How To Know When Your Inhaler Is Empty; Before And During Treatment With Asmanex Twisthaler; Possible Side Effects With Asmanex Twisthaler - Merck ASMANEX TWISTHALER Quick Start Manual

Rinse your mouth after using.
STORING YOUR INHALER

Keep your inhaler clean and dry at all times. If the mouthpiece needs cleaning, gently wipe the
mouthpiece with a dry cloth or tissue as needed. Do not wash the inhaler. Avoid contact with any
liquids.

Store in a dry place at 25°C (77°F) [may range between 15-30°C (59-86°F)].

Keep your inhaler out of the reach of children.

HOW TO KNOW WHEN YOUR INHALER IS EMPTY

The inhaler has a dose counter on the colored base, which shows the number of doses left to use. As you
lift off the cap to take your dose, the dose counter on the base will count down by one (if you began with
the dose counter reading "30" this will cause the dose counter to now read "29"). Read the numbers from
top to bottom.
When the unit reads "01" this indicates the last remaining dose. After dose "01" the counter will read "00".
When you replace the cap, the unit will lock and then must be thrown away. Start using a new ASMANEX
TWISTHALER as instructed by your health care provider.

BEFORE AND DURING TREATMENT WITH ASMANEX TWISTHALER

Tell your healthcare provider about all the medicines you take, including prescription and non-prescription
medicines, vitamins, and herbal supplements.
ASMANEX TWISTHALER may affect the way other medicines work, and other medicines may affect how
ASMANEX TWISTHALER works.
Especially, tell your healthcare provider if you take antifungal medicines, antibiotic medicines, or anti-HIV
medicines such as: ritonavir, ketoconazole, nefazodone, nelfinavir, indinavir, atazanavir, clarithromycin,
saquinavir, telithromycin, itraconazole, and cobicistat-containing products.
For some medicines (including medicines for HIV such as ritonavir, cobicistat-containing products, and
certain antifungals and antibiotics) your doctor may wish to monitor you carefully.
Ask your healthcare provider if you are not sure if any of your medicines are the kinds listed above.
Know the medicines you take. Keep a list and show it to your healthcare provider and pharmacist each
time you get a new medicine.

POSSIBLE SIDE EFFECTS WITH ASMANEX TWISTHALER

Serious Side Effects may include:
• Fungal infections in the mouth and throat. Patients who use inhaled steroid medicines for asthma
may develop a fungal infection of the mouth. Rinse your mouth after using ASMANEX TWISTHALER.
• Worsening asthma or sudden asthma attacks
• Serious allergic reactions. Call your health care provider or get emergency medical care if you get any
symptoms of a serious allergic reaction, including:

Rash

Swelling of the face, mouth and tongue

Breathing problems
4