2.	What should I know before I use Axotide Accuhaler? 
            
         
            
            Do not use if you have ever had an allergic reaction to AXOTIDE ACCUHALER or any of
               the ingredients listed at the in the CMI. 
            
            
               Talk to your doctor if you have any other medical conditions, take any other medicines,
                  or are pregnant or plan to become pregnant or are breastfeeding. 
               
            
            
             
         
            
            
3.	What if I am taking other medicines? 
            
         
            
            Some medicines may interfere with AXOTIDE ACCUHALER and affect how it works. 
            
            
             
         
            
            
4.	How do I use Axotide Accuhaler? 
            
         
            
            
            
               For adults: The usual dose is in the range of 100 to 1000 micrograms twice daily.
            
            
               For children: The usual dose is 100 micrograms twice daily.
            
            
            
             
         
            
            
5.	What should I know while using Axotide Accuhaler? 
            
         
            
            
               
                  
                  
               
               
                  
                     
                     | 
                           Things you should do
                            | Remind any doctor, dentist or pharmacist you visit that you are using AXOTIDE ACCUHALER. Tell your doctor if you become pregnant or are trying to become pregnant or breastfeeding. Tell your doctor if you experience a change in your vision.  | 
                  
                     | 
                           Things you should not do
                            | Do not stop using AXOTIDE ACCUHALER or change the dose without first checking with
                           your doctor. Do not give this medicine to anyone else, even if their symptoms seem similar to yours. Do not use AXOTIDE ACCUHALER to treat any other complaints unless your doctor says
                           to. | 
                  
                     | 
                           Driving or using machines
                            | AXOTIDE ACCUHALER is unlikely to affect your ability to drive or operate machinery. | 
                  
                     | 
                           Looking after your medicine
                            | Store your AXOTIDE ACCUHALER below 30°C, protected from direct sunlight. Do not freeze. | 
               
            
            
            
             
         
            
            
6.	Are there any side effects? 
            
         
            
            If you do experience any side effects, most of them are minor and temporary. However,
               some side effects may need medical attention. AXOTIDE ACCUHALER can cause eye problems
               (eg. cataract, glaucoma), loss of bone density, increase in the amount of sugar (glucose)
               in your blood and allergic reactions which may be severe. 
If you develop symptoms of an allergic reaction, call your doctor straight away or
                  go straight to the Emergency Department at your nearest hospital. For more information, including what to do if you have any side effects, see Section
               
6. Are there any side effects? in the full CMI.
 
         
            
            
            
         
            
            
               Active ingredient:
               Fluticasone propionate
               
            
            
            
            
            
            Consumer Medicine Information (CMI) 
            
            This leaflet provides important information about using AXOTIDE ACCUHALER. You should also speak to your doctor or pharmacist if you would like further information
                  or if you have any concerns or questions about using AXOTIDE ACCUHALER.
               
            
            
               Where to find information in this leaflet:
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
             
         
            
            
1.	Why am I using AXOTIDE ACCUHALER? 
            
         
            
            
               AXOTIDE ACCUHALER contains a steroid called fluticasone propionate which, 
               reduces the swelling and irritation in the walls of the small air passages in your
                  lungs
               .
               
            
            AXOTIDE 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 AXOTIDE 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.
            
            Ask your doctor if you have any questions about why AXOTIDE ACCUHALER has been prescribed
               for you.
            
            The medicine in AXOTIDE ACCUHALER is not addictive.
             
         
            
            
2.	What should I know before I use AXOTIDE ACCUHALER? 
            
         
            
            
Warnings 
            
         
            
            Do not use AXOTIDE ACCUHALER if: 
            
            
            you are allergic to fluticasone propionate, or any of the ingredients listed at the
               end of this leaflet.
            
            you are pregnant, trying to become pregnant or breastfeeding, unless your doctor says
               you should. It is important that asthma is managed well during pregnancy and you should
               not stop your medicine without asking your doctor.
            
            the expiry date (EXP) printed on the pack has passed.
            
            the packaging is torn or shows signs of tampering.
            
             
         
            
            Check with your doctor if you: 
            
            
            have any other medical conditions.
            
            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 e.g. worsening asthma attacks, chest infections, surgery,
               trauma and other major illnesses occurring at the same time. 
            
            have ever had to stop taking other asthma medicines.
            
            have tuberculosis (TB) of the lung or other long term lung infection.
            
            are allergic to foods, dyes, preservatives or any other medicines.
            
            
            During treatment, you may be at risk of developing certain side effects. It is important
               you understand these risks and how to monitor for them. See additional information
               under Section 
6. Are there any side effects? 
 
         
            
            Pregnancy and breastfeeding 
            
            Check with your doctor if you are pregnant or intend to become pregnant.
            
            Talk to your doctor if you are breastfeeding or intend to breastfeed.
             
         
            
            
3.	What if I am taking other medicines? 
            
         
            
            
               Tell your doctor or pharmacist if you are taking any other medicines, including any
                  medicines, vitamins or supplements that you buy without a prescription from your pharmacy,
                  supermarket or health food shop.
               
            
            
               Some medicines may interfere with AXOTIDE ACCUHALER and affect how it works.
               
            
            For example, medicines like ketoconazole, used to treat fungal infection, and ritonavir
               used to treat HIV infection, may affect how AXOTIDE ACCUHALER works. If you are taking
               these medicines, consult your doctor or pharmacist who will advise on what you should
               do.
             
         
            
            Other types of asthma medicines 
            
            Your AXOTIDE ACCUHALER contains the kind of asthma medicine known as a 'preventer'.
               There are other types of inhalers that relieve your breathing problems when you are
               wheezing or your chest is tight. These medicines are called 'relievers'.  Your doctor
               may tell you to use a 'reliever' in addition to your AXOTIDE ACCUHALER.
             
         
            
            
4.	How do I use AXOTIDE ACCUHALER? 
            
         
            
            
               How to use it
               
            
            Remember that the medicine in your AXOTIDE ACCUHALER is taken by inhalation only.
            
            You will find the instructions on how to use your AXOTIDE ACCUHALER in the pack. 
               Follow the instructions carefully.
             
         
            
            How much to use 
            
            The pharmacist's label will usually tell you how many inhalations and how often to
               use your AXOTIDE ACCUHALER. If you are not sure, ask your doctor or pharmacist.
            
            
            
               For adults: The usual dose is in the range of 100 to 1000 micrograms twice daily.
            
            
               For children: The usual dose is 100 micrograms twice daily.
            
            Your doctor will decide what dose you should take, how often you should take it, and
               what strength of AXOTIDE ACCUHALER you should use.
            
            You should visit your doctor or pharmacist regularly to check that you are using your
               AXOTIDE ACCUHALER in the right way. If you are not breathing the medicine in correctly,
               the medicine may not be helping you as much as it could.
            
            
            
               When not to use it
               
            
            Do not use your AXOTIDE ACCUHALER to treat a sudden attack of breathlessness. You
               will need a different kind of medicine called a 'reliever' which your doctor will
               have told you to take.
             
         
            
            How long to use AXOTIDE ACCUHALER 
            
            You must use your AXOTIDE ACCUHALER every day. Do not stop using it, even if you feel
               better, unless your doctor tells you.
             
         
            
            If you forget to use AXOTIDE ACCUHALER 
            
            
               If it is almost time for your next dose, skip the dose you missed and take your next
                  dose when you are meant to. Otherwise, use the product as soon as you remember, then
                  go back to using the product as you would normally
               
            
            
               Do not take a double dose to make up for the dose you missed.
               
            
            
               If you become wheezy or feel tight in the chest before the next dose is due, use a
                  'reliever puffer' in the usual way.  You should get relief from your 'reliever puffer'
                  within a few minutes
               
             
         
            
            If you use too much AXOTIDE ACCUHALER 
            
            If you think that you have used too much AXOTIDE ACCUHALER, you may need urgent medical
               attention.
            
            
               You should immediately:
               
            
            
            phone the Poisons Information Centre 
(by calling
               13 11 26), or
            
            contact your doctor, or
            
            go to the Emergency Department at your nearest hospital.
            
            
            
               You should do this even if there are no signs of discomfort or poisoning.
               
             
         
            
            
5.	What should I know while using AXOTIDE ACCUHALER? 
            
         
            
            Things you should do 
            
            
            Tell your doctor or pharmacist that you are using AXOTIDE ACCUHALER if you are about
               to be started on any new medicines.
            
            If you have to go into hospital for an operation, take your AXOTIDE ACCUHALER with
               you and tell the doctor what medicine(s) you are taking.
            
            Tell your doctor if you become pregnant or are trying to become pregnant.
            
            Tell your doctor if, for any reason, you have not used your medicine exactly as prescribed.
            
            Tell your doctor if you experience a change in your vision. 
            
            Use AXOTIDE ACCUHALER only in your nose.
            
            
            Otherwise, your doctor may think that it was not effective and change your treatment
               unnecessarily.
             
         
            
            Call your doctor straight away if you: 
            
            
            think you may be having an allergic reaction
            
            
            Remind any doctor, dentist or pharmacist you visit that you are using AXOTIDE ACCUHALER.
             
         
            
            Things you should not do 
            
            
            Do not stop using AXOTIDE ACCUHALER or change the dose without first checking with
               your doctor.
            
            Do not give this medicine to anyone else, even if their symptoms seem similar to yours.
            
            
            
            Do not use AXOTIDE ACCUHALER to treat any other complaints unless your doctor says
               to.
            
            Do not stop using this medicine suddenly. 
            
            
            Taking high doses of steroids for a long time this could affect the adrenal glands,
               which make the body's own steroid. Your doctor may do tests to check how the adrenal
               glands are working. Your doctor will be able to answer any questions you may have.
            
            It is important that 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.
             
         
            
            Driving or using machines 
            
            AXOTIDE ACCUHALER is unlikely to affect your ability to drive.
             
         
            
            Looking after your medicine 
            
            
            
               Store your AXOTIDE ACCUHALER upright, at below 30°C.
               
            
            
               Protect the drops from direct sunlight.
               
            
            
               Do not freeze.
               
            
            
            
               Do not store, or any other medicine, in a bathroom or near a sink.
               
            
            
            
               Do not leave in the car or on window sills.
               
            
            
            Heat and dampness can destroy some medicines.
            
            Store AXOTIDE ACCUHALER in the foil overwrap until you are ready to use it for the
               first time. Once opened the foil overwrap should be discarded.
               
            
            
               Keep it where young children cannot reach it.
               
            
            A locked cupboard at least one-and-a half metres above the ground is a good place
               to store medicines.
            
            Condensation may form on the inside of the foil pack during storage, but it is not
               a cause for concern.
             
         
            
            Getting rid of any unwanted medicine 
            
            If you no longer need to use this medicine or it is out of date, take it to any pharmacy
               for safe disposal.
            
            Do not use this medicine after the expiry date.
             
         
            
            If your AXOTIDE ACCUHALER does not have the usual effect 
            
            If your chest condition gets worse, tell your doctor. Your doctor may tell you to
               take extra puffs of your AXOTIDE ACCUHALER or add another medicine (such as a 'reliever
               puffer') to your treatment.
            
            
               IMPORTANT: IF YOUR BREATHING SUDDENLY BECOMES MORE DIFFICULT JUST AFTER YOU HAVE USED
                  YOUR AXOTIDE 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.
            
             
         
            
            
6.	Are there any side effects? 
            
         
            
            All medicines can have side effects. If you do experience any side effects, most of
               them are minor and temporary. However, some side effects may need medical attention.
               
            
            See the information below and, if you need to, ask your doctor or pharmacist if you
               have any further questions about side effects, even if you do not think the problems
               are connected with the medicine or are not listed in this leaflet.
             
         
            
            
Less serious side effects 
            
            
            
         
            
            Serious side effects 
            
            
            
            
            
            
               There may be an increase in the amount of sugar (glucose) in your blood. If you have
                  diabetes, more frequent blood sugar monitoring and possibly adjustment of your usual
                  diabetes treatment may be required.
               
            
            
            
            It is possible that some people, particularly those taking higher doses of AXOTIDE
               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
            
            Soreness in the food pipe.
            
            
            
               Tell your doctor or pharmacist if you notice anything else that may be making you
                  feel unwell. 
               
            
            Other side effects not listed here may occur in some people.
             
         
            
            Reporting side effects 
            
            After you have received medical advice for any side effects you experience, you can
               report side effects to the Therapeutic Goods Administration online at 
www.tga.gov.au/reporting-problems . By reporting side effects, you can help provide more information on the safety of
               this medicine.
               Always make sure you speak to your doctor or pharmacist before you decide to stop
                  taking any of your medicines.
               
             
         
            
            
7.	Product details 
            
         
            
            This medicine is only available with a doctor's prescription.
             
         
            
            What AXOTIDE ACCUHALER contains 
            
            
               
                  
                  
               
               
                  
                     
                     | 
                           Active ingredient 
                            
                           (main ingredient)
                            | fluticasone propionate | 
                  
                     | 
                           Other ingredients
                            
                           (inactive ingredients)
                            | lactose monohydrate powder | 
                  
                     | 
                           Potential allergens
                            | Milk protein | 
               
            
            
            
            
            
               Do not take this medicine if you are allergic to any of these ingredients.
               
             
         
            
            What AXOTIDE ACCUHALER looks like 
            
            The AXOTIDE ACCUHALER is a plastic device which contains a foil strip inside.  The
               foil strip has pockets (called blisters) which contain your medicine. The AXOTIDE
               ACCUHALER is packaged within a foil overwrap.  The plastic device is labelled, "AXOTIDE
               ACCUHALER". Each device contains 60 blisters.  Your AXOTIDE ACCUHALER has a dose counter
               which tells you how many doses are left. To let you know when you have reached the
               last five doses, the numbers appear in red.
            
            JUNIOR ACCUHALER 100 micrograms of fluticasone propionate in a blister, 60 doses (AUST
               R 267493)
            
            ACCUHALER 250 micrograms of fluticasone propionate in a blister, 60 doses (AUST R
               267491)
             
         
            
            Who distributes Axotide Accuhaler 
            
            GlaxoSmithKline Australia Pty Ltd
            
            Level 4, 436 Johnston Street,
            
            Abbotsford, Victoria 3067
            
            Australia 
            
            
            
            This leaflet was prepared in November 2022.
            
            
            
            Version 4.0