Instructions

Use the medicine as needed if you experience wheezing or difficulty breathing.

Store at room temperature away from heat, light, and moisture. Do not keep in the bathroom.

Before using the inhaler, look at the counter for the number of doses remaining in the inhaler.

Ask your doctor, nurse or pharmacist to show you how to use this medicine correctly.

Keep the medicine in the foil pouch until you are ready to use it.

Each time you receive a new inhaler, you need to get it ready to use. Shake the inhaler for 5 seconds, point it away from you and then spray into the air. Repeat this 3 more times. This process is called priming the pump and removes any air from the medicine canister.

Repeat the priming process with each new inhaler or any time you drop the inhaler, take it apart for cleaning, or go more than one week without using the inhaler.

Shake the medicine well before use.

Rinse mouth and throat with water after each use and spit the water out. Do not swallow the water.

Keep track of how many times you use the inhaler. Do not use it more than the total number of doses shown on the package.

Throw away 12 months after removing from the foil pouch, or when the dose counter says zero, whichever comes first.

Drug interactions can change how medicines work or increase risk for side effects. Tell your health care providers about all medicines taken. Include prescription and over-the-counter medicines, vitamins, and herbal medicines. Speak with your doctor or pharmacist before starting or stopping any medicine.

Do not share this medicine with anyone who has not been prescribed this medicine.

Keep all appointments for medical exams and tests while on this medicine.

Do not use more than 12 inhalations in 24 hours.

Cautions

If you are switching from an oral steroid medication to this medicine, it is important that your body adapts properly to this change. Please speak with your doctor or nurse for more information.

Tell your doctor and pharmacist if you ever had an allergic reaction to a medicine.

Be very careful not to spray the medicine into your eyes. Wash your hands thoroughly before touching your eyes.

Your ability to stay alert or to react quickly may be impaired by this medicine. Do not drive or operate machinery until you know how this medicine will affect you.

Please check with your doctor before drinking alcohol while on this medicine.

This medicine may reduce your body's ability to fight infections. Avoid contact with people with colds, flu or other infections. Contact your doctor if you develop fever, cough, sore throat, or chills.

During pregnancy, this medicine should be used only when clearly needed. Talk to your doctor about the risks and benefits.

This medicine passes into breast milk. Ask your doctor before breastfeeding.

If this medicine causes more wheezing or makes it harder to breathe, stop the medicine. Get medical help right away.

Always carry an ID card or wear a medical alert bracelet indicating your medical condition.

Tell your doctor if symptoms do not get better or if they get worse.

If you have any trouble using the medicine, please tell your doctor, nurse or pharmacist.

Side Effects

The following is a list of some common side effects from this medicine. Please speak with your doctor about what you should do if you experience these or other side effects.

• coughing
• headaches
• hoarseness or throat irritation

Call your doctor or get medical help right away if you notice any of these more serious side effects:

• bone pain
• chest pain
• fever or chills
• fast or irregular heart beats
• high blood pressure
• nausea and vomiting
• seizures
• shakiness
• sore throat
• excessive thirst
• increased urinary frequency
• blurring or changes of vision
• worsening breathing symptoms
• yeast infection in the mouth or throat

A few people may have an allergic reaction to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.