BRUCE ROSEMAN, M.D.
330 WEST 58th Street .# 408    NY NY 10019
M-F 9:00-5:15     Wed  12-8
New Telephone: (212) 957-8256  Cell/VM  1-917-414-3201
New Fax: (212) 265-2616
Hospital:  Mt. Sinai  (click for info)
BRUCE ROSEMAN, M.D.
NICOLE LIVESCU, R.N.

ADVAIR
Important information about ADVAIR:
ADVAIR won't replace fast-acting inhalers for sudden symptoms and should be taken twice daily. ADVAIR should not be taken more than twice daily. People switching from an oral steroid, like prednisone, to ADVAIR, which contains an inhaled steroid, need to be especially careful. While adjusting to the switch, your body may not be as able to heal after surgery, infection, or serious injury. Tell your healthcare professional if you have a heart condition or high blood pressure. Some people may experience increased blood pressure, heart rate, or changes in heart rhythm. See your healthcare professional if your asthma does not improve. ADVAIR is a long-term maintenance treatment for asthma in patients 12 and older.
How to Use ADVAIR DISKUS
IT'S AS EASY1 AS 1, 2, 3: OPEN, CLICK, INHALE*
Help take control of your asthma with ADVAIR DISKUS. Taking a dose of ADVAIR DISKUS requires the following three simple steps: Open, Click, Inhale.* (Please see complete Patient Instructions for Use provided with every ADVAIR DISKUS.)
1. OPEN
Hold the DISKUS in one hand and put the thumb of your other hand on the thumbgrip. Push your thumb away from you as far as it will go until the mouthpiece appears and snaps into position.
2. CLICK
Hold the DISKUS in a level, horizontal position with the mouthpiece towards you. Slide the lever away from you as far as it will go until it clicks. The DISKUS is now ready to use.
Every time the lever is pushed back, a dose is ready to inhale. This is shown by a decrease in numbers on the dose counter.
To avoid releasing or wasting doses: Do not close the DISKUS. Do not tilt the DISKUS. Do not play with the lever. Do not advance the lever more than once.
3. INHALE
Before inhaling your dose of ADVAIR DISKUS, breathe out as far as is comfortable, holding the DISKUS level and away from your mouth. Remember, never breathe out into the DISKUS mouthpiece.
Put the mouthpiece to your lips. Breathe in quickly and deeply through the ADVAIR DISKUS, not through your nose.
Remove the DISKUS from your mouth. Hold your breath for about 10 seconds, or for as long as is comfortable. Breathe out slowly.
*CLOSE the DISKUS when you are finished taking a dose so that the DISKUS will be ready for you to take your next dose. Put your thumb on the thumbgrip and slide the thumbgrip back towards you as far as it will go. The DISKUS will click shut. The lever will automatically return to its original position. The DISKUS is now ready for you to take your next scheduled dose, due in approximately 12 hours. (Repeat steps 1 through 3.)
REMEMBER:
Never exhale into the DISKUS. Never attempt to take the DISKUS apart. Always activate and use the DISKUS in a level, horizontal position. After inhalation, rinse your mouth with water without swallowing. Never wash the mouthpiece or any part of the DISKUS. KEEP IT DRY. Always keep the DISKUS in a dry place. 
ROBOT.TXT