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Here is an essential guide to the safety and warnings associated with the use of Advair (fluticasone / salmeterol). Please review this information thoroughly and consult your healthcare provider if you have any questions or concerns.

• Acute Asthma or Breathing Issues: Advair is not suitable for treating acute asthma attacks or sudden breathing difficulties. Use a fast-acting rescue inhaler, such as albuterol, in these situations.

• Oral Fungal Infections: The use of Advair can lead to thrush, a fungal infection in the mouth and throat. To reduce this risk, rinse your mouth with water and spit after each use. Inform your provider if you experience symptoms like white patches, a cotton-like feeling in the mouth, painful swallowing, or loss of taste.

• Bronchospasm: Inhaled medications like Advair may cause spasms in the lungs, leading to breathing difficulties, wheezing, cough, and chest discomfort. If this occurs, use your rescue inhaler and seek medical attention immediately.

• Increased Infection Risk: As a corticosteroid-containing medication, Advair can suppress your immune system, increasing the risk of infections like pneumonia. Notify your provider if you experience symptoms such as fever, chills, or body aches.

• Hormonal Effects: Overuse of Advair may alter stress hormone levels, potentially causing increased blood sugar or blood pressure. Use only as directed to avoid these effects.

• Growth Concerns in Children: Inhaled steroids can affect growth in children. Healthcare providers will prescribe the lowest effective dose and monitor growth regularly. Discuss any concerns with your child's provider.

• Eye Health: Long-term use of inhaled steroids has been linked to increased eye pressure, glaucoma, and cataracts. Consult your eye doctor if you have a history of these conditions or notice vision changes.

• Cardiac Concerns: Salmeterol in Advair may affect blood pressure, heart rate, or rhythm. Monitor these if you have heart issues and inform your provider of any symptoms such as dizziness, tremor, or irregular heartbeat.

• Electrolyte Imbalance: Advair may lower blood potassium levels, particularly if overused, resulting in symptoms like fatigue, muscle cramps, or a racing heart. Report these to your provider.

• Allergic Reactions: Although rare, severe allergic reactions can occur, including facial swelling, shock, and anaphylaxis. Seek immediate medical attention for symptoms like hives, rash, or difficulty breathing.

This medication is contraindicated for:

• Sudden, severe asthma attacks.
• Individuals allergic to fluticasone, salmeterol, lactose, or milk proteins.

If any of these conditions apply to you, consult your healthcare provider before using Advair.

When taking this medication, some individuals may experience common side effects such as upper respiratory infection, headache, sore throat, bronchitis, cough, nausea, vomiting, and hoarseness. These effects are generally mild, but if they persist or worsen, it’s advisable to consult a healthcare provider for guidance. Throat irritation and muscle or bone pain may also occur, though less frequently.

It’s important to be aware of more serious side effects that, while rare, require immediate medical attention. These include sudden worsening of breathing problems or asthma, chest pain, irregular heartbeat, severe dizziness, fainting, and seizures. If such symptoms arise, use your quick-relief inhaler if applicable, and seek medical help right away.

Additionally, watch for signs of infection such as persistent sore throat or fever, mental or mood changes, trouble sleeping, vision problems, increased thirst or urination, muscle cramps, and shaking. Oral thrush, stomach pain, and diarrhea have also been reported.

In very rare cases, a severe allergic reaction may occur, characterized by rash, itching, swelling, especially of the face, tongue, or throat, severe dizziness, and trouble breathing. Immediate medical intervention is crucial in these situations. Always contact your healthcare provider if you notice any effects not listed, as this is not an exhaustive list of potential side effects.