IMPORTANT
INFORMATION
ABOUT
SYMBICORT
Please read this summary carefully and
then ask your doctor about SYMBICORT.
No advertisement can provide all the information
needed to determine if a drug is right for you or take
the place of careful discussions with your health care
professional. Only vour health care professional has
the training to weigh the risks and benefits of a
prescription drug.
WHAT IS THE MOST IMPORTANT
INFORMATION I SHOULD KNOW
ABOUT SYMBICORT?
In patients with asthma, long-acting beta2-agonist
(LABA) medicines, such as formoterol (one of the
medicines in SYMBICORT), may increase the chance
of death from asthma problems. In a large asthma
study, more patients who used another LABA medicine
died from asthma problems, compared with patients who
did not use that LABA medicine. Talk with your health care
professional about this risk and the benefits of treating
your asthma with SYMBICORT.
SYMBICORT does not relieve sudden symptoms, so you
should always have a fast-acting inhaler (short-acting
beta2-agonist medicine) with you. If you do not have
this type of inhaler, talk with your health care professional
to have one prescribed for you.
Get emergency medical care if your breathing
problems worsen quickly and your fast-acting
inhaler does not relieve them.
Do not stop using SYMBICORT unless your health care
professional tells you to stop because your symptoms
might get worse.
WHAT IS SYMBICORT?
SYMBICORT is an inhaled prescription medicine for
long-term maintenance treatment, taken twice a day, every
day, to control asthma in patients 12 years and older. It
will not replace your fast-acting inhaler for relief of sudden
asthma symptoms.
SYMBICORT contains two medicines:
Budesonide (the same medicine found in PULMICORT
TURBUHALER® (budesonide inhalation powder],
PULMICORT FLEXHALER“ [budesonide inhalation
powder]), an inhaled corticosteroid medicine, or ICS. ICS
medicines help to decrease inflammation in the lungs.
Inflammation in the lungs can lead to asthma symptoms.
Formoterol (the same medicine found in Foradit®
Aerolizer®) is a long-acting beta^agonist medicine, or
LABA. LABA medicines help the muscles in the airways of
the lungs stay relaxed to prevent asthma symptoms, such
as wheezing and shortness of breath. These symptoms
can happen when the muscles in the airways tighten,
which, in severe cases, can cause breathing to stop
completely if not treated right away.
WHO SHOULD NOT TAKE SYMBICORT?
You should NOT take SYMBICORT if your health care
professional:
decides that your asthma is well controlled using another
asthma-controller medicine
you only use a fast-acting inhaler less than twice a week
WHAT SHOULD I TELL MY HEALTH
CARE PROFESSIONAL BEFORE USING
SYMBICORT?
Tell your health care professional about all of your health
conditions, including if you
have heart problems
have high blood pressure
have seizures
have thyroid problems
have diabetes
have liver problems
have been on an oral steroid, like prednisone
have osteoporosis
have an immune system problem or have been exposed
to chicken pox or measles
have tuberculosis or other infections
are pregnant or planning to become pregnant because it
is not known if SYMBICORT may harm your unborn baby
are breast-feeding because it is not known if SYMBICORT
passes into your milk and if it can harm your baby
Tell your health care professional about ALL the medicines
you are taking, including all your prescription and nonpre-
scription medicines, vitamins, and herbal supplements.
SYMBICORT and certain other medicines may interact
with each other and can cause serious side effects. So
be sure to keep track of ALL the medication you take. You
might want to make a list and show it to your health care
professional, including your pharmacist, each time you get
any new medicine, just to ensure there are no potential drug
interactions.
HOW DO I USE SYMBICORT?
Do not use SYMBICORT unless your health care professional
has carefully demonstrated how to do so. If you have any
questions concerning the use of SYMBICORT, ask your health
care professional.
SYMBICORT should be taken twice every day as prescribed
by your health care professional.
SYMBICORT comes in two strengths. Your health care
professional will prescribe the strength that is best for you.
When you use SYMBICORT, make sure you
use SYMBICORT exactly as prescribed
take two puffs of SYMBICORT in the morning and two
puffs in the evening every day. If you miss a dose of
SYMBICORT, you should take your next dose at the same
time you normally do
do not take SYMBICORT more often or use more puffs
than you have been prescribed
rinse your mouth with water after each dose (two puffs)
of SYMBICORT without swallowing
do not change or stop any of the medicines you use
to control or treat your breathing problems. Your health
care professional will adjust your medicines as needed
always have a fast-acting inhaler with you. Use it if you
have breathing problems between doses of SYMBICORT
Seek emergency medical care if
your breathing problems worsen quickly and your fast-
acting inhaler does not relieve your breathing problems
you experience any symptoms of a serious allergic
reaction to SYMBICORT, such as a rash; hives; swelling
of the face, mouth, tongue; and breathing problems
Contact your health care professional if
you need to use your fast-acting inhaler more often
than usual
your fast-acting inhaler does not work as well for you
at relieving symptoms
you need to use four or more inhalations of your
fast-acting inhaler for 2 or more days in a row
you use up your entire fast-acting inhaler canister within
8 weeks
your peak-flow meter results decrease. Your health care
professional will tell you the numbers that are right for you
your asthma symptoms do not improve after using
SYMBICORT regularly for 1 week
WHAT MEDICATIONS SHOULD I NOT
TAKE WHEN USING SYMBICORT?
While you are using SYMBICORT, do NOT use other
medicines that contain a long-acting beta?-agonist (LABA)
for any reason, such as
Serevent® Diskus® (salmeterol xinafoate inhalation powder)
Advair Diskus® or Advair® HFA (fluticasone propionate
and salmeterol)
Foradil® Aerolizer® (formoterol fumarate inhalation powder)
WHAT ARE OTHER IMPORTANT SAFETY
CONSIDERATIONS WITH SYMBICORT?
Cardiovascular and central nervous system effects of
LABAs, such as chest pain, increased blood pressure,
fast or irregular heartbeat, tremor, or nervousness
Immune system effects and a higher chance for infections
Osteoporosis. People at risk for increased bone loss may have
a greater risk with SYMBICORT
Slowed growth in children. As a result, growth should be
carefully monitored
Eye problems, such as glaucoma and cataracts. Regular
eye exams should be considered while using SYMBICORT
WHAT ARE OTHER POSSIBLE SIDE
EFFECTS WITH SYMBICORT?
Nose and throat irritation
Headache
Upper respiratory tract infection
Sore throat
Sinusitis
Stomach discomfort
Oral thrush
Tell your health care professional about any side effect
that bothers you or that does not go away. These are not all
the side effects with SYMBICORT. Ask your health care
professional for more information.
NOTE: This summary provides important information
about SYMBICORT. For more information, please ask
your doctor or health care professional about the full
Prescribing Information and discuss it with him or her.
SYMBICORT and PULMICORT TURBUHALtR are regetered trademarks and PULMICORT
FlEXHALER is a trademark ol Ore AstraZeneca group ol ccmpanes ADVAJR DCJflJS.
ADVAIR HFA. SEREVENT DSKUS are regcstered trademarks ol GlaxoSmOWne. FORADL
AEROLIZER 6 a registered trademark ol Novartis Pharmaceufcab Corporation
O
2007 AstraZeneca LP. A l rights reserved
Manufactured tor: AstraZeneca LP. Wilmngton. D E 19850
By: AstraZeneca AB, Dunkerque. Franoe
Product of France
311520-00
7/07
257298
Visit
www.MySymbicort.com.
Or, call
1-888-SYMBICORT
Symbicort
(budesonide/formoterol
fumarate dihydrate)
Inhalation Aerosol
^
AstraZeneca
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