Symbicort Turbuhaler (Budesonide / Formoterol Fumarate Dihydrate)

They need to know if you have any of these conditions: -bone problems -diabetes -heart disease or irregular heartbeat -high blood pressure -immune system problems -infection -liver disease -worsening asthma -an unusual or allergic reaction to budesonide, formoterol, medicines, foods, dyes, or preservatives -pregnant or trying to get pregnant -breast-feeding

This medicine is inhaled through the mouth. Rinse your mouth with water after use. Make sure not to swallow the water. Follow the directions on your prescription label. Do not use more often than directed. Do not stop taking except on your doctor's advice. Make sure that you are using your inhaler correctly. Ask your doctor or health care provider if you have any questions. A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time. Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years of age for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. NOTE: This medicine is only for you. Do not share this medicine with others.

If you miss a dose, use it as soon as you remember. If it is almost time for your next dose, use only that dose and continue with your regular schedule, spacing doses evenly. Do not use double or extra doses.

Do not take this medicine with any of the following medications: -MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate -mifepristone -probucol -procarbazine -some other medicines for asthma like formoterol, salmeterol This medicine may also interact with the following medications: -antibiotics like clarithromycin, erythromycin -cimetidine -diuretics -grapefruit juice -itraconazole -ketoconazole -medicines for depression, anxiety, or psychotic disturbances -medicines for irregular heartbeat -methadone -some heart medicines like atenolol, metoprolol -some other medicines for breathing problems -some vaccines

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

Tell your doctor or health care professional if your symptoms do not improve or get worse. Do not use this medicine more than every 12 hours. NEVER use this medicine for an acute asthma or COPD attack. You should use your short-acting rescue inhalers for this purpose. If your symptoms get worse or if you need your short-acting inhalers more often, call your doctor right away. This medicine may increase your risk of getting an infection. Tell your doctor or health care professional if you are around anyone with measles or chickenpox, or if you develop sores or blisters that do not heal properly.

Side effects that you should report to your doctor or health care professional as soon as possible: -allergic reactions such as skin rash or itching, hives, swelling of the face, lips or tongue -breathing problems -changes in vision -chest pain -fast, irregular heartbeat -feeling faint or lightheaded, falls -fever -high blood pressure -nervousness -tremors -white patches or sores in mouth Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome): -cough -different taste in mouth -headache -sore throat -stuffy nose -stomach upset

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Keep out of the reach of children. Store in a dry place at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Do not get the inhaler wet. Keep track of the number of doses used. Throw away the inhaler after using the marked number of inhalations or after the expiration date, whichever comes first. Do not burn or puncture canister.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.