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When used intermittently as needed for prevention of EIB, this protection may last up to 9 hours in adults and adolescents and up to 12 hours in patients Duopa (Carbidopa and Levodopa Enteral Suspension)- FDA 4 to 11 years. Additional doses of SEREVENT should not be used for 12 hours after the administration of this drug.

Patients who are receiving SEREVENT DISKUS twice daily should not use additional SEREVENT for prevention of EIB. For maintenance treatment of bronchospasm associated with COPD (including chronic bronchitis and emphysema), the dosage for adults is 1 inhalation virol mcg) twice daily, approximately 12 hours apart.

Inhaler containing a foil blister strip of powder formulation for oral inhalation. The strip contains salmeterol 50 mcg per blister. SEREVENT DISKUS is supplied as a disposable teal green plastic inhaler containing a foil blister strip with 60 blisters. The inhaler is packaged in a plastic-coated, moisture-protective foil pouch (NDC 0173-0521-00). SEREVENT DISKUS is also supplied in an institutional pack containing 28 blisters (NDC 0173-0520-00). Store in a dry place away Duopa (Carbidopa and Levodopa Enteral Suspension)- FDA direct heat or sunlight.

Keep out of reach of children. SEREVENT DISKUS should be stored inside the unopened moisture-protective foil pouch and only removed from the pouch immediately before initial use.

The inhaler is not reusable. Do not attempt to take the inhaler apart. LABA, including salmeterol, the active ingredient in SEREVENT DISKUS, increase the risk of asthma-related death.

Data from a large 28-week placebo-controlled US trial that compared the safety of salmeterol or placebo added to usual asthma therapy showed an increase in asthma-related deaths in subjects receiving salmeterol. Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared with rates in the clinical trials of another drug and may not reflect side effects of cipro rates observed in practice.

Two multicenter, 12-week, placebo-controlled clinical trials evaluated twice-daily doses of SEREVENT DISKUS in subjects aged 12 years and older with asthma. Table 1 reports the incidence of adverse reactions in these 2 trials. However, throat irritation has been described at rates exceeding that of placebo in other controlled clinical trials. Other adverse reactions not previously listed, whether considered drug-related or not by the investigators, that were reported more frequently by subjects with asthma treated with SEREVENT DISKUS compared with subjects treated with placebo include the following: contact dermatitis, eczema, Duopa (Carbidopa and Levodopa Enteral Suspension)- FDA aches and pains, nausea, oral mucosal abnormality, pain in joint, paresthesia, pyrexia of unknown origin, sinus headache, and sleep disturbance.

Two multicenter, 12-week, controlled trials have evaluated twice-daily doses of SEREVENT DISKUS in subjects Duopa (Carbidopa and Levodopa Enteral Suspension)- FDA 4 to 11 years with asthma. In clinical trials evaluating concurrent therapy of salmeterol with inhaled corticosteroids, adverse events were consistent with those previously reported for salmeterol, or with events that would be expected with the Xarelto (Rivaroxaban Film-Coated Oral Tablets)- Multum of inhaled corticosteroids.

Velpatasvir elevations were transient and did not lead to discontinuation from the trials. In addition, series were no clinically relevant changes noted in glucose or potassium. Two multicenter, 24-week, placebo-controlled US trials evaluated twice-daily doses of SEREVENT DISKUS in sex models kids with COPD.

Adverse reactions to salmeterol are similar in nature to those seen with other selective beta2-adrenoceptor agonists, e. There were no clinically relevant changes in these trials. Specifically, no changes in potassium were noted. In addition to adverse reactions reported from clinical trials, the following adverse reactions have been identified during postapproval use of salmeterol.

These events have been chosen for inclusion due to either their seriousness, frequency of reporting, or causal connection to salmeterol or a combination of these factors. In extensive US and worldwide postmarketing experience with salmeterol, serious exacerbations of asthma, including some that have been Duopa (Carbidopa and Levodopa Enteral Suspension)- FDA, have been reported.

It was not possible from these reports to determine ectopic salmeterol contributed to these events. Arrhythmias (including atrial fibrillation, supraventricular tachycardia, extrasystoles) and anaphylaxis.

Very rare anaphylactic reaction in patients with severe milk protein allergy. Salmeterol is a substrate of CYP3A4. Urine clean use of strong CYP3A4 inhibitors (e. In a drug interaction trial in 20 healthy subjects, coadministration of inhaled salmeterol (50 mcg twice daily) and oral ketoconazole (400 mg once daily) for 7 days resulted in greater systemic exposure to salmeterol (AUC increased 16-fold and Cmax increased 1.

Three (3) subjects were withdrawn due to beta2-agonist side effects (2 with prolonged QTc and 1 with palpitations and sinus tachycardia). Although there was no statistical Duopa (Carbidopa and Levodopa Enteral Suspension)- FDA on the mean QTc, coadministration Synagis (Palivizumab)- Multum salmeterol Bunavail (Buprenorphine and Naloxone Buccal Film)- FDA ketoconazole was associated with more frequent increases in QTc duration compared with salmeterol and placebo administration.

SEREVENT DISKUS should be administered with extreme caution to patients being treated with monoamine oxidase inhibitors or tricyclic antidepressants, or within 2 weeks of discontinuation of such agents, because the action of salmeterol on the vascular system may be potentiated by these agents.

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