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How should I use ASMANEX TWISTHALER?
Read the step-by-step instructions for using ASMANEX TWISTHALER in the Instructions for Use.
Use ASMANEX TWISTHALER exactly as prescribed.
Do not
use ASMANEX TWISTHALER more often than
prescribed.
You must use ASMANEX TWISTHALER regularly. It may take 1 week to 2 weeks or longer after you start using
ASMANEX TWISTHALER for your asthma symptoms to get better.
Do not
stop using ASMANEX TWISTHALER
even if you are feeling better, unless your healthcare provider tells you to.
Do not
change or stop using ASMANEX TWISTHALER or other asthma medicines used to control or threat your
breathing problems unless told to do so by your healthcare provider. Your healthcare provider will change your
medicines as needed.
ASMANEX TWISTHALER comes in 2 strengths. Your healthcare provider has prescribed the strength that is best for
you. Pay attention to the differences between ASMANEX TWISTHALER and your other inhaled medicines, including
their prescribed use and the way they look.
ASMANEX TWISTHALER gives the medicine in a fine powder that you or your child may not taste, smell, or feel.
If you take more ASMANEX TWISTHALER than your healthcare provider has prescribed, call your healthcare
provider right away.
ASMANEX TWISTHALER does not relieve sudden asthma symptoms. Always have a rescue inhaler such as
albuterol with you to treat sudden symptoms. Use your rescue inhaler if you have breathing problems between doses
of ASMANEX TWISTHALER. If you do not have a rescue inhaler such as albuterol, call your healthcare provider to
have a rescue inhaler prescribed for you.
Rinse your mouth with water after each dose of ASMANEX TWISTHALER. Spit out the water.
Do not
swallow it. This
will help lessen the chance of getting a yeast infection (thrush) in your mouth and throat.
Call your healthcare provider or get medical care right away if
you have asthma and your symptoms do not
improve after using ASMANEX TWISTHALER regularly for 1 to 2 weeks.
Do not
use the ASMANEX TWISTHALER if the inhaler or any of its parts are not working properly. Take it to your
healthcare provider or pharmacist.
What are the possible side effects of ASMANEX TWISTHALER?
ASMANEX TWISTHALER can cause serious side effects, including:
Thrush in your mouth and throat.
This is a serious but common side effect. You may develop thrush, a yeast
(Candida albicans), in your mouth or throat. After each dose of ASMANEX TWISTHALER, rinse your mouth with
water. Spit out the water. Do not swallow it. This will help to prevent thrush in your mouth or throat.
Increased wheezing right after taking ASMANEX TWISTHALER.
Always have a rescue inhaler with you to treat
sudden wheezing.
Serious allergic reactions.
Stop taking ASMANEX TWISTHALER and call your healthcare provider or get
emergency medical care right away if you get any of the following symptoms of a serious allergic reaction:
o
rash
o
itching
o
swelling, including swelling of the face, mouth, and
tongue
o
breathing problems
Immune system effects and a higher chance for infections.
You are more likely to get infections if you take
medicines that weaken your immune system. Avoid contact with people who have contagious diseases such as
chicken pox or measles while using ASMANEX TWISTHALER.
Tell your healthcare provider about any signs of infection such as:
o
fever
o
feeling tired
o
body aches
o
vomiting
o
pain
o
nausea
o
chills
Adrenal insufficiency that can lead to death
can happen when you stop taking oral corticosteroid medicines and
start using inhaled corticosteroid medicines. Adrenal insufficiency can also happen in people who take higher doses
of ASMANEX TWISTHALER than recommended over a long period of time. When your body is under stress such
as from fever, trauma (such as a car accident), infection, or surgery, adrenal insufficiency can get worse. Symptoms
of adrenal insufficiency include:
o
feeling tired or exhausted (fatigue)
o
lack of energy
o
low blood pressure
(hypotension)
o
weakness
o
nausea and vomiting
o
dizziness or feeling faint
Lower bone mineral density.
This may be a problem for people who already have a higher chance for low bone
density (osteoporosis).
Slowed growth in children.
A child’s growth should be checked often.
Eye problems including glaucoma, cataracts, and blurred vision.
You should have regular eye exams while
