Patient was educated on precautions to be exercised while using Advair as follows:
- Gargle and rinse the mouth with water after every dose of Advair inhalation. Spit out this water after rinsing and do not swallow. This helps prevent opportunistic candida infection in the oral cavity.
- Diabetics using Advair should keep a close watch on the everyday blood sugar readings. Poor blood sugar control should be reported to the physician for further investigation into the reason for elevated blood sugars and a change in plan could be made accordingly.
- Hypertensive patients using Advair should keep a close watch on the everyday blood pressure readings and any evidence of fluid retention, such as, edema and acute weight gain. Elevated blood pressure readings should be reported to the physician for further investigation into the reason for elevated blood pressures, so that, a change in plan could be made accordingly.
- Individuals with history of immunosuppression or taking any immunosuppressant medications, such as, individuals with autoimmune disorders, must be cautious regarding using Advair. These individuals are at increased risk for opportunistic bacterial, viral, and fungal infections. Any symptoms of infection, while using Advair, should be immediately reported and evaluated.
- Individuals taking other steroid medications, such as, Prednisone or Cortisol, for other health issues can be at significant risk for osteoporosis, if they are concurrently taking Advair. Any sudden bone or skeletal pain should be reported to the physician. Exacerbation of osteoporosis and bone resorption can result in elevated levels of serum calcium.
