Prevents breathing problems. Advair Diskus (Fluticasone / Salmeterol) is good for people who need two medicines to control their asthma or COPD, but it might be expensive since there's no generic available.
Makes it easier to breathe. Spiriva (Tiotropium) works well to reduce COPD symptoms and flare-ups with fewer side effects than some medicines that open airways, but you have to use it every day.
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Advair Diskus (Fluticasone / Salmeterol) is a combination medicine. Fluticasone (a corticosteroid) lowers lung inflammation to control asthma and COPD. Salmeterol (a bronchodilator) relaxes muscles in your lungs to open airways and make breathing easier.
Spiriva (Tiotropium) is a bronchodilator. It relaxes muscles in your lungs to open your airways and make breathing easier.
› Adrenal suppression can occur if you lower your dose or stop taking Advair Diskus (Fluticasone / Salmeterol) too quickly which is related to one of the medications in the combination. Symptoms include joint or muscle pain, extreme low energy and depression. Changes in your medication need to be done slowly and over time. Talk to your doctor before you decrease or stop Advair Diskus (Fluticasone / Salmeterol).
› The kidney is mainly responsible for removing Spiriva (Tiotropium) from the body so people with kidney disease or reduced function need to be watched closely. Spiriva (Tiotropium) can build up in the body and cause certain side effects. Tell your doctor if you develop dry mouth, blurry vision, confusion, sweating, increased heart rate or constipation. You may need to discuss other medication options to treat your COPD.
› Steroids can slow height growth in kids.
No weight related info.
Upsides and benefits
› 2-in-1 medicine that lowers inflammation and opens airways in your lungs. Medicines are more effective together than alone.
› Makes lung function significantly better.
› Lowers the number of flare-ups and rescue inhaler uses in asthma and COPD.
› You only have to use it twice a day.
› Both the Diskus and inhaler can be used to treat asthma.
› Helps you breathe easier and lessens the need for a fast-acting (rescue) inhaler.
› Reduces flare-ups and hospitalizations with fewer side effects compared to some other medicines that open airways.
› You only need to take it once a day.
Downsides and risks
› You have to use Advair every day to control your symptoms.
› You can't lower the dose or stop taking it too suddenly.
› The HFA inhaler isn't approved to treat COPD.
› Can make your heart race.
› Steroids can slow height growth in kids.
› Because steroids suppress your immune system, you can catch bacterial and viral infections easier, and they can take longer to go away.
› There have been some reports of worsening asthma leading to death when taking this medicine.
› Won't cure your COPD (but it will relieve your symptoms).
› You'll need to use this medicine for a long time, and you have to take it every day.
› Can make symptoms of enlarged prostate or urinary blockage worse.
› Can worsen a certain type of glaucoma.
› You might feel dizzy or have blurry vision while taking this medicine.
Tips from our pharmacists for people taking the medication
› Lowers inflammation and opens airways to improve breathing.
› Starts working in about 30 minutes, but it can take 1 to 2 weeks to feel the full effects.
› Prevents asthma symptoms, but doesn't treat sudden wheezing or asthma attacks once they start.
› Use inhaler in a level position, and don't breathe out into the device.
› Rinse your mouth out with water after each use.
› Shake inhaler for 5 seconds before you use it.
› Pump the inhaler 4 times before inhaling the first dose, or if it's been more than a month since your last dose.
› Call 911 or your doctor if it's hard to breathe or you have an asthma attack while on this medication.
› Diskus contains lactose, so don't use it if you're allergic to milk protein.
› Don't swallow the capsule. Insert the capsule into an inhaler device only.
› Use daily to control your COPD.
› Starts working the first few hours, but it may take longer to feel full effects.
› Prevents breathing problems, but doesn't stop sudden cough or wheezing once they start.
› Don't breathe out into the inhaler.
› You might feel dizzy and notice changes in your vision.
› Don't use it if you have an allergy to atropine.
› Contains lactose, so don't use it if you're allergic to milk protein.