Cetirizine is an antihistamine that reduces the natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Cetirizine is used to treat cold or allergy symptoms such as sneezing, itching, watery eyes, or runny nose.

Cetirizine is also used to treat itching and swelling caused by chronic urticaria (hives).

Cetirizine may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Zyrtec (Cetirizine)?

Cetirizine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase some of the side effects of cetirizine. Tell your doctor if you regularly use other medicines that make you sleepy (such as other cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by cetirizine. Call your doctor if your symptoms do not improve, if they get worse, or if you also have a fever.

What should I discuss with my healthcare provider before taking Zyrtec (Cetirizine)?

You should not use this medication if you are allergic to cetirizine.

Before taking cetirizine, tell your doctor about all of your medical conditions.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Cetirizine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Older adults may need to take a lower than normal dose. Follow your doctor’s instructions.

How should I take Zyrtec (Cetirizine)?

Take this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.

You may take this medication with or without food.

The chewable tablet must be chewed before you swallow it.

Measure liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Call your doctor if your symptoms do not improve, if they get worse, or if you also have a fever. Store cetirizine at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include feeling restless or nervous, and then feeling drowsy.

Zyrtec (Cetirizine) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have any of these serious side effects:

• fast, pounding, or uneven heartbeat;
• weakness, tremors (uncontrolled shaking), or sleep problems (insomnia);
• severe restless feeling, hyperactivity;
• confusion;
• problems with vision; or
• urinating less than usual or not at all.

Less serious side effects may include:

• dizziness, drowsiness;
• tired feeling;
• dry mouth;
• sore throat, cough;
• nausea, constipation; or
• headache.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Zyrtec (Cetirizine)?

There may be other drugs that can interact with cetirizine. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

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Ketotifen is an antihistamine that inhibits the body’s release of a chemical called histamine. Histamine can produce allergy symptoms such as sneezing, runny nose, and watery eyes.

Ketotifen ophthalmic is used to treat itching of the eyes caused by allergy to dust, pollen, animals, or other allergens.

Ketotifen ophthalmic may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Zaditor (ketotifen)?

Do not use this medication if you are allergic to ketotifen, or if you have an untreated eye infection. Ketotifen ophthalmic should not be used to treat eye irritation caused by wearing contact lenses.

Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger amounts, or use it for longer than recommended.

If you wear contact lenses, remove them before applying ketotifen ophthalmic. This medication may contain a preservative (benzalkonium chloride) that may cause discoloration of contact lenses. Wait at least 10 minutes after using in the eye drops before putting contact lenses into your eyes.

Do not allow the medicine dropper tip to touch any surface, including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.

What should I discuss with my healthcare provider before using Zaditor (ketotifen)?

Do not use this medication if you are allergic to ketotifen, or if you have an untreated eye infection. Ketotifen ophthalmic should not be used to treat eye irritation caused by wearing contact lenses. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether ketotifen passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication in a child younger than 3 years old without the advice of a doctor.

How should I use Zaditor (ketotifen)?

Use this medication exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger amounts, or use it for longer than recommended.

Wash your hands before using the eye drops.

If you wear contact lenses, remove them before applying ketotifen ophthalmic. This medication may contain a preservative (benzalkonium chloride) that may cause discoloration of contact lenses.

To apply the eye drops:

• Tilt your head back slightly and pull down your lower eyelid. Hold the dropper above the eye with the dropper tip down. Look up and away from the dropper as you squeeze out a drop, then close your eye. Gently press your finger to the inside corner of the eye (near your nose) for about 1 minute to keep the liquid from draining into your tear duct. If you use more than one drop in the same eye, wait about 5 minutes before putting in the next drop.

Do not allow the dropper tip to touch any surface, including the eyes or hands. If the dropper becomes contaminated it could cause an infection in your eye, which can lead to vision loss or serious damage to the eye.

After using the eyedrops, wait at least 10 minutes before putting contact lenses into your eyes.

Do not use the eye drops if the liquid has changed colors or has particles in it. Call your doctor for a new prescription. Store the drops at room temperature away from heat and moisture. Keep the bottle tightly closed when not in use.

What happens if I miss a dose?

Use the medication as soon as you remember the missed dose. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

An overdose of ketotifen ophthalmic is not expected to produce life-threatening symptoms.

Zaditor (ketotifen) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using ketotifen ophthalmic and call your doctor at once if you have any of these serious side effects:

• redness, drainage, eyelid swelling, or other signs of infection;
• eye pain;
• vision changes; or
• severe itching of the eyes worse than before using the medication.

Less serious side effects may include:

• mild burning, stinging, or eye irritation;
• dryness of the eyes; or
• increased sensitivity to light.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Zaditor (ketotifen)?

There may be other drugs that can interact with ketotifen ophthalmic. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

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Albuterol works by relaxing muscles in the airways to improve breathing.

Albuterol is used to treat bronchospasm (wheezing, shortness of breath) associated with reversible obstructive airway disease such as asthma.

Albuterol may also be used for conditions other than those listed in this medication guide.

What is the most important information I should know about Ventolin (Albuterol/Salbutamol)?

Seek medical attention if you notice that you require more than your usual or more than the maximum amount of any asthma medication in a 24-hour period. An increased need for medication could be an early sign of a serious asthma attack.

What should I discuss with my healthcare provider before taking Ventolin (Albuterol/Salbutamol)?

Before taking albuterol, tell your doctor if you have

• heart disease or high blood pressure;
• epilepsy or another seizure disorder;
• diabetes;
• an overactive thyroid (hyperthyroidism);
• difficulty swallowing;
• liver disease; or
• kidney disease.

You may not be able to take albuterol or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Albuterol is in the FDA pregnancy category C. This means that it is not known whether it will harm an unborn baby. Do not take albuterol without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether albuterol passes into breast milk. Do not take albuterol without first talking to your doctor if you are breast-feeding a baby.

How should I take Ventolin (Albuterol/Salbutamol)?

Take albuterol exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water. To ensure that you get a correct dose, measure the liquid forms of albuterol with a special dose-measuring spoon or cup, not with a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one. Do not break, crush, or chew the Volmax or Proventil Repetabs tablets. These are specially formulated to release the medication slowly in the body. The Volmax tablets have an outer shell that is not absorbed by the body. Occasionally, this shell may be seen in the stool. This is not a problem as the medication has been absorbed by the body.

Seek medical attention if you notice that you require more than your usual or more than the maximum amount of any asthma medication in a 24-hour period. An increased need for medication could be an early sign of a serious asthma attack.

Store the Volmax brand of albuterol tablets in the refrigerator between 36 and 46 degrees Fahrenheit (2 and 8 degrees Celsius). Store all other forms of albuterol at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of an albuterol overdose may include angina or chest pain, irregular heartbeats or a fluttering heart, seizures, tremor, weakness, headache, nausea, and vomiting.

Ventolin (Albuterol/Salbutamol) side effects

Stop taking albuterol and seek emergency medical attention if you experience any of the following serious side effects:

• an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); or
• chest pain or irregular heartbeats.

Other, less serious side effects may be more likely to occur. Continue to take albuterol and talk to your doctor if you experience

• headache;
• dizziness or lightheadedness;
• insomnia;
• tremor or nervousness;
• sweating;
• nausea, vomiting, or diarrhea; or
• dry mouth.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Ventolin (Albuterol/Salbutamol)?

Before taking albuterol, tell your doctor if you are taking any of the following medicines:

• a beta-blocker such as atenolol (Tenormin), metoprolol (Lopressor, Toprol XL), propranolol (Inderal), acebutolol (Sectral), bisoprolol (Zebeta), carteolol (Cartrol), carvedilol (Coreg), labetalol (Normodyne, Trandate), nadolol (Corgard), or pindolol (Visken);
• a tricyclic antidepressant such as amitriptyline (Elavil), doxepin (Sinequan), nortriptyline (Pamelor), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), or protriptyline (Vivactil);
• a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);
• another oral or inhaled bronchodilator; or
• caffeine, diet pills, or decongestants.

You may not be able to take albuterol, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medications listed above.

Drugs other than those listed here may also interact with albuterol or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

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Synalar (fluocinolone)is a topical (for the skin) steroid. It reduces the actions of chemicals in the body that cause inflammation, redness, and swelling.

Synalar is used to treat the inflammation and itching caused by a number of skin conditions such as allergic reactions, eczema, seborrhea, and psoriasis.

Synalar may also be used for other purposes not listed in this medication guide.

Important information about Synalar (Fluocinolone)

Use Synalar exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger amounts or for longer than recommended. Topical steroid medicine can be absorbed through the skin, which may cause steroid side effects throughout the body.

Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. Plastic film covering (such as plastic wrap) is sometimes used when treating psoriasis. Follow your doctor’s instructions.

If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers. Covering the skin that is treated with Synalar can increase the amount of medicine your skin absorbs, which may lead to unwanted side effects.

Do not use Synalar on a child without a doctor’s advice. Children are more likely to absorb large amounts of a topical steroid through the skin. Steroid absorption in children may cause unwanted side effects, or a delay in growth with long-term use. Talk with your doctor if you think your child is not growing at a normal rate while using Synalar over a long treatment period. Contact your doctor if your condition does not improve, or if you develop signs of a skin infection.

Before using Synalar (Fluocinolone)

Do not use Synalar if you are allergic to fluocinolone.

Before using Synalar, tell your doctor if you are allergic to any drugs, or if you have any type of skin infection.

Also tell your doctor if you have diabetes. Topical steroid medicines absorbed through the skin may increase the glucose (sugar) levels in your blood or urine.

FDA pregnancy category C. Synalar may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Synalar passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use Synalar on a child without a doctor’s advice. Children are more likely to absorb large amounts of a topical steroid through the skin. Steroid absorption in children may cause unwanted side effects, or a delay in growth with long-term use. Talk with your doctor if you think your child is not growing at a normal rate while using this medication over a long treatment period.

How should I use Synalar (Fluocinolone)?

Use Synalar exactly as directed on the label, or as it has been prescribed by your doctor. Do not use the medication in larger amounts or for longer than recommended. Topical steroid medicine can be absorbed through the skin, which may cause steroid side effects throughout the body.

Do not cover treated skin areas with a bandage or other covering unless your doctor has told you to. If you are treating the diaper area of a baby, do not use plastic pants or tight-fitting diapers.

Covering the skin that is treated with Synalar can increase the amount of medicine your skin absorbs, which may lead to unwanted side effects. However, plastic film covering (such as plastic wrap or a shower cap) is sometimes used when treating psoriasis. Follow your doctor’s instructions.

Wash your hands before and after using Synalar, unless you are using the medication to treat the skin on your hands.

Apply a small amount of the medicine to the affected area and rub it gently into the skin. Do not use this medication over a large area of skin.

If you are using the shampoo form of Synalar, apply a small amount (1 ounce or less) to wet hair and work into a lather. Leave the shampoo on the scalp for 5 minutes and then rinse thoroughly.

Contact your doctor if your skin condition does not improve, if it gets worse, or if you develop signs of a skin infection.

To be sure Synalar is not causing harmful effects with long-term use, you may need blood tests. Do not miss any scheduled appointments.

Store Synalar at room temperature away from moisture and heat.

What happens if I miss a dose?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and use the medicine at the next regularly scheduled time. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

An overdose of Synalar is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

Synalar (Fluocinolone) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Synalar and call your doctor at once if you have severe irritation of any treated skin, or if you show signs of absorbing Synalar through your skin, such as:

• blurred vision, or seeing halos around lights;
• mood changes;
• sleep problems (insomnia);
• weight gain, puffiness in your face; or
• muscle weakness, feeling tired.

Less serious side effects may include:

• mild skin itching, burning, peeling, or dryness;
• thinning or softening of your skin;
• skin rash or irritation around your mouth;
• swollen hair follicles;
• changes in color of treated skin;
• blisters, pimples, or crusting of treated skin; or
• stretch marks.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Synalar (Fluocinolone)?

It is not likely that other drugs you take orally or inject will have an effect on topically applied Synalar. But many drugs can interact with each other. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

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Singulair (Montelukast) is a leukotriene (loo-koe-TRY-een) inhibitor. Leukotrienes are chemicals your body releases when you breathe in an allergen (such as pollen). These chemicals cause swelling in your lungs and tightening of the muscles around your airways, which can result in asthma symptoms.

Montelukast is used to prevent asthma attacks in adults and children as young as 12 months old. It is also used to relieve runny nose and sneezing caused by allergies in adults and children as young as 6 months old.

Do not give this medication to a child without a doctor’s advice.

Montelukast is also used to prevent exercise-induced bronchoconstriction (narrowing of the air passages in the lungs) in people who are not already taking this medicine for other conditions.

If you already take this medication to prevent asthma or allergy symptoms, do not use it for exercise-induced bronchoconstriction.

Montelukast may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Singulair (Montelukast)?

Do not use montelukast to treat an asthma attack that has already begun. It will not work fast enough to reverse your symptoms. Use only a fast-acting inhalation medication to treat an asthma attack. Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks. It may take up to several weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after several weeks of treatment.

Call your doctor right away if you feel that this medicine is not working as well as usual, or if it makes your condition worse. If it seems like you need to use more of any of your medications in a 24-hour period, talk with your doctor.

If you already take this medication to prevent asthma or allergy symptoms, do not use it for exercise-induced bronchoconstriction. Call your doctor at once if you have any mood or behavior changes, anxiety, depression, or thoughts about suicide or hurting yourself.

What should I discuss with my healthcare provider before taking Singulair (Montelukast)?

Do not use this medication if you are allergic to montelukast.

Before using montelukast, tell your doctor if you are allergic to any drugs (especially aspirin), or if you have liver disease. You may not be able to use montelukast, or you may need dosage adjustments or special tests during treatment.

The chewable tablet form of this medication may contain up to 0.842 milligrams of phenylalanine. Talk to your doctor before using this form of montelukast if you have phenylketonuria (PKU).

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether montelukast passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Singulair (Montelukast)?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Montelukast is usually taken once daily in the evening for prevention of asthma or allergy symptoms. For exercise-induced bronchoconstriction, take a single dose at least 2 hours before you exercise, and do not take another dose for at least 24 hours. Follow your doctor’s instructions.

If you already take this medication to prevent asthma or allergy symptoms, do not use it for exercise-induced bronchoconstriction.

Swallow the regular tablet whole, with a glass of water.

The chewable tablet must be chewed completely before you swallow it.

The oral granules can be placed directly into the mouth and swallowed, or mixed with a spoonful of applesauce, mashed carrots, rice, or ice cream. Oral granules can also be mixed with 1 teaspoon of baby formula or breast milk. Do not use any other type of liquid for mixing the granules. Other liquids can be taken before or after taking the medicine.

After opening or mixing the oral granules, you must use them within 15 minutes. Do not save an open packet or mixed medicine for later use.

Do not use montelukast to treat an asthma attack that has already begun. It will not work fast enough to reverse your symptoms. Use only a fast-acting inhalation medication to treat an asthma attack. Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks. It may take up to several weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after several weeks of treatment.

Asthma is often treated with a combination of different drugs. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor, even if you have no asthma symptoms.

If you also take a steroid asthma medicine, do not stop using it suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely.

Call your doctor right away if you feel that this medicine is not working as well as usual, or if it makes your condition worse. If it seems like you need to use more of any of your medications in a 24-hour period, talk with your doctor.

Store montelukast at room temperature away from moisture and heat. Do not open a packet of oral granules until you are ready to use the medicine.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Symptoms of a montelukast overdose are not known.

Singulair (Montelukast) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

• skin rash, bruising, severe tingling, numbness, pain, muscle weakness;
• mood or behavior changes, anxiety, depression, or thoughts about suicide or hurting yourself;
• tremors or shaking;
• severe sinus pain, swelling, or irritation; or
• worsening asthma symptoms.

Less serious side effects may include:

• upset stomach, nausea, diarrhea;
• mouth pain;
• tired feeling;
• dizziness, headache;
• sore throat, cough, hoarseness; or
• stuffy nose.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Singulair (Montelukast)?

Before using montelukast, tell your doctor if you are using any of the following drugs:

• phenobarbital (Luminal, Solfoton); or
• rifampin (Rifadin, Rifater, Rifamate, Rimactane).

This list is not complete and there may be other drugs that can interact with montelukast. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

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Serevent is used to prevent asthma attacks. Salmeterol is a bronchodilator. It works by relaxing muscles in the airways to improve breathing. It will not treat an asthma attack that has already begun.

Serevent is also used to treat chronic obstructive pulmonary disease (COPD) including emphysema and chronic bronchitis.

Serevent may also be used for other purposes not listed in this medication guide.

Important information about Serevent (Salmeterol)

Do not use Serevent to treat an asthma attack that has already begun. It will not work fast enough to reverse your symptoms. Use another, faster-acting inhalation medication to treat an asthma attack. Serevent is has been shown to increase the risk of asthma-related death. It is critical that you use only the prescribed dose of this medicine and follow all patient instructions for safe use of the medication. Talk with your doctor about your individual risks and benefits in using Serevent.

Asthma is usually treated with a combination of different drugs. To best treat your condition, use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor.

Do not use a second form of salmeterol (such as Advair) or use a similar inhaled bronchodilator such as formoterol or arformoterol(Foradil, Perforomist, Symbicort, or Brovana) unless your doctor has told you to.

Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack.

It is important to use Serevent regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Do not stop using Serevent without first talking to your doctor. Your asthma symptoms may get worse after you stop using the medication.

What should I discuss with my healthcare provider before using Serevent (Salmeterol)?

Serevent is a drug that has been shown to increase the risk of asthma-related death. It is critical that you use only the prescribed dose of this medicine and follow all patient instructions for safe use of the medication. Talk with your doctor about your individual risks and benefits in using Serevent.

Before using Serevent, tell your doctor if you have:

• a food or drug allergy;
• heart disease or high blood pressure;
• epilepsy or other seizure disorder;
• diabetes;
• a thyroid disorder; or
• liver disease.

If you have any of these conditions, you may not be able to use Serevent, or you may need a dose adjustment or special tests to safely use this medication.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether this medication passes into breast milk or if it could harm a nursing baby. Do not use Serevent without telling your doctor if you are breast-feeding a baby. Do not give Serevent to a child younger than 4 years old.

How should I use Serevent (Salmeterol)?

Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor.

Do not use Serevent to treat an asthma attack that has already begun. It will not work fast enough to reverse your symptoms. Use another, faster-acting inhalation medication to treat an asthma attack.

Asthma is usually treated with a combination of different drugs. To best treat your condition, use all of your medications as directed by your doctor. Do not change your doses or medication schedule without advice from your doctor.

If you are using Serevent to prevent exercise-induced asthma, use the medicine 30 minutes before exercising, or as directed by your doctor. Allow at least 12 hours to pass before you use the medicine again.

Serevent Diskus is a powder form of salmeterol inhalation that comes with a special inhaler device preloaded with blister packs containing measured doses of the medicine. The device opens and loads a blister each time you use the inhaler. This device is not to be used with a spacer.

Serevent comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

It is important to use Serevent regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Do not stop using Serevent without first talking to your doctor. Your asthma symptoms may get worse after you stop using the medication.

If you also use a steroid medication, do not stop using the steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about taking less and less of the steroid before stopping completely.

Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack. If you use a peak flow meter at home, call your doctor if your numbers are lower than normal. Store Serevent at room temperature away from moisture, heat, and sunlight.

Do not try to clean or take apart the Diskus device. Throw it away 6 weeks after you have taken it out of the foil pouch, or if the dose indicator shows a zero, whichever comes first. Each Diskus device contains 60 doses.

What happens if I miss a dose?

Use the medication as soon as you remember, then wait 12 hours before using the medication again. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include muscle cramps, dry mouth, sleep problems (insomnia), tremors, chest pain, fast or irregular heartbeats, feeling light-headed, fainting, or seizure (convulsions).

Serevent (Salmeterol) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

• chest pain, fast or pounding heartbeats, tremors, shaking, or restless feeling;
• skin rash, bruising, severe tingling, numbness, pain, muscle weakness;
• wheezing, choking, or other breathing problems after using this medication; or
• worsening asthma symptoms.

Less serious Serevent side effects may include:

• headache, dizziness, lightheadedness, or insomnia;
• sweating;
• nausea, vomiting, or diarrhea; or
• dry mouth or throat irritation.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Serevent (Salmeterol)?

Before using Serevent, tell your doctor if you are using any of the following drugs:

• a diuretic (water pill);
• an antibiotic such as clarithromycin (Biaxin), itraconazole (Sporanox), ketoconazole (Nizoral), or telithromycin (Ketek);
• a beta-blocker such as atenolol (Tenormin), metoprolol (Lopressor), propranolol (Inderal), acebutolol (Sectral), bisoprolol (Zebeta), carteolol (Cartrol), carvedilol (Coreg), labetalol (Normodyne, Trandate), nadolol (Corgard), or pindolol (Visken);
• an antidepressant such as amitriptyline (Elavil), nefazodone, nortriptyline (Pamelor), desipramine (Norpramin), or imipramine (Tofranil);
• HIV or AIDS medication such as atazanavir (Reyataz), indinavir (Crixivan), ritonavir (Norvir, Kaletra), nelfinavir (Viracept), or saquinavir (Invirase);
• an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam);
• caffeine, a diet medicine, or a decongestant; or
• aminophylline (Truphylline), theophylline (Slo-Bid, Theobid, TheoDur), and others.

This list is not complete and there may be other drugs that can interact with Serevent. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

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Budesonide is a steroid. It prevents the release of substances in the body that cause inflammation.

Budesonide nasal is used to treat nasal symptoms such as congestion, sneezing, and runny nose caused by seasonal or year-round allergies. Budesonide is also used to keep nasal polyps from coming back after surgery to remove them.

Budesonide may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Rhinocort (budesonide)?

Before using budesonide, tell your doctor if you have been sick or had an infection of any kind. Also tell your doctor if you have liver disease, glaucoma or cataracts, herpes simplex infection of your eyes, tuberculosis, sores or ulcers in your nose, or if you have recently had injury of or surgery on your nose.

It may take up to 2 weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after a week of treatment.To be sure this medication is not causing harmful effects on your nose or sinuses, your doctor may want to check your progress on a regular basis. Do not miss any scheduled visits to your doctor.

Budesonide nasal can lower the blood cells that help your body fight infections. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using budesonide nasal.

Avoid getting this medication in your eyes. If this does happen, rinse with water and call your doctor.Steroid medicines can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using budesonide nasal.

What should I discuss with my healthcare provider before using Rhinocort (budesonide)?

You should not use this medication if you are allergic to budesonide.Before using budesonide, tell your doctor if you have been sick or had an infection of any kind. You may not be able to use budesonide nasal until you are well.

Also tell your doctor if you are allergic to any drugs, or if you have:

• liver disease;
• glaucoma or cataracts;
• herpes simplex virus of your eyes;
• tuberculosis or any other infection or illness;
• sores or ulcers inside your nose; or
• if you have recently had injury of or surgery on your nose.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether budesonide passes into breast milk or if it could harm a nursing baby. Do not use budesonide nasal without telling your doctor if you are breast-feeding a baby.Steroid medicines can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using budesonide nasal.

How should I use Rhinocort (budesonide)?

Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label.

This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

The usual dose of budesonide nasal is 1 to 4 sprays into each nostril once per day. Follow your doctor’s instructions.

Before using the spray for the first time, you must prime the spray pump. Shake the medicine well and spray 8 test sprays into the air and away from your face. Spray until a fine mist appears. Prime the spray pump any time you have not used your nasal spray for longer than 2 days. If longer than 2 weeks has passed, rinse the applicator and prime with 2 test sprays.

Shake the medicine bottle well just before each use. It may take up to 2 weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after a week of treatment.To be sure this medication is not causing harmful effects on your nose or sinuses, your doctor may want to check your progress on a regular basis. Do not miss any scheduled visits to your doctor.

Store this medication in an upright position at room temperature, away from moisture and heat.Throw the medication away after you have used 120 sprays, even if there is still medicine left in the bottle.

What happens if I miss a dose?

Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.An overdose of budesonide nasal is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex.

Rhinocort (budesonide) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

• severe or ongoing nose bleed;
• sores in the nose that won’t heal;
• wheezing, trouble breathing;
• vision problems; or
• fever, chills, body aches, flu symptoms.

Less serious side effects may include:

• dry or sore throat, cough;
• irritation in your nose;
• pain, swelling, burning, itching, or irritation in your throat;
• sores or white patches inside or around your nose.

This list is not complete and other side effects may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Rhinocort (budesonide)?

Before using budesonide nasal, tell your doctor if you are using any of the following drugs:

• HIV /AIDS medicine such as nelfinavir (Viracept) or ritonavir (Norvir);
• an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., E-Mycin, Ery-Tab, Erythrocin), itraconazole (Sporanox), ketoconazole (Nizoral), or troleandomycin (Tao);
• an “SSRI” antidepressant such as fluoxetine (Prozac), fluvoxamine (Luvox), or paroxetine (Paxil); or
• a tricyclic antidepressant such as amitriptyline (Elavil, Etrafon), amoxapine (Ascendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Janimine, Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), or trimipramine (Surmontil).

This list is not complete and here may be other drugs that can interact with budesonide nasal. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

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Theophylline is a bronchodilator. It works by relaxing muscles in the lungs and chest, and makes the lungs less sensitive to allergens and other causes of bronchospasm.

Theophylline is used to treat the symptoms of asthma, bronchitis and emphysema.

Theophylline may also be used for other purposes not listed in this medication guide.

What are the possible side effects of Quibron-T/SR (Theophylline)?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using theophylline and call your doctor at once if you have any of these serious side effects:

• seizure (convulsions)
• worsening of your condition, or symptoms of new illness
• severe or ongoing nausea and vomiting, headache, fast or uneven heart rate, and trouble sleeping (insomnia)
• coughing up blood or vomit that looks like coffee grounds
• ongoing fever
• feeling restless, irritable, nervous, or jittery
• tremors; or
• urinating more than usual

Less serious side effects may include:

• mild nausea, loss of appetite, weight loss
• restlessness, tremor, or insomnia; or
• headache, lightheadedness, or dizziness

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs affect Quibron-T (Theophylline)?

Before taking theophylline, tell your doctor if you are using any of the following drugs:

• carbamazepine (Carbatrol, Tegretol)
• cimetidine (Tagamet)
• enoxacin (Penetrx)
• ephedrine or similar medications found in cold medicine or diet pills
• erythromycin (E.E.S., E-Mycin, Ery-Tab)
• fluvoxamine (Luvox)
• propranolol (Inderal, InnoPran)
• rifampin (Rifadin, Rifater, Rifamate, Rimactane)
• St. John’s wort; or
• thiabendazole (Mintezol)

This list is not complete and there are many other medicines that can interact with theophylline. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

How should I take Quibron-T (Theophylline)?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Take this medicine with a full glass of water.

You may take theophylline with or without food, but take it the same way every time.

Do not crush, chew, break, or open an extended-release tablet or capsule unless your doctor tells you to. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.

Your doctor may tell you to break a regular theophylline tablet before you take it. Some tablets have special scored marks on them to make breaking the tablet easier. Follow your doctor’s instructions.

Measure the liquid form of theophylline with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

If there are any changes in the brand, strength, or type of theophylline you use, your dosage needs may change. Always check your medicine when it is refilled to make sure you have received the correct brand and type as prescribed by your doctor. Ask the pharmacist if you have any questions about the medicine you receive at the pharmacy.

Do not start or stop smoking without first talking to your doctor. Smoking changes the way your body uses theophylline, and you may need to use a different dose.

Store theophylline at room temperature, away from moisture, heat, and light.

What happens if I overdose on Quibron-T (Theophylline)?

Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include nausea, vomiting, insomnia, tremors, restlessness, uneven heartbeats, and seizure (convulsions). Seizures caused by a theophylline overdose can cause death or permanent brain damage.

What happens if I miss a dose of Quibron-T (Theophylline)?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What is the most important information I should know about Quibron-T (Theophylline)?

If there are any changes in the brand, strength, or type of theophylline you use, your dosage needs may change. Always check your medicine when it is refilled to make sure you have received the correct brand and type as prescribed by your doctor. Ask the pharmacist if you have any questions about the medicine you receive at the pharmacy.

Do not start or stop smoking without first talking to your doctor. Smoking changes the way your body uses theophylline, and you may need to use a different dose.

Avoid drinks or foods that contain caffeine, such as coffee, tea, cola, and chocolate. Caffeine may increase some of the side effects of theophylline.

There are many other medicines that can interact with theophylline. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

What should I discuss with my healthcare provider before taking Quibron-T (Theophylline)?

Do not use this medication if you are allergic to theophylline.

Before taking theophylline, tell your doctor if you are allergic to any drugs, or if you have:

• a stomach ulcer
• epilepsy or other seizure disorder
• a heart rhythm problem
• congestive heart failure
• fluid in your lungs
• underactive thyroid
• a high fever
• liver disease (such as cirrhosis or hepatitis)
• kidney disease; or
• if you have recently quit smoking cigarettes or marijuana

If you have any of these conditions, you may need a dose adjustment or special tests to safely take theophylline.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Theophylline can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Older adults may be more likely to have side effects from theophylline.

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This is an anti-inflammatory medication (corticosteroid) used in the prevention of asthma. It is not used to relieve an asthma attack. If an asthma attack occurs, use other medication as prescribed.

How Taken

This medication is inhaled into the lungs using a special inhaling device. Follow the directions for using this medicine provided by your doctor. This medicine comes with a patient information leaflet. Read it carefully. If you are not sure how to use this device, reread the patient information leaflet or ask your pharmacist. After the dose is loaded, breathe out. Place the mouthpiece between your lips and breathe in rapidly and deeply through your mouth. The drug will be inhaled as you breathe in. Hold your breath for 10 seconds to assure it reaches deep into your lungs. Slowly breathe out. Do not exhale into device. Replace the cover. If the inhaler device is dropped, shaken, or you accidentally breathe into the device after the dose has been loaded, you will lose your dose. Load and inhale another dose. Do not use the inhaler if it has been damaged or if the mouthpiece has become detached. If two inhalations are prescribed, wait at least one minute between inhalations. If using other inhalers, use this one (the corticosteroid) last and wait several minutes after using the other(s) before using this one. To prevent dry mouth and hoarseness, rinse your mouth after each use. Do not swallow the rinse solution. It is important to practice good oral hygiene to prevent mouth infections while using this medication. This medication works best if used consistently at even intervals. It is usually used once in the morning and evening. Do not increase your dose, use this more frequently or stop using this medication without first consulting your doctor.

Drug Class and Mechanism

Pulmicort Inhaler is a man-made glucocorticoid steroid related to the naturally-occurring hormone, cortisol or hydrocortisone which is produced in the adrenal glands.

Missed Dose

If you miss a dose, use it as soon as remembered; do not use it if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not “double-up” the dose to catch up.

Storage

Always replace the cover. Store inhaler at room temperature between 59 and 86 degrees F (15 and 30 degrees C) in a dry place away from moisture.

Warnings/Precautions

Before you use this drug, tell your doctor your medical history including: all illnesses or infections, recent exposures to contagious diseases (e.g., chickenpox), glaucoma, cataracts, any allergies (especially drug allergies). If you have switched from an oral corticosteroid (e.g., prednisone tablets) to this inhaler within the past 12 months, or if you have been using this product in higher-than-usual doses and suddenly stop using it, your body may not produce enough natural steroids. You may need to start taking additional corticosteroids, especially if your body is stressed due to a major infection, surgery, or injury. Deaths have sometimes occurred during such stresses, due to low steroid levels. Tell your doctor immediately if any of the following side effects occur: unusual weakness, sudden weight loss, dizziness. Consult your doctor or pharmacist for more details, and inform them that you use (or have used) any type of corticosteroid. Carry a warning card or medical ID bracelet that identifies your need for oral corticosteroids during times of stress as noted. Consult your doctor or pharmacist now for specific advice regarding stress situations; you may need to carry a supply of corticosteroid tablets as a precaution. If you cough up mucus that has thickened or changed color from clear white to yellow, green, or gray, contact your doctor; these changes may be signs of an infection. Caution is advised when using this drug in children. Though it is unlikely to occur with inhaled steroids (budesonide), this medication may temporarily slow down a child’s rate of growth, but it will probably not affect final adult height. Monitor your child’s height periodically. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Based on information for similar drugs, Pulmicort may pass into breast milk. Therefore, consult your doctor before breast-feeding.

Possible Side Effects

Dry or irritated throat, hoarseness or coughing may occur as your body adjusts to the medication. A bad taste in the mouth, headache, nausea, diarrhea, thirst and tiredness have also been reported. If any of these effects continue or become bothersome, inform your doctor. Notify your doctor if you develop: rash, sore throat, mouth sores, swelling of the face, wheezing, breathing trouble, behavioral changes (especially in children), vision changes. If you notice other effects not listed above, contact your doctor or pharmacist.

More Information

Each inhaler contains about 200 doses. When a red mark appears in the window under the mouthpiece, there are only 20 doses left. The inhaler is empty when the red mark reaches the lower edge of the window. Once empty, discard the inhaler as it cannot be refilled. Laboratory and/or medical tests (e.g., morning cortisol levels) may be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details. Do not share this medication with others. Inform all your doctors you use (or have used) this medication.

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Proventil is used for treating breathing problems in patients who have asthma or certain other airway diseases. It may also be used for other conditions as determined by your doctor.

How Taken

Use Proventil as directed by your doctor. Check the label on the medicine for exact dosing instructions.
An extra patient leaflet is available with Proventil. Talk to your pharmacist if you have questions about this information.
Proventil is for inhalation only. Do not get it in the eyes. If you get Proventil Solution in the eyes, rinse immediately with cool tap water.
Remove a vial from the foil pouch. Place the remaining vials back into the pouch for storage.
Do not use Proventil if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
To use Proventil, twist open the top of the vial and pour the entire contents into the nebulizer reservoir.
Connect the nebulizer reservoir to the mouthpiece or face mask. Connect the nebulizer to the compressor.
Sit in a comfortable, upright position. Place the mouthpiece in your mouth (or put on the face mask) and turn on the nebulizer. Breathe as calmly, deeply, and evenly as possible until no more mist is formed in the nebulizer chamber (about 5 to 15 minutes).
Clean the nebulizer according to the instructions. Failure to properly clean the nebulizer could lead to bacteria entering the medicine. This may lead to an infection. To avoid bacteria entering the medicine, use the entire contents right after opening the vial for the first time.
Do not stop using Proventil without checking with your doctor. Do not mix this medicine with other medicines in the nebulizer unless directed otherwise by your doctor.

Drug Class and Mechanism

Proventil is a sympathomimetic (beta agonist) bronchodilator. It works by relaxing the smooth muscle in the airway, which allows air to flow in and out of the lungs more easily.

Missed Dose

If you miss a dose of Ventolin and you are using it regularly, use it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not use 2 doses at once.

Storage

Store at the room temperature away from moisture and sunlight. Keep out of the reach of children.

Warnings Precautions

Do NOT use Proventil Solution if:

• you are allergic to any ingredient in Proventil Solution
• you are using another short-acting sympathomimetic bronchodilator (eg, metaproterenol) or epinephrine

Contact your doctor or health care provider right away if any of these apply to you.
Some medical conditions may interact with Proventil Solution. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have a history of heart problems, (eg, fast or irregular heartbeat, heart failure), blood vessel problems, high blood pressure, or low blood potassium levels
• if you have a history of seizures, diabetes, an overactive thyroid, kidney problems, or an adrenal gland tumor (pheochromocytoma)
• if you have ever had an unusual reaction to another sympathomimetic medicine (eg, pseudoephedrine)
• if you are taking a monoamine oxidase inhibitors (MAOI) (eg, phenelzine), or tricyclic antidepressant (eg, amitriptyline), or if you have taken either of these medicines within the last 14 days

Some MEDICINES MAY INTERACT with Proventil Solution. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood potassium levels may be increased
• Catechol-O-methyltransferase (COMT) inhibitors (eg, entacapone), epinephrine, MAOIs (eg, phenelzine), short-acting sympathomimetic bronchodilators (eg, metaproterenol), stimulants (eg, amphetamine), sympathomimetics (eg, pseudoephedrine), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Proventil Solution’s side effects
• Beta-blockers (eg, propranolol) because they may decrease Proventil Solution’s effectiveness
• Digoxin because its effectiveness may be decreased by Proventil Solution

Possible Side Effects

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

• Cough; dizziness; headache; nausea; nervousness; sinus inflammation; sore or dry throat; tremor; trouble sleeping; unusual taste in mouth; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

• Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; ear pain; fast or irregular heartbeat; new or worsened trouble breathing; pounding in the chest; severe headache or dizziness; unusual hoarseness; wheezing.

More Information

Proventil should not be taken with beta-blockers, such as atenolol, propranolol or timolol. This is because beta-blockers have an opposite action to this medicine and cause the airways to narrow. This can result in breathing difficulties for people with asthma or COPD. This problem has sometimes been seen with eye drops containing beta-blockers, eg. used for glaucoma.

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