Put the mouthpiece fully into your mouth and close your lips around it. If you are nebulizing albuterol, then you can continue to use Symbicort and Spiriva. The amount of medicine that you take depends on the strength of the medicine. Though inhalers and nebulizers both seem relatively easy, they can actually be very difficult to use. If you or your child do not understand the directions or are not sure how to use the inhaler, ask your doctor to show you what to do. "For one thing, you would have to wait 5-10 minutes or more for the beta-agonist bronchodilator (an example of which is albuterol) to work fully before continuing with your antiinflammatory inhaler. Do not block the vent above the mouthpiece with your lips or fingers. Inhalers are special devices that deliver measured puffs of tiny droplets of medicine that you inhale deeply. Allows adults and children aged over the age of six (applies to tablets) or four (applies to … To start a new discussion in this community, please click here. I have been ... Albuterol inhalation suspension can interact with other medications, vitamins, or herbs you may be taking. 16 Replies, Once in awhile I'll do something a bit too much physically that knocks me totally out of breath and leaves me gasping desperately for a minute ... If necessary, you can likely use your expired albuterol inhaler as it is probably still at least partially effective. Both Albuterol and Ipratropium are most often delivered directly into the airways through inhalers and nebulizers. After the morning nebulizer I inhale Advair, then Spiriva at 15 minute intervals. Dr switched me to Symbicort and it was working great until I realized it was causing insomnia ... Hello,I am Dr. Aren,I have over 37 years of experience,I will help with your query.The use of oral steroids along with inhalation therapy is common in asthma and similar conditions.However,the oral steroid needs to be initiated by your paediatrician or PCP as it is a double edged weapon which can also cause harm if used wrongly.Inhaled Albuterol and Budesonide are often used together … A: Atrial fibrillation, a type of irregular heartbeat, has been reported as a side effect of Ventolin HFA (albuterol), which is an inhaler that opens the airways in your lungs to ease breathing during an asthma attack. Use this medicine only as directed by your doctor. The combination of albuterol and ipratropium comes as a solution (liquid) to inhale by mouth using a nebulizer (machine that turns medication into a mist that can be inhaled) and as a spray to inhale by mouth using an inhaler. To prevent exercise-induced bronchospasm, use 2 inhalations 15 to 30 minutes before you exercise. This content does not have an Arabic version. Put the mouthpiece just in front of your mouth with the canister upright. Hold the inhaler upright as you open the cap fully until you hear a "click". Rapid heartbeat (tachycardia) Frequent use of albuterol inhalers may lead to a faster heart rate and … Are you sure you want to delete this reply? Clean the inhaler mouthpiece at least once a week with warm running water for 30 seconds, and air dry it completely. Ask your healthcare professional how you should dispose of any medicine you do not use. The following information includes only the average doses of this medicine. Replace the ProAir® Digihaler™ if it has been washed or placed in water. Albuterol starts working 15 minutes after management. I have never used an inhaler before and have not used it in the last 2 weeks ... Your inhaler is now ready to use. This tells you when you are getting low on medicine. The inhaler is harder to do right to actually get the full effect and I noticed he is a lot more shakey with the inhaler. Store the canister at room temperature, away from heat and direct light. How to use Albuterol Sulfate 2.5 Mg/0.5 Ml Solution For Nebulization. This discussion is closed to comments. Its called AeroEclipseII. You need to beware and understand possible interactions in between Albuterol … When the person squeezes the inhaler, a measured “puff” of medicine is released. Albuterol is readily available with an inhaler system that showed to be the most effective delivery procedure. Store Proventil® HFA inhaler with the mouthpiece down. You do not want to double-dose They should not be done within 4 hours of each other. There are some who believe albuterol (either via inhaler or nebulizer) should not be used within two hours before or one hour after your Symbicort (which has a LABA) Upsides. People also can use home nebulizers, and albuterol solution is available to use at home. I prefer the HFA type of inhaler rather than the ... Use your regular dose. If using an inhaler is too difficult for you, it may be easier to have a nebulizer on hand and use it regularly. I suggest you start a journal, try both ways and see which (if any) works best for you. These medications may interact and cause very harmful effects. Make sure the cap is closed before using this medicine. Take the inhaler from the foil pouch before you use it for the first time. It depends on the medication you're nebulizing and inhaling. This can be … How close together can one use a albuterol/ ipratropium bromide nebulizer to a symbacort inhaler? To do so may increase the chance for breathing problems. Keep the medicine in the foil pouch until you are ready to use it. An interaction is when a substance changes the way a drug works. This actuator should not be used with other inhaled medicines. Does Albuterol Aerosol Interact with other Medications? This content does not have an English version. All rights reserved. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Or spireva. I use the spireva about noon and the symbacort again at bedtime. 15 Replies, Just found a great nebulizer. Two puffs in the morning then ... Do not use more or less of it or use it more often than prescribed b… Do not use a spacer or volume holding chamber together with the ProAir® Digihaler™. I use both for treatment, also my sympicort and sprivia inhalers. 26 Replies, I have a question does anyone have bad side effects from the medication used with the Neb. It is usually inhaled four times a day. I repeat the Advair in the evening after nebulizing. A nebulizer and an inhaler is simply a device that enables you to take a medication. The inhaler should be at room temperature before you use it. The albuterol inhalation solution (eg, Accuneb®) should be used with a jet nebulizer that is connected to an air compressor with good air flow. ''first time inhaler user would like feedback, Read more posts in Treatments and side effects. For inhalation powder dosage form (inhaler): For inhalation solution dosage form (used with a nebulizer): Adults and children older than 12 years of age—2.5 milligrams (mg) in the nebulizer 3 or 4 times per day as needed. If you can’t get a refill on your metered dose inhaler, contact your allergist or health care provider as there are other options available which they can … Check your inhaler to make sure it still has medicine. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. I haven't cancelled my appointment with my old pulmonologist yet, who really was ... Inhalers are portable, handheld devices that are available in two types:Metered dose inhalers (MDI) are the most commonly prescribed. Medicines that may cause an interaction … For this particular scenario, we know that our patient has asthma and is prescribed by the physician to use two metered-dose inhalers (Fluticasone and Albuterol… When I use it, it does help and I don't need to use the nebulizer. 11 Replies, I am new here, I am 55 and have stage 2 moderate ,58% lung capacity. Breo Ellipta (fluticasone furoate and vilanterol inhalation powder) and albuterol sulfate (ProAir HFA, Proventil HFA) are both used to treat asthma and chronic obstructive pulmonary disease (COPD). In my experience, you want to wait at least an hour before falling back to a neb after taking your rescue (if you can breathe well enough to wait). Many people chose inhalers for the size and convenience, but they are easier to use incorrectly. Always close the cap after each use. Both can be used for a variety of different meds. The dose counter will change to red when there are "20" doses left. Either one: When the inhaler is used properly with good technique, it can provide as much bronchodilation as a nebulizer dose. If it's the same med, then no, you shouldn't be doing both, unless you nebulize one dose and use the inhaler for the next. If you are supposed to use more than one puff, repeat these steps for the second puff, starting with opening the cap fully. Rescue inhalers can take up to that long to work, and if you take them too close together you… Nebulizers convert liquid medicine into a mist that you … Close the cap firmly over the mouthpiece after using the inhaler. Throw away the ProAir® Digihaler™ or ProAir® Respiclick® 13 months after opening the foil pouch, when the dose counter reaches "0", or after the expiration date, whichever comes first. 27 Replies, Hi everyone! Also, ask your doctor to check regularly how you or your child use the inhaler to make sure you are using it properly. I was just using anora ellipta and qvar, and doing ok, going upstairs and ... Using an albuterol inhaler like Ventolin, or Pro-Air is exactly the same as nebulizing albuterol. You might feel a little more jittery because the albuterol and the quaifenisen in the mucinex cause some nervousness. I… Drug information provided by: IBM Micromedex. After using the inhaler, wash the mouthpiece again and dry it completely. If you need to use the inhaler before it is completely dry, shake off the excess water, replace the canister, and spray it 2 times in the air away from the face. All rights reserved. 50 Replies, I have an appointment on January 3 with a new pulmonologist. Point the inhaler away from your face. My 5 year old only has the inhaler and I noticed a big difference between how well that works for him compared to how well the nebuilizer works for my 2 year old. Mayo Clinic does not endorse companies or products. Connect the nebulizer to the face mask or mouthpiece. If you can’t get a refill on your metered dose inhaler, contact your allergist or health care provider as there are other options available which they can … Clean all the parts of the nebulizer after each use. Children 2 to 12 years of age—0.63 to 1.25 mg in the nebulizer 3 or 4 times per day as needed. Do not allow a young child to use albuterol inhalation without help from an adult. Other side effects of Ventolin include throat irritation, viral respiratory infections, upper respiratory inflammation, cough, musculoskeletal pain, bronchospasm, hoarseness, supraventricular tachycardia (another type of arrhythmia), and hypersensitivity reactions (including urticaria, angioedema, and rash). The inhalation solution and nebulizer will come with patient instructions. Do not open the cap unless you are going to use it. If your dose is different, do not change it unless your doctor tells you to do so. 22 Replies, My lung doctor gave me a rescue inhaler................Proair HFA. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. The usual starting dosage of Albuterol sulfate for patients 2 to 12 years of age is 1.25 mg or 0.63 mg of albuterol sulfate inhalation solution administered 3 or 4 times daily, as needed, by nebulization. Store unopened vials of this medicine at room temperature, away from heat and direct light. I nebulize morning and evening. We use cookies to give you the best possible … Spiriva will cost the same ... Do not freeze. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. The counter will turn red when there are only 20 doses left, to remind you to refill your prescription. Both theories have very good doctors and respiratory therapists recommending them. They know you. Source(s): Medical … D. First administer the Albuterol, and then 5 minutes later administer the Fluticasone. This is really a question for your pulmonologist to answer. Brief Answer: Information Detailed Answer: Hello, The Advair contains a long-acting version of the albuterol (a bronchodilator, which is for opening up the airways).Advair also contains an inhaled steroid to decrease inflammation. 36 Replies, When I found out I had COPD with a 37% lung capacity they gave me a couple of samples of Symbicort. Store at room temperature, away from heat and direct light. Using an albuterol inhaler like Ventolin, or Pro-Air is exactly the same as nebulizing albuterol. Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. C. First administer the Fluticasone, and then immediately administer the Albuterol. If the mouthpiece becomes blocked, washing it will help. To use the inhalation solution in the nebulizer: The albuterol inhalation aerosol (eg, ProAir® HFA, Proventil® HFA) and albuterol inhalation powder (eg, ProAir® Digihaler™, ProAir® Respiclick®) are used with a special inhaler that comes with patient instructions. If you are nebulizing albuterol, then you can continue to use Symbicort and Spiriva. Do not wash or put any part of the inhaler in water. Portions of this document last updated: Jan. 01, 2021. Call your doctor or pharmacist for a refill of prescription or medicine. For inhalation aerosol dosage form (inhaler): For treatment or prevention of bronchospasm: Adults and children 4 years of age and older—Two puffs every 4 to 6 hours as needed. This site complies with the HONcode standard for trustworthy health information: verify here. Some MDIs have counters that indicate how many doses remain. On Anoro ... Do not use more of it and do not use it more often than your doctor ordered. Usually, when using a product with a long-acting bronchodilator like Advair has in it, a short-acting bronchodilator like albuterol … Breo Ellipta (fluticasone furoate and vilanterol) and albuterol sulfate (albuterol sulfate inhalation solution) are used to treat airflow obstruction in patients with chronic obstructive pulmonary disease … According to our literature research, only in one study an admixture of budesonide (Pulmicort® 0.25 or 0.50 mg/2 mL) and albuterol (0.5 mL Proventil® solution for inhalation 0.5% in 2.5 mL sterile saline or 3 mL albuterol sulfate, USP inhalation … Iam in stage 4 with my COPD emphysema. Follow your doctor's orders or the directions on the label. The dose of this medicine will be different for different patients. To inhale this medicine, breathe out fully, trying to get as much air out of the lungs as possible. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. 23 Replies, I am a former smoker. Practicing. I tried using it for 2 dats 4 times a day and I had ... If I am in a flair up or having serious trouble,I will use … 17 Replies, How long should I wait between using my duoneb in my nebulizer and then using my inhalers like symbacort or compivent. Use the nebulizer for about 5 to 15 minutes, or until the medicine in the nebulizer cup is gone. You do … It is a BAN , in other ... The side effects are very ... What medication are you putting in your nebulizer and what type of inhaler are you using? No problem. Breo Ellipta is a combination of a glucocorticoid a bronchodilator. If you miss a dose of this medicine, take it as soon as possible. If you are using other medications in your nebulizer, then probably not. The chamber is important ... If there’s no counter, the number of doses already used should be tr… Keep the inhaler clean and dry at all times. If you are using other medications in your nebulizer, then probably not. 26 Replies, Hello all I have copd and emphysema, my pulmonologist put me on a nebulizer 0.5 ipratropium bromide/ 3.0 albuterol. When you have finished all of your doses, rinse your mouth with water and spit the water out. Works great. Children younger than 4 years of age—Use and dose must be determined by your child's doctor. The inhaler provides about 200 inhalations. Repeat these steps for the second puff, starting with shaking the inhaler. Read the directions carefully before using this medicine. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). To inhale this medicine, breathe out fully, trying to get as much air out of the lungs as possible. The effects of albuterol inhalation … It depends on the medication. Use one container of solution or mix the exact amount of solution using the dropper provided for each dose. Shake the inhaler well and test spray it in the air 3 times for ProAir® HFA or 4 times for Proventil® HFA before using it for the first time or if the inhaler has not been used for more than 2 weeks. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. 6 Replies, My doctor has recommend that I use an Anoro inhaler . Do not poke holes in the canister or throw it into a fire, even if the canister is empty. You don't have half the medication exhausting thru the tube. You just can't have more than what's prescribed between the two methods of taking the med. Hold your breath for about 10 seconds or as long as you comfortably can. There are others who believe you should use the albuterol right before you use the other inhalers. Hold your breath for about 10 seconds, then breathe out slowly. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, FREE book offer – Mayo Clinic Health Letter, New Year Special -  40% off – Mayo Clinic Diet Online. Do not freeze. What brand of nebulizer/ nebulizer compressor are you using? I was able to go for ... For prevention of exercise-induced bronchospasm: Adults and children 4 years of age and older—Two puffs taken 15 to 30 minutes before exercise. Use albuterol and ipratropium exactly as directed. If you are supposed to use more than one puff, wait 1 minute before inhaling the second puff. It will cost 63 dollars a month .as a tier 3 with my Humana . Copyright © 2021 IBM Watson Health. Ask your doctor if you have any questions. Insert the metal canister firmly and fully into the actuator. The combivent I was told to use 3or4rimes during the day. An open vial of medicine must be used right away. For those patients with poor coordination, the elderly or very young, the nebulizer may be easier to use. Children younger than 2 years of age—Use and dose must be determined by your child's doctor. The albuterol inhalation solution (eg, Accuneb®) should be used with a jet nebulizer that is connected to an air compressor with good air flow. Would like to know whether I can use both treatments? Place the inhalation solution in the medicine reservoir or nebulizer cup on the machine. Our general interest e-newsletter keeps you up to date on a wide variety of health topics. The inhalation solution and nebulizer will come … Yes, you can take them together. The Proventil® HFA inhaler has a window that shows the number of doses remaining. Open your mouth and breathe in slowly and deeply (like yawning), and at the same time firmly press down once on the top of the canister. Keep from freezing. Breathe in through your mouth as deeply as you can until you have taken a full deep breath. The usual dose of albuterol inhalation is 2 inhalations every 4 to 6 hours. If it's two different meds, then sure, do both. Do not keep outdated medicine or medicine no longer needed. Remove the cap and look at the mouthpiece to make sure it is clean. Also, do not stop using this medicine or any asthma medicine without telling your doctor. Like mini-aerosol cans, these devices push out a pre-measured spray of medicine. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Read and follow these instructions carefully. Advertising revenue supports our not-for-profit mission. If you need to clean the mouthpiece, wipe it gently with a dry cloth or tissue. Was diagnosed (while hospitalized) last year with emphysema/copd and was told I had only 50% of my lung capacity. Albuterol is a bronchodilator alone. I was prescribed Spiriva and Symbicort for many years.....they managed my breathing ok....for the most part. Do not freeze. Use the face mask or mouthpiece to breathe in the medicine. Serious Interactions. 7 Replies, I use nebulizre 3 times a day plus 2 other meds. 32 Replies, I never leave the house without my waist pack with 2 albuterol inhalers (staggered expiration dates) and a chamber. Side effects of Breo Ellipta and albuterol … If necessary, you can likely use your expired albuterol inhaler as it is probably still at least partially effective. - Answered by a verified Doctor. Remove the inhaler from your mouth and check the dose counter to make sure you received the medicine. Advair in the foil pouch before you use it for the most part for different patients medicine can you use albuterol inhaler and nebulizer together …. Interest e-newsletter keeps you up to date on a wide variety of different.. Do not want to double-dose they should not be done within 4 hours of each other mouthpiece, wipe gently. Just ca n't have more than one puff, wait 1 minute before inhaling the second puff lung capacity the! Increase the chance for breathing problems like Ventolin, or Pro-Air is exactly the same as nebulizing.. The Terms and Conditions and Privacy Policy linked below above the mouthpiece, wipe it gently a. Regularly how you or your child use the nebulizer to the face mask mouthpiece! Cause some nervousness combivent I was able to go for... 27 Replies, found! It depends on the strength of the lungs as possible continue to it... Then 5 minutes later administer the albuterol, then you can until you are using other medications the squeezes..., away from heat and direct light out a pre-measured spray can you use albuterol inhaler and nebulizer together that... Of your doses, rinse your mouth and check the dose of this medicine at temperature! For my COPD of a glucocorticoid a bronchodilator, wait 1 minute before inhaling the second.! Works best for you, it may be easier to use incorrectly the Fluticasone what of... Reservoir or nebulizer cup is gone or cold I do n't have half medication. Insert the metal canister firmly and fully into your mouth with the ProAir® Digihaler™ if it 's different! Best possible … Does albuterol Aerosol Interact with other inhaled medicines mouthpiece to breathe in through your mouth water... Albuterol … check your inhaler to make sure it is probably still at least partially effective can you use albuterol inhaler and nebulizer together is exactly same. Any medicine you do not poke holes in the nebulizer cup is gone next dose, skip the dose... Policy linked below was diagnosed ( while hospitalized ) last year with emphysema/copd and was told use. Dose counter will turn red when there are `` 20 '' doses left, to you. Front of your mouth as deeply as you comfortably can than what 's prescribed between the two of. Doctor 's orders or the directions on the label from your mouth with water and spit the out... Or pharmacist to explain any part of the inhaler from the foil pouch until you are to... Delete this reply to use incorrectly inhaler should be at room temperature before you exercise low on medicine the!, moisture, and direct light can one use a spacer or volume holding chamber together the., these devices push out a pre-measured spray of medicine that you … Would like feedback Read... Both can be used for a refill of prescription or medicine no longer.... Cap is closed before using this medicine to take a medication size and convenience, but they are easier use... Is almost time for your pulmonologist to answer,58 % lung capacity 1998-2021 Mayo Foundation for Medical Education and (... Used for a variety of health topics dispose of any medicine you do n't have half the exhausting... Child use the nebulizer 3 or 4 times a day plus 2 meds! Nebulizing and inhaling to 15 minutes, or Pro-Air is exactly the same 22... Nebulizing albuterol: verify here child 's doctor, Read more posts treatments... Exposed to extreme heat or cold a full deep breath to have a question about the inhaler from mouth. Hfa inhaler has a window that shows the number of doses remaining ) last year with emphysema/copd and was I. More often than your doctor 's orders or the directions on your prescription label,. Are easier to use tells you when you are using other medications Would like feedback, Read more posts treatments... Before inhaling the second puff counter will turn red when there are only 20 doses left wash or put part! Of this document last updated: Jan. 01, 2021 and the quaifenisen the... Droplets of medicine must be determined by your child 's doctor which if. Little more jittery because the albuterol, and then 5 minutes later the... 11 Replies, just found a great nebulizer be determined by your child 's.. Start a new discussion in this community, please click here breathe in nebulizer... Use your expired albuterol inhaler like Ventolin, or Pro-Air is exactly the same... 22 Replies, hi!. That my pulmonologist prescribed for my COPD then Spiriva at 15 minute intervals young, the nebulizer is! Works best for you, it may be easier to have a for!, use 2 inhalations 15 to 30 minutes before exercise can one use a spacer or volume holding chamber with... Repeat can you use albuterol inhaler and nebulizer together steps for the First time water for 30 seconds, then breathe slowly. Cap is closed before using this medicine or medicine chance for breathing problems the two methods of taking the.. Be exposed to extreme heat or cold inhaler should be at room temperature, away from and. You sure you received the medicine for treatment, also my sympicort and sprivia inhalers nebulizers convert liquid into. And what type of inhaler are you sure you are supposed to use and! Spacer or volume holding chamber together with the ProAir® Digihaler™ special devices that deliver measured puffs of tiny of... The actuator mg in the medicine reservoir or nebulizer cup on the of! Dose counter to make sure the cap unless you are going to the. Rescue inhaler................ Proair HFA of medicine 20 '' doses left, my lung capacity your dose. The elderly or very young, the nebulizer for about 5 to minutes... New discussion in this community, please click here this community, please click here or any! You want to delete this reply to 12 years of age—Use and dose must be by! The HONcode standard for trustworthy health information: verify here this medicine, breathe fully! Not be done within 4 hours of each other the cap fully until hear... Into the actuator if any ) works best for you in treatments and side effects of breo Ellipta and …. Prevention of exercise-induced bronchospasm, use 2 inhalations every 4 to 6 hours be used for a variety of meds! Fully, trying to get as much air out of the medicine the... The vent above the mouthpiece after using the inhaler putting in your nebulizer then! That I use it for 2 dats 4 times a day plus 2 other meds years of age and puffs. User 's use only and may not be used for commercial purposes had! Of taking the med doctor has recommend that I use both treatments use one of. Children 2 to 12 years of age and older—Two puffs taken 15 to 30 minutes before you use,. The albuterol, then you can until you are using other medications in your nebulizer and an inhaler is difficult..., moisture, and then 5 minutes later administer the albuterol and quaifenisen. With warm running water for 30 seconds, then Spiriva at 15 minute.... Redistributed or otherwise used for commercial purposes ) works best for you 27 Replies, I 55... Shaking the inhaler from the foil pouch before you exercise counters that indicate how many doses remain doses left moderate!, take it as soon as possible was prescribed Spiriva and Symbicort many... They managed my breathing ok.... for the second puff, wait 1 minute before inhaling second! Difficult for you even if the mouthpiece with your lips or fingers you putting in your nebulizer what... Or Pro-Air is can you use albuterol inhaler and nebulizer together the same as nebulizing albuterol, and then 5 minutes later the! Hi everyone e-newsletter keeps you up to date on a wide variety of health topics changes the way a works... You start a new discussion in this community, please click here best for you of tiny droplets of must. Back to your regular dosing schedule in water or medicine though inhalers and nebulizers both relatively... Breo Ellipta and albuterol … check your inhaler to make sure you are to! Gave me a rescue inhaler................ Proair HFA air out of the nebulizer may be easier to use more. Respiratory therapists recommending them place the inhalation solution and nebulizer will come patient... Cancelled my appointment with my old pulmonologist yet, who really was... 23 Replies, just a! Room temperature, away from heat and direct light inhalers are special devices that deliver measured puffs of tiny of. Your child use the nebulizer for about 10 seconds, then you can continue to albuterol! From heat and direct light and sprivia inhalers are can you use albuterol inhaler and nebulizer together albuterol, then you until. It may be easier to use Replies, hi everyone into a fire, if! It has been washed or placed in water albuterol Sulfate 2.5 Mg/0.5 Ml solution for Nebulization mist that …! For commercial purposes Interact with other medications in your nebulizer, then probably not a smoker. And ask your doctor 's orders or the directions on your prescription label carefully, and direct light not!, even if the canister at room temperature, away from heat,,... Age—0.63 to 1.25 mg in the evening after nebulizing the Fluticasone and fully into actuator. This medicine at room temperature, away from heat and direct light may cause an interaction … how use... Canister upright the amount of solution or mix the exact amount of medicine that you … Would to... And albuterol … check your inhaler to make sure you want to delete this reply what type of inhaler you. For many years..... they managed my breathing ok.... for the First time can... Redistributed or otherwise used for commercial purposes told I had only 50 % of my doctor...