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Arnuity Ellipta (Generic Fluticasone Oral Inhalation)

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Why is this medication prescribed?

Fluticasone oral inhalation is used to treat asthma in both adults and children by preventing symptoms like coughing, wheezing, chest tightness, and difficulty breathing. It belongs to a group of drugs called corticosteroids. Fluticasone facilitates breathing by reducing inflammation and edoema in the airways.

How should this medicine be used?

Both a powder and an aerosol form of fluticasone are available for oral inhalation using an inhaler. Flovent HFA, a fluticasone aerosol oral inhalation, is typically used twice daily. Typically, patients who use fluticasone powder for oral inhalation once daily (Armonair, Arnuity Ellipta) or twice daily (Armonair Respiclick, Flovent Diskus). Fluticasone should ideally be taken every day at roughly the same time. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. Follow the fluticasone directions exactly. Use it only as directed by your doctor, neither more nor less often.

As part of your fluticasone inhalation therapy, discuss with your doctor how you should use any other oral or inhaled asthma drugs. Ask your doctor if you should use any other inhaled medications for a specific period of time before and after taking fluticasone inhalation if you currently use any other inhaled medications. Your doctor might want to gradually reduce the dosage of any oral steroids you were taking, such as dexamethasone, methylprednisolone (Medrol), or prednisone (Rayos), starting at least a week after you start using fluticasone.

Fluticasone aids in preventing asthma attacks, which are abrupt episodes of wheezing, coughing, and shortness of breath, but it cannot halt an attack that has already begun. Fluticasone should not be taken when having an asthma episode. To use during asthma attacks, your doctor will prescribe a short-acting inhaler.

Fluticasone will likely be prescribed to you by your doctor at an average dose. If your symptoms are under control after at least two weeks, your doctor may reduce your dose; if not, they may raise it.

Asthma cannot be cured by fluticasone, although it can be managed. Fluticasone may help your symptoms within 24 hours of starting treatment, but it may take up to 2 weeks before you notice its full effects. Fluticasone should still be used even if you feel OK. Without consulting your doctor, do not stop taking fluticasone.

Make sure your child understands how to use the inhaler if they will be taking one. Make sure your child uses the inhaler correctly by watching them each time.

If your asthma gets worse while you’re receiving therapy, tell your doctor. If an asthma attack doesn’t end after you take your fast-acting asthma medicine or if you need to take more of your fast-acting medication than normal, call your doctor.

Only a canister of fluticasone should be used with the inhaler that comes with fluticasone aerosol. Never inhale any other medication via it, and never inhale fluticasone through any other inhaler.

Depending on the inhaler, each product is intended to provide 30, 60, or 120 inhalations. Later inhalations could not contain the prescribed dosage of medication if the labelled number of inhalations has been reached. You ought to keep note of how many breaths you’ve taken. To determine how many days your inhaler will last, divide the number of inhalations it has by the number of inhalations you use daily. Even if the canister still has some liquid and continues to spray when squeezed, dispose of it once you have utilised the designated number of inhalations. Do not submerge the canister to check if the medication is still within.

When using a fluticasone aerosol inhaler, keep your distance from heat sources and open flames. If the inhaler is subjected to extremely high temperatures, it may explode.

Read the enclosed written directions before using fluticasone for the first time. Check to see if you can identify every component of the inhaler by carefully studying the diagrams. To learn how to use it, ask your physician, pharmacist, or respiratory therapist. While they are looking at you, practise using the inhaler.

Other uses for this medicine

Ask your doctor or pharmacist for more details if you believe this drug should be used for something else.

What special precautions should I follow?

Before using fluticasone oral inhalation,

  • If you have any allergies, including to milk proteins, fluticasone, other drugs, or any of the substances in fluticasone inhalation, let your doctor and pharmacist know right once. Request a list of the components from your pharmacist.
  • Inform your doctor and pharmacist about any vitamins, nutritional supplements, herbal items, prescription and non-prescription drugs, and prescription and non-prescription pain relievers you are now taking or have recently taken. Any of the following should be mentioned: Itraconazole (Onmel, Sporanox), ketoconazole, and voriconazole (Vfend) are antifungal medications. Clarithromycin (Biaxin) is another. HIV protease inhibitors like atazanavir (Reyataz, in Evotaz), indinavir (Crixivan), lopinavir (in Kaletra), nelfinavir (Viracept), ritonavir (Norvir, in Kaletra, in Viekira Pak, among others), and saquinavir (Invirase); nefazodone, a drug for seizures; telithromycin with oral steroids such dexamethasone, methylprednisolone (Medrol), and prednisone (Rayos) (Ketek; no longer available in U.S.). Your doctor might need to adjust your medication doses or keep a close eye out for any negative side effects. Fluticasone oral inhalation may interact with a variety of other drugs, so be sure to let your doctor know about every prescription you’re currently taking, even if it’s not on this list.
  • Fluticasone inhalation should not be used when having an asthma episode. To use during asthma attacks, your doctor will prescribe a short-acting inhaler. If an asthma attack persists despite the use of a fast-acting asthma medicine or if you need to use more fast-acting medication than normal, contact your doctor right away.
  • Ask your doctor if you should use any other inhaled medications for a specific period of time before or after taking fluticasone inhalation if you currently use any other inhaled medications.
  • Inform your doctor if you or anyone in your family has ever experienced osteoporosis (a condition in which the bones become brittle and prone to breaking), as well as TB (a type of lung infection), cataracts (clouding of the eye’s lens), glaucoma (an eye disease), or liver disease. Also let your doctor know if you smoke or use tobacco products, are bedridden or unable to move around, have a herpes eye infection (a type of infection that results in a sore on the eyelid or eye surface), or have any other untreated infections anywhere on your body.
  • If you are breastfeeding a child or intend to become pregnant, let your doctor know. Call your doctor if you become pregnant while taking fluticasone.
  • Inform your doctor or dentist that you are using fluticasone if you are scheduled for surgery, including dental surgery.
  • Your other health issues, such as asthma, arthritis, or eczema (a skin problem), could get worse if your oral steroid dosage is cut back. If this occurs or if you encounter any of the following symptoms at this time, let your doctor know right away: Extreme fatigue, muscle weakness, or pain, sudden pain in the stomach, lower body, or legs, appetite loss, weight loss, upset stomach, vomiting, diarrhoea, dizziness, fainting, depression, irritability, and skin darkening are all symptoms that might occur. During this time, your body can be less able to handle stressors like surgery, illness, severe asthma attacks, or injuries. If you become ill, call your doctor right away, and make sure that any medical professionals who care for you are aware that you recently switched from an oral steroid to fluticasone inhalation. Keep a card with you or wear a medical identification bracelet to alert emergency responders to the possibility that you will require steroid treatment.
  • If you have never had chickenpox or measles and you have not received a vaccination against these diseases, let your doctor know. Avoid sick people, especially those who have the measles or chickenpox. Call your doctor right once if you are exposed to one of these infections or if you start to exhibit signs of one of these infections. To keep yourself safe from certain infections, you might need therapy.
  • You should be aware that fluticasone inhalation might occasionally induce wheezing and breathing difficulties right away. Use your fast-acting (rescue) asthma medicine as soon as possible and call your doctor if this occurs. Fluticasone inhalation should not be used again unless your doctor advises you to.

What special dietary instructions should I follow?

Keep eating normally unless your doctor instructs you otherwise.

What should I do if I forget a dose?

Ignore the missed dose and carry on with my normal dosing routine. To make up for a missing dose, do not take a second one.

What side effects can this medication cause?

Side effects from fluticasone inhalation are possible. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Headache
  • Runny or stuffed nose
  • Hoarseness
  • Toothache
  • Angular or painful throat
  • White spots that hurt in the mouth or throat
  • Fever
  • Infected ears

Some adverse effects can be very harmful. Call your doctor right away if you suffer any of the following symptoms or those listed in the SPECIAL PRECAUTIONS section:

  • Hives
  • Rash
  • Itching
  • Swelling of the lower legs, hands, feet, ankles, or face, neck, tongue, lips, eyes, or mouth
  • Breathing or swallowing challenges
  • Cough
  • Breathing difficulty

Fluticasone might slow down a child’s growth. There isn’t enough data to say whether fluticasone use affects how tall kids end up being when they stop growing. While using fluticasone, your child’s doctor will closely monitor your child’s growth. The hazards of giving your child this medication should be discussed with your child’s doctor.

Fluticasone may make you more likely to develop cataracts or glaucoma. During your fluticasone medication, you’ll probably need to have regular eye exams. If you have any of the following symptoms: eye pain, redness, or irritation; blurred vision; seeing haloes or vivid colours surrounding lights; or any other changes in vision, let your doctor know. Discuss the dangers of using this drug with your doctor.

Your risk of osteoporosis may increase as a result of fluticasone use. Discuss the dangers of using this drug with your doctor.

Fluticasone could have other negative effects. If you experience any strange issues while taking this drug, call your doctor right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

What should I know about storage and disposal of this medication?

Keep the mouthpiece of your fluticasone aerosol inhaler facing downward while storing it. Keep it in a place where children cannot get it, at room temperature, and away from sources of extreme heat and moisture (not in the bathroom). You must discard the inhaler six weeks after opening the foil pouch if you’re using the fluticasone powder for inhalation (Flovent Diskus) 50 mcg or the Arnuity Ellipta 50 mcg, 100 mcg, or 200 mcg, or once all of the blisters have been consumed (when the dose counter displays 0), whichever comes first. You must discard the inhaler 2 months after opening the foil pouch if you’re using the fluticasone powder for inhalation (Flovent Diskus) 100 mcg or 250 mcg, or after each blister has been utilised (when the dose counter displays 0), whichever comes first. You must discard fluticasone powder for inhalation (Armonair Respiclick) 30 days after opening the foil pouch or as soon as the dose counter reaches zero, whichever occurs first. Keep the inhaler away from heat sources and open flames when storing it. Keep the inhaler out of the sun and the cold. Avoid puncturing the aerosol bottle and burning it when getting rid of it.

There may be a desiccant packet (a little package containing a chemical that absorbs moisture to keep the drug dry) included in the packaging of your medication. Avoid eating or inhaling it. Remove it from children’s and dogs’ access and dispose of it in the household trash.

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning. http://www.upandaway.org

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medicines website at http://goo.gl/c4Rm4p for additional information.

What other information should I know?

Keep all of your doctor’s appointments.

Do not share your medication with anybody else. Any queries you may have regarding medication refills should be directed to your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Armonair® Respiclick
  • Arnuity® Ellipta
  • Flovent® Diskus®
  • Flovent® HFA
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