Asthma Medicines

Terbutaline is a bronchodilator. Terbutaline works by relaxing muscles in the airways to improve breathing.

Terbutaline is used to treat bronchospasm (wheezing, shortness of breath) associated with lung diseases such as asthma, bronchitis, and emphysema.

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.

Before taking terbutaline, tell your doctor if you have

• heart disease or high blood pressure
• epilepsy or another seizure disorder
• diabetes
• an overactive thyroid (hyperthyroidism)
• liver disease
  
• kidney disease

You may not be able to take terbutaline or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Terbutaline is in the FDA pregnancy category B. This means that terbutaline is not expected to be harmful to an unborn baby. Do not take terbutaline without first talking to your doctor if you are pregnant or could become pregnant during treatment. Terbutaline passes into breast milk and may affect a nursing baby. Do not take terbutaline without first talking to your doctor if you are breast-feeding a baby.

Flovent is a corticosteroid. It works by reducing inflammatory reactions in the airways in response to allergens and irritants in the air.

Flovent is used to prevent bronchial asthma attacks. It will not treat an asthma attack that has already begun.

Do not use Flovent to treat an asthma attack that has already begun. It will not work fast enough to reverse your symptoms. Use another, faster-acting inhalation medication to treat an asthma attack.

Contact your doctor if your asthma symptoms do not improve after using Flovent for 2 weeks.

Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack.

Your dosage needs may change if you have surgery, are ill, are under stress, or have recently had an asthma attack. Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks.

If you were switched from an oral (taken by mouth) steroid to Flovent, you may need to go back to taking the oral medicine if you are under stress or have an asthma attack or other medical emergency. Carry an identification card or wear a medical alert ID to let others know that you may need an oral steroid in an emergency.

You should not use Flovent if you are allergic to fluticasone.

Before using this medication, tell your doctor if you have been sick or had an infection of any kind. You may not be able to use Flovent until you are well.

FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before using Flovent, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether fluticasone passes into breast milk or if it could harm a nursing baby. Do not use Flovent without telling your doctor if you are breast-feeding a baby.

Flovent can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using this medication.

Do not give this medicine to a child younger than 4 years old without the advice of a doctor.

Long-term use of steroids may lead to bone loss (osteoporosis), especially if you smoke, if you do not exercise, if you do not get enough vitamin D or calcium in your diet, or if you have a family history of osteoporosis. Talk with your doctor about your risk of osteoporosis.

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Rhinocort Aqua is a nasal spray containing budesonide, a corticosteroid. It prevents the release of substances in the body that cause inflammation.

Rhinocort Aqua is used to treat nasal symptoms such as congestion, sneezing, and runny nose caused by seasonal or year-round allergies. Rhinocort Aqua is also used to keep nasal polyps from coming back after surgery to remove them.

Before using Rhinocort Aqua, tell your doctor if you have been sick or had an infection of any kind. Also tell your doctor if you have liver disease, glaucoma or cataracts, herpes simplex infection of your eyes, tuberculosis, sores or ulcers in your nose, or if you have recently had injury of or surgery on your nose.

It may take up to 2 weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after a week of treatment.

To be sure Rhinocort Aqua is not causing harmful effects on your nose or sinuses, your doctor may want to check your progress on a regular basis. Do not miss any scheduled visits to your doctor.

Budesonide can lower the blood cells that help your body fight infections. Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using Rhinocort Aqua.

Avoid getting Rhinocort Aqua in your eyes. If this does happen, rinse with water and call your doctor.

Steroid medicines can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using Rhinocort Aqua.

You should not use this Rhinocort Aqua if you are allergic to budesonide.

Before using Rhinocort Aqua, tell your doctor if you have been sick or had an infection of any kind. You may not be able to use Rhinocort Aqua until you are well.

Also tell your doctor if you are allergic to any drugs, or if you have:

• liver disease
• glaucoma or cataracts
• herpes simplex virus of your eyes
• tuberculosis or any other infection or illness
• sores or ulcers inside your nose
  
• if you have recently had injury of or surgery on your nose

FDA pregnancy category B. Rhinocort Aqua is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether budesonide passes into breast milk or if it could harm a nursing baby. Do not use Rhinocort Aqua without telling your doctor if you are breast-feeding a baby.

Steroid medicines can affect growth in children. Talk with your doctor if you think your child is not growing at a normal rate while using Rhinocort Aqua.

Serevent is used to prevent asthma attacks. Salmeterol is a bronchodilator. It works by relaxing muscles in the airways to improve breathing. It will not treat an asthma attack that has already begun.

Serevent is also used to treat chronic obstructive pulmonary disease (COPD) including emphysema and chronic bronchitis.

Do not use Serevent to treat an asthma attack that has already begun. Salmeterol may increase the risk of asthma-related death. Use only the prescribed dose of this medication, and do not use it for longer than your doctor recommends. Follow all patient instructions for safe use. Talk with your doctor about your individual risks and benefits of using Serevent.

Asthma is often treated with a combination of different drugs. If you use Serevent to treat asthma, you must use it together with another asthma control medication. Use all of your medications as directed by your doctor. Talk with your doctor if your medications do not seem to work as well in treating or preventing attacks. Do not change your doses or medication schedule without advice from your doctor.

Do not use a second form of salmeterol (such as Advair) or use a similar inhaled bronchodilator such as formoterol or arformoterol (Foradil, Perforomist, Symbicort, or Brovana) unless your doctor has told you to.

Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack. If you use a peak flow meter at home, call your doctor if your numbers are lower than normal.

You should not use Serevent if you are allergic to salmeterol. If you have asthma, Serevent should not be your only asthma medication. You must use it together with at least one other asthma control medication.

If you have any of these other conditions, you may need to adjust your Serevent dose or have special tests:

• a food or drug allergy
• heart disease or high blood pressure
• epilepsy or other seizure disorder
• diabetes
• a thyroid disorder
  
• liver disease

FDA pregnancy category C. It is not known whether Serevent will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether salmeterol passes into breast milk or if it could harm a nursing baby. Do not use Serevent without telling your doctor if you are breast-feeding a baby. Do not give this medication to a child younger than 4 years old.

Singulair is a leukotriene inhibitor. Leukotrienes are chemicals your body releases when you breathe in an allergen (such as pollen). These chemicals cause swelling in your lungs and tightening of the muscles around your airways, which can result in asthma symptoms.

Singulair is used to prevent asthma attacks in adults and children as young as 12 months old. It is also used to relieve runny nose and sneezing caused by allergies in adults and children as young as 6 months old.

Do not give Singulair to a child without a doctor's advice.

Singulair is also used to prevent exercise-induced bronchoconstriction (narrowing of the air passages in the lungs) in adults and teenagers who are at least 15 years old and are not already taking this medicine for other conditions.

If you already take Singulair to prevent asthma or allergy symptoms, do not use an extra dose to treat exercise-induced bronchoconstriction.

Singulair will not work fast enough to treat an asthma attack that has already begun. Use only a fast-acting inhalation medicine to treat an asthma attack. Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing attacks.
It may take up to several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after several weeks of treatment.

Call your doctor right away if you feel that this medicine is not working as well as usual, or if it makes your condition worse. If it seems like you need to use more of any of your medications in a 24-hour period, talk with your doctor.

If you already take Singulair to prevent asthma or allergy symptoms, do not use it for exercise-induced bronchoconstriction.

Call your doctor at once if you have any mood or behavior changes, anxiety, depression, or thoughts about suicide or hurting yourself.

Do not use Singulair if you are allergic to montelukast.

The chewable tablet form of Singulair may contain phenylalanine. Talk to your doctor before using this form of Singulair if you have phenylketonuria (PKU).

FDA pregnancy category B. Singulair is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Singulair passes into breast milk or if it could harm a nursing baby. Do not use Singulair without telling your doctor if you are breast-feeding a baby.

Albuterol is a bronchodilator that relaxes muscles in the airways and increases air flow to the lungs.

Albuterol is used to treat or prevent bronchospasm in people with reversible obstructive airway disease. Albuterol is also used to prevent exercise-induced bronchospasm.

It is important to keep Albuterol on hand at all times. Get your prescription refilled before you run out of medicine completely. Keep using all of your other medications as prescribed by your doctor.

Call your doctor right away if you feel that albuterol is not working as well as usual, or if it makes your condition worse. If it seems like you need to use more of any of your medications in a 24-hour period, talk with your doctor.
Seek emergency medical attention if you think you have used too much of this medicine. An overdose of albuterol can be fatal. Extreme heat can cause the medicine canister to burst. Do not store your inhaler in your car on hot days. Do not throw an empty canister into open flame.

You should not use this medication if you are allergic to albuterol.

If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication.

Before using albuterol, tell your doctor if you have:

• heart disease, high blood pressure, or congestive heart failure
• a heart rhythm disorder
• a seizure disorder such as epilepsy
• diabetes
  
• overactive thyroid

If you have any of these conditions, you may not be able to use albuterol, or you may need a dose adjustment or special tests during treatment.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether albuterol passes into breast milk or if it could harm a nursing baby. Do not use Albuterol without telling your doctor if you are breast-feeding a baby.