Details About Generic Salt ::  Salmeter

Main Medicine Class:: Bronchodilator,sympathomimetic   

(sal-MEET-ah-rahl)

Serevent, Serevent Diskus

Class: Bronchodilator/sympathomimetic

 

Drugs Class ::

 Action Produces bronchodilation by relaxing bronchial smooth muscle through beta-2 receptor stimulation.

Indications for Drugs ::

 Indications Maintenance treatment of asthma and prevention of bronchospasm with reversible obstructive airway disease; prevention of exercise-induced bronchospasm; maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD) (including emphysema and chronic bronchitis).

Drug Dose ::

 Route/Dosage

Asthma/Bronchospasm

ADULTS & CHILDREN ³ 12 YR: Inhalation 2 inhalations twice daily, » 12 hrs apart. ADULTS & CHILDREN ³ 4 YRS FOR INHALATION POWDER: Inhalation 1 inhalation (50 mcg) twice daily, » 12 hrs apart.

Exercise-Induced Bronchospasm

ADULTS & CHILDREN ³ 12 YR: Inhalation 2 inhalations at least 30 to 60 mins before exercise; additional doses should not be used for up to 12 hrs. ADULTS & CHILDREN ³ 4 YRS FOR INHALATION POWDER: Inhalation 1 inhalation ³ 30 mins before exercise; additional doses should not be used for up to 12 hrs.

COPD

ADULTS: Inhalation 2 inhalations (42 mcg) twice daily, » 12 hrs apart.

Contraindication ::

 Contraindications Cardiac tachyarrhythmias.

Drug Precautions ::

 Precautions

Pregnancy: Category C. Children: Not recommended for children < 12 yr. Acute asthma seizures: Do not use to treat acute symptoms. Cardiovascular disease: Use with caution in patients with cardiovascular disease, toxic symptoms may occur. Excessive use: Paradoxical bronchospasm and cardiac arrest have been associated with excessive inhalant use. Hypersensitivity: Allergic reactions can occur after administration. Hypokalemia: Decreases in potassium levels may occur.

PATIENT CARE CONSIDERATIONS

Drug Side Effects ::

 Adverse Reactions

CV: Tachycardia; palpitations. CNS: Tremor; anxiety; malaise; fatigue; dizziness; vertigo; nervousness; headache. EENT: Rhinitis; throat dryness/irritation. GI: GI distress; nausea; vomiting; diarrhea. META: Hyponatremia. RESP: Cough; paradoxical bronchospasm; upper respiratory tract infection; nasopharyngitis; nasal cavity/sinus disease; sinus headache; lower respiratory tract infection; allergic rhinitis; laryngitis; tracheitis/bronchitis. OTHER: Joint/back pain; muscle cramp/contraction; myalgia/myositis; muscular soreness; giddiness; influenza; viral gastroenteritis; urticaria; dental pain; malaise/fatigue; eruption; dysmenorrhea.

Drug Mode of Action ::  

 Action Produces bronchodilation by relaxing bronchial smooth muscle through beta-2 receptor stimulation.

Drug Interactions ::

 Interactions

Diuretics: ECG changes and hypokalemia associated with these diuretics may worsen with coadministration. MAO inhibitors, tricyclic antidepressants: May increase cardiovascular effects of salmeterol.

Drug Assesment ::

 Assessment/Interventions

• Obtain patient history.
• Closely monitor patients with a history of arrhythmias, seizures or peptic ulcers.
• Obtain baseline pulmonary function tests.
• Note frequency and severity of asthma attacks.

OVERDOSAGE: SIGNS & SYMPTOMS   Tremor, palpitations, tachycardia, headache, hypokalemia, hyperglycemia, cardiac arrest

Drug Storage/Management ::

 Administration/Storage

• This medication is available only in a pressurized, metered-dose inhalation aerosol unit.
• Use only with supplied aerosol actuator. Do not use the actuator with other medications.
• Do not use a spacer with the inhalation powder. Keep the device dry and never wash the mouthpiece or any part of the device.
• Store at room temperature. The therapeutic effects are reduced when cold; the container may explode if exposed to temperatures above 120°F. Protect from freezing and direct sunlight.
• Store canister with nozzle end down.
• Do not puncture or incinerate canister.
• Shake well before using.

Drug Notes ::

 Patient/Family Education

• Instruct patient on the proper storage and use of the aerosol inhaler, referring patient to the instruction sheet included with the medication.
• Advise patient not to exceed the recommended dosage and frequency of the medication.
• Warn patient not to alter the dose or discontinue the medication without consulting the health care provider.
• Instruct patient to check with his/her physician first before taking any otc or prescription medications.
• Emphasize to patient that this medication is NOT to be used for the treatment of acute or deteriorating asthma.
• Inform patient that this medication is NOT a substitute for other medications he/she may be on, including oral or inhaled corticosteroids.
• Instruct patient to call the health care provider if the medication seems to be less effective.
• Alert patient that this medication may be used 30 to 60 mins BEFORE exercise to reduce or prevent exercise-induced bronchospasm.
• Have patient report any serious side effects to the health care provider, including: Tachycardia, palpitations, tremors, change in personality, insomnia, shortness of breath and stomach cramps.

Disclaimer ::

The Information available on this site is for only Informational Purpose , before any use of this information please consult your Doctor .Price of the drugs indicated above may not match to real price due to many possible reasons may , including local taxes etc.. These are only approximate indicative prices of the drug.