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SALMETEROL 25 MICROGRAMS PRESSURISED INHALATION SUSPENSION

Active substance(s): SALMETEROL XINAFOATE MICRONISED

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Patient information Leaflet

Serevent® Evohaler®
(salmeterol xinafoate)
Read all of this leaflet carefully before you start taking this medicine
because it contains important information for you.

Keep this leaflet. You may need to read it again.

If you have any further questions, ask your doctor or pharmacist.

This medicine has been prescribed for you only. Do not pass it on to
others. It may harm them, even if their signs of illness are the same
as yours.

If you get any side effects, talk to your doctor or pharmacist. This
includes any possible side effects not listed in this leaflet. See
section 4.
In this leaflet:
1. What Serevent Evohaler is and what it is used for
2. What you need to know before you use Serevent Evohaler
3. How to use Serevent Evohaler
4. Possible side effects
5. How to store Serevent Evohaler
6. Contents of the pack and other information

1

WHAT SEREVENT EVOHALER IS AND WHAT IT IS
USED FOR

• Serevent Evohaler contains the medicine salmeterol. It is a ‘long-acting
bronchodilator’. It helps the airways in the lungs to stay open. This
makes it easier for air to get in and out. The effects are usually felt
within 10 to 20 minutes and last for 12 hours or more.
• The doctor has prescribed it to help prevent breathing problems. These
could be caused by asthma. Taking Serevent Evohaler regularly will
help prevent asthma attacks. This also includes asthma brought on by
exercise or at night.
• Taking Serevent Evohaler regularly will also help prevent breathing
problems caused by other chest illnesses such as Chronic Obstructive
Pulmonary Disease (COPD).
• Serevent Evohaler helps to stop breathlessness and wheezing coming
on. It does not work once you are breathless or wheezy. If that
happens, you need to use a fast-acting ‘reliever’ medicine, such as
salbutamol.
• Serevent Evohaler is supplied to you in an inhaler. You breathe the
medicine directly into your lungs.
• Serevent Evohaler contains norflurane. This is less harmful to the
environment than older inhalers. Older inhalers may taste differently to
Serevent Evohaler. This will make no difference to how your medicine
works.
If you are being treated for asthma, you should always be given both
a Serevent Evohaler and a steroid inhaler to use together.

2

WHAT YOU NEED TO KNOW BEFORE YOU USE
SEREVENT EVOHALER

Do not take Serevent Evohaler if:
you are allergic (hypersensitive) to salmeterol or to the other ingredient
norflurane (HFA 134a).
Take special care with Serevent Evohaler
• If your asthma or breathing gets worse tell your doctor straight
away. You may find that you feel more wheezy, your chest feels tight
more often or you may need to use more of your fast-acting ‘reliever’
medicine. If any of these happen, do not increase your number of puffs
of Serevent Evohaler. Your chest condition may be getting worse and
you could become seriously ill. See your doctor as you may need a
change in asthma treatment.
• Once your asthma is well controlled your doctor may consider it
appropriate to gradually reduce the dose of Serevent Evohaler.
• If you have been prescribed Serevent Evohaler for your asthma,
continue to use any other asthma medication you are already taking.
These could include a steroid inhaler or steroid tablets. Continue taking
the same doses as before, unless your doctor tells you otherwise. Do
this even if you feel much better. Do not stop taking your steroid
inhaler (or any steroid tablets) when you start using Serevent
Evohaler.
• Your doctor may want to check your health regularly if you have an
overactive thyroid gland, diabetes mellitus (Serevent Evohaler may
increase your blood sugar) or heart disease, including an irregular or
fast heartbeat.
Other medicines and Serevent Evohaler
• Tell your doctor if you are taking or have recently taken any other
medicines. This includes those for asthma or any other medicines
obtained without a prescription. This is because Serevent Evohaler
may not be suitable to be taken with other medicines.
• Inform your doctor before using Serevent Evohaler if you are currently
being treated for any fungal infections with medicines containing

ketoconazole or itraconazole, or if you are being treated for HIV with
ritonavir. These medicines may increase the risk of you experiencing
side effects with Serevent Evohaler, including irregular heart beats, or
may make side-effects worse.
• Beta-blockers should be avoided when taking Serevent Evohaler,
unless your doctor tells you to take them. Beta-blockers, including
atenolol, propranolol and sotalol, are mostly used for high blood
pressure or other heart conditions. Tell your doctor if you are taking
beta-blockers or have recently been prescribed beta-blockers as they
may reduce or abolish the effects of salmeterol.
• Serevent Evohaler can reduce the amount of potassium in your blood.
If this happens you may notice an uneven heartbeat, muscle weakness
or cramp. This is more likely to happen if you take Serevent Evohaler
with some medicines used to treat high blood pressure (diuretics) and
other medicines used to treat breathing problems such as theophylline
or steroids. Your doctor may ask for you to have blood tests to check
the amount of potassium in your blood. If you have any concerns
discuss them with your doctor.
Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or are
planning to have a baby, ask your doctor or pharmacist for advice before
taking this medicine.
Driving and using machines
The possible side effects associated with Serevent Evohaler are unlikely
to affect your ability to drive or use machines.

3

HOW TO USE SEREVENT EVOHALER

Always use this medicine exactly as your doctor or pharmacist has told
you. Check with your doctor or pharmacist if you are not sure.
• If you are being treated for asthma, you should always be given
both a Serevent Evohaler and a steroid inhaler to use together.
• Use Serevent Evohaler every day, until your doctor advises you to stop.
• You will start to feel your medicine working within the first day of use.
Serevent Evohaler is for inhalation by mouth only.
Adults and adolescents aged 12 years and older with Asthma
• The usual starting dose is 2 puffs twice a day.
• For people with more severe asthma, your doctor may increase your
dose to 4 puffs twice a day.
Children with Asthma
• In children aged 4 to 12 the usual dose is 2 puffs twice a day.
• Serevent Evohaler is not recommended for use in children below 4
years of age.
Adults with Chronic Obstructive Pulmonary Disease (COPD)
including bronchitis and emphysema
• The usual starting dose is 2 puffs twice a day.
• Not applicable for children and adolescents.
Instructions for use
Your doctor, nurse or pharmacist should show you how to use your
inhaler. They should check how you use it from time to time. Not using the
inhaler properly or as prescribed, may mean that the medicine will not
help your asthma or COPD as it should.
The medicine is contained in a pressurised canister in a plastic casing
with a mouthpiece.
Testing your inhaler
1 When using your inhaler for
the first time, test that it is working.
Remove the mouthpiece cover by
gently squeezing the sides with
your thumb and forefinger and pull
apart.
2 To make sure that it works,
shake it well, point the mouthpiece away from you and press the canister
to release a puff into the air. If you have not used the inhaler for a week or
more, release one puff of medicine into the air.
Using your inhaler
It is important to start to breathe in as slowly as possible just before using
your inhaler.
1 Stand or sit upright when using
your inhaler.
2 Remove the mouthpiece cover
(as shown in the first picture). Check
inside and outside to make sure that
the mouthpiece is clean and free of
objects.
3 Shake the inhaler 4 or 5 times to
ensure that any loose objects are
removed and that the contents of the
inhaler are evenly mixed.

4 Hold the inhaler upright with your
thumb on the base, below the mouthpiece.
Breathe out as far as is comfortable.

5 Place the mouthpiece in your mouth
between your teeth. Close your lips around
it. Do not bite.

6 Breathe in through your mouth. Just
after starting to breathe in, press down on
the top of the canister to release a puff of
medicine. Do this while still breathing in
steadily and deeply.

7 Hold your breath, take the inhaler from
your mouth and your finger from the top of
the inhaler. Continue holding your breath
for a few seconds, or as long as is
comfortable.
8 Wait about half a minute between
taking each puff of medicine and then
repeat steps 3 to 7.
9 After use always replace the mouthpiece cover immediately to keep
out dust. Replace the cover by firmly pushing and snapping the cap into
position.
Practice in front of a mirror for the first few times. If you see a ‘mist’
coming from the top of your inhaler or the sides of your mouth you should
start again
If you or your child find it difficult to use Serevent Evohaler, it may be used
with other devices to make its use easier e.g. a Haleraid™ or Volumatic™
spacer device. Serevent Evohaler is also available in an alternative
device. Talk to your doctor, nurse or pharmacist for further advice.
Cleaning your inhaler
To stop your inhaler blocking up, it is important to clean it at least once a
week.
To clean your inhaler:
• Remove the mouthpiece cover.
• Do not remove the metal canister from the plastic casing at any time.
• Wipe the inside and outside of the mouthpiece and the plastic casing
with a dry cloth or tissue.
• Replace the mouthpiece cover.
Do not put the metal canister in water.
If you use more Serevent Evohaler than you should
It is important to use the inhaler as instructed. If you accidentally take a
larger dose than recommended, talk to your doctor or pharmacist. You
may notice your heart beating faster than usual and that you feel shaky
and/or dizzy. You may also have a headache, muscle weakness and
aching joints.
If you forget to use Serevent Evohaler
Do not take a double dose to make up for a missed dose. Just take your
next dose at the usual time.
If you have any further questions on the use of this medicine, ask your
doctor or pharmacist.

4

POSSIBLE SIDE EFFECTS

Like all medicines, this medicine can cause side effects, although not
everybody gets them. To reduce the chances of side effects, your doctor
will prescribe the lowest dose of Serevent Evohaler to control your asthma
or COPD. These are the side effects reported by people taking Serevent
Evohaler.
Allergic reactions: you may notice your breathing suddenly gets
worse after using Serevent Evohaler. You may be very wheezy and
cough. You may also notice itching and swelling (usually of the face, lips,
tongue or throat). If you get these effects or they happen suddenly after
using Serevent Evohaler, tell your doctor straight away. Allergic

reactions to Serevent Evohaler are very rare (they affect less than 1
person in 10,000).
Other side effects are listed below:
Common (affects less than 1 person in 10):
• Muscle cramps
• Feeling shaky; fast or uneven heartbeat (palpitations), headache,
shaking hands (tremor). Tremors are more likely if you are taking more
than two puffs twice daily. These side effects do not last long and
happen less as treatment with Serevent Evohaler continues.
Uncommon (affects less than 1 person in 100):
• Rash
• Very fast heart rate (tachycardia). This is more likely to happen if you
are taking more than two puffs twice daily
• Feeling nervous
Rare (affects less than 1 person in 1,000):
• Feeling dizzy
• Being unable to sleep or finding sleep difficult
• A reduction in the amount of potassium in your blood (you may get an
uneven heartbeat, muscle weakness, cramp)
Very rare (affects less than 1 person in 10,000):
• Breathing difficulties or wheezing that gets worse straight after
taking Serevent Evohaler. If this happens stop using your Serevent
Evohaler. Use your fast-acting ‘reliever’ inhaler to help your breathing
and tell your doctor straight away.
• Uneven heartbeat or your heart gives an extra beat (arrhythmias). If
this happens do not stop using Serevent Evohaler but tell your doctor
• Increases in the amount of sugar (glucose) in your blood
(hyperglycaemia). If you have diabetes, more frequent blood sugar
monitoring and possibly adjustment of your usual diabetic treatment
may be required
• Sore mouth or throat
• Feeling sick (nausea)
• Aching, swollen joints or chest pain
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes
any possible side effects not listed in this leaflet. You can also report side
effects directly via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard.
By reporting side effects you can help provide more information on the
safety of this medicine.

5

HOW TO STORE SEREVENT EVOHALER

• Keep this medicine out of the sight and reach of children.
• Straight after use, replace the mouthpiece cover firmly and click it into
position. Do not use excessive force.
• Do not store above 30°C.
• The metal canister contains a pressurised liquid. Do not puncture,
break or burn it even if you think it is empty.
• Do not use Serevent Evohaler after the expiry date which is stated on
the label and carton. The expiry date refers to the last day of the month.
Do not throw away medicines via wastewater or household waste. Ask
your pharmacist how to throw away medicines you no longer use. These
measures will help protect the environment.
6

CONTENTS OF THE PACK AND OTHER
INFORMATION

What Serevent Evohaler contains
• Each puff provides 25 micrograms of the active ingredient salmeterol.
• There are 120 puffs in each canister.
• The other ingredient is norflurane (HFA 134a).
What Serevent Evohaler looks like and contents of the pack
Pressurised inhalation, suspension. The pressurised canister contains a
white to off white suspension for inhalation.
Manufacturer
Serevent Evohaler is made by Glaxo Wellcome Production, 100, route de
Versailles, 78163 Marly le Roi, Cedex, France or Glaxo Wellcome
Production, Zone Industrielle No. 2, 23 Rue Lavoisier, 27000 Evreux,
France.
Procured from within the EU and repackaged in the UK by the Parallel
Import Product Licence holder: CD Pharma Ltd, Unit 3, Manor Point,
Manor Way, Borehamwood, Herts. WD6 1EE.
Serevent Evohaler

PL 20492/0347

POM

Evohaler, Haleraid, Serevent and Volumatic are trademarks of the
GlaxoSmithKline group of companies.
Date of preparation: 13th June 2014

Patient information Leaflet



Inform your doctor before using Salmeterol Inhalation Suspension if
you are currently being treated for any fungal infections with
medicines containing ketoconazole or itraconazole, or if you are
being treated for HIV with ritonavir. These medicines may increase
the risk of you experiencing side effects with Salmeterol Inhalation
Suspension, including irregular heart beats, or may make sideeffects worse.
Beta-blockers should be avoided when taking Salmeterol Inhalation
Suspension, unless your doctor tells you to take them. Betablockers, including atenolol, propranolol and sotalol, are mostly used
for high blood pressure or other heart conditions. Tell your doctor if
you are taking beta-blockers or have recently been prescribed betablockers as they may reduce or abolish the effects of salmeterol.
Salmeterol Inhalation Suspension can reduce the amount of
potassium in your blood. If this happens you may notice an uneven
heartbeat, muscle weakness or cramp. This is more likely to happen
if you take Salmeterol Inhalation Suspension with some medicines
used to treat high blood pressure (diuretics) and other medicines
used to treat breathing problems such as theophylline or steroids.
Your doctor may ask for you to have blood tests to check the amount
of potassium in your blood. If you have any concerns discuss them
with your doctor.

Salmeterol 25 Micrograms Pressurised
Inhalation Suspension
(salmeterol xinafoate)
The name of your medicine is Salmeterol 25 micrograms Pressurised
Inhalation Suspension but will be referred to as Salmeterol Inhalation
Suspension throughout this leaflet
Read all of this leaflet carefully before you start taking this medicine
because it contains important information for you.

Keep this leaflet. You may need to read it again.

If you have any further questions, ask your doctor or pharmacist.

This medicine has been prescribed for you only. Do not pass it on to
others. It may harm them, even if their signs of illness are the same
as yours.

If you get any side effects, talk to your doctor or pharmacist. This
includes any possible side effects not listed in this leaflet. See
section 4.
In this leaflet:
1.
What Salmeterol Inhalation Suspension is and what it is used for
2.
What you need to know before you use Salmeterol Inhalation
Suspension
3.
How to use Salmeterol Inhalation Suspension
4.
Possible side effects
5.
How to store Salmeterol Inhalation Suspension
6.
Contents of the pack and other information

1.










WHAT SALMETEROL INHALATION SUSPENSION IS
AND WHAT IT IS USED FOR
Salmeterol Inhalation Suspension contains the medicine salmeterol. It
is a ‘long-acting bronchodilator’. It helps the airways in the lungs to
stay open. This makes it easier for air to get in and out. The effects
are usually felt within 10 to 20 minutes and last for 12 hours or more.
The doctor has prescribed it to help prevent breathing problems.
These could be caused by asthma. Taking Salmeterol Inhalation
Suspension regularly will help prevent asthma attacks. This also
includes asthma brought on by exercise or at night.
Taking Salmeterol Inhalation Suspension regularly will also help
prevent breathing problems caused by other chest illnesses such as
Chronic Obstructive Pulmonary Disease (COPD).
Salmeterol Inhalation Suspension helps to stop breathlessness and
wheezing coming on. It does not work once you are breathless or
wheezy. If that happens, you need to use a fast-acting ‘reliever’
medicine, such as salbutamol.
Salmeterol Inhalation Suspension is supplied to you in an inhaler.
You breathe the medicine directly into your lungs.
Salmeterol Inhalation Suspension contains norflurane. This is less
harmful to the environment than older inhalers. Older inhalers may
taste differently to Salmeterol Inhalation Suspension. This will make
no difference to how your medicine works.

If you are being treated for asthma, you should always be given both
a Salmeterol Inhalation Suspension and a steroid inhaler to use
together.

2.

WHAT YOU NEED TO KNOW BEFORE YOU USE
SALMETEROL INHALATION SUSPENSION

Do not take Salmeterol Inhalation Suspension if:
you are allergic (hypersensitive) to salmeterol or to the other ingredient
norflurane (HFA 134a).
Take special care with Salmeterol Inhalation Suspension

If your asthma or breathing gets worse tell your doctor straight
away. You may find that you feel more wheezy, your chest feels tight
more often or you may need to use more of your fast-acting ‘reliever’
medicine. If any of these happen, do not increase your number of
puffs of Salmeterol Inhalation Suspension. Your chest condition may
be getting worse and you could become seriously ill. See your doctor
as you may need a change in asthma treatment.

Once your asthma is well controlled your doctor may consider it
appropriate to gradually reduce the dose of Salmeterol Inhalation
Suspension.

If you have been prescribed Salmeterol Inhalation Suspension for
your asthma, continue to use any other asthma medication you are
already taking. These could include a steroid inhaler or steroid
tablets. Continue taking the same doses as before, unless your
doctor tells you otherwise. Do this even if you feel much better. Do
not stop taking your steroid inhaler (or any steroid tablets)
when you start using Salmeterol Inhalation Suspension.

Your doctor may want to check your health regularly if you have an
overactive thyroid gland, diabetes mellitus (Salmeterol Inhalation
Suspension may increase your blood sugar) or heart disease,
including an irregular or fast heartbeat.
Other medicines and Salmeterol Inhalation Suspension

Tell your doctor if you are taking or have recently taken any other
medicines. This includes those for asthma or any other medicines
obtained without a prescription. This is because Salmeterol
Inhalation Suspension may not be suitable to be taken with other
medicines.





Pregnancy and breast-feeding
If you are pregnant or breast-feeding, think you may be pregnant or are
planning to have a baby, ask your doctor or pharmacist for advice before
taking this medicine.
Driving and using machines
The possible side effects associated with Salmeterol Inhalation
Suspension are unlikely to affect your ability to drive or use machines.

3.

HOW TO USE SALMETEROL INHALATION
SUSPENSION

Always use this medicine exactly as your doctor or pharmacist has told
you. Check with your doctor or pharmacist if you are not sure.

If you are being treated for asthma, you should always be given
both a Salmeterol Inhalation Suspension and a steroid inhaler
to use together.

Use Salmeterol Inhalation Suspension every day, until your doctor
advises you to stop.

You will start to feel your medicine working within the first day of use.
Salmeterol Inhalation Suspension is for inhalation by mouth only.
Adults and adolescents aged 12 years and older with Asthma

The usual starting dose is 2 puffs twice a day.

For people with more severe asthma, your doctor may increase your
dose to 4 puffs twice a day.
Children with Asthma

In children aged 4 to 12 the usual dose is 2 puffs twice a day.

Salmeterol Inhalation Suspension is not recommended for use in
children below 4 years of age.
Adults with Chronic Obstructive Pulmonary Disease (COPD)
including bronchitis and emphysema

The usual starting dose is 2 puffs twice a day.

Not applicable for children and adolescents.
Instructions for use
Your doctor, nurse or pharmacist should show you how to use your
inhaler. They should check how you use it from time to time. Not using the
inhaler properly or as prescribed, may mean that the medicine will not
help your asthma or COPD as it should.
The medicine is contained in a pressurised canister in a plastic casing
with a mouthpiece.
Testing your inhaler
1 When using your inhaler for the
first time, test that it is working.
Remove the mouthpiece cover by
gently squeezing the sides with your
thumb and forefinger and pull apart.
2 To make sure that it works,
shake it well, point the mouthpiece
away from you and press the canister to release a puff into the air. If you
have not used the inhaler for a week or more, release one puff of
medicine into the air.
Using your inhaler
It is important to start to breathe in as slowly as possible just before using
your inhaler.
1 Stand or sit upright when using your
inhaler.
2 Remove the mouthpiece cover (as
shown in the first picture). Check inside
and outside to make sure that the
mouthpiece is clean and free of objects.
3 Shake the inhaler 4 or 5 times to
ensure that any loose objects are
removed and that the contents of the
inhaler are evenly mixed.



Feeling shaky; fast or uneven heartbeat (palpitations), headache,
shaking hands (tremor). Tremors are more likely if you are taking
more than two puffs twice daily. These side effects do not last long
and happen less as treatment with Salmeterol Inhalation Suspension
continues

4 Hold the inhaler upright with your
thumb on the base, below the mouthpiece.
Breathe out as far as is comfortable.

Uncommon (affects less than 1 person in 100):

Rash

Very fast heart rate (tachycardia). This is more likely to happen if you
are taking more than two puffs twice daily

Feeling nervous
5 Place the mouthpiece in your mouth
between your teeth. Close your lips around
it. Do not bite.

6 Breathe in through your mouth. Just
after starting to breathe in, press down on
the top of the canister to release a puff of
medicine. Do this while still breathing in
steadily and deeply.

7 Hold your breath, take the inhaler from
your mouth and your finger from the top of
the inhaler. Continue holding your breath
for a few seconds, or as long as is
comfortable.

8 Wait about half a minute between
taking each puff of medicine and then repeat steps 3 to 7.
9 After use always replace the mouthpiece cover immediately to keep
out dust. Replace the cover by firmly pushing and snapping the cap into
position.
Practice in front of a mirror for the first few times. If you see a ‘mist’
coming from the top of your inhaler or the sides of your mouth you should
start again
If you or your child find it difficult to use Salmeterol Inhalation Suspension,
it may be used with other devices to make its use easier e.g. a Haleraid™
or Volumatic™ spacer device. Salmeterol Inhalation Suspension is also
available in an alternative device. Talk to your doctor, nurse or pharmacist
for further advice.
Cleaning your inhaler
To stop your inhaler blocking up, it is important to clean it at least once a
week.
To clean your inhaler:

Remove the mouthpiece cover.

Do not remove the metal canister from the plastic casing at any time.

Wipe the inside and outside of the mouthpiece and the plastic casing
with a dry cloth or tissue.

Replace the mouthpiece cover.

Rare (affects less than 1 person in 1,000):

Feeling dizzy

Being unable to sleep or finding sleep difficult

A reduction in the amount of potassium in your blood (you may get
an uneven heartbeat, muscle weakness, cramp)
Very rare (affects less than 1 person in 10,000):

Breathing difficulties or wheezing that gets worse straight after
taking Salmeterol Inhalation Suspension. If this happens stop
using your Salmeterol Inhalation Suspension. Use your fastacting ‘reliever’ inhaler to help your breathing and tell your doctor
straight away.

Uneven heartbeat or your heart gives an extra beat (arrhythmias). If
this happens do not stop using Salmeterol Inhalation Suspension but
tell your doctor

Increases in the amount of sugar (glucose) in your blood
(hyperglycaemia). If you have diabetes, more frequent blood sugar
monitoring and possibly adjustment of your usual diabetic treatment
may be required

Sore mouth or throat

Feeling sick (nausea)

Aching, swollen joints or chest pain
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This includes
any possible side effects not listed in this leaflet. You can also report side
effects directly via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard.
By reporting side effects you can help provide more information on the
safety of this medicine.

5.



HOW TO STORE SALMETEROL INHALATION
SUSPENSION
Keep this medicine out of the sight and reach of children.
Straight after use, replace the mouthpiece cover firmly and click it
into position. Do not use excessive force.
Do not store above 30°C.
The metal canister contains a pressurised liquid. Do not puncture,
break or burn it even if you think it is empty.
Do not use Salmeterol Inhalation Suspension after the expiry date
which is stated on the label and carton. The expiry date refers to the
last day of the month.





Do not throw away medicines via wastewater or household waste. Ask
your pharmacist how to throw away medicines you no longer use. These
measures will help protect the environment.

6.

Do not put the metal canister in water.

CONTENTS OF THE PACK AND OTHER
INFORMATION

If you use more Salmeterol Inhalation Suspension than you should
It is important to use the inhaler as instructed. If you accidentally take a
larger dose than recommended, talk to your doctor or pharmacist. You
may notice your heart beating faster than usual and that you feel shaky
and/or dizzy. You may also have a headache, muscle weakness and
aching joints.

What Salmeterol Inhalation Suspension contains

If you forget to use Salmeterol Inhalation Suspension
Do not take a double dose to make up for a missed dose. Just take your
next dose at the usual time.
If you have any further questions on the use of this medicine, ask your
doctor or pharmacist.

What Salmeterol Inhalation Suspension looks like and contents of
the pack
Pressurised inhalation, suspension. The pressurised canister contains a
white to off white suspension for inhalation.

4.

POSSIBLE SIDE EFFECTS

Like all medicines, this medicine can cause side effects, although not
everybody gets them. To reduce the chances of side effects, your doctor
will prescribe the lowest dose of Salmeterol Inhalation Suspension to
control your asthma or COPD. These are the side effects reported by
people taking Salmeterol Inhalation Suspension.
Allergic reactions: you may notice your breathing suddenly gets
worse after using Salmeterol Inhalation Suspension. You may be very
wheezy and cough. You may also notice itching and swelling (usually of
the face, lips, tongue or throat). If you get these effects or they happen
suddenly after using Salmeterol Inhalation Suspension, tell your doctor
straight away. Allergic reactions to Salmeterol Inhalation Suspension are
very rare (they affect less than 1 person in 10,000).
Other side effects are listed below:
Common (affects less than 1 person in 10):

Muscle cramps





Each puff provides 25 micrograms of the active ingredient
salmeterol.
There are 120 puffs in each canister.
The other ingredient is norflurane (HFA 134a).

Manufacturer
Salmeterol Inhalation Suspension is made by Glaxo Wellcome
Production, 100, route de Versailles, 78163 Marly le Roi, Cedex, France
or Glaxo Wellcome Production, Zone Industrielle No. 2, 23 Rue Lavoisier,
27000 Evreux, France.
Procured from within the EU and repackaged in the UK by the Parallel
Import Product Licence holder: CD Pharma Ltd, Unit 3, Manor Point,
Manor Way, Borehamwood, Herts. WD6 1EE.
Salmeterol 25 micrograms Pressurised Inhalation Suspension
PL 20492/0347

POM

Haleraid and Volumatic are trademarks of the GlaxoSmithKline group of
companies.
Date of preparation: 13th June 2014

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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