Arnuity Ellipta (Fluticasone Furoate)
Arnuity Ellipta (℞)
(℞) Prescription required. Product of Canada. Shipped from Canada.
Arnuity Ellipta (℞)
(℞) Prescription required. Product of Canada. Shipped from Canada.
To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. read more
Fluticasone Furoate Information
(floo tik' a sone)
- Before you use the aerosol inhaler for the first time, remove it from the overwrap. Dispose of the overwrap and the drying packet that is inside the overwrap.
- Be sure that the inhaler is at room temperature.
- Remove the cap from the mouthpiece. The strap on the side of the cap will stay attached to the actuator to keep the cap from getting lost. Check the mouthpiece for dirt and other objects before each use, especially if the cap was not used to cover the mouthpiece.
- Be sure the canister is fully and firmly inserted in the actuator. Shake the inhaler well for 5 seconds.
- If you are using the inhaler for the first time, prime it by releasing four test sprays into the air, away from your face. Shake the inhaler for 5 seconds before each spray. If you have not used the inhaler in more than 7 days, or if you have dropped the inhaler, shake the inhaler for 5 seconds and release one spray into the air. Be careful not to spray the medication into your eyes.
- Breathe out through your mouth.
- Hold the inhaler facing you with the mouthpiece on the bottom. Place your thumb under the mouthpiece and your index finger on the top of the canister. Place the mouthpiece in your mouth and close your lips around it.
- Breathe in deeply and slowly through your mouth. At the same time, press down firmly on the top of the canister with your index finger. Remove your index finger as soon as the spray is released.
- When you have breathed in fully, remove the inhaler from your mouth and close your mouth.
- Try to hold your breath for 10 seconds.
- If your doctor told you to inhale more than one puff, wait 30 seconds, shake the canister again, and repeat steps 6 through 10 for each puff.
- Put the cap back on the mouthpiece.
- Rinse your mouth with water and spit the water out. Do not swallow the water.
- Remove the mouthpiece cap, but leave the canister in the actuator.
- Dampen the tip of a cotton swab with water. Use the damp swab to clean the small hole where the medication comes out. Twist the swab in a circular motion to remove any medication that is left in or near the hole.
- Repeat step 2 with a second cotton swab.
- Dampen a clean tissue with water. Wipe the inside of the mouthpiece with the damp tissue.
- Leave the mouthpiece uncovered overnight to allow it to air dry.
- Replace the mouthpiece cap when the actuator is dry.
- If you are using a new inhaler for the first time, remove it from the foil pouch. Write the date that you opened the inhaler in the space provided on the cap label.
- Hold the inhaler in your left hand and place the thumb of your right hand in the thumb grip. Push the thumb grip away from you as far as it will go until the mouthpiece shows and snaps into place.
- Hold the inhaler in a level, flat position with the mouthpiece toward you. Slide the lever away from the mouthpiece as far as it will go until it clicks.
- Before you breathe in your dose from the inhaler, exhale as long as you can while you hold the inhaler level and away from your mouth. Do not close, tilt, or move the inhaler lever. Do not breathe into the inhaler.
- Place the mouthpiece between your lips well into your mouth. Close your lips tightly around the mouthpiece. Inhale deeply and quickly. Do not breath in through your nose. nose. Adults giving the treatment to young children may hold the child's nose closed to be sure that the medication goes into the child's throat.
- Remove the inhaler from your mouth and hold your breath for about 10 seconds. Do not blow or exhale through the inhaler.
- If you inhale two puffs, repeat steps 4 through 6.
- Replace the protective cap on the inhaler and twist it shut.
- After each treatment, rinse your mouth with water and spit. Do not swallow the water.Ask your pharmacist or doctor for a copy of the manufacturer's information for the patient.
Before using fluticasone oral inhalation,
- tell your doctor and pharmacist if you are allergic to fluticasone, any other medications, or any of the ingredients in fluticasone inhalation. Ask your pharmacist for a list of the ingredients.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or have recently taken. Be sure to mention any of the following: antifungals such as itraconazole (Onmel, Sporanox) and ketoconazole (Nizoral); clarithromycin (Biaxin); HIV protease inhibitors such as atazanavir (Reyataz, in Evotaz), indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, in Kaletra, in Viekira Pak, others), and saquinavir (Invirase); medications for seizures, nefazodone; oral steroids such as dexamethasone, methylprednisolone (Medrol), and prednisone (Rayos); and telithromycin (Ketek). Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Many other medications may also interact with fluticasone oral inhalation so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list.
- do not use fluticasone inhalation during an asthma attack. Your doctor will prescribe a short-acting inhaler to use during asthma attacks. Call your doctor if you have an asthma attack that does not stop when using the fast-acting asthma medication, or if you need to use more of the fast-acting medication than usual.
- if you are using any other inhaled medications, ask your doctor if you should inhale these medications a certain amount of time before or after you inhale fluticasone inhalation.
- tell your doctor if you or anyone in your family has or has ever had osteoporosis (a condition in which the bones become thin and weak and break easily) and if you have or have ever had tuberculosis (TB; a type of lung infection) in your lungs, cataracts (clouding of the lens of the eye), glaucoma (an eye disease), or liver disease. Also tell your doctor if you have any type of untreated infection anywhere in your body or a herpes eye infection (a type of infection that causes a sore on the eyelid or eye surface), or if you are on bedrest or unable to move around.
- tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while using fluticasone, call your doctor.
- if you are having surgery, including dental surgery, tell the doctor or dentist that you are using fluticasone.
- if you have any other medical conditions, such as asthma, arthritis, or eczema (a skin disease), they may worsen when your oral steroid dose is decreased. Tell your doctor if this happens or if you experience any of the following symptoms during this time: extreme tiredness, muscle weakness, or pain; sudden pain in stomach, lower body, or legs; loss of appetite; weight loss; upset stomach; vomiting; diarrhea; dizziness; fainting; depression; irritability; and darkening of skin. Your body may be less able to cope with stress such as surgery, illness, severe asthma attack, or injury during this time. Call your doctor right away if you get sick and be sure that all healthcare providers who treat you know that you recently replaced your oral steroid with fluticasone inhalation. Carry a card or wear a medical identification bracelet to let emergency personnel know that you may need to be treated with steroids in an emergency.
- tell your doctor if you have never had chickenpox or measles and you have not been vaccinated against these infections. Stay away from people who are sick, especially people who have chickenpox or measles. If you are exposed to one of these infections or if you develop symptoms of one of these infections, call your doctor right away. You may need treatment to protect you from these infections.
- you should know that fluticasone inhalation sometimes causes wheezing and difficulty breathing immediately after it is inhaled. If this happens, use your fast-acting (rescue) asthma medication right away and call your doctor. Do not use fluticasone inhalation again unless your doctor tells you that you should.
- stuffy or runny nose
- sore or irritated throat
- painful white patches in the mouth or throat
- ear infection
- swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
- difficulty breathing or swallowing
- shortness of breath