<p>Patients will need to be trained on the use of the inhaler and their asthma should be regularly reassessed by a doctor, so that the strength of this inhaler they are receiving remains optimal and is only changed on medical advice. The dose should be titrated to the lowest dose at which effective control of symptoms is maintained.<br />
<br />
Patients should be given the strength of this inhaler containing the appropriate Fluticasone Propionate dosage for the severity of their disease.<br />
<br />
<strong>Asthma</strong>:<br />
Fluticasone Propionate 125 mcg &amp; Formoterol Fumarate 5 mcg inhaler only</p>

<ul>
	<li>The recommended dose for adults and adolescents aged 12 years and above: Two inhalations (puffs) twice daily normally taken in the morning and in the evening.</li>
	<li>For adults only: The total daily dose can be further increased if asthma still remains poorly controlled by administering the highest strength of this combination product- i.e. Fluticasone Propionate 250 mcg &amp; Formoterol Fumarate 10 mcg inhaler- two inhalations (puffs) twice daily. This highest strength is for use in adults only; it should not be used in adolescents aged 12 years and above.</li>
	<li>Children under 12 years: No data are available for this strength of this inhaler in children.</li>
	<li>This inhaler in any strength is not recommended for use in children less than 12 years of age.</li>
</ul>

<p>Fluticasone Propionate 250 mcg &amp; Formoterol Fumarate 10 mcg inhaler only</p>

<ul>
	<li>The recommended dose for adults: Fluticasone Propionate 250 mcg &amp; Formoterol Fumarate 10 mcg inhaler- two inhalations (puffs) twice daily normally taken in the morning and in the evening.</li>
	<li>Adolescents under 18 years and children: No data are available for this strength of this inhaler in children or adolescents. This inhaler in any strength is not recommended for use in children less than 12 years of age.</li>
	<li>This inhaler 250 microgram/10 microgram per actuation should not be used in adolescents.</li>
</ul>

<p><strong>COPD</strong>: Fluticasone Propionate 250 mcg &amp; Formoterol Fumarate 10 mcg, two inhalations (puffs) twice daily normally taken in the morning and in the evening.</p>

<p><strong>Administration</strong></p>

<p>Using an Inhaler seems simple, but most patients do not know how to use it in the right way. If the Inhaler is used in the wrong way, less medicine can reach the lungs. Correct and regular use of the Inhaler will prevent or lessen the severity of asthma attacks.<br />
<br />
Following simple steps can help to use Inhaler effectively (According to &quot;<strong>National Asthma Guidelines for Medical Practitioners</strong>&quot; published by Asthma Association):</p>

<ol>
	<li>Take off the cap.</li>
	<li>Shake the inhaler (at least six times) vigorously before each use.</li>
	<li>If the inhaler is new or if it has not been used for a week or more, shake it well and release one puff into the air to make sure that it works.</li>
	<li>Breathe out as full as comfortably possible &amp; hold the inhaler upright.</li>
	<li>Place the actuator into mouth between the teeth and close lips around the mouthpiece.</li>
	<li>While breathing deeply and slowly through the mouth, press down firmly add fully on the canister to release medicine.</li>
	<li>Remove the inhaler from mouth. Continue holding breath for at least for 10 seconds or as long as it is comfortable.</li>
	<li>If doctor has prescribed more than one inhalation per treatment, wait 1 minute between puffs (inhalations). Shake the inhaler well and repeat steps 4 to 7.</li>
	<li>After use, replace the cap on the mouthpiece. After each treatment, rinse mouth with water.</li>
	<li>Check your technique in front of a mirror from time to time, if you see a white mist during the inhalation, you may not have closed your lips properly around mouthpiece, or you may not be breathing in as you press the can. This indicates failure of technique. If this happens, repeat the procedure from step 4 carefully.</li>
</ol>

<p><strong>Instructions for Cleaning Inhaler</strong>: Clean your Inhaler at least once a week. Remove canister and rinse the plastic actuator and cap in warm water but do not put the metal canister into water. Dry the actuator and cap thoroughly and gently replace the metal canister into the actuator with a twisting motion. Put the cap on the mouthpiece.</p>