Advair Diskus

and/or alternativesChemical Ingredient: Fluticasone Propionate/Salmeterol Xinafoate
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What is a generic medication?

Generic medications are significantly discounted copies of brand name medication that have the same active ingredients, intended use, dosage, side effects, effects, and route of administration as the original brand name medication. In other words, generic medications have the same pharmacological effects as their brand-name counterparts. Over half of all prescribed medications are for generic medications.

Advair Diskus 100/50 100/50mcg/Inh

Fluticasone Propionate/Salmeterol Xinafoate 100/50mcg/Inh

Fluticasone Propionate/Salmeterol Xinafoate 100/50mcg/Inh

Generic Alternative to Advair Diskus 100/50 100/50mcg/Inh

Advair Diskus 100/50 100/50mcg/Inh

Advair Diskus 100/50 100/50mcg/Inh

Fluticasone Propionate/Salmeterol Xinafoate 100/50mcg/Inh

  • Metered-Dose Powder for Inhalation
  • Marketed as Seretide Accuhaler 100/50mcg/Inh in India
  • Manufactured by GlaxoSmithKline Inc.
  • Product of India • Shipped from India
  • Prescription Required
Fluticasone Propionate/Salmeterol Xinafoate 100/50mcg/Inh

Fluticasone Propionate/Salmeterol Xinafoate 100/50mcg/Inh

Generic Alternative to Advair Diskus 100/50 100/50mcg/Inh

  • Metered-Dose Powder for Inhalation
  • Manufactured by Cipla
  • Product of India • Shipped from India
  • Prescription Required
Read more
Please Note: Please note that the generic version is a rotahaler device and not a diskus device. They are similar and are both breath activated, however, the rotahaler requires you to insert a capsule containing the medication into the device prior to inhalation.

Advair Diskus 250/50 250/50mcg/Inh

Fluticasone Propionate/Salmeterol Xinafoate 250/50mcg/Inh

Fluticasone Propionate/Salmeterol Xinafoate 250/50mcg/Inh

Generic Alternative to Advair Diskus 250/50 250/50mcg/Inh

Advair Diskus 250/50 250/50mcg/Inh

Advair Diskus 250/50 250/50mcg/Inh

Fluticasone Propionate/Salmeterol Xinafoate 250/50mcg/Inh

  • Metered-Dose Powder for Inhalation
  • Marketed as Seretide Accuhaler 250/50mcg/Inh in India
  • Manufactured by GlaxoSmithKline Inc.
  • Product of India • Shipped from India
  • Prescription Required
Fluticasone Propionate/Salmeterol Xinafoate 250/50mcg/Inh

Fluticasone Propionate/Salmeterol Xinafoate 250/50mcg/Inh

Generic Alternative to Advair Diskus 250/50 250/50mcg/Inh

  • Metered-Dose Powder for Inhalation
  • Manufactured by Cipla
  • Product of India • Shipped from India
  • Prescription Required
Read more
Please Note: Please note that the generic version is a rotahaler device and not a diskus device. They are similar and are both breath activated, however, the rotahaler requires you to insert a capsule containing the medication into the device prior to inhalation.

Advair Diskus 500/50 500/50mcg/Inh

Fluticasone Propionate/Salmeterol Xinafoate 500/50mcg/Inh

Fluticasone Propionate/Salmeterol Xinafoate 500/50mcg/Inh

Generic Alternative to Advair Diskus 500/50 500/50mcg/Inh

Advair Diskus 500/50 500/50mcg/Inh

Advair Diskus 500/50 500/50mcg/Inh

Fluticasone Propionate/Salmeterol Xinafoate 500/50mcg/Inh

  • Metered-Dose Powder for Inhalation
  • Marketed as Seretide Accuhaler 500/50mcg/Inh in India
  • Manufactured by GlaxoSmithKline Inc.
  • Product of India • Shipped from India
  • Prescription Required
Fluticasone Propionate/Salmeterol Xinafoate 500/50mcg/Inh

Fluticasone Propionate/Salmeterol Xinafoate 500/50mcg/Inh

Generic Alternative to Advair Diskus 500/50 500/50mcg/Inh

  • Metered-Dose Powder for Inhalation
  • Manufactured by Cipla
  • Product of India • Shipped from India
  • Prescription Required
Read more
Please Note: Please note that the generic version is a rotahaler device and not a diskus device. They are similar and are both breath activated, however, the rotahaler requires you to insert a capsule containing the medication into the device prior to inhalation.

Advair Diskus Helps Treat the Following Conditions:

Chronic Obstructive Pulmonary Disease - COPD

Chronic obstructive pulmonary disease (COPD) is an umbrella term used to describe inflammatory lung diseases.

The two most common kinds are chronic bronchitis, which is inflammation of the lining of the bronchial tubes, and emphysema, which is caused by damage to the air sacs of the lungs.

COPD is usually caused by the inhalation of pollutants like cigarette smoke, chemical gases, and airborne particulate matter.

Asthma

Asthma is a chronic lung condition in which the airways become inflamed and swollen. Because of the inflammation, the airways tighten and produce extra mucus. Patients experience symptoms such as wheezing, coughing and shortness of breath.

While some patients experience mild symptoms, for others, the disease may have serious symptoms that require careful monitoring and medical treatment.

Generic Alternatives to Advair Diskus

Advair Diskus consists of two active ingredients: fluticasone and salmeterol. The corticosteroid fluticasone reduces irritation and swelling of the airways. Salmeterol belongs to a class of drugs known as long-acting beta-agonists and helps to open airways to ease breathing.

Patients have a choice of buying brand name Advair Diskus or generic alternatives. A number of safe, affordable generic alternatives to Advair Diskus are available through our international online pharmacy.

Marketed Internationally as Seretide Accuhaler

In some parts of the world you can buy Advair Diskus under the brand name Seretide Accuhaler.

Advair Diskus in the News

Advair Diskus Generic Inhaler Approved for Asthma

The US Food and Drug Administration has accepted an application for a generic version of Advair Diskus. The application was filed by Sandoz, a division of pharmaceutical company Novartis, which specializes in generic pharmaceuticals and biosimilars.  

Advair Diskus, an inhaler for patients with asthma and chronic obstructive pulmonary disease, lost its US patent protection in 2010.

Source: http://www.mdmag.com/medical-news/advair-diskus-generic-inhaler-approved-for-asthma

Regular Use of Bleach Linked to COPD

Researchers from the French National Institute of Health and Medical Research found that weekly exposure to specific disinfectants was enough to raise the risk of having chronic obstructive pulmonary disease (COPD) by almost a third.

The researchers analyzed data from a long-term study of female nurses in the US, choosing 55,185 working nurses who did not have COPD in 2009 and examined them for the following eight years.

During this period, 663 of the nurses were diagnosed with COPD. The researchers state that previous studies have linked disinfectants with breathing problems like asthma in healthcare workers. They say, however, that the study does not prove cause and effect, only an association.

Source: https://www.webmd.com/lung/copd/news/20170912/regular-use-of-bleach-linked-to-copd

Advair Diskus General Information

Overview

Advair Diskus is prescribed to prevent wheezing and shortness of breath in patients with asthma and chronic obstructive pulmonary disease. This medication contains two active ingredients – the corticosteroid fluticasone and salmeterol – which patients inhale through a device. The medication should be used regularly in order for patients to experience less irritation and swelling of the airways. It should not be used in the event of sudden asthma attacks.

Warnings

One of the active ingredients in Advair Diskus, salmeterol, belongs to a class of drugs known as long-acting beta agonists. In rare cases, the drugs in this class may cause serious and possibly fatal breathing problems in asthma patients. In such patients, Advair Diskus should only be used when one long-term medication, such as inhaled corticosteroids, does not adequately control breathing problems.

Patients need to discuss the risks and benefits of this medication with their doctor.

Before starting treatment, patients must make sure they know how to use this medication properly. The information on this page is not a replacement for a consultation with a physician qualified to treat this condition and prescribe medication.

The information is supplied by a third party, independent from this website, and only serves to raise awareness about this condition and point out basic information regarding treatment. The website cannot take responsibility for the reliability or medical efficacy of the information provided.

As mentioned above, patients should seek medical attention to ensure effective and safe treatment. Not all products are shipped by our contracted Canadian pharmacy. The source country, shipping country or drug manufacturer may vary depending on availability.

The website also maintains commercial ties with dispensaries around the world. Products can be sourced from a number of countries.

Patients should note that different items within an order can be shipped from different jurisdictions, depending on availability and cost at the time an order was placed.

How to Use Advair Diskus

Patients should read the medication guide provided, as well as the directions to ensure they know how to properly use this inhaler. The treating physician can help with any additional questions. To use the device, patients must lie down in a level position.

The medication is inhaled orally. It is possible to taste the drug while inhaling, although not all patients do. Both are normal. Patients should not exhale into the device. The drug is usually inhaled twice daily – in the morning and evening – with doses twelve hours apart. Dosage is based on a patient’s medical condition, age and response to treatment.

The device should be closed after each use. Do not take it apart or wash the mouthpiece or any other part. Patients using other inhalers should wait at least a minute between medications. Advair Diskus should be used last. It is important to gargle and rinse the mouth with water after each dosage to help prevent irritation and yeast infections.

Patients should not swallow the rinse water. It is necessary to use this medication regularly in order to experience its full benefit. It works best if used at evenly spaced intervals.

To reduce the risk of forgetting, patients are advised to take the medication at the same time each day. This medication should be used exactly as prescribed. It may take a week or longer before patients experience the full effect of this medication. Increasing the dose or taking it more frequently is not advised, neither is stopping the drug without consulting the treating physician first.

To reduce possibly serious complications, patients must make sure they are not taking other long-acting beta-agonists while using Advair Diskus or any of its generic alternatives. Patients who take a different oral corticosteroid like prednisone should continue doing so unless directed otherwise by their doctor. In the event such drugs are stopped suddenly, patients may experience withdrawal symptoms such as weakness, weight loss, nausea, muscle pain, headache, tiredness and dizziness.

Conditions such as asthma or allergies may also be exacerbated. To prevent withdrawal symptoms and other complications, patients may be directed to slowly lower doses of their old medication before starting treatment with Advair Diskus. Patients should report withdrawal symptoms immediately. More information on this is available in the Precautions section.

Those who regularly use a quick-relief inhaler such as albuterol (also known as salbutamol) should stop. Quick-relief inhalers should only be used for sudden shortness of breath and/or sudden asthma attacks.

To ensure the safety and efficacy of treatment, patients who use more than one inhaler should be clear which one is for daily use and which one is for quick relief of severe asthma attack only.

The treating physician can help to prepare a plan of action to address a new or worsening cough, shortness of breath, wheezing, increased sputum and worsening peak flow meter readings.

Patients also need to ask ahead of time what to do in the event they wake up at night with breathing troubles, if they use their quick-relief inhaler more than two days a week or if their quick-relief inhaler does not seem to be working well.

Patients should learn which breathing problems can be tended to at home with existing medications they have been prescribed, and which issues require immediate medical assistance.

Precautions

Before starting treatment, patients need to discuss the possibility of allergic reactions to fluticasone and salmeterol – the two main ingredients of this medication – or to any of its inactive ingredients. It is vital to discuss the patient’s medical history, especially past or current infections like tuberculosis, herpes, high blood pressure, osteoporosis, seizures, liver disease and diabetes.

In addition, patients should discuss problems with irregular heartbeat, heart attacks, eye problems (cataracts, glaucoma, etc.) and hyperthyroidism, a thyroid condition.

Salmeterol may cause a serious and possibly fatal heart rhythm condition known as QT prolongation. Symptoms include fast and irregular heartbeat, severe dizziness and fainting. Patients should seek immediate medical attention should they experience any of the above symptoms.

The risk of QT prolongation is higher for people who take other medications that may affect this condition or who have certain medical conditions such as heart failure, slow heartbeat and long QT intervals (shown in electrocardiograms). The risk is higher for people with a family history of QT prolongation, long QT intervals or sudden cardiac death.

Low potassium and magnesium blood levels also increase risk of QT prolongation. This may occur if patients take diuretic pills or experience conditions like severe sweating, diarrhea or vomiting. Advair Diskus and its generic alternatives may mask signs of infection and make patients more susceptible to infections.

Safety precautions include regular hand washing and avoiding contact with people who have infections like the flu, chickenpox or measles. Patients who have switched from an oral corticosteroid to this inhaler within the past year may find that their body is having a harder time than usual in responding to physical stress.

The same applies for patients using this product in higher-than-usual doses for an extended period of time. It is important to report unusual tiredness or extreme weight loss to the treating physician immediately.

Patients with serious injuries or illnesses, or who or are about to undergo emergency treatment or surgery, need to alert their doctor that they have used Advair Diskus or an oral corticosteroid within the past year.

Patients should include this information on a medical ID bracelet or carry a warning card. Patients preparing for surgery or certain dental procedures should inform their doctor or dentist about all medicines, supplements and herbal products they are taking.

Older adults suffering from COPD may be at greater risk for pneumonia while using this medication.

They also may be more at risk of developing QT prolongation, a serious heart rhythm condition. In children, Advair Diskus and its generic alternatives may slow growth if used for a long time.

Poorly controlled asthma, however, may have a similar effect. The effect on final height in adulthood is not known. Women who are pregnant – or planning to become pregnant – should discuss the safe use of this medication with their doctors. It is not known whether the active ingredients of this drug pass into breast milk.

Missed Dose

Patients who miss a dose should take it as soon as they remember. If this happens near the time for the next dose, patients should skip the missed dose and proceed as usual. Patients should not double up the dose in order to catch up.

Drug Interactions

Drug interactions may change the way Advair Diskus or its generic alternatives work and can increase the risk of side effects.

Before starting treatment, patients need to discuss the full list of medications and supplements they are taking with their doctor. Patients should not change their dose or stop taking this medication unless their physician advises them to do so. Some substances, such as the cancer drug aldesleukin, may react negatively with Advair Diskus.

Other drugs can affect the removal of fluticasone and salmeterol from your body, affecting how this product works.

Examples include antifungal medications such as ketoconazole, the hepatitis C drug boceprevir, and the antidepressant nefazodone. In addition, some antibiotics like telithromycin and clarithromycin have a similar effect, as do HIV drugs such as lopinavir/ritonavir, and cobicistat.

Advair Diskus Side Effects

Some patients may experience hoarseness, throat irritation, headache or stomach upset. Patients should alert their physician in the event these symptoms persist.

Most patients are able to use this product safely without serious side effects. In some patients, Advair Diskus may increase blood pressure.

Patients should monitor blood pressure regularly and alert the treating physician in the event it remains high. In rare cases, this medication may cause severe sudden worsening of breathing problems or asthma symptoms. In the event of such problems, patients should use a quick-relief inhaler and seek immediate medical help.

Patients should tell their doctor if they experience serious side effects like white patches on the tongue or in the mouth, muscle cramps, tremor, or signs of infection like fever and persistent sore throat.

Serious side effects may also include mood changes such as nervousness, trouble sleeping, blurred vision, and increased thirst or urination.

It is important to seek immediate medical help in the event of the following rare but serious side effects: chest pain, irregular heartbeat, severe dizziness, fainting, and seizures.

Serious allergic reactions to Advair Diskus are rare, yet patients should be aware of allergy symptoms such as rash, itching and swelling, severe dizziness and trouble breathing. Read more on our Advair Diskus Side Effects Page.

Storage

Advair Diskus should be stored at room temperature, away from light or moisture. Do not store in the bathroom. Keep away from children and pets.

Devices which are wrapped in foil should be kept in the original packaging until ready for use. The device should either be discarded a month after removal from the original foil package, or after the doses have been used.

Unwanted medication should be disposed of properly and should not be drained, flushed down the toilet, or placed in your regular garbage. Patients should consult a pharmacist or their local waste disposal company to find out more about safe disposal methods

Advair Diskus 250/50 Drug Information

  • Advair Diskus Overview

    is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma or ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes chronic bronchitis and emphysema).fluticasone and salmeterol. Fluticasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways. Salmeterol belongs to the class of drugs known as long-acting beta agonists. It works by opening airways in the lungs to make breathing easier. Controlling symptoms of breathing problems can decrease time lost from work or school. When used alone, long-acting beta agonists (such as salmeterol) may rarely increase the risk of serious (sometimes fatal) asthma-related breathing problems. However, combination inhaled corticosteroid and long-acting beta agonists, such as , do not increase the risk of serious asthma-related breathing problems. For asthma treatment, should be used when breathing problems are not well controlled with one asthma-control medication (such as inhaled corticosteroid) or if your symptoms need combination treatment. Before using Advair Diskus, it is important to learn how to use it properly. Advair Diskus must be used regularly to be effective. It does not work right away and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (such as albuterol, also called salbutamol in some countries) as prescribed.

  • How to Use Advair Diskus

    Read the Patient Information Leaflet and Instructions for Use provided by your pharmacist before you start using Advair Diskus and each time you get a refill. Follow the illustrated directions for the proper use of Advair Diskus. If you have any questions, ask your doctor or pharmacist. Use this device in a level, flat position. Inhale Advair Diskus by mouth as directed by your doctor, usually twice daily (in the morning and evening, 12 hours apart). You may or may not taste/feel the drug when you inhale. Either is normal. Do not exhale into the device. Do not take the inhaler apart or wash the mouthpiece or any part of the device. Close the device after each use. If you are using other inhalers at the same time, wait at least 1 minute between the use of each medication, and use Advair Diskus last. Gargle and rinse your mouth with water after each use of Advair Diskus to help prevent irritation and yeast infections (thrush) in the mouth and throat. Do not swallow the rinse water. The Dosage of Advair Diskus is based on your medical condition, age, and response to treatment. Use Advair Diskus regularly in order to get the most benefit from it. Advair Diskus works best if used at evenly spaced times. To help you remember, use it at the same times each day. Do not increase your dose, use Advair Diskus more often, or stop using it without talking with your doctor. Also, do not use other long-acting beta agonists while using Advair Diskus. If you have been using a quick-relief inhaler (such as albuterol, also called salbutamol in some countries) on a regular daily schedule (such as 4 times daily), you must stop this schedule and only use the quick-relief inhaler as needed for sudden shortness of breath/asthma attacks. Consult your doctor for details. If you are regularly using a different corticosteroid taken by mouth (such as prednisone), you should not stop using it unless directed by your doctor. You may have withdrawal symptoms if the drug is suddenly stopped. Some conditions (such as asthma, allergies) may become worse when the drug is suddenly stopped. To prevent withdrawal symptoms (such as weakness, weight loss, nausea, muscle pain, headache, tiredness, dizziness), your doctor may direct you to slowly lower the dose of your old medication after you begin using . Consult your doctor or pharmacist for more details, and report any withdrawal reactions right away. See also Precautions section. It may take 1 week or longer before you get the full benefit of Advair Diskus. Tell your doctor if your condition does not improve or if it worsens. Learn which of your inhalers you should use every day (controller drugs) and which you should use if your breathing suddenly worsens (quick-relief drugs). Ask your doctor ahead of time what you should do if you have new or worsening cough or shortness of breath, wheezing, increased sputum, worsening peak flow meter readings, waking up at night with trouble breathing, if you use your quick-relief inhaler more often (more than 2 days a week), or if your quick-relief inhaler does not seem to be working well. Learn when you can treat sudden breathing problems by yourself and when you must get medical help right away.

  • Advair Diskus Precautions

    Before using , tell your doctor or pharmacist if you are allergic to fluticasone or salmeterol; or if you have any other allergies. may contain inactive ingredients (such as lactose, milk proteins), which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using Advair Diskus, tell your doctor or pharmacist your medical history,current/past infections (such as tuberculosis, herpes), high blood pressure, bone loss (osteoporosis), heart disease (such as chest pain, heart attack, irregular heartbeat), overactive thyroid (hyperthyroidism), diabetes, eye problems (such as cataracts, glaucoma), seizures, liver disease. Salmeterol may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away. The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using ,certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death). Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using Advair Diskus safely. Advair Diskus may mask signs of infection. It can make you more likely to get infections or may worsen any current infections. Therefore, wash your hands well to prevent the spread of infection. Avoid contact with people who have infections that may spread to others (such as chickenpox, measles, flu). Consult your doctor if you have been exposed to an infection or for more details. If you have switched from a corticosteroid taken by mouth (such as prednisone tablets) to this inhaler within the past 12 months, or if you have been using in higher-than-usual doses for a long time, it may be more difficult for your body to respond to physical stress. Therefore, before having surgery or emergency treatment, or if you get a serious illness/injury, tell your doctor or dentist that you are using Advair Diskus or have used a corticosteroid taken by mouth within the past 12 months. Tell your doctor right away if you develop unusual/extreme tiredness or weight loss. Carry a warning card or medical ID bracelet that says you use (or have used) corticosteroid medications. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Older adults with COPD may be at greater risk for pneumonia while using Advair Diskus. Older adults may also be more sensitive to the side effects of Advair Diskus, especially QT prolongation (see above). Advair Diskus may slow down a child's growth if used for a long time, but poorly controlled asthma can also slow down growth. The effect on final adult height is unknown. See the doctor regularly so your child's height can be checked. During pregnancy, Advair Diskus should be used only when clearly needed. Discuss the risks and benefits with your doctor. It is unknown if Advair Diskus passes into breast milk. Consult your doctor before breast-feeding.

  • Advair Diskus Misdose

    If you miss a dose of Advair Diskus, skip the missed dose. Use your next dose at the regular time. Do not double the dose to catch up.

  • Advair Diskus Interactions

    Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.aldesleukin. Other medications can affect the removal of fluticasone and salmeterol from your body, which may affect how works. Examples include azole antifungals (such as ketoconazole), boceprevir, cobicistat, macrolide antibiotics (such as clarithromycin), HIV protease inhibitors (such as lopinavir, ritonavir), nefazodone, telithromycin, among others.

  • Advair Diskus Side Effects

    Hoarseness, throat irritation, headache, or stomach upset may occur. If any of these effects persist or worsen, tell your doctor promptly. Remember that your doctor has prescribed Advair Diskus because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using Advair Diskus do not have serious side effects. Advair Diskus may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the results are high. Infrequently, Advair Diskus may cause severe sudden worsening of breathing problems/asthma immediately after use. If you have sudden worsening of breathing, use your quick-relief inhaler and get medical help right away.white patches on tongue/in mouth, signs of infection (such as fever, persistent sore throat), mental/mood changes (such as nervousness), trouble sleeping, vision problems (such as blurred vision), increased thirst/urination, muscle cramps, shaking (tremors).chest pain, fast/irregular heartbeat, severe dizziness, fainting, seizures. A very serious allergic reaction to is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction,rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

    List of Advair Diskus 250/50 side effects
  • Advair Diskus Storage

    Store at room temperature away from light, heat, and moisture. Do not store in the bathroom. Keep all medications away from children and pets. For the US product, do not remove the device from its original foil package until ready to use. Discard the device 1 month after you remove it from the original foil package or after all the doses have been used, whichever comes first. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details.

IMPORTANT DISCLAIMER: All medical content is supplied by a third party company who is independent from this web site. As such, this web site can not guarantee the reliability, accuracy, and /or medical efficacy of the information provided. In all circumstances, you should seek the advice of a health professional pertaining to drug, treatment and/or medical condition advice. Note that not all products are shipped by our contracted Canadian pharmacy. This website contracts with dispensaries around the world that ship products directly to our customers. Some of the jurisdiction include but are not limited to United Kingdom, Europe, Turkey, India, Canada, Vanuatu, Mauritius, and USA. The items within your order may be shipped from any one of these jurisdiction depending on the availability and cost of the products at the time you place your order. The products are sourced from these countries as well as others. Please note that the product appearance may vary from actual product received depending on availability.