Drugs >  Salmeterol
Salmeterol
Pronunciation
Brand Names
Foreign Brand Names
Therapeutic Categories
Reasons not to take this medicine
What is this medicine used for?
How does it work?
How is it best taken?
What do I do if I miss a dose?
What are the precautions when taking this medicine?
What are the common side effects of this medicine?
What should I monitor?
Reasons to call healthcare provider immediately
How should I store this medicine?
General statements

Pronunciation
(sal ME te role)

Brand Names
Serevent®; Serevent® Diskus®

Foreign Brand Names
Zantirel® (Mexico)

Therapeutic Categories
Beta2 Agonist

Reasons not to take this medicine

  • If you have an allergy to salmeterol or any other part of the medicine.
  • If you are having a breathing attack and need quick relief.
  • If you have taken a monoamine oxidase inhibitor (isocarboxazid, phenelzine, tranylcypromine) in the last 14 days.


What is this medicine used for?

  • This medicine is used to open the airways in diseases like asthma and chronic obstructive pulmonary disease 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.
  • It can also prevent exercise-induced breathing problems.


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 (for example, tea, coffee, cola) and chocolate intake. Use with this medicine may cause nervousness, shakiness, rapid heartbeats, 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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