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Options A, B, and C are incorrect client instructions.
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Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; ear pain; fast or irregular heartbeat; new or worsened trouble breathing; pounding in the chest; severe headache or dizziness; unusual hoarseness; wheezing.
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Multiple unit dose devices contain multi dose blister packs coiled inside the inhaler that are to be punctured before inhalation.
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Avoidance of spicy, fatty foods as well as alcohol is also useful.
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Asthma: Adults and Adolescent Patients: Cardiovascular Effects: In clinical studies with ADVAIR DISKUS in adult and adolescent patients 12 years of age and older with asthma, no significant differences were observed in the systemic pharmacodynamic effects of salmeterol (pulse rate, blood pressure, QTc interval, potassium, and glucose) whether the salmeterol was given alone or as ADVAIR DISKUS.
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An interesting additional recommendation is that the “sponsor is encouraged to submit a working model of the MDI to the Office of Generic Drugs prior to the ANDA submission, in order to ensure the eligibility of a T device under the 505(j) pathway.
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The Albuterol Inhalation Aerosol canister should only be used with the white Albuterol Inhalation Aerosol mouthpiece.
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