Remember, SYMBICORT is not a rescue inhaler and is not for treating sudden asthma symptoms.
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How to Use/Prep & Maintainance Video with Actuation Counter
SYMBICORT is for patients 12 years and older for the long-term maintenance treatment
SYMBICORT is for patients whose asthma is not well tolerated on another asthma controller
medicine or who need two controller medicines
SYMBICORT is not for the treatment of sudden asthma symptoms
SYMBICORT contains formoterol. Medicines like formoterol may increase the chance
of asthma-related death.
So SYMBICORT is only for people whose asthma is not well controlled on another asthma-controller
medicine or who need two controller medicines.
SYMBICORT won’t replace a rescue inhaler for sudden symptoms and should not be taken
more than twice a day.
Contact your doctor if your asthma does not improve or gets worse.
Please see accompanying full Prescribing Information and Medication Guide.
This short video demonstrates the correct procedure for preparing and maintaining
your SYMBICORT inhaler. It also discusses how to use the SYMBICORT inhaler with
new built-in actuation counter.
After removing your SYMBICORT inhaler from its foil pouch, write the date on the
dose tracker card that comes with your inhaler.
Your SYMBICORT inhaler is comprised of three parts: The mouthpiece cover, the aerosol
canister, and the mouthpiece.
Do not use parts from any other inhalation drug product with your SYMBICORT inhaler.
If your inhaler is new, has been dropped, or has not been used for 24 hours or more,
remove the mouthpiece cover and shake the inhaler well for 5 seconds to mix the
contents of the canister.
Hold your SYMBICORT inhaler upright with the mouthpiece pointing away from your
Depress the top of the canister firmly to release a shot of medicine into the air,
then release your finger from the top of the canister to allow it to reset.
Repeat this procedure to release a second shot of medicine into the air. Your SYMBICORT
inhaler is now primed and ready for you to use.
The mouthpiece of your SYMBICORT inhaler should be cleaned regularly, at least once
Remove the mouthpiece cover and wipe the inside and outside of the mouthpiece opening
with a dry cloth.
Replace the mouthpiece cover. Do not remove the canister from the mouthpiece or
allow the inhaler to come in contact with water.
Store your inhaler upright, at room temperature.
Discard your inhaler according to the instructions in the medication guide that
came with your prescription.
Talk to your doctor or pharmacist if you have any questions about preparing or maintaining
You are about to begin a simple daily routine with SYMBICORT to help get your asthma
Taking SYMBICORT correctly every day in the morning and evening as prescribed by
your doctor can help you to control your asthma.
Keep watching as we take you through the 5 easy steps that will help you learn to
use your SYMBICORT inhaler correctly. And be sure to watch the end of this video
for additional information on using the SYMBICORT inhaler with the new built-in
Step 1...After preparing your SYMBICORT inhaler, shake it well for a full 5 seconds
to get the medicines inside fully mixed.
It is important that the medication inside your SYMBICORT inhaler is well mixed
before you take a puff.
Now remove the mouthpiece cover. Check for any objects that shouldn’t be there.
If you find something, remove it.
Step2...Breathe out completely, then raise the inhaler to your mouth. You will need
to place the white mouthpiece fully into your mouth and close your lips around it.
Make sure that the inhaler is upright and the mouthpiece opening is pointing toward
the back of your throat. Do not aim the inhaler sideways towards your cheeks, up
towards the roof of your mouth, or down on your tongue.
Step 3...Take a slow, deep breath in through your mouth. As you breathe in, press
down firmly and fully on the gray top of the inhaler. This will release the medicine.
Step 4...Continue to breathe in all the way and hold your breath for about 10 seconds
- or for as long as is comfortable for you.
Before breathing out, release your finger from the gray top and remove the inhaler
from your mouth. Make sure to keep the inhaler upright when removing it.
Step 5...Now, shake the inhaler again for 5 seconds and repeat steps 2 through 4
to get your second puff of SYMBICORT.
Remember, 2 puffs of SYMBICORT each morning and evening, as prescribed by your doctor,
is needed to control your asthma. Do NOT take more than 4 puffs each day.
When you are finished taking your two puffs of SYMBICORT, place the cover back on
the mouthpiece. Rinse your mouth with water and spit into the sink. Be sure not
to swallow the water.
If your SYMBICORT inhaler comes without a built-in actuation counter, make sure
to record your morning and evening puffs on the dose tracker card that came with
your SYMBICORT inhaler.
If you keep track of your puffs each day, you’ll know when it is time to refill
your prescription for SYMBICORT.
If your SYMBICORT inhaler comes with a built-in actuation counter, your counter
will let you know how many doses you have remaining.
The counter for your SYMBICORT inhaler is attached to the top of the metal canister.
The arrow points to the number of inhalations, or puffs, remaining.
After you have primed the inhaler for the first time, the counter will read 120
for a filled prescription, or 60 for an institutional or sample pack.
Each time you release a puff from the inhaler, the counter will count down by one.
When the arrow approaches 20, you will notice a yellow zone, indicating that it
is time to call for a refill.
The counter will stop counting when it gets to zero, indicating that you have used
the number of puffs on the product label.
Discard your SYMBICORT inhaler and begin a new one the next time.It is important
to discard your SYMBICORT inhaler when it reaches zero or within 3 months of opening
the foil pouch, to ensure that you get the right amount of medicine each time you
Remember, use SYMBICORT twice a day, every day, morning and evening. SYMBICORT is
not and will not replace a rescue inhaler for sudden symptoms.
While taking SYMBICORT, never use another medicine containing a long-acting beta2-agonist.
Contact your doctor if your asthma does not improve or gets worse.
If you have any questions about SYMBICORT or using your SYMBICORT inhaler, talk
to your doctor.
what is the most important safety information I should know about SYMBICORT? SYMBICORT
contains formoterol, a long-acting beta2-agonist (LABA). Medicines containing LABA
may increase the chance of asthma-related death. So, SYMBICORT should be used only
if your health care professional decides another asthma-controller medicine alone
does not control your asthma or you need two controller medicines. While taking
SYMBICORT never use another medicine containing a LABA.
what other important safety information should I know about SYMBICORT? SYMBICORT
won’t replace rescue inhalers for sudden symptoms. Do not use SYMBICORT more than
twice a day. If you are taking SYMBICORT, see your health care professional if your
asthma does not improve or gets worse. Some people may experience increased blood
pressure, heart rate, or change in heart rhythm. Tell your doctor if you have a
heart condition or high blood pressure.
If you are switching to SYMBICORT from an oral corticosteroid, follow your doctor’s
instructions to avoid health risks when you stop using oral corticosteroids. Avoid
exposure to infections such as chicken pox or measles. Tell your health care professional
immediately if you are exposed. In clinical studies, common side effects included
nose and throat irritation, headache, upper respiratory tract infection, sore throat,
sinusitis, and stomach discomfort.
If you keep track of your puffs every day, you'll know when it is time to refill
your prescription for SYMBICORT. Otherwise, make sure to refill your prescription
after thirty (30) days.
It is important that your health care provider assess your asthma control on a regular basis. Your doctor will decide if it is possible for you to stop taking SYMBICORT and start taking a long-term asthma control medicine without loss of asthma control.