معلومات عن المنتج
|الشركه المصنعه||GSK (Glaxo Smith kline)|
|المواد الفعاله بالتفصيل||لا|
|دواعي الإستعمال||Seretide contains two medicines, salmeterol and fluticasone propionate: • Salmeterol is a long-acting bronchodilator. Bronchodilators help the airways in the lungs to stay open. This makes it easier for air to get in and out. The effects last for at least 12 hours. • Fluticasone propionate is a corticosteroid which reduces swelling and irritation in the lungs. The doctor has prescribed this medicine to help prevent breathing problems such as: • Asthma • Chronic Obstructive Pulmonary Disease (COPD). Seretide Accuhaler, at a dose of 50/500 micrograms, reduces the number of flare ups of COPD symptoms. You must use Seretide every day as directed by your doctor. This will make sure that it works properly in controlling your asthma or COPD. Seretide helps to stop breathlessness and wheeziness coming on. However Seretide should not be used to relieve a sudden attack of breathlessness or wheezing. If this happens you need to use a 2 fast-acting ‘reliever’ (‘rescue’) inhaler, such as salbutamol. You should always have your fastacting ‘rescue’ inhaler with you.|
|طريقة الاستعمال و الجرعه||Always use this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure|
|موانع الاستعمال||Do not take Seretide: If you are allergic to salmeterol, fluticasone propionate or to the other ingredient lactose monohydrate.|
|الاعراض الجانبيه||Like all medicines, this medicine can cause side effects, although not everybody gets them. To reduce the chance of side effects, your doctor will prescribe the lowest dose of Seretide to control your asthma or COPD. Allergic reactions: you may notice your breathing suddenly gets worse immediately after using Seretide. You may be very wheezy and cough or be short of breath. You may also notice itching, a rash (hives) and swelling (usually of the face, lips, tongue, or throat), or you may suddenly feel that your heart is beating very fast or you feel faint and light headed (which may lead to collapse or loss of consciousness). If you get any of these effects or if they happen suddenly after using Seretide, stop using Seretide and tell your doctor straight away. Allergic reactions to Seretide are uncommon (they affect less than 1 person in 100). Pneumonia (infection of the lung) in COPD patients. (Common side effect) Tell your doctor if you have any of the following while taking Seretide they could be symptoms of a lung infection: • fever or chills • increased mucus production, change in mucus colour • increased cough or increased breathing difficulties Other side effects are listed below: Very Common (affects more than 1 person in 10) • Headache - this usually gets better as treatment continues. • Increased number of colds have been reported in patients with COPD. Common (affects less than 1 person in 10) • Thrush (sore, creamy-yellow, raised patches) in the mouth and throat. Also sore tongue and hoarse voice and throat irritation. Rinsing your mouth out with water and spitting it out immediately and/or brushing your teeth after taking each dose of your medicine may help. Your doctor may prescribe an anti-fungal medication to treat the thrush. • Aching, swollen joints and muscle pain. • Muscle cramps. The following side effects have also been reported in patients with Chronic Obstructive Pulmonary Disease (COPD): • Bruising and fractures. • Inflammation of sinuses (a feeling of tension or fullness in the nose, cheeks and behind the eyes, sometimes with a throbbing ache). • A reduction in the amount of potassium in the blood (you may get an uneven heart beat, muscle weakness, cramp). Uncommon (affects less than 1 person in 100) • 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. • Cataract (cloudy lens in the eye). • Very fast heart beat (tachycardia). • Feeling shaky (tremor) and fast or uneven heart beat (palpitations) - these are usually harmless and get less as treatment continues. • Chest pain. • Feeling worried (this effect mainly occurs in children). 7 • Disturbed sleep. • Allergic skin rash. Rare (affects less than 1 person in 1000) • Breathing difficulties or wheezing that get worse straight after taking Seretide. If this happens stop using your Seretide inhaler. Use your fast-acting ‘reliever’ inhaler to help your breathing and tell your doctor straight away. • Seretide may affect the normal production of steroid hormones in the body, particularly if you have taken high doses for long periods of time. The effects include: Slowing of growth in children and adolescents Thinning of the bones Glaucoma Weight gain Rounded (moon shaped) face (Cushing’s Syndrome) Your doctor will check you regularly for any of these side effects and make sure you are taking the lowest dose of Seretide to control your asthma. • Behavioural changes, such as being unusually active and irritable (these effects mainly occur in children). • Uneven heart beat or heart gives an extra beat (arrhythmias). Tell your doctor, but do not stop taking Seretide unless the doctor tells you to stop. • A fungal infection in the oesophagus (gullet), which might cause difficulties in swallowing. Frequency not known, but may also occur: • Depression or aggression. These effects are more likely to occur in children. • Blurred vision|
Talk to your doctor before using Seretide if you have:
• Heart disease, including an irregular or fast heart beat
• Overactive thyroid gland
• High blood pressure
• Diabetes mellitus (Seretide may increase your blood sugar)
• Low potassium in your blood
• Tuberculosis (TB) now or in the past, or other lung infections
Contact your doctor if you experience blurred vision or other visual disturbances.
Other medicines and Seretide
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines including medicines for asthma or any medicines obtained without a prescription. This is because Seretide may not be suitable to be taken with some other medicines.
Tell your doctor if you are taking the following medicines, before starting to use Seretide:
• blockers (such as atenolol, propranolol and sotalol). blockers are mostly used for high blood pressure or other heart conditions.
• Medicines to treat infections (such as ketoconazole, itraconazole and erythromycin) including some medicines for HIV treatment (such as ritonavir, cobicistat containing products). Some of these medicines may increase the amount of fluticasone propionate or salmeterol in your body. This can increase your risk of experiencing side effects with Seretide, including irregular heart beats, or may make side effects worse. Your doctor may wish to monitor you carefully if you are taking these medicines.
• Corticosteroids (by mouth or by injection). If you have had these medicines recently, this might increase the risk of this medicine affecting your adrenal gland.
• Diuretics, also known as ‘water tablets’ used to treat high blood pressure.
• Other bronchodilators (such as salbutamol).
• Xanthine medicines. These are often used to treat asthma.
Pregnancy and breastfeeding
If you are pregnant or breastfeeding, 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
Seretide is not likely to affect your ability to drive or use machines.
Seretide Accuhaler contains lactose
Seretide Accuhaler contains up to 12.5 milligrams of lactose monohydrate in each dose. The amount of lactose in this medicine does not normally cause problems in people who are lactose intolerant. The exicipient lactose monohydrate contains small amounts of milk proteins, which may cause allergic reactions.
|طريقة التخزين||• Keep this medicine out of the sight and reach of children. • Do not use this medicine after the expiry date which is stated on the label and carton after EXP. The expiry date refers to the last day of that month. • Do not store above 30C. Do not throw|
|الجرعه||جرعة عند اللزوم|