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This inhaler works best for the shortness of breath. I use it once in a while, especially after walking long distances and climbing the stairs.

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Hypokalemia may result in an increased susceptibility to arrhythmias in patients receiving digoxin.

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Because of deleterious effects of chlorofluorocarbon (CFC) propellants on the ozone layer, the Montreal Protocol was developed by the United Nations in 1987, banning substances that deplete the ozone layer ().

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CORTICOSTEROIDS MAY LOWER YOUR ABILITY TO FIGHT INFECTION or may cause infections to be more severe.

This study appears in the November issue of CHEST, the peer-reviewed journal of the American College of Chest Physicians.

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When multivariate linear regression analysis was performed, no significant correlation between peak cortisol response and the other parameters studied (age, sex, FEV 1 at the time of treatment initiation, dose of inhaled budesonide, duration of treatment) was found after stepwise analysis.

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DO NOT BREAST-FEED while taking this medicine.

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If you are using the inhaler for the first time or if you have not used the inhaler in 3 days, prime it by pressing down on the canister to release two sprays into the air, away from your face.

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You should keep track of the number of inhalations you have used.

Oral inhalation, 1 or 2 inhalations (200 or 400 mcg pirbuterol) every four to six hours, not to exceed a total dose of 12 inhalations (2.

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After you have breathed in all the way, take the inhaler out of your mouth and close your mouth.

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Chapman KR, Mannino DM, Soriano JB, Vermeire PA, Buist AS, Thun MJ, Connell C, Jemal A, Lee TA, Miravitlles M, Aldington S, Beasley R: Epidemiology and costs of chronic obstructive pulmonary disease.

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Both excessive prescribed doses and patient's excessive self-medication with β agonists in acute asthma not responding to usual doses, are now generally recognized as undesirable with all β agonist asthma inhalers.

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Friedman and coworkers concluded that compared with ipratropium alone or albuterol alone, ipratropium and albuterol improved FEV 1 and the FEV 1 AUC and reduced exacerbations and length of hospital stay, thereby reducing overall costs ().

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If this happens, call your doctor right away.

Call your doctor right away if you feel that this medicine is not working as well as usual, or if it makes your condition worse.

After reviewing this worksheet with the patient, the investigator recorded on the case report forms the patient's usual daily dosing regimen and the number of puffs of albuterol that the patient took during the 2-week period preceding that visit.

Combined salmeterol and fluticasone in the treatment of chronic obstructive pulmonary disease: a randomised controlled trial.

You should never use formoterol alone to treat asthma; you must always use it along with another asthma controller medication.

The alternative hypothesis is that poor technique has a differe nt effect on the Respimat?

Do not take more than one dose in 24 hours.

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After the labeled number of inhalations has been used, later inhalations may not contain the correct amount of medication.

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If the cap is not on the mouthpiece, make sure there is nothing in the mouthpiece before use.

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Ipratropium bromide inhalation aerosol (Atrovent; Boehringer Ingelheim; Ridgefield, CT) has been established as a first-line medication for maintenance treatment of bronchospasm in patients with COPD.

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For that purpose it is supplied in a canister for use in an inhaler or in single dose vials for use in a nebulizer.

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Tremor, restlessness, palpitation, tachycardia, dizziness, headache, potentially serious hypokalemia, dryness of mouth, throat irritations, allergic reactions, cough, in very rare instances paradoxical bronchoconstriction.

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The combination of fluticasone, 500 μg, and salmeterol, 50 μg, led to improvement on the Transitional Dyspnea Index (), but it did not increase FEV 1 to a greater extent than fluticasone, 250 μg, and salmeterol, 50 μg (), so there does not seem to be a dose-response relationship.

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While continued use of stable doses of theophylline was allowed during the study (28% of patients were receiving theophylline), regular use of inhaled bronchodilators other than the study drug was not allowed.

Wearing a pedometer can help motivate you to increase the amount of walking you do.

The delivery of drugs via inhalation is strongly dependent on the formulation, the device and the technique used.

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The researchers speculate that delivery of two agents from one device results in better codeposition and hence increased opportunity for synergistic interaction.

Interestingly, patients with reversibility to albuterol showed a large increase in FEV 1 when theophylline was added (32% of baseline), whereas those with poorly reversible obstruction showed no additional benefit when theophylline was added.

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If you switch from Atrovent to Atrovent HFA, you may notice a slightly different taste or feel after inhaling the medication.

You must not administer it in larger doses or for longer than recommended by your physician or pharmacist.

In a study of asthma control, there were no differences in efficacy between fixed-dose fluticasone and salmeterol, fixed-dose budesonide and formoterol, and adjustable-dose budesonide and formoterol during a 4-wk double-blind period ().

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The dose-release button should be pushed while the patient takes a slow, deep breath in through their mouth and a 10-second breath-hold is recommended.

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Professional society guidelines recommend that as the symptoms of chronic obstructive pulmonary disease progress, the patient should receive regular treatment with one or more long-acting bronchodilators, and an inhaled corticosteroid if the patient has repeated exacerbations.

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