IMPORTANT SAFETY INFORMATION

People with asthma who take long-acting beta2-adrenergic agonist (LABA) medicines, such as salmeterol (one of the medicines in ADVAIR), have an increased risk of death from asthma problems. It is not known if LABA medicines increase the risk of death in people with COPD.
See full Important Safety Information below

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How to Use ADVAIR DISKUS

This demonstration is intended to complement the Medication Guide for ADVAIR DISKUS. For full instructions on how to use ADVAIR DISKUS, and other important information, please see the complete Prescribing Information, including Boxed Warning and Medication Guide, for ADVAIR DISKUS. You can also ask your healthcare provider or pharmacist for more information.

THUMB GRIP
COUNTER
LEVER
MOUTHPIECE
OUTER CASE

Follow these instructions for using your ADVAIR DISKUS®.

  • If you have any questions, ask your healthcare provider or pharmacist.

Take ADVAIR DISKUS out of the foil pouch just before you use it for the first time. Safely throw away the pouch. The DISKUS will be in the closed position.

(continued)
Write the date you opened the foil pouch in the first blank line on the label. Write the "use by" date in the second blank line on the label. That date is 1 month after the date you wrote on the first line.

The counter should read 60. If you have a sample (with "Sample" on the back label) or institutional (with "INSTITUTIONAL PACK" on the foil pouch) pack, the counter should read 14.

When should you get a refill?

The counter on top of the DISKUS shows you how many doses are left.

When should you get a refill?

After you have taken 55 doses (9 doses from the sample or institutional pack), the numbers 5 to 0 will show in red.

When should you get a refill? (continued)

These numbers warn you there are only a few doses left and are a reminder to get a refill.

Follow these steps every time you use ADVAIR DISKUS.

STEP 1: Open your ADVAIR DISKUS.

Hold the DISKUS in your left hand and place the thumb of your right hand in the thumb grip.

STEP 1: Open your ADVAIR DISKUS.
(continued)

Push the thumb grip away from you as far as it will go until the mouthpiece shows and snaps into place.

STEP 2: Slide the lever until you hear it click.

Hold the DISKUS in a level, flat position with the mouthpiece towards you.

STEP 2: Slide the lever until you hear it click.
(continued)

Slide the lever away from the mouthpiece as far as it will go until it clicks. The number on the counter will count down by 1. The DISKUS is now ready to use.

Follow the instructions below so you will not accidentally waste a dose:

  • Do not close the DISKUS.
  • Do not tilt the DISKUS.
  • Do not move the lever on the DISKUS.

STEP 3: Inhale your medicine.

Before you breathe in your dose from the DISKUS, breathe out (exhale) as long as you can while you hold the DISKUS level and away from your mouth. Do not breathe into the mouthpiece.

STEP 3: Inhale your medicine. (continued)

Put the mouthpiece to your lips. Breathe in quickly and deeply through the DISKUS. Do not breathe in through your nose.

STEP 3: Inhale your medicine. (continued)

Remove the DISKUS from your mouth and hold your breath for about 10 seconds, or for as long as is comfortable for you.

STEP 3: Inhale your medicine. (continued)

Breathe out slowly as long as you can.

The DISKUS delivers your dose of medicine as a very fine powder that you may or may not taste or feel. Do not take an extra dose from the DISKUS even if you do not taste or feel the medicine.

STEP 4: Close the DISKUS.

Place your thumb in the thumb grip and slide it back towards you as far as it will go.

STEP 4: Close the DISKUS. (continued)

Make sure the DISKUS clicks shut and you cannot see the mouthpiece.

The DISKUS is now ready for you to take your next scheduled dose in about 12 hours.

When you are ready to take your next dose, repeat steps 1 through 4.

STEP 5: Rinse your mouth.

Rinse your mouth with water after breathing in the medicine.

STEP 5: Rinse your mouth. (continued)

Spit out the water.
Do not swallow it.

  • Store ADVAIR DISKUS at room temperature between 68°F and 77°F (20°C and 25°C). Keep in a dry place away from heat and sunlight.
  • Store ADVAIR DISKUS in the unopened foil pouch and only open when ready for use.

(continued)

  • Safely throw away ADVAIR DISKUS in the trash 1 month after you open the foil pouch or when the indicator reads 0, whichever comes first.
  • Keep ADVAIR DISKUS and all medicines out of the reach of children.
  • Always use the DISKUS in a level, flat position.
  • Make sure the lever firmly clicks into place.
  • Hold your breath for about 10 seconds after inhaling. Then breathe out fully.
  • After each dose, rinse your mouth with water and spit it out. Do not swallow the water.
  • Do not take an extra dose, even if you did not taste or feel the powder.
  • Do not take the DISKUS apart.
  • Do not wash the DISKUS.
  • Always keep the DISKUS in a dry place.
  • Do not use the DISKUS with a spacer device.

If you have questions about ADVAIR DISKUS or how to use your inhaler, call GlaxoSmithKline (GSK) at 1-888-825-5249
or visit www.advair.com.

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How to Use ADVAIR HFA

For full instructions on how to use ADVAIR HFA, and other important information, please see the complete Prescribing Information, including Boxed Warning and Medication Guide, for ADVAIR HFA. You can also ask your healthcare provider or pharmacist for more information.

Approved Uses

ADVAIR DISKUS is a prescription medicine for the treatment of asthma in patients 4 years and older.
ADVAIR HFA is a prescription medicine for the treatment of asthma in patients 12 years and older.

ADVAIR should be used only if your healthcare provider decides that your asthma is not well controlled with a
long-term asthma control medicine, such as an inhaled corticosteroid.

ADVAIR DISKUS 250/50 is a prescription medicine approved for adults with chronic obstructive pulmonary disease (COPD), including chronic bronchitis, emphysema, or both. You should only take 1 inhalation of ADVAIR DISKUS twice a day. Higher doses will not provide additional benefits.

ADVAIR is not for, and should not be used to treat, sudden symptoms of asthma or COPD. ADVAIR won't replace a rescue inhaler.

ADVAIR HFA is not approved for the treatment of COPD.

Important Safety Information

  • People with asthma who take long-acting beta2-adrenergic agonist (LABA) medicines, such as salmeterol (one of the medicines in ADVAIR), have an increased risk of death from asthma problems. It is not known whether fluticasone propionate, the other medicine in ADVAIR, reduces the risk of death from asthma problems seen with LABA medicines, such as salmeterol.
  • It is not known if LABA medicines, such as salmeterol, increase the risk of death in people with COPD.
  • Call your healthcare provider if breathing problems worsen over time while using ADVAIR. You may need different treatment.
  • Get emergency medical care if:
    • your breathing problems worsen quickly
    • you use your rescue inhaler, but it does not relieve your breathing problems
  • ADVAIR should be used only if your healthcare provider decides that your asthma is not well controlled with a long-term asthma control medicine, such as an inhaled corticosteroid.
  • When your asthma is well controlled, your healthcare provider may tell you to stop taking ADVAIR. Your healthcare provider will decide if you can stop ADVAIR without loss of asthma control. Your healthcare provider may prescribe a different asthma control medicine for you, such as an inhaled corticosteroid.
  • Children and adolescents with asthma who take LABA medicines may have an increased risk of hospitalization for asthma problems.
  • Do not use ADVAIR to treat sudden symptoms of asthma or COPD. Always have a rescue inhaler with you to treat sudden symptoms.
  • Do not use ADVAIR DISKUS if you have a severe allergy to milk proteins. Do not use ADVAIR DISKUS or ADVAIR HFA if you are allergic to any of the ingredients in the products. Ask your healthcare provider if you are not sure.
  • Do not use ADVAIR more often than prescribed.
  • Do not take ADVAIR with other medicines that contain a LABA for any reason.
  • Tell your healthcare provider about all the medicines you take and about all of your health conditions.
  • ADVAIR can cause serious side effects, including:
    • fungal infection in your mouth or throat (thrush). Rinse your mouth with water without swallowing after using ADVAIR to help reduce your chance of getting thrush.
    • pneumonia. People with COPD have a higher chance of getting pneumonia. ADVAIR DISKUS may increase the chance of getting pneumonia. Call your healthcare provider if you notice any of the following symptoms:
      • increase in mucus (sputum) production
      • change in mucus color
      • fever
      • chills
      • increased cough
      • increased breathing problems
    • weakened immune system and increased chance of getting infections (immunosuppression). You should avoid exposure to chickenpox and measles, and, if exposed, tell your healthcare provider right away. Worsening of existing tuberculosis, fungal, bacterial, viral, or parasitic infections, or herpes infection of the eye (ocular herpes simplex) may occur.
    • reduced adrenal function. This can happen when you stop taking an oral corticosteroid (such as prednisone) and start taking a medicine containing an inhaled corticosteroid (such as ADVAIR). When your body is under stress such as from fever, trauma (such as a car accident), infection, surgery, or worse COPD symptoms, adrenal insufficiency can get worse and may cause death. Symptoms of adrenal insufficiency include:
      • feeling tired
      • lack of energy
      • weakness
      • nausea and vomiting
      • low blood pressure
    • sudden breathing problems immediately after inhaling your medicine
    • serious allergic reactions. Call your healthcare provider or get emergency medical care if you get any of the following symptoms of a serious allergic reaction:
      • rash
      • hives
      • swelling of your face, mouth, and tongue
      • breathing problems
    • effects on heart
      • increased blood pressure
      • a fast or irregular heartbeat
      • chest pain
    • effects on nervous system
      • tremor
      • nervousness
    • bone thinning or weakness (osteoporosis)
    • slowed growth in children. A child's growth should be checked often.
    • eye problems including glaucoma and cataracts. You should have regular eye exams while using ADVAIR.
    • changes in laboratory blood values (sugar, potassium, certain types of white blood cells)
  • Common side effects of ADVAIR DISKUS for asthma include:
    • upper respiratory tract infection
    • throat irritation
    • hoarseness and voice changes
    • thrush in your mouth or throat
    • bronchitis
    • cough
    • headache
    • nausea and vomiting
    • In children with asthma, infections in the ear, nose, and throat are common.
  • Common side effects of ADVAIR DISKUS 250/50 for COPD include:
    • thrush in your mouth or throat
    • throat irritation
    • hoarseness and voice changes
    • viral respiratory infections
    • headache
    • muscle and bone pain
  • Common side effects of ADVAIR HFA for asthma include:
    • upper respiratory tract infection
    • throat irritation
    • hoarseness and voice changes
    • headache
    • dizziness
    • nausea and vomiting
  • Rinse your mouth with water without swallowing after using ADVAIR to help reduce your chance of getting thrush.