What is Serevent inhalation
is a bronchodilator. It works by relaxing muscles in the airways
to improve breathing.
inhalation is used to treat asthma. It is used only to prevent
asthma attacks, not to treat an attack already in progress.
It will not work fast enough to give relief during an attack.
Serevent is also used in the treatment of chronic obstructive
pulmonary disease (COPD) including emphysema and chronic bronchitis.
inhalation may also be used for conditions other than those
listed in this medication guide.
General medical information about Serevent inhalation
Serevent is a long-acting medication used to treat
chronic asthma. It does not treat acute asthma attacks.
Do not substitute Serevent inhalation for any of
your other asthma medications, especially if you are having
an acute asthma attack.
It is very important that
you use the Serevent inhaler properly, so that the medicine
gets into your lungs. Your doctor may want you to use a
spacer with the inhaler. (A spacer should not be used with
the Serevent Diskus inhaler.) Talk to your doctor about
proper inhaler use.
Do not use Serevent more often
than is prescribed by your doctor. Doing so could seriously
affect your heart and even lead to death.
attention if you notice that you require more than your
usual or more than the maximum amount of any asthma medication
in a 24-hour period. An increased need for medication could
be an early sign of a serious asthma attack.
What you should discuss with your doctor before using
Before using this medication, tell your doctor if you have:
- heart disease or high blood pressure;
- irregular heartbeats;
- epilepsy or another
- an overactive
- liver disease; or
You may require a dosage adjustment
or special monitoring during therapy if you have any of
the conditions listed above.
is in the FDA pregnancy category C. This means that it is
not known whether Serevent inhalation will be harmful to
an unborn baby. Do not use this medication without first
talking to your doctor if you are pregnant or could become
pregnant during treatment.
It is not known whether
Serevent passes into breast milk. Do not use Serevent inhalation
without first talking to your doctor if you are breast-feeding
Serevent inhalation aerosol is approved for
use by children 12 years of age and older. Serevent Diskus
is approved for use by children 4 years of age and older.
How should you use Serevent inhalation Use Serevent inhalation exactly as directed by your
doctor. If you do not understand these directions, ask your
pharmacist, nurse, or doctor to explain them to you.
If you are using Serevent to prevent exercise-induced asthma,
take a dose 30 to 60 minutes before exercising, or as directed
by your doctor. Another dose should not be taken for at
least 12 hours.
To use the inhaler:
the inhaler several times and uncap the mouthpiece. Breathe
out fully. For best results, hold the inhaler 1 to 2 inches
in front of your open mouth or attach a spacer to the inhaler
and place the spacer in your mouth, above your tongue and
past your teeth. Take a deep, slow breath as you push down
on the canister. Hold your breath for 10 seconds, then exhale
slowly. If you place your inhaler directly into your mouth,
you may not receive the correct amount of medicine because
it will be propelled onto the back of your tongue and/or
throat. If you do use your inhaler directly in your mouth,
be sure that it is above your tongue and past your teeth.
- If your doses consist of more than one puff each,
wait for at least 1 full minute after each puff, then repeat
- Keep your inhaler clean and dry.
Keep the mouthpiece capped to avoid getting dirt inside
it. Clean your inhaler once a day by removing the canister
and immersing the mouthpiece in warm water. Allow the parts
to dry, then reassemble the inhaler.
To use the Serevent
- Snap the mouthpiece into position.
Hold the Diskus level and away from your mouth, breathe
out fully away from the mouthpiece. (Do not breathe out
into the Diskus mouthpiece.) Put the mouthpiece to your
lips. Take a steady, deep breath in through your mouth.
Remove the mouthpiece from your mouth. Hold your breath
for about 10 seconds. Breathe out slowly away from the mouthpiece.
Close the Diskus. The Diskus is now ready for your next
- Never wash the mouthpiece or any
part of the Diskus device. Keep it dry at all times.
It is very important that you use the Serevent inhaler properly,
so that the medicine gets into your lungs. Your doctor may
want you to use a spacer with the inhaler. (A spacer should
not be used with the Serevent Diskus inhaler.) Talk to your
doctor about proper inhaler use.
In most cases, you
should be able to taste or feel a dose of Serevent inhalation
being delivered. If the delivery of a dose is not detected,
do not use another dose. Contact your healthcare provider
if you have questions.
Do not use Serevent inhalation
more often than is prescribed by your doctor. Doing so could
seriously affect your heart and even lead to death. Generally,
Serevent should not be used more often than every 12 hours.
Do not use Serevent inhalation to treat an asthma
attack that has already begun. It will not work fast enough
to reverse your symptoms. Have another, faster-acting inhalation--such
as albuterol (Ventolin, Proventil)--on hand to relieve asthma
Seek medical attention if you notice that
you require more than your usual or more than the maximum
amount of any asthma medication in a 24-hour period. An
increased need for medication could be an early sign of
a serious asthma attack.
Serevent inhalation is not
a substitute for steroid medications taken orally or by
inhalation. Do not stop taking a steroid medication without
first talking to your doctor.
Do not stop using Serevent
inhalation without first talking to your doctor.
Refill your medication before you run out and before going
If you miss a dose: If it is almost time for your next regularly scheduled
dose, skip the missed dose and use the next one as directed.
Alternatively, you can use the missed dose as soon as you
remember, then wait at least 12 hours before using another
dose of Serevent. Do not use a double dose of this medication.
What happens if you overdose: Seek emergency medical attention.
of a Serevent overdose include angina or chest pain, irregular
heartbeats or a fluttering heart, seizures, tremor, weakness,
headache, nausea, and vomiting.
What should you avoid while using Serevent inhalation Avoid situations that may trigger an asthma attack
such as exercising in cold, dry air; smoking; breathing
in dust; and exposure to allergens such as pet fur.
Possible side effects of Serevent inhalation Stop using Serevent inhalation and seek emergency
medical attention if you experience any of the following
serious side effects:
- an allergic reaction (difficulty
breathing; closing of your throat; swelling of your lips,
tongue, or face; or hives); or
- chest pain or irregular
Other, less serious side effects may
be more likely to occur. Continue to use Serevent inhalation
and talk to your doctor if you experience
dizziness, lightheadedness, or insomnia;
- nausea, vomiting,
or diarrhea; or
- dry mouth.
other than those listed here may also occur. Talk to your
doctor about any side effect that seems unusual or that
is especially bothersome.
What other drugs will affect Serevent Before using this medication, tell your doctor if
you are taking any of the following medicines:
a beta-blocker such as atenolol (Tenormin), metoprolol (Lopressor),
propranolol (Inderal), acebutolol (Sectral), bisoprolol
(Zebeta), carteolol (Cartrol), carvedilol (Coreg), labetalol
(Normodyne, Trandate), nadolol (Corgard), or pindolol (Visken);
- a tricyclic antidepressant such as amitriptyline
(Elavil), doxepin (Sinequan), nortriptyline (Pamelor), amoxapine
(Asendin), clomipramine (Anafranil), desipramine (Norpramin),
imipramine (Tofranil), or protriptyline (Vivactil);
a monoamine oxidase inhibitor (MAOI) such as isocarboxazid
(Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);
- caffeine, a diet medicine, or a decongestant.
You may not be able to use Serevent, or you may require
a dosage adjustment or special monitoring during treatment
if you are taking any of the medicines listed above.
other than those listed here may also interact with Serevent
inhalation, or affect your condition. Talk to your doctor
and pharmacist before taking any prescription or over-the-counter
medicines, including herbal products.