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welcome to the cmi project where we try to help patients learn about their medications i'm dr neil minkoff let's talk about advair advair is an inhaler prescribed to prevent asthma attacks and flares it can also be used to slow or prevent worsening of chronic lung disease like copd some doctors will also use advair for other breathing issues like persistent cough after an infection advair is really two medications in the same inhaler one is called fluticasone which is a steroid this isn't the type of steroids you hear about ballplayers taking fluticasone is a type of corticosteroid and these work by blocking inflammation in the airway the second drug in advair is salmeterol which is a bronchodilator that just means that it relaxes the muscles in the airway together they're very effective in helping patients with asthma and copd you don't want to use asthma if you're trying to help an active asthma attack or active copd symptoms or if you're allergic to either drug involved or milk or you're helping someone under the age of four make sure you tell your doctor about any of the following issues before starting to use advair allergies high blood pressure or heart disease seizures if you're prone to infections or have had tuberculosis diabetes glaucoma osteoporosis or thyroid or liver problems the long-term use of corticosteroids like the ones found in advair can contribute to bone loss called osteoporosis prolonged corticoid steroid use in children even in the inhaled forms has been shown to slow growth so you need to watch for this and consult your doctor if you think your child's growth has been affected if you feel a need for more adver than usual that's a clue to seek medical attention this may be a worsening of your underlying asthma or copd symptoms the drugs in advair are pregnancy category c which means we don't know if they can cause harm to an unborn baby we also don't know if these drugs will pass into breast milk or harm a nursing infant so make sure you discuss pregnancy and breastfeeding with your doctor salmeterol the bronchodilator in advair has been linked to an increased risk in death from asthma so it's important to use the inhaler exactly as it was prescribed for you don't add extra doses or use for a longer time period talk to your doctor about your individual risks and benefits of using this inhaler