Serevent

By Medically reviewed by hellodoktor

Generic Name: Serevent Brand Name(s): Serevent and Serevent.

Uses

What is Serevent Diskus® (salmeterol xinafoate) used for?

Serevent Diskus® is commonly used for preventing asthma attacks or exercise-induced bronchospasm. It is also used to treat chronic obstructive pulmonary disease (COPD) including emphysema and chronic bronchitis.

Serevent Diskus® may also be used for purposes; ask your doctor for more information.

How should I take Serevent Diskus® (salmeterol xinafoate)?

Use only the prescribed dose of this medication, and do not use it for longer than your doctor recommends. Follow all patient instructions for safe use.

Serevent Diskus® is a powder form of salmeterol inhalation that comes with a special inhaler device preloaded with blister packs containing measured doses of the medicine. The device opens and loads a blister each time you use the inhaler. This device is not to be used with a spacer.

Use Serevent Diskus® regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Do not stop using Serevent without first talking to your doctor. Your asthma symptoms may get worse after you stop using the medication.

Do not try to clean or take apart the Diskus device. Throw it away 6 weeks after you have taken it out of the foil pouch, or if the dose indicator shows a zero, whichever comes first. Each Diskus device contains 60 doses.

How do I store Serevent Diskus® (salmeterol xinafoate)?

Serevent Diskus® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Serevent Diskus® in the bathroom or the freezer. There may be different brands of Serevent Diskus® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Serevent Diskus® down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Serevent Diskus® (salmeterol xinafoate)?

Do not use Serevent to treat an asthma attack that has already begun.

Salmeterol may increase the risk of asthma-related death. Talk with your doctor about your individual risks and benefits of using Serevent Diskus®.

Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack. If you use a peak flow meter at home, call your doctor if your numbers are lower than normal.

Asthma is often treated with a combination of different drugs. If you use Serevent Diskus® to treat asthma, you must use it together with another asthma control medication. Use all of your medications as directed by your doctor. Talk with your doctor if your medications do not seem to work as well in treating or preventing attacks. Do not change your doses or medication schedule without advice from your doctor.

If you use Serevent Diskus® for asthma, you must use it together with another long-term asthma control medication. Seek medical attention if you think any of your asthma medications are not working as well as usual.

Do not use a second form of salmeterol (such as Advair) or use a similar inhaled bronchodilator such as formoterol or arformoterol (Foradil, Perforomist, Symbicort, or Brovana) unless your doctor has told you to.

If you also use a steroid medication, do not stop using the steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about taking less and less of the steroid before stopping completely.

Seek medical attention if you think any of your asthma medications are not working as well as usual. An increased need for medication could be an early sign of a serious asthma attack. If you use a peak flow meter at home, call your doctor if your numbers are lower than normal.

Salmeterol can increase the risk of asthma-related hospitalization in children and teenagers. It is very important that children using Serevent for asthma use it together with another long-term asthma control medication.

Do not give Serevent to a child younger than 4 years old.

Is it safe during pregnancy or breastfeeding?

Pregnancy

There are no adequate studies in women for determining risk when using Serevent Diskus® during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Serevent Diskus®. Serevent Diskus® is pregnancy risk category C, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Breastfeeding

It is not known whether salmeterol inhalation passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine.

Side effects

What side effects can occur from Serevent Diskus® (salmeterol xinafoate)?

Get emergency medical help if you have any of these signs of an allergic reaction such as hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • Worsening asthma symptoms
  • Breathing problems
  • Muscle cramps
  • Sleep problems (insomnia)
  • Tremors
  • Chest pain
  • Fast or irregular heartbeats
  • Light-headed feeling
  • Fainting
  • Seizure (convulsions)
  • Low potassium
  • Confusion
  • Extreme thirst
  • Increased urination
  • Leg discomfort
  • Muscle weakness
  • Limp feeling
  • High blood sugar
  • Hunger
  • Dry mouth
  • Fruity breath odor
  • Drowsiness
  • Dry skin
  • Blurred vision
  • Weight loss

Common side effects may include:

  • Headache
  • Flu symptoms
  • Joint or muscle pain
  • Throat irritation, cough
  • Stuffy or runny nose

Interactions

What drugs may interact with Serevent Diskus® (salmeterol xinafoate)?

Serevent Diskus® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with Serevent Diskus® (salmeterol xinafoate)?

Serevent Diskus® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Serevent Diskus® (salmeterol xinafoate)?

Serevent Diskus® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

To make sure Serevent Diskus® is safe for you, tell your doctor if you have:

  • A food or drug allergy
  • Heart disease
  • High blood pressure
  • Epilepsy
  • Seizure disorder
  • Diabetes
  • A thyroid disorder
  • Liver disease

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Serevent Diskus® (salmeterol xinafoate).

What is the dose of Serevent Diskus® (salmeterol xinafoate) for an adult?

Asthma

The usual dosage for patients 12 years of age and older is 2 inhalations (42 mcg) twice daily (morning and evening, approximately 12 hours apart).

Adverse effects are more likely to occur with higher doses of salmeterol, and more frequent administration or administration of a larger number of inhalations is not recommended.

To gain full therapeutic benefit, Serevent Diskus® should be administered twice daily (morning and evening) in the treatment of reversible airway obstruction.

Chronic obstructive pulmonary disease

The usual dosage for adults is 2 inhalations (42 mcg) twice daily (morning and evening, approximately 12 hours apart).

Prevention of exercise-induced bronchospasm

Two inhalations at least 30 to 60 minutes before exercise have been shown to protect against EIB in many patients for up to 12 hours.

What is the dose of Serevent Diskus® (salmeterol xinafoate) for a child?

The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.

How is Serevent Diskus® (salmeterol xinafoate) available?

Serevent Diskus® is available in the following dosage forms and strengths:

  • Serevent Diskus® Powder – 50mcg/inhalation

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of Serevent Diskus®, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: February 18, 2017 | Last Modified: September 12, 2019

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