Drugplain

ADVAIR HFA 45 ug/1

fluticasone propionate and salmeterol xinafoate · AEROSOL, METERED · GlaxoSmithKline LLC

3 Recalls on RecordCurrently in Shortage
Plain English

ADVAIR HFA is a aerosol, metered containing fluticasone propionate and salmeterol xinafoate at 45 ug/1, taken respiratory (inhalation). Manufactured by GlaxoSmithKline LLC.

Key Facts

Brand Name
ADVAIR HFA
Generic Name
fluticasone propionate and salmeterol xinafoate
NDC Code (Product)
0173-0715
Manufacturer
GlaxoSmithKline LLC
Strength
45 ug/1
Dosage Form
AEROSOL, METERED
Route
RESPIRATORY (INHALATION)
Marketing Status
Application #
NDA021254
Marketing Start
09/29/2008

Recall History

3 Recalls on Record
Class III10/24/2012

GlaxoSmithKline, LLC.

Product Lacks Stability: These lots are being recalled due to the failure to meet the particle size distribution specification.

TerminatedVoluntary: Firm initiated
Class III10/24/2012

GlaxoSmithKline, LLC.

Product Lacks Stability: These lots are being recalled due to the failure to meet the particle size distribution specification.

TerminatedVoluntary: Firm initiated
Class II03/15/2021

Cardinal Health Inc.

CGMP Deviations: Intermittent exposure to temperature excursion during storage.

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

dyspnoea9,856 reports
asthma8,017 reports
drug ineffective5,420 reports
pneumonia4,845 reports
cough4,843 reports
wheezing4,127 reports
fatigue3,909 reports
malaise3,563 reports
headache3,555 reports
pain3,318 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE ADVAIR HFA is indicated for treatment of asthma in adult and adolescent patients aged 12 years and older. ADVAIR HFA should be used for patients not adequately controlled on a long-term asthma control medication such as an inhaled corticosteroid (ICS) or whose disease warrants initiation of treatment with both an ICS and long-acting beta 2 -adrenergic agonist (LABA). Limitations of Use ADVAIR HFA is not indicated for the relief of acute bronchospasm. ADVAIR HFA is a combination of fluticasone propionate, an inhaled corticosteroid, and salmeterol, a long-acting beta 2 ‑adrenergic agonist (LABA), indicated for treatment of asthma in adult and adolescent patients aged 12 years and older. ( 1 ) Limitations of use: Not indicated for relief of acute bronchospasm. ( 1 )

Dosage & Administration

2 DOSAGE AND ADMINISTRATION • For oral inhalation only. ( 2.1 ) • Adult and adolescent patients aged 12 years and older: 2 inhalations of ADVAIR HFA 45 mcg/21 mcg, ADVAIR HFA 115 mcg/21 mcg, or ADVAIR HFA 230 mcg/21 mcg twice daily. ( 2.2 ) • Starting dosage is based on asthma severity. ( 2.2 ) 2.1 Administration Information ADVAIR HFA should be administered by the orally inhaled route only. After inhalation, rinse mouth with water without swallowing to help reduce the risk of oropharyngeal candidiasis. Priming Prime ADVAIR HFA before using for the first time by releasing 4 sprays into the air away from the face, shaking well for 5 seconds before each spray. In cases where the inhaler has not been used for more than 4 weeks or when it has been dropped, prime the inhaler again by releasing 2 sprays into the air away from the face, shaking well for 5 seconds before each spray. Avoid spraying in eyes. 2.2 Recommended Dosage Adult and adolescent patients aged 12 years and older: 2 oral inhalations twice daily, approximately 12 hours apart. The maximum recommended dosage is 2 inhalations of ADVAIR HFA 230 mcg/21 mcg twice daily. General Dosing Recommendation When choosing the starting d

Contraindications

4 CONTRAINDICATIONS ADVAIR HFA is contraindicated in the following conditions: • Primary treatment of status asthmaticus or other acute episodes of asthma where intensive measures are required [see Warnings and Precautions ( 5.2 )] . • Hypersensitivity to any of the ingredients [see Warnings and Precautions ( 5.11 ), Adverse Reactions ( 6.2 ), Description ( 11 )] . • Primary treatment of status asthmaticus or acute episodes of asthma requiring intensive measures. ( 4 ) • Hypersensitivity to any ingredient. (4)

Drug Interactions

7 DRUG INTERACTIONS ADVAIR HFA has been used concomitantly with other drugs, including short-acting beta 2 -agonists, methylxanthines, and nasal corticosteroids, commonly used in patients with asthma without adverse drug reactions [see Clinical Pharmacology (12.2)] . No formal drug interaction trials have been performed with ADVAIR HFA. • Strong cytochrome P450 3A4 inhibitors (e.g., ritonavir, ketoconazole): Use not recommended. May increase risk of systemic corticosteroid and cardiovascular effects. ( 7.1 ) • Monoamine oxidase inhibitors and tricyclic antidepressants: Use with extreme caution. May potentiate effect of salmeterol on vascular system. ( 7.2 ) • Beta-blockers: Use with caution. May block bronchodilatory effects of beta-agonists and produce severe bronchospasm. ( 7.3 ) • Diuretics: Use with caution. Electrocardiographic changes and/or hypokalemia associated with non–potassium-sparing diuretics may worsen with concomitant beta-agonists. ( 7.4 ) 7.1 Inhibitors of Cytochrome P450 3A4 Fluticasone propionate and salmeterol, the individual components of ADVAIR HFA, are substrates of CYP3A4. The use of strong CYP3A4 inhibitors (e.g., ritonavir, atazanavir, clarithromycin, ind

Adverse Reactions

6 ADVERSE REACTIONS The following clinically significant adverse reactions are described elsewhere in the labeling: • Serious asthma-related events – hospitalizations, intubations, death [see Warnings and Precautions (5.1)] • Oropharyngeal candidiasis [see Warnings and Precautions (5.4)] • Pneumonia in patients with COPD [see Warnings and Precautions (5.5)] • Immunosuppression and risk of infections [see Warnings and Precautions (5.6)] • Hypercorticism and adrenal suppression [see Warnings and Precautions (5.8)] • Cardiovascular and central nervous system effects [see Warnings and Precautions (5.12)] • Reduction in bone mineral density [see Warnings and Precautions (5.13)] • Growth effects [see Warnings and Precautions (5.14)] • Glaucoma and cataracts [see Warnings and Precautions (5.15)] Most common adverse reactions (incidence ≥3%) include: upper respiratory tract infection or inflammation, throat irritation, dysphonia, headache, dizziness, nausea and vomiting. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact GlaxoSmithKline at 1-888-825-5249 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch . 6.1 Clinical Trials Experience Because clinical trials are conducted under widely

Frequently Asked Questions

What is ADVAIR HFA used for?

ADVAIR HFA contains fluticasone propionate and salmeterol xinafoate. It is a aerosol, metered taken respiratory (inhalation). Consult your doctor for specific uses.

Is ADVAIR HFA a controlled substance?

ADVAIR HFA is not classified as a controlled substance by the DEA.

What is the generic name for ADVAIR HFA?

The generic name for ADVAIR HFA is fluticasone propionate and salmeterol xinafoate. There are 3 other brand versions of fluticasone propionate and salmeterol xinafoate.

What is the NDC code for ADVAIR HFA 45 ug/1?

The NDC (National Drug Code) for ADVAIR HFA 45 ug/1 is 0173-0715, listed by GlaxoSmithKline LLC.

Product NDC

0173-0715

Package NDC

0173-0715-20

Not medical advice. Always consult your doctor or pharmacist before making any medication decisions.

Data from openFDA · Public domain (CC0 1.0)