FDA Approved Long-Acting Beta Agonists - GSK Source
FDA Approved Long-Acting Beta Agonists - GSK Source
FDA Approved Long-Acting Beta Agonists - GSK Source
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ADVAIR DISKUS ® 100/50 (fluticasone propionate 100 mcg and salmeterol 50 mcg inhalation powder)<br />
ADVAIR DISKUS ® 250/50 (fluticasone propionate 250 mcg and salmeterol 50 mcg inhalation powder)<br />
ADVAIR DISKUS ® 500/50 (fluticasone propionate 500 mcg and salmeterol 50 mcg inhalation powder)<br />
The population pharmacokinetic analysis involved 76 males and 51 females with asthma who<br />
received salmeterol in combination with fluticasone propionate and showed no gender differences<br />
for salmeterol pharmacokinetics.<br />
Hepatic and Renal Impairment: Formal pharmacokinetic studies using ADVAIR DISKUS<br />
have not been conducted in patients with hepatic or renal impairment. However, since both fluticasone<br />
propionate and salmeterol are predominantly cleared by hepatic metabolism, impairment<br />
of liver function may lead to accumulation of fluticasone propionate and salmeterol in plasma.<br />
Therefore, patients with hepatic disease should be closely monitored.<br />
Drug Interactions: In the repeat- and single-dose studies, there was no evidence of significant<br />
drug interaction in systemic exposure between fluticasone propionate and salmeterol when given<br />
as ADVAIR DISKUS. The population pharmacokinetic analysis from 9 controlled clinical trials in<br />
350 patients with asthma showed no significant effects on fluticasone propionate or salmeterol<br />
pharmacokinetics following co-administration with beta2-agonists, corticosteroids, antihistamines,<br />
or theophyllines.<br />
Inhibitors of Cytochrome P450 3A4: Ritonavir: Fluticasone Propionate: Fluticasone propionate<br />
is a substrate of CYP3A4. Coadministration of fluticasone propionate and the strong CYP3A4<br />
inhibitor ritonavir is not recommended based upon a multiple-dose, crossover drug interaction<br />
study in 18 healthy subjects. Fluticasone propionate aqueous nasal spray (200 mcg once daily) was<br />
coadministered for 7 days with ritonavir (100 mg twice daily). Plasma fluticasone propionate concentrations<br />
following fluticasone propionate aqueous nasal spray alone were undetectable (