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Flixotide Accuhaler contains a medicine called fluticasone propionate. This medicine belongs to a group of medicines known as corticosteroids, frequently called 'steroids'. They are not 'anabolic steroids' which are the steroids sometimes misused by athletes.

Your Flixotide Accuhaler provides a measured amount of steroid for you to breathe into your lungs. By using your Flixotide Accuhaler regularly every day, the medicine reduces the swelling and irritation in the walls of the small air passages in your lungs. Your Flixotide Accuhaler contains the type of asthma medicine known as a 'preventer'. It does not give immediate relief from an asthma attack and may take up to a week to start to work. If your shortness of breath or wheeze does not get better after 7 days, tell your doctor. When used every day, your Flixotide Accuhaler helps to ease breathing problems and prevent asthma attacks.

This medicine is only one part of a general plan to help you manage your asthma. You should discuss this plan with your doctor. You may also be using a 'reliever puffer'. Keep using it according to your doctor's advice. Ask your doctor to check your treatment regularly.

The medicine in Flixotide Accuhaler is not addictive.

Special precautions

Flixotide Accuhaler generally does not cause any problems with your ability to drive a car or operate machinery.

Before you start to use it you must tell your doctor if:

• You are taking other steroid medicines by mouth or inhalation. If you are already taking steroid tablets, you should carry a warning card about needing extra oral steroids during periods of stress. Discuss this with your doctor.

• You have ever had to stop taking other asthma medicines.
• You have tuberculosis (TB) of the lung or other long term lung infection.
• You are allergic to foods, dyes, preservatives or any other medicines.

Tell your doctor if you are taking any other medicines, including medicines you buy without a prescription from a pharmacy, supermarket or health food shop.

IMPORTANT: IF YOUR BREATHING SUDDENLY BECOMES MORE DIFFICULT JUST AFTER YOU HAVE USED YOUR FLIXOTIDE ACCUHALER, YOU WILL NEED TO USE A 'RELIEVER PUFFER' AND TELL YOUR DOCTOR IMMEDIATELY.

Tell your doctor as soon as possible if:

• your 'reliever puffer' does not help your breathing as much as usual

• the effect of your 'reliever puffer' does not last as long as usual
• you need more puffs of your 'reliever puffer' than usual to get relief

Side-Effects

The most commonly reported side-effects are:

• A sore throat or tongue. This may be due to 'thrush' (candida infection)

• hoarseness or throat irritation

Tell your doctor or pharmacist immediately if you notice any of these signs.

It is possible that some people, particularly those taking higher doses of Flixotide Accuhaler for a long time, may rarely suffer from the following side effects:

• rounded face

• loss of bone density
• eye problems (eg. cataract, glaucoma)
• Slowing of growth in children. It is unclear what, if any, difference this makes to their final height.

It is important that:

• treatment with Flixotide Accuhaler should not be stopped suddenly

• All doctors treating you are aware that you are on inhaled steroids. If your body is stressed by, for example, severe infection, surgical operation, an accident etc, you may need steroid tablets or injections for a time.

Very rarely the person taking the medicine may feel anxious, have disturbed sleep or notice increased irritability (mainly in children).

If you think you are having an allergic reaction to Flixotide Accuhaler, tell your doctor immediately or go to the casualty department at your nearest hospital. Symptoms usually include some or all of the following:

• wheezing

• swelling of the lips/mouth, tongue or throat
• difficulty in breathing
• hay fever
• lumpy rash (hives)
• fainting

This is not a complete list of all possible side-effects. Others may occur in some people and there may be some side-effects not yet known.

Keep all appointments with your doctor.

Don’t let anyone else take your medicines.