Do not close the cover until you have taken your dose. If you open and close the cover without inhaling the dose, you will lose the medicine. 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 inhale more than one puff or inhalation , wait about 30 seconds, then gently shake the inhaler for 5 seconds. Take the second inhalation using exactly the same steps you used for your first dose.

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Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. Mayo Clinic does not endorse any of the third party products and services advertised.Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. When you use the inhaler for the first time, or if you have not used it for 7 days or longer, it may not deliver the right amount of medicine with the first puff. Test or prime it first by spraying the medicine into the air 4 times, away from your face. Avoid spraying in your eyes. Spray the inhaler once into the air if it has not been used in 7 days. The inhaler will now be ready to give the right amount of medicine when you use it. Breathe out fully through your mouth, expelling as much air from your lungs as possible. Place the mouthpiece fully into your mouth, holding the inhaler in the mouthpiece-down position and closing your lips around it. 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 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.

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Adults and children 12 years of age and older—At first, 88 micrograms (mcg) 2 times a day (about 12 hours apart). Your doctor may adjust your dose as needed. However, the dose is usually not more than 880 mcg 2 times a day. Take the cap off the mouthpiece (the strap will stay attached to the actuator). Inspect the mouthpiece for the presence of foreign objects and make sure that the canister is fully and firmly inserted into the actuator. Hold the inhaler away from your mouth and breathe out fully. Do not breathe out into the mouthpiece. 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. Your or your child's symptoms do not improve after using this medicine for 2 weeks or if they become worse.

Keep the medicine in the foil pouch until you are ready to use it. Store at room temperature, away from heat and direct light. Do not freeze. 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. Gargling and rinsing your mouth with water after each dose may help prevent hoarseness, throat irritation, and infection in the mouth. However, do not swallow the water after rinsing. 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. Close the green cap after each inhalation. Rinse your mouth with water without swallowing after each inhalation.

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This medicine may cause a fungus infection of the mouth or throat (thrush). Tell your doctor right away if you have white patches in the mouth or throat, or pain when eating or swallowing. 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: Adults and children 12 years of age and older—At first, 100 mcg two times a day (about 12 hours apart). Your doctor may adjust your dose as needed. However, the dose is usually not more than 1000 mcg two times per day. Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. Talk to your doctor if you have darkening of the skin, diarrhea, lightheadedness, dizziness or fainting, loss of appetite, mental depression, muscle pain or weakness, nausea, skin rash, unusual tiredness or weakness, or vomiting. Tuberculosis, active or history of—Inhaled fluticasone can reduce the body's ability to fight off these infections.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 Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Before you use this medicine, the counter should show the number 30. The counter counts down by 1 each time you open the cover. 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).