Call your doctor for medical advice about side effects. WILLIAM E. CAYLEY JR., MD, University of Wisconsin Department of Family Medicine, Eau Claire, WisconsinA middle-aged woman with daily coughing and wheezing from asthma requests an additional medication to help control her symptoms, but she is concerned about media reports that claim some medications may actually increase the risk of death from asthma.Should salmeterol (Serevent) be used for long-term control of moderate to severe asthma symptoms?Salmeterol may help improve asthma symptoms, but it should only be used as part of a comprehensive asthma management plan including inhaled corticosteroids and a short-acting beta agonist. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes.Mayo Clinic does not endorse companies or products. You can also use our Spira Care is a combined care and insurance offering developed by Blue KC.

In 2006, the FDA added a warning to the safety labeling for salmeterol and formoterol, stating that LABAs may increase the risk of asthma-related death.This Cochrane review's findings highlight the importance of proper patient education on the role of salmeterol in an asthma treatment plan.Individual patient data from the Serevent Nationwide Surveillance study have been combined with the results of the Salmeterol Multicenter Asthma Research Trial study. Examples of these drugs include:Taking these drugs with fluticasone/salmeterol can block the action of salmeterol and cause the vessels in your lungs to tighten or constrict. FDA safety update: asthma medications. Route/Dosage Asthma Inhaln (Adults and Children 4 yr): 50 mcg (one inhalation) twice daily (ap-proximately12hrapart). Excessive Use of Fluticasone Propionate/Salmeterol and Use with Other Long-Acting Beta 2-Agonists. Tell your doctor about any illness or infection you have had within the past several weeks.any type of infection (bacterial, fungal, viral, or parasitic);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. Drug-Natural Products: Use with caffeine-containing herbs (cola nut, guar-ana,mate,tea,coffee)qstimulanteffect. November 2008. Fluticasone/salmeterol is a prescription drug. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.Tell your doctor about all your other medicines, especially:This list is not complete and many other drugs may affect fluticasone and salmeterol. The adult side effects for this drug are slightly different from the side effects for children. 2 to accommodate the use of a different apparatus and different specifications. If your symptoms are severe, call 911 or go to the nearest emergency room right away.Keep these considerations in mind if your doctor prescribes fluticasone/salmeterol for you.A prescription for this medication is refillable. This includes wheezing, choking, or other breathing problems after using fluticasone and salmeterol;fever, chills, cough with mucus, feeling short of breath;signs of thrush (a fungal infection)--sores or white patches in your mouth or throat, trouble swallowing;high blood sugar--increased thirst, increased urination, dry mouth, fruity breath odor;signs of a hormonal disorder--worsening tiredness or weakness, feeling light-headed, Fluticasone can affect growth in children. Their content has, as far as possible, been checked with the authors of the original reviews, but the summaries should not be regarded as an official product of the Cochrane Collaboration; minor editing changes have been made to the text (The absence of a statistically significant increased risk of death or adverse events is reassuring when salmeterol is compared with albuterol, or when salmeterol is used in conjunction with an inhaled corticosteroid.

Salmeterol has been detected in multiple biofluids, such as urine and blood. It shouldn’t be used in children younger than 18 years for this purpose.The liver and kidneys of older adults may not work as well as they used to. Your dose, form, and how often you take it will depend on:This drug hasn’t been studied in young children for asthma treatment. Some may be better suited for you than others.

This prevents symptoms such as wheezing, cough, chest tightness, and shortness of breath. Your doctor will write the number of refills authorized on your prescription.Your doctor may have you monitor your lung function while you take this drug. Your doctor will monitor you closely while you take this drug.Fluticasone/salmeterol inhalation powder is used for long-term treatment.

Fluticasone and salmeterol may also be used for purposes not listed in this medication guide.Seek medical attention you have worsening breathing problems, or if you think your medications are not working as well.You should not use fluticasone and salmeterol if you are allergic to fluticasone or salmeterol, or:if you are having an asthma attack or severe COPD symptoms.Fluticasone can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have or have recently had. Your doctor will tell you what dosage is right for you. It is not known whether this medicine will harm an unborn baby.