Why is Advair HFA prescribed?

Advair, a combination of Fluticasone and Salmeterol, is used to control symptoms of asthma and chronic obstructive pulmonary disease (COPD; chronic bronchitis and emphysema), like chest tightness, coughing, difficulty breathing, and wheezing. It can be used both by adults and children 12 years old and older.

What does it do?

Fluticasone belongs to a class of medications called steroids that reduce swelling and irritation of the airways, while Salmeterol is classified as a long-acting beta-agonist (LABA) that helps open and relax the airways. Together, these two medications reduce the obstruction in the airways caused by inflammation, thus, improve breathing and prevent symptoms of asthma and COPD.

How should I use it?

Advair HFA is currently available as a 45mcg/21mcg, 115mcg/21mcg, 230mcg/21mcg aerosol inhaler. Each type of inhaler has its set of instructions regarding its priming, usage, and cleaning. Make sure to follow the directions and ask your doctor or pharmacist if you have any questions.

The dosage strength and frequency depend on every patient’s condition and the doctor’s prescription. It is imperative that you do not self-medicate and only take this drug after consulting with your doctor or pharmacist to determine the best dosage and dosing schedule for the treatment of your condition.

What if I missed a dose?

The desired effects of prescribed medications will only be achieved if used properly. As much as possible, strictly follow your doctor’s prescribed dosing schedule. However, if you miss a dose, use it immediately and adjust the time of your next dose depending on your doctor’s advice. Never administer two doses at the same time just to make up for your missed dose.

What are the special precautions before using Advair HFA?

Advair HFA is NOT a rescue medication for acute attacks of asthma or COPD.

Inform your doctor about all the medications you are taking, your current and previous medical history, and any allergic reactions to Fluticasone propionate, Salmeterol, milk proteins, or any other ingredients included in the manufacture of this medication.

Ask a pharmacist or respiratory therapist for instructions on using inhalers properly. Pediatric patients should be assisted when administering this medication.

Inform your doctor if you had any form of surgery or if you are planning to get one.

For the drug label information of Advair HFA, click here.

Does it have any side effects?

It is important to note that all drugs have corresponding side effects and adverse reactions. Additional information may be obtained when you ask your doctor or pharmacist.

Common side effects may include:
• Headache
• Diarrhea
• Nose bleeds
• Sore throat
• Ear infections
• Abdominal pain
• Appetite changes
• Sleep disturbance
• Neck or back pain
• Clogged or runny nose
• Uncontrollable shaking
• Burning or tingling sensation on hands and feet

Serious side effects may include:
• Hoarseness and difficulty breathing or swallowing
• Swelling of any part of the face or limbs
• Burning or tingling sensation on limbs
• White spots or sores in your mouth
• Loss of consciousness
• Itching, hives, or rash
• Rapid heartbeat
• Chest pain
• Wheezing
• Cough

Is it safe to use it with another drug?

Some drug interactions may cause life-threatening reactions when taken with other medications. Immediately inform your doctor if you are taking Advair HFA with any of the following medications:

• Abilify
• Amlodipine
• Atacand
• Atazanavir
• Atenolol
• Avalide
• Betamethasone
• Beclomethasone
• Biaxin
• Carteolol
• Combigan eye drops
• Coreg
• Cymbalta
• Danazol
• Darunavir
• Delavirdine
• Dexamethasone
• DDAVP
• Diclofenac
• Emend
• Erythromycin
• Flutamide
• Geodon
• Glucophage
• Hydralazine
• Hytone
• Insulin
• Labetalol
• Lasix
• Lexapro
• Nizoral
• Normodyne
• Prednisone
• Premarin
• Proair
• Prozac
• Pulmicort
• Rhinocort
• Serevent
• Sporanox
• Sotalol
• Tramadol
• Toprol
• Ventolin
• Vfend
• Zebeta

Ask your doctor or pharmacist for other possible interactions not listed within this section.

How should I store it?

Keep Advair HFA in its original packaging in a clean environment away from excessive heat and moisture. Keep out of reach of children.

What action should I take in case of overdose?

Immediately call an ambulance and seek immediate medical attention to prevent further complications or possible death.

Is it safe for pregnant or breastfeeding women?

Advair HFA is not recommended for use in pregnant women or women trying to get pregnant. Regular monitoring of pregnant women using this drug is essential to maintain adequate asthma control.

It can be excreted in human milk. However, its effects on the infant are still not fully known. Hence, it is essential to consider both the developmental and health benefits of breastfeeding, along with the mother’s clinical need for this medication.

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