how to use Serevent

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Take the SEREVENT DISKUS out of the box and foil overwrap pouch. Write the "Pouch opened" and "Use by" dates on the label on top of the DISKUS. The "Use by" date is 6 weeks from date of opening the pouch.

The DISKUS will be in the closed position when the pouch is opened.
The dose indicator on the top of the DISKUS tells you how many doses are left. The dose indicator number will decrease each time you use the DISKUS. After you have used 55 doses from the DISKUS, the numbers 5 to 0 will appear in red to warn you that there are only a few doses left. If you are using a “sample” DISKUS, the numbers 5 to 0 will appear in red after 23 doses.

Taking a dose from the DISKUS requires the following 3 simple steps: Open, Click, Inhale.

1. OPEN
Hold the DISKUS in one hand and put the thumb of your other hand on the thumbgrip. Push your thumb away from you as far as it will go until the mouthpiece appears and snaps into position.

2. CLICK
Hold the DISKUS in a level, flat position with the mouthpiece toward you. Slide the lever away from you as far as it will go until it clicks. The DISKUS is now ready to use.

Every time the lever is pushed back, a dose is ready to be inhaled. This is shown by a decrease in numbers on the dose counter. To avoid releasing or wasting doses once the DISKUS is ready:

•	Do not close the DISKUS.
•	Do not tilt the DISKUS.
•	Do not play with the lever.
•	Do not move the lever more than once.

3. INHALE
Before inhaling your dose from the DISKUS, breathe out (exhale) fully while, holding the DISKUS level and away from your mouth. Remember, never breathe out into the DISKUS mouthpiece.

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

Remove the DISKUS from your mouth. Hold your breath for about 10 seconds, or for as long as is comfortable. Breathe out slowly.

The DISKUS delivers your dose of medicine as a very fine powder. Most patients can taste or feel the powder. Do not use another dose from the DISKUS if you do not feel or taste the medicine.

4. CLOSE the DISKUS when you are finished taking a dose so that the DISKUS will be ready for you to take your next dose.
Put your thumb on the thumbgrip and slide the thumbgrip back toward you as far as it will go. The DISKUS will click shut. The lever will automatically return to its original position. The DISKUS is now ready for you to take your next scheduled dose, due in about 12 hours. (Repeat the steps 1 to 4.)

REMEMBER
•	Never breathe into the DISKUS.
•	Never take the DISKUS apart.
•	Always ready and use the DISKUS in a level, flat position.
•	Do not use the DISKUS with a spacer device.
•	Never wash the mouthpiece or any part of the DISKUS. Keep it dry.
•	Always keep the DISKUS in a dry place.
•	Never take an extra dose, even if you did not taste or feel the medicine.
	Please see complete instructions for use provided with every SEREVENT DISKUS.

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Important information about SEREVENT
SEREVENT DISKUS does not replace fast-acting inhalers for sudden symptoms and should not be taken more than twice a day. In patients with asthma, medicines like SEREVENT may increase the chance of asthma-related death. Talk to your doctor about this risk and the benefits of treating your asthma with SEREVENT. SEREVENT should not be the only controller medicine prescribed for your asthma and is not a substitute for anti-inflammatory medications (inhaled or oral corticosteroids). Tell your doctor if you have a heart condition or high blood pressure. Some people may experience increased blood pressure, heart rate, or changes in heart rhythm. See your doctor if your asthma does not improve.

SEREVENT DISKUS is indicated for the long-term, twice-daily (morning and evening) administration in the maintenance treatment of asthma in patients 4 years of age and older.

SEREVENT DISKUS is also indicated for the prevention of exercise-induced bronchospasm in patients 4 years of age and older.

SEREVENT DISKUS is indicated for the maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD) (including emphysema and chronic bronchitis).

Complete Prescribing Information and Medication Guide for SEREVENT^® DISKUS^® (salmeterol xinafoate inhalation powder)