrin Starter Kit
• Bevespi Aerosphere
• Breo Ellipta
• Breztri Aerosphere
• Bronkaid Max
• Brovana
• Budesonide-Formoterol Fumarate
• Clenbuterol HCl
• Combivent
• Combivent Respimat
• Duaklir Pressair
• Dulera
• DuoNeb
• ePHEDrine HCl
• ePHEDrine Sulfate
• EPINEPHrine HCl
• Fluticasone Furoate-Vilanterol
• Fluticasone-Salmeterol
• Foradil Aerolizer
• Formoterol Fumarate
• Ipratropium-Albuterol
• Isoproterenol HCl
• Isoproterenol Sulfate
• Isoproterenol-Sodium Chloride
• Isuprel
• Levalbuterol HCl
• Levalbuterol Tartrate
• Maxair Autohaler
• Metaproterenol Sulfate
• Micronefrin
• Perforomist
• Primatene
• Primatene Mist
• ProAir Digihaler
• ProAir HFA
• ProAir RespiClick
• Proventil HFA
• S2 (Racepinephrine)
• Serevent Diskus
• Stiolto Respimat
• Striverdi Respimat
• Symbicort
• Terbutaline Sulfate
• Trelegy Ellipta
• Utibron Neohaler
• Ventolin HFA
• VoSpire ER
• Wixela Inhub
• Xopenex
• Xopenex Concentrate
• Xopenex HFA

• Powder
• Liquid Under Pressure

• By breathing

Inhalation routeRemove the cap and look at the mouthpiece to make sure it is clean.

Inhalation routeHold your breath for about 5 to 10 seconds, and then breathe out slowly.

Inhalation routeTest spray in the air before using for the first time or if the inhaler has not been used for a while. Prime the inhaler before using it for the first time. Shake well for 5 seconds, then spray into the air, away from your face. Shake and spray a second time. It is now ready for use. If the inhaler has been dropped or has not been used for more than 7 days, prime it again before use.

Inhalation routeShake the inhaler well just before each use. Avoid spraying this medicine into your eyes.

Inhalation routeYou will use this medicine with a device called a metered-dose inhaler. The inhaler fits on the medicine canister and turns the medicine into a fine spray that you breathe in through your mouth and to your lungs. You may be told to use a spacer, which is a tube that is placed between the inhaler and your mouth. Your caregiver will show you how to use your inhaler and the spacer (if needed).

Read and follow the patient instructions that come with this medicine. Talk to your doctor or pharmacist if you have any questions.

Take your medicine as directed. Your dose may need to be changed several times to find what works best for you. Never use more medicine than your doctor prescribed.

The dose counter at the top of the inhaler will turn yellow when the inhaler has 20 or fewer doses left. Throw the inhaler when it reaches 0, or if it has been 3 months since you last opened the foil pouch.

Inhalation routeOpen your mouth and breathe in slowly and deeply (like yawning), and at the same time firmly press down on the top of the canister once.

Inhalation routeStore the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty. Store the inhaler with the mouthpiece down.

Missed dose: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.

Inhalation routeIf you are supposed to use more than one puff, wait 1 to 2 minutes before inhaling the second puff. Repeat these steps for the next puff, starting with shaking the inhaler.

Inhalation routeTo inhale this medicine, breathe out fully, trying to get as much air out of the lungs as possible. Put the mouthpiece just in front of your mouth with the canister upright.

Inhalation routeWhen you have finished all your inhalations, rinse your mouth out with water. Do not swallow the water after rinsing.

Inhalation routeAsk your pharmacist, doctor, or health caregiver about the best way to dispose of the used medicine container and any leftover medicine. You will also need to throw away old medicine after the expiration date has passed.

This medicine is not right for everyone. Do not use this medicine if you had an allergic reaction to budesonide or formoterol. Do not use this medicine if your asthma attack has already started, or if you are having a severe asthma attack or COPD flare-up.

Patients with COPD may be more likely to have pneumonia when taking this medicine. Check with your doctor if you start having an increased sputum (spit) production, change in sputum color, fever, chills, increased cough, or an increase in breathing problems.

Check with your doctor right away if you or your child have blurred vision, difficulty with reading, or any other change in vision while using this medicine. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor). Be sure to keep all appointments.

Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.

Your doctor may want you to carry a medical identification (ID) card stating that you are using this medicine. The card will say that you or your child may need additional medicine during an emergency, a severe asthma attack or other illness, or unusual stress.

This medicine may cause paradoxical bronchospasm, which means your breathing or wheezing will get worse. Paradoxical bronchospasm may be life-threatening. Stop using this medicine and check with your doctor right away if you have coughing, difficulty breathing, shortness of breath, or wheezing after using this medicine.

This medicine may cause children to grow more slowly than usual. Talk to your child's doctor if you have any concerns.

Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. Talk to your doctor if you have more than one of these symptoms while you are using this medicine: darkening of the skin; diarrhea; dizziness; fainting; loss of appetite; mental depression; nausea; skin rash; unusual tiredness or weakness; or vomiting.

This medicine may affect blood sugar and potassium levels. If you have heart disease or are diabetic and notice a change in the results of your blood or urine sugar or potassium tests, check with your doctor.

This medicine may decrease bone mineral density when used for a long time. A low bone mineral density can cause weak bones or osteoporosis. If you have any questions about this, ask your doctor.

This medicine will not stop an asthma attack that has already started. You should have another medicine to use in case of an acute asthma attack.

This medicine may cause the following problems:Increased risk of asthma-related hospital stays, intubations, and deathIncreased risk of pneumonia in people who have COPDAdrenal gland problemsIncreased trouble breathing right after use (paradoxical bronchospasm)Low bone mineral density, which may lead to osteoporosisSlow growth in childrenGlaucoma or cataractsIncreased risk of infection, including fungus infection in the mouth (thrush)

Tell your doctor if you are pregnant or breastfeeding, or if you have liver disease, bone problems (including osteoporosis), heart or blood vessel disease, heart rhythm problems, high blood pressure, seizures, thyroid problems, diabetes, any kind of infection (including tuberculosis or herpes infection of the eye), eye problems (including cataracts or glaucoma), or if you have a weak immune system. Tell your doctor if you have ever been exposed to chickenpox or measles.

Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.

You may need to use this medicine for 1 to 2 weeks before your asthma starts to get better.

Inhalation routeIf any of your asthma medicines do not seem to be working as well as usual, call your doctor right away. Do not change your doses or stop using your medicines without asking your doctor.

Call your doctor if your symptoms do not improve or if they get worse.

This medicine may cause a fungus infection of the mouth or throat (thrush). Tell your doctor right away if you have white patches in the mouth or throat; or pain when eating or swallowing.

Keep all medicine out of the reach of children. Never share your medicine with anyone.

If you or your child develop a skin rash, hives, or any allergic reaction to this medicine, stop using the medicine and check with your doctor as soon as possible.

Your doctor will check your progress and the effects of this medicine at regular visits. Keep all appointments.

Your doctor may want you to carry a medical identification (ID) card stating that you are using this medicine. The card will say that you or your child may need additional medicine during an emergency, a severe asthma attack or other illness, or unusual stress.

This medicine may affect blood sugar and potassium levels. If you have heart disease or are diabetic and notice a change in the results of your blood or urine sugar or potassium tests, check with your doctor.

Check with your doctor right away if you or your child have blurred vision, difficulty with reading, or any other change in vision while using this medicine. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor). Be sure to keep all appointments.

This medicine may cause children to grow more slowly than usual. Talk to your child's doctor if you have any concerns.

This medicine may cause paradoxical bronchospasm, which means your breathing or wheezing will get worse. Paradoxical bronchospasm may be life-threatening. Stop using this medicine and check with your doctor right away if you have coughing, difficulty breathing, shortness of breath, or wheezing after using this medicine.

This medicine may decrease bone mineral density when used for a long time. A low bone mineral density can cause weak bones or osteoporosis. If you have any questions about this, ask your doctor.

Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. Talk to your doctor if you have more than one of these symptoms while you are using this medicine: darkening of the skin; diarrhea; dizziness; fainting; loss of appetite; mental depression; nausea; skin rash; unusual tiredness or weakness; or vomiting.

If you or your child develop a skin rash, hives, or any allergic reaction to this medicine, stop using the medicine and check with your doctor as soon as possible.

Patients with COPD may be more likely to have pneumonia when taking this medicine. Check with your doctor if you start having an increased sputum (spit) production, change in sputum color, fever, chills, increased cough, or an increase in breathing problems.

Some medicines can affect how budesonide/formoterol works. Tell your doctor if you are using any of the following:Blood pressure medicine (including atenolol, labetalol)Diuretic (water pill, including furosemide, hydrochlorothiazide [HCTZ])Medicine to treat depression or an MAO inhibitor within the past 2 weeksMedicine to treat HIV or AIDS (including atazanavir, indinavir, nelfinavir, ritonavir, saquinavir)Medicine to treat infection (including clarithromycin, erythromycin, itraconazole, ketoconazole, telithromycin)

Although this medicine decreases the number of asthma episodes, it may increase the chances of a severe asthma episode when they do occur. Talk to your doctor about any questions or concerns that you have.

This should not be the first and only medicine you use for asthma or COPD. This medicine will not stop an asthma attack that has already started. Your doctor may prescribe another medicine for you to use in case of an acute asthma attack or an acute COPD flare-up. If the other medicine does not work as well, tell your doctor right away.

Take all of your COPD medicines as your doctor ordered. If you use any type of corticosteroid medicine to control your breathing, keep using it as ordered by your doctor. Do not change your doses or stop using your medicines without asking your doctor.

Do not use any other asthma medicine or medicine for breathing problems without talking to your doctor. This medicine should not be used with arformoterol, formoterol, salmeterol, Brovana®, Perforomist„¢, or Serevent® inhalers.

Inhalation routeIf any of your asthma medicines do not seem to be working as well as usual, call your doctor right away. Do not change your doses or stop using your medicines without asking your doctor.

Call your doctor if your symptoms do not improve or if they get worse.

You may get infections more easily while using this medicine. Avoid people who are sick or have infections. Tell your doctor right away if you have been exposed to someone with chickenpox or measles.

This medicine may cause a fungus infection of the mouth or throat (thrush). Tell your doctor right away if you have white patches in the mouth or throat; or pain when eating or swallowing.

• Tiredness, weakness, nausea, vomiting, dizziness
• Eye pain or vision changes
• Fever, chills, cough, runny or stuffy nose, sore throat, body aches
• Fast, pounding, or uneven heartbeat
• Tremors, nervousness, or shaking
• Chest pain, troubled breathing, tightness in the chest, worsening of breathing problems
• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Dry mouth, increased thirst, or muscle cramps
• Color changes on the skin, dark freckles, easy bruising, muscle weakness, round or puffy face
• Nausea, vomiting, diarrhea, upset stomach, or stomach pain.
• Sores or white patches in your mouth or throat, pain when eating or swallowing
• Headache
• Skin rash.