Do you have asthma or COPD (Chronic Obstructive Pulmonary Disease)? If so, your doctor may have given you an inhaler that comes in a powder form. This is not like the blue inhaler we use in emergencies. This is a daily medication that is used to control the disease, that is, as a "controller". Let's talk about this in detail today.
What is this medicine called Fluticasone and Vilanterol?
Simply put, this is a combination of two types of medication.
1. Fluticasone: This is an inhaled steroid. It works by reducing swelling and inflammation in your airways, the tubes that lead to your lungs (bronchi) . When this swelling is reduced, it becomes easier to breathe.
2. Vilanterol: This belongs to a class of drugs called bronchodilators. It works by relaxing the muscles in your airways and widening the bronchi , making it easier to breathe.
These two medicines work together to help control your asthma or COPD in the long term. Remember, this is not a medicine to use for a sudden asthma attack. In such cases, you should use the blue reliever inhaler that your doctor has given you.
Things to tell your doctor before taking this medicine
It is very important for your doctor to know your complete medical history. Before starting this medication, be sure to tell your doctor if you have any of the conditions listed below.
| Status | Description |
|---|---|
| Heart disease and blood pressure | Heart disease, high blood pressure, heart rhythm irregularities. |
| Other medical conditions | Diabetes, thyroid problems, osteoporosis, seizures, pheochromocytoma. |
| Immune system and infections | Weakened immune system or any existing infectious condition (e.g. tuberculosis). |
| Eye problems | Cataracts, glaucoma, or other vision problems. |
| Allergies | If you are allergic to this medicine (Fluticasone, Vilanterol), milk proteins, other steroids, other medicines, foods, or preservatives. |
| Special occasions | If you are pregnant, trying to get pregnant, or breastfeeding. |
How to use this inhaler correctly?
It is very important to know exactly how to use this.
1. This medicine should be inhaled by mouth. Read the instruction leaflet that comes with the inhaler carefully.
2. Use this medicine at the same time every day , as prescribed by your doctor. Never use more than the prescribed amount.
3. Most important: After swallowing the medicine, rinse your mouth thoroughly with water and spit it out. Never swallow the water. This is essential to prevent infections like thrush (white patches) in the mouth and throat.
If you have any questions about how to use this inhaler, talk to your doctor about it.
What to do if you miss a dose ?
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. Never take a double dose.
What if I take too much medicine?
If you think you have taken too much of this medicine, immediately call the National Poisons Information Centre at the Colombo National Hospital , or go to the Emergency Department (ETU) of the nearest hospital.
Things to keep in mind when using this medicine
- Not for emergencies: As I said before, don't use this for a sudden asthma attack. Keep your reliever inhaler (short-acting rescue inhaler) handy for that. If your symptoms get worse, or if you need to use your reliever inhaler more often, see your doctor right away.
- Increased difficulty breathing: Sometimes you may experience increased difficulty breathing or wheezing after using this inhaler. If this happens, stop using this medicine immediately, use your reliever inhaler, and talk to your doctor.
- Risk of infection: This medicine may slightly reduce your body's ability to fight infections. Therefore, if you experience symptoms such as fever, cold, or sore throat, do not self-medicate and see a doctor. Try to stay away from people who are sick.
- Blood sugar levels: This medication may increase blood sugar levels. If you already have diabetes, you should be especially careful about this.
- Other medications: If you take over-the-counter medications for coughs, colds, or allergies, always check with your doctor, as they may interact with this inhaler.
Side effects of the medicine
Like any medicine, this one can cause some side effects. Some are serious, some are common.
| Side effects that should be reported to the doctor immediately | |
|---|---|
| Allergic reactions | Skin rash, itching, swelling of the face, lips, tongue or throat. |
| Changes in heart rate | Increased or irregular heartbeat, dizziness, chest pain, difficulty breathing. |
| Other serious symptoms | Increased blood pressure, white, milky discharge (thrush) in the mouth, increased difficulty breathing after taking the medicine, muscle pain or lameness. |
| Side effects that are usually not serious, but should be reported to the doctor if they persist | |
| Minor inconveniences | Dry mouth, sore throat, hoarseness, cough, headache, change in taste, insomnia, trembling of the limbs. |
Take-Home Message
- This inhaler is a controller medication. Do not use it for a sudden asthma attack.
- After swallowing the medicine, always rinse your mouth thoroughly with water and spit it out.
- Tell your doctor about any other medications you are taking and any other medical conditions you have.
- If you experience any serious side effects such as a sore throat, chest pain, or increased difficulty breathing, seek medical advice immediately.
- Never stop taking this medication or change the dosage without your doctor's advice.
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