10
•
It is important that patients are instructed to begin inhalation immediately prior to
actuation. A delay between actuation and inhalation will lead to inadequate drug delivery
from the spacer to the patient. Data show that doses are depleted by 75% or more after
waiting one second between actuation and inhalation.
•
Two to 4 weeks may pass before maximum benefit
is obtained after starting
AEROSPAN Inhalation Aerosol. If symptoms do not improve, or if the condition
worsens, patients should not increase dosage, but should
contact the physician
immediately.
•
Patients should be advised that AEROSPAN Inhalation Aerosol is not a
bronchodilator and is not intended for relief of acute asthma symptoms. Patients should
be made aware the AEROSPAN Inhalation Aerosol is a controller therapy for asthma,
and that it should be taken regularly even if they are asymptomatic.
•
Patients should be instructed to prime the inhaler by releasing two
test sprays into the
air away from the face before first use of AEROSPAN Inhalation Aerosol, and when the
inhaler has not been used for more than 2 weeks.
•
Patients should be instructed that they will receive a new AEROSPAN Inhalation
Aerosol unit each time they refill their prescription. Patients should
be advised to discard
the whole unit including the metal canister, purple actuator, and gray spacer after the
labeled number of actuations have been used. The appearance
of a white ring on the
orifice of the actuator is normal. The performance of AEROSPAN Inhalation Aerosol is
not affected by this residue. No cleaning is required. The gray spacer should not be
removed from the purple actuator.
•
The gray spacer should not be bitten or chewed.
•
Patients whose systemic corticosteroids have been reduced or withdrawn should be
instructed to carry a warning card indicating that they may
need supplemental systemic
corticosteroids during periods of stress or a severe asthma attack that is not responsive to
bronchodilators.
•
Patients who are on immunosuppressant doses of corticosteroids or other
immunosuppressant drugs should be warned to avoid exposure to chickenpox or measles.
If they are exposed, patients should seek medical advice without delay.
•
Patients should be advised that the use of AEROSPAN Inhalation
Aerosol should not
be stopped abruptly.
•
Women should consult with their doctor if they are pregnant or intend on becoming
pregnant, or if they are breast-feeding a baby.
•
Patients should consult with their doctor if they are allergic to any orally-inhaled
corticosteroid.
11
•
Patients should inform their doctor of other medications they are taking as this
medication may not be
suitable in some circumstances, and the doctor may wish to use a
different medicine.
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