Serevent (Salmeterol Xinafoate)
25mcg (21mcg) Aerosol, Metered Dose
Prescription required. Product of New Zealand. Shipped from New Zealand. Serevent is also marketed internationally under the name Serevent Inhaler.
Generic equivalents for Serevent... What are generics?
25mcg (21mcg) Aerosol, Metered Dose
Prescription required. Product of UK/EU. Shipped from United Kingdom.
To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. read more
Salmeterol Xinafoate Information
(sal me' te role)In a large clinical study, more patients with asthma who used salmeterol experienced severe episodes of asthma that had to be treated in a hospital or caused death than patients with asthma who did not use salmeterol. If you have asthma, use of salmeterol may increase the chance that you will experience serious or fatal asthma problems. Your doctor will only prescribe salmeterol if your asthma is so severe that two medications are needed to control it. You should never use salmeterol alone; you must always use it along with another asthma controller medication. Children and teenagers who need to be treated with salmeterol will probably be treated with a product that combines salmeterol and another medication in a single inhaler to make it easier for them to use both medications as prescribed. Because of the risks of using salmeterol, you should only use salmeterol as long as it is needed to bring your asthma symptoms under control. Once your asthma is controlled, your doctor will probably tell you to stop using salmeterol but continue using the other asthma medication. Do not use salmeterol if you have asthma that is quickly getting worse. Tell your doctor if you have had many severe asthma attacks or if you have ever been hospitalized because of asthma symptoms. If you have any of the following signs of worsening asthma, call your doctor immediately:
- your short-acting inhaler (inhaled medication such as albuterol [Proventil, Ventolin] that is used to treat sudden attacks of asthma symptoms) does not work as well as it did in the past
- you need to use more puffs than usual of your short-acting inhaler or use it more often
- you need to use four or more puffs per day of your short-acting inhaler for two or more days in a row
- you use more than one canister (200 inhalations) of your short-acting inhaler during an 8-week period
- your peak-flow meter (home device used to test breathing) results show your breathing problems are worsening
- you need to go to the emergency room for asthma treatment.
- your symptoms do not improve after you use salmeterol regularly for one week or your symptoms get worse at any time during your treatment
- If you will be using a new inhaler for the first time, remove it from the box and the foil wrapper. Fill in the blanks on the inhaler label with the date that you opened the pouch and the date 6 weeks later when you must replace the inhaler.
- Hold the inhaler in one hand, and put the thumb of your other hand on the thumbgrip. Push your thumb away from you as far as it will go until the mouthpiece appears and snaps into position.
- Hold the inhaler in a level, horizontal position with the mouthpiece toward you. Slide the lever away from you as far as it will go until it clicks.
- Every time the lever is pushed back, a dose is ready to inhale. You will see the number in the dose counter go down. Do not waste doses by closing or tilting the inhaler, playing with the lever, or advancing the lever more than once.
- Hold the inhaler level and away from your mouth, and breathe out as far as you comfortably can.
- Keep the inhaler in a level, flat position. Put the mouthpiece to your lips. Breathe in quickly and deeply though the inhaler, not through your nose.
- Remove the inhaler from your mouth, and hold your breath for 10 seconds or as long as you comfortably can. Breathe out slowly.
- You will probably taste or feel the salmeterol powder released by the inhaler. Even if you do not, do not inhale another dose. If you are not sure you are getting your dose of salmeterol, call your doctor or pharmacist.
- Put your thumb on the thumbgrip and slide it back toward you as far as it will go. The device will click shut.
Before using salmeterol,
- tell your doctor and pharmacist if you are allergic to salmeterol, any other medications, milk protein, or any foods.
- tell your doctor if you use another LABA such as fluticasone and salmeterol combination (Advair) or formoterol (Foradil). These medications should not be used with salmeterol. Your doctor will tell you which medication you should use and which medication you should stop using.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: antifungals such as itraconazole (Sporanox) and ketoconazole (Nizoral); beta blockers such as atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), and propranolol (Inderal); clarithromycin (Biaxin); diuretics ('water pills'); HIV protease inhibitors such as atazanavir (Reyataz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir), and saquinavir (Invirase); other medications for asthma or COPD; nefazodone; and telithromycin (Ketek). Also tell your doctor or pharmacist if you are taking the following medications or have stopped taking them within the past 2 weeks: antidepressants such as amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), and trimipramine (Surmontil); and monoamine oxidase (MAO) inhibitors including isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), and tranylcypromine (Parnate). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor if you have or have ever had irregular heartbeat, high blood pressure, hyperthyroidism (overactive thyroid), diabetes, seizures, or liver or heart disease.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using salmeterol, call your doctor.
- shaking of a part of your body that you cannot control
- stuffed nose
- runny nose
- ear pain
- pale skin
- muscle pain, stiffness, or cramps
- sore throat
- throat irritation
- flu-like symptoms
- tooth pain
- dry mouth
- sores or white patches in the mouth
- red or irritated eyes
- difficulty falling asleep or staying asleep
- burning or tingling of the hands or feet
- coughing, wheezing, or chest tightness that begins soon after you inhale salmeterol
- fast or pounding heartbeat
- chest pain
- swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
- choking or difficulty swallowing
- loud, high-pitched breathing