Get emergency help immediately if any of the following symptoms of overdose occur: Symptoms of overdose Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements. Side Effects While breathing in deeply and slowly through your mouth, fully depress the top of the metal canister with your finger. Immediately after the puff is delivered, release your finger from the canister and remove the inhaler from your mouth.

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Breathe in through your mouth as steadily and as deeply as you can until you have taken a full deep breath. Do not breathe in through your nose. The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Keep the inhaler dry and clean at all times. Gently wipe the mouthpiece with a dry cloth or tissue as needed. Clean the actuator or mouthpiece at least once a week. Gently wipe the small circular opening where the medicine is sprayed out with a clean cotton swab dampened with water. Wipe the inside of the mouthpiece with a clean tissue dampened with water. Let it air dry overnight. The inhaler has a window that shows the number of doses left. This tells you when you are getting low on medicine. When the inhaler has 5 doses left, the numbers from 5 to 0 will show up in red to remind you to refill your prescription.

Adults and children 12 years of age and older—At first, 113 or 232 micrograms (mcg) 2 times a day (about 12 hours apart). Some patients may start on 55 mcg 2 times a day. Your doctor may adjust your dose as needed. Children 4 to 11 years of age—At first, 50 mcg two times a day (about 12 hours apart). Your doctor may increase your dose as needed. However, the dose is usually not more than 100 mcg two times per day.

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This medicine may decrease bone mineral density when used for a long time. A low bone mineral density can cause weak bones or osteoporosis. If you have any questions about this, ask your doctor. Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.Your short-acting inhaler does not seem to work as well as it used to and you or your child need it more often than normal (eg, you use 1 whole canister of the short-acting inhaler in 8 weeks time, or you need to use 4 or more inhalations of the short-acting inhaler for 2 or more days in a row). There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Drug Interactions

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This medicine may cause children to grow more slowly than usual. Talk to your child's doctor if you have any concerns. If your doctor has told you to take more than one inhalation of medicine at each dose, take the second inhalation using exactly the same steps you used for your first dose. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of fluticasone in the elderly. However, elderly patients are more sensitive to the effects of Arnuity® Ellipta®, Flovent® Diskus®, or Flovent® HFA than younger adults. Elderly patients are also more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving Armonair® or Arnuity® Ellipta®. . Breastfeeding

Hold your breath for about 10 seconds or for as long as you can, before breathing out slowly. This gives the medicine time to settle in your airway and lungs.

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The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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