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SEREVENT 25 MICROGRAM EVOHALER

Active substance(s): SALMETEROL / SALMETEROL XINAFOATE / SALMETEROL XINAFOATE MICRONISED

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Transcript
3.

SEREVENT™ 25 MICROGRAM EVOHALER™
(salmeterol xinafoate)
PATIENT INFORMATION LEAFLET
Your medicine is available using the name Serevent 25 microgram Evohaler, but will be referred to as
Serevent Evohaler throughout this leaflet.

Adults and adolescents aged 12 years and older with Asthma

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
1.
2.
3.
4.
5.
6.
1.







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.



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

this leaflet:
What Serevent Evohaler is and what it is used for
What you need to know before you use Serevent Evohaler
How to use Serevent Evohaler
Possible side effects
How to store Serevent Evohaler
Contents of the pack and other information




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

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.

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.

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

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.

2.

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.

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.

Page 1 of 2

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.

6.

CONTENTS OF THE PACK AND OTHER INFORMATION

What Serevent Evohaler contains

Each actuation delivers 25 micrograms of the active ingredient salmeterol (as xinafoate).
Serevent Evohaler also contains CFC-free propellant: norflurane (HFA 134a).

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 is also available in an
alternative device. Talk to your doctor, nurse or pharmacist for further advice.

What Serevent Evohaler looks like and contents of the pack

Cleaning your inhaler

Each canister contains 120 actuations.

To stop your inhaler blocking up, it is important to clean it at least once a week.
To





Manufacturer

Manufactured by: Glaxo Wellcome Production, Rue Lavoisier 23, 27000 Evreux, France.

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.

Procured from within the EU and repackaged by: Doncaster Pharmaceuticals Group Ltd., Kirk Sandall,
Doncaster, DN3 1QR.
Product Licence holder: BR Lewis Pharmaceuticals Ltd., Kirk Sandall, Doncaster, DN3 1QR.

Do not put the metal canister in water.

PL No: 08929/0532

If you use more Serevent Evohaler than you should

Serevent™, Evohaler™, Haleraid™ and Volumatic™ are trademarks of the GlaxoSmithKline group of
companies.

Other formats:

If you forget to use Serevent Evohaler

To listen to or request a copy of this leaflet in Braille, large print or audio please call 01302 365000.

Do not take a double dose to make up for a missed dose. Just take your next dose at the usual time.

Please be ready to give the following information:
Product name:
Serevent 25 microgram Evohaler
08929/0532
Reference number:

If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

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.









POM

Leaflet revision and issue date (Ref.) 13.05.14

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.

4.

Serevent Evohaler is a two piece, two tone green ‘L’ shaped, moulded plastic inhaler comprising of an
aluminium alloy canister sealed with a metering valve, mouthpiece and cap.

HOW TO STORE SEREVENT EVOHALER

Keep 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 30ºC.
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.
If your inhaler fails to work properly you should ask your doctor or pharmacist for advice.
If your doctor tells you to stop using the inhaler, please take it back to the pharmacist for safe
disposal. Only keep the inhaler if your doctor tells you to.
Medicines should not be disposed of via wastewater or household waste. Ask you pharmacist how
to dispose of medicines no longer required. These measures will help to protect the environment.

Page 2 of 2

3.

SALMETEROL 25 MICROGRAM CFC-FREE INHALER
(salmeterol xinafoate)
PATIENT INFORMATION LEAFLET
Your medicine is available using the name Salmeterol 25 Microgram CFC-free Inhaler, but will be
referred to as Salmeterol Inhaler throughout this leaflet.

Adults and adolescents aged 12 years and older with Asthma

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
1.
2.
3.
4.
5.
6.
1.










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 Inhaler is not recommended for use in children below 4 years of age.

Adults with Chronic Obstructive Pulmonary Disease (COPD) including bronchitis
and emphysema

this leaflet:
What Salmeterol Inhaler is and what it is used for
What you need to know before you use Salmeterol Inhaler
How to use Salmeterol Inhaler
Possible side effects
How to store Salmeterol Inhaler
Contents of the pack and other information




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

WHAT SALMETEROL INHALER IS AND WHAT IT IS USED FOR

Salmeterol Inhaler 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 inhaler regularly will help prevent asthma attacks. This also includes
asthma brought on by exercise or at night.
Taking Salmeterol Inhaler regularly will also help prevent breathing problems caused by other
chest illnesses such as Chronic Obstructive Pulmonary Disease (COPD).
Salmeterol Inhaler 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 is supplied to you in an inhaler. You breathe the medicine directly into your lungs.
Salmeterol Inhaler contains norflurane. This is less harmful to the environment than older inhalers.
Older inhalers may taste differently to Salmeterol Inhaler. 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 Inhaler
and a steroid inhaler to use together.

2.

HOW TO USE SALMETEROL INHALER

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
Inhaler and a steroid inhaler to use together.

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

You will start to feel your medicine working within the first day of use.
Salmeterol Inhaler is for inhalation by mouth only.

WHAT YOU NEED TO KNOW BEFORE YOU USE SALMETEROL
INHALER

Do not take Salmeterol Inhaler if:

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.

You are allergic (hypersensitive) to salmeterol or to the other ingredient norflurane (HFA 134a).

Take special care with Salmeterol Inhaler







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 Inhaler. 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 Inhaler.
If you have been prescribed Salmeterol Inhaler 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 Inhaler.
Your doctor may want to check your health regularly if you have an overactive thyroid gland,
diabetes mellitus (Salmeterol Inhaler may increase your blood sugar) or heart disease, including
an irregular or fast heartbeat.

Other medicines and Salmeterol Inhaler







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
Inhaler may not be suitable to be taken with other medicines.
Inform your doctor before using Salmeterol Inhaler 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 Inhaler, including irregular heart beats, or may make side effects worse.
Beta-blockers should be avoided when taking Salmeterol Inhaler, 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.
Salmeterol Inhaler 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 Inhaler 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 Salmeterol Inhaler are unlikely to affect your ability to drive
or use machines.

Page 1 of 2

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.

6.

CONTENTS OF THE PACK AND OTHER INFORMATION

What Salmeterol Inhaler contains

Each actuation delivers 25 micrograms of the active ingredient salmeterol (as xinafoate).
Salmeterol Inhaler also contains CFC-free propellant: norflurane (HFA 134a).

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 Inhaler, it may be used with other devices to
make its use easier e.g. a Haleraid™ or Volumatic™ spacer device. Salmeterol is also available in an
alternative device. Talk to your doctor, nurse or pharmacist for further advice.

What Salmeterol Inhaler looks like and contents of the pack

Cleaning your inhaler

Each canister contains 120 actuations.

Salmeterol Inhaler is a two piece, two tone green ‘L’ shaped, moulded plastic inhaler comprising of an
aluminium alloy canister sealed with a metering valve, mouthpiece and cap.

To stop your inhaler blocking up, it is important to clean it at least once a week.
To





Manufacturer

Manufactured by: Glaxo Wellcome Production, Rue Lavoisier 23, 27000 Evreux, France.

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.

Procured from within the EU and repackaged by: Doncaster Pharmaceuticals Group Ltd., Kirk Sandall,
Doncaster, DN3 1QR.
Product Licence holder: BR Lewis Pharmaceuticals Ltd., Kirk Sandall, Doncaster, DN3 1QR.

Do not put the metal canister in water.

PL No: 08929/0532

If you use more Salmeterol Inhaler 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.

Haleraid™ and Volumatic™ are trademarks of the GlaxoSmithKline group of companies.

Other formats:

To listen to or request a copy of this leaflet in Braille, large print or audio please call 01302 365000.

If you forget to use Salmeterol Inhaler

Do not take a double dose to make up for a missed dose. Just take your next dose at the usual time.

Please be ready to give the following information:
Product name:
Salmeterol 25 microgram CFC-Free Inhaler
08929/0532
Reference number:

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 Salmeterol Inhaler to control
your asthma or COPD. These are the side effects reported by people taking Salmeterol Inhaler.
Allergic reactions: you may notice your breathing suddenly gets worse after using
Salmeterol Inhaler. 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 Inhaler, tell your doctor straight away. Allergic reactions to Salmeterol Inhaler 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 Salmeterol Inhaler 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 Salmeterol
Inhaler. If this happens stop using your Salmeterol Inhaler. 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 Salmeterol Inhaler 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.









POM

Leaflet revision and issue date (Ref.) 13.05.14

HOW TO STORE SALMETEROL INHALER

Keep 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 30ºC.
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 Inhaler after the expiry date which is stated on the label and carton. The
expiry date refers to the last day of the month.
If your inhaler fails to work properly you should ask your doctor or pharmacist for advice.
If your doctor tells you to stop using the inhaler, please take it back to the pharmacist for safe
disposal. Only keep the inhaler if your doctor tells you to.
Medicines should not be disposed of via wastewater or household waste. Ask you pharmacist how
to dispose of medicines no longer required. These measures will help to protect the environment.

Page 2 of 2

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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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