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Wixela Inhub Side Effects

Generic name: fluticasone / salmeterol

Medically reviewed by Drugs.com. Last updated on Nov 9, 2023.

Note: This document provides detailed information about Wixela Inhub Side Effects associated with fluticasone / salmeterol. Some dosage forms listed on this page may not apply specifically to the brand name Wixela Inhub.

Applies to fluticasone / salmeterol: inhalation aerosol liquid, inhalation disk, inhalation powder.

Serious side effects of Wixela Inhub

Along with its needed effects, fluticasone/salmeterol may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking fluticasone / salmeterol:

More common

  • black, tarry stools
  • blindness
  • blurred vision
  • burning, tingling, numbness, or pain in the hands, arms, feet, or legs
  • chills
  • cough
  • decreased vision
  • difficulty with breathing or swallowing
  • eye pain
  • fast heartbeat
  • fever
  • headache
  • hives or welts, skin itching, rash, or redness
  • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  • nausea
  • noisy breathing
  • painful or difficult urination
  • sensation of pins and needles
  • sore throat
  • sores, ulcers, or white spots on the lips or in the mouth
  • stabbing pain in the arms or legs
  • swollen glands
  • tearing
  • unusual bleeding or bruising
  • vomiting

Incidence not known

  • backache
  • bruising
  • darkening of the skin
  • decrease in height
  • diarrhea
  • difficulty with moving
  • dizziness
  • facial hair growth in females
  • fainting
  • fast, slow, pounding, or irregular heartbeat or pulse
  • flushed, dry skin
  • fractures
  • fruit-like breath odor
  • full or round face, neck, or trunk
  • heavy bleeding
  • increased hunger
  • increased thirst or urination
  • irritability
  • large, flat, blue, or purplish patches in the skin
  • loss of sexual desire or ability
  • menstrual irregularities
  • mental depression
  • muscle pain or stiffness
  • muscle wasting
  • pain in the back, ribs, arms, or legs
  • pain in the joints
  • stomach pain
  • sweating
  • unexplained weight loss
  • unusual tiredness or weakness
  • weight gain

Get emergency help immediately if any of the following symptoms of overdose occur while taking fluticasone / salmeterol:

Symptoms of overdose

Other side effects of Wixela Inhub

Some side effects of fluticasone / salmeterol may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • body aches or pain
  • choking
  • congestion
  • dryness of the throat
  • high-pitched noise when breathing
  • hoarseness
  • runny nose
  • sneezing
  • trouble with swallowing
  • voice changes

Less common

  • cough-producing mucus
  • irritation or inflammation of the eye
  • muscle pain
  • pain or tenderness around the eyes and cheekbones
  • sleep disorders
  • stuffy nose
  • white patches in the mouth or throat or on the tongue

For healthcare professionals

Applies to fluticasone / salmeterol: inhalation aerosol, inhalation powder.

General

The most common events that occurred more frequently were nasopharyngitis, upper respiratory tract infection, nasal congestion, back pain, sinusitis, dizziness, nausea, pneumonia, candidiasis, and dysphonia.[Ref]

Nervous system

Respiratory

The incidence of pneumonia was higher in adult subjects with COPD older than 65 years compared with younger subjects with COPD (18% versus 14%).[Ref]

Cardiovascular

Dermatologic

Gastrointestinal

Immunologic

Metabolic

Musculoskeletal

Ocular

Other

Hypersensitivity

Psychiatric

Endocrine

Hepatic

References

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2. (1994) "Salmeterol." Med Lett Drugs Ther, 36, p. 37-9

3. "Product Information. Serevent (salmeterol)." Glaxo Wellcome

4. Nathan RA, Seltzer JM, Kemp JP, Chervinsky P, Alexander WJ, Liddle R, Mills R (1995) "Safety of salmeterol in the maintenance treatment of asthma." Ann Allergy Asthma Immunol, 75, p. 243-8

5. Lorentzen KA, Vanhelmond JLM, Bauer K, Langaker KE, Bonifazi F, Harris TAJ (1996) "Fluticasone propionate 1 mg daily and beclomethasone dipropionate 2 mg daily: a comparison over 1 yr." Respir Med, 90, p. 609-17

6. (2001) "Product Information. Advair Diskus (fluticasone-salmeterol)." Glaxo Wellcome

7. Cerner Multum, Inc. "UK Summary of Product Characteristics."

8. Cerner Multum, Inc. "Australian Product Information."

9. D'Alonzo GE, Nathan RA, Henochowicz S, Morris RJ, Ratner P, Rennard SI (1994) "Salmeterol xinafoate as maintenance therapy compared with albuterol in patients with asthma." JAMA, 271, p. 1412-6

10. Kemp JP, Bierman CW, Cocchetto DM (1993) "Dose-response study of inhaled salmeterol in asthmatic patients with 24-hour spirometry and Holter monitoring." Ann Allergy, 70, p. 316-22

11. Pearlman DS, Chervinsky P, LaForce C, Seltzer JM, Southern DL, Kemp JP, Dockhorn RJ, Grossman J, Liddle RF, Yancey SW, et al. (1992) "A comparison of salmeterol with albuterol in the treatment of mild-to- moderate asthma." N Engl J Med, 327, p. 1420-5

12. Meyer JM, Wenzel CL, Kradjan WA (1993) "Salmeterol: a novel, long-acting beta 2-agonist." Ann Pharmacother, 27, p. 1478-87

13. Maconochie JG, Forster JK (1992) "Dose-response study with high-dose inhaled salmeterol in healthy subjects." Br J Clin Pharmacol, 33, p. 342-5

14. Lopezguillen A, Marques L, Lopezllorente MT, Pastor E, Figueras A (1994) "Salmeterol-induced vertigo." Eur Respir J, 7, p. 2089-90

15. Barnes PJ (1995) "Drug therapy: inhaled glucocorticoids for asthma." N Engl J Med, 332, p. 868-75

16. Mann RD, Kubota K, Pearce G, Wilton L (1996) "Salmeterol: a study by prescription-event monitoring in a UK cohort of 15,407 patients." J Clin Epidemiol, 49, p. 247-50

17. (2001) "Product Information. Flovent (fluticasone)." Glaxo Wellcome

18. Wilkinson JR, Roberts JA, Bradding P, Holgate ST, Howarth PH (1992) "Paradoxical bronchoconstriction in asthmatic patients after salmeterol by metered dose inhaler." BMJ, 305, p. 931-2

19. Clark CE, Ferguson AD, Siddorn JA (1993) "Respiratory arrests in young asthmatics on salmeterol." Respir Med, 87, p. 227-8

20. Dottorini ML, Tantucci C, Peccini F, Grassi V, Sorbini CA (1996) "Diurnal change of bronchial caliber and airway responsiveness in asthmatics during long-term treatment with long-acting beta 2-agonist salmeterol." Int J Clin Pharmacol Ther, 34, p. 438-43

21. Maconochie JG, Minton NA, Chilton JE, Keene ON (1994) "Does tachyphylaxis occur to the non-pulmonary effects of salmeterol?" Br J Clin Pharmacol, 37, p. 199-204

22. Britton MG, Earnshaw JS, Palmer JB (1992) "A twelve month comparison of salmeterol with salbutamol in asthmatic patients. European Study Group [published erratum appears in Eur Respir J 1993;6(1):150]." Eur Respir J, 5, p. 1062-7

23. Ullman A, Svedmyr N (1988) "Salmeterol comparison with salbutamol in adult asthmatic patients." Thorax, 43, p. 674-8

24. Tranfa CME, Pelaia G, Grembiale RD, Naty S, Durante S, Borrello G (1998) "Short-term cardiovascular effects of salmeterol." Chest, 113, p. 1272-6

25. Holliday SM, Faulds D, Sorkin EM (1994) "Inhaled fluticasone propionate. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in asthma." Drugs, 47, p. 318-31

26. Paggiaro PL, Dahle R, Bakran I, Frith L, Hollingworth K, Efthimiou J (1998) "Multicenter randomised placebo-controlled trial of inhaled fluticasone propionate in patients with chronic obstructive pulmonary disease." Lancet, 351, p. 773-80

27. Executive Committee American Academy of Allergy and Immunology (1993) "Inhaled corticosteroids and severe viral infections." J Allergy Clin Immunol, 92, p. 223-8

28. Packe GE, Douglas JG, McDonald AF, Robins SP, Reid DM (1992) "Bone density in asthmatic patients taking high dose inhaled beclomethasone diproprionate and intermittent systemic corticosteroids." Thorax, 47, p. 414-7

29. Garbe E, LeLorier J, Boivin JF, Suissa S (1997) "Inhaled and nasal glucocorticoids and the risks of ocular hypertension or open-angle glaucoma." JAMA, 277, p. 722-7

30. Svedmyr N, Lofdahl CG (1996) "The use of beta(2)-adrenoceptor agonists in the treatment of bronchial asthma." Pharmacol Toxicol, 78, p. 3-11

31. Booth H, Bish R, Walters J, Whitehead F, Walters EH (1996) "Salmeterol tachyphylaxis in steroid treated asthmatic subjects." Thorax, 51, p. 1100-4

32. Hatton MQ, Allen MB, Mellor EJ, Cooke NJ (1991) "Salmeterol rash ." Lancet, 337, p. 1169-70

33. Grahnen A, Eckernas SA, Brundin RM, Lingandersson A (1994) "An assessment of the systemic activity of single doses of inhaled fluticasone propionate in healthy volunteers." Br J Clin Pharmacol, 38, p. 521-5

34. Howland WC (1996) "Fluticasone propionate: topical or systemic effects?" Clin Exp Allergy, 26 ( Suppl, p. 18-22

35. Clark DJ, Lipworth BJ (1997) "Adrenal suppression with chronic dosing of fluticasone propionate compared with budesonide in adult asthmatic patients." Thorax, 52, p. 55-8

36. Thorsson L, Dahlstrom K, Edsbacker S, Kallen A, Paulson J, Wiren JE (1997) "Pharmacokinetics and systemic effects of inhaled fluticasone propionate in healthy subjects." Br J Clin Pharmacol, 43, p. 155-61

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Frequently asked questions

Further information

Wixela Inhub side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.