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Advair Diskus® (fluticasone/salmeterol) for Asthma and COPD Control
Price range: $119.99 through $189.99
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What Advair Diskus Is and How It Works
Advair Diskus® is a dry powder inhaler that delivers two medicines: fluticasone propionate (an inhaled corticosteroid) and salmeterol (a long-acting beta2-agonist). It is used for maintenance treatment of persistent asthma in patients aged 4 years and older, and for maintenance treatment of airflow obstruction in adults with COPD, including chronic bronchitis and emphysema. Many patients compare advair diskus price and advair diskus cost across strengths, including 100/50, 250/50, and 500/50 micrograms.
The inhaled steroid reduces airway inflammation. The bronchodilator relaxes airway muscles for up to 12 hours. Together, they help control symptoms and reduce exacerbations when used every day. This device is for regular control, not for sudden breathing problems. Keep a rescue inhaler for quick relief when needed.
YouDrugstore is a licensed Canadian pharmacy based in Manitoba and meeting Canadian pharmacy standards. Our pharmacists review prescriptions before dispensing and can answer medication questions. We offer brand and generic medicines at Canadian prices and also stock OTC health products for your household.
We source authentic brands through licensed, vetted partner pharmacies abroad to maintain choice and fair pricing across a broad range of inhalers.
Dosage and Usage
Typical dosing is one inhalation twice daily, about 12 hours apart. Strength selection depends on age, condition severity, and previous therapy. Asthma dosing ranges from 100/50 to 500/50 mcg. For COPD, 250/50 is commonly prescribed in adults. Follow your prescriber’s directions and the patient leaflet for exact dosing.
- Open the Diskus, hold it level, and slide the lever until it clicks.
- Exhale fully away from the device. Do not exhale into it.
- Place the mouthpiece between the lips, inhale quickly and deeply.
- Hold breath for about 10 seconds, then exhale slowly.
- Close the device. Rinse mouth with water and spit to reduce thrush risk.
- Do not use for sudden symptoms; use a rescue inhaler instead.
- If a dose is missed, take the next dose at the usual time. Do not double.
- Storage: Keep the Diskus in a dry place at room temperature. Store in the foil pouch until first use.
- After opening the foil, use within 1 month or by the labeled expiry, whichever comes first.
- Do not wash the device. Wipe the mouthpiece with a dry tissue if needed.
- Travel: Carry your inhaler in hand luggage. Keep it dry and away from heat. Bring your prescription and a backup rescue inhaler.
Benefits and Savings
Regular use helps control asthma symptoms, improves lung function, and lowers the risk of flare-ups. In COPD, it reduces exacerbations in selected adults. The Diskus is breath‑activated and does not require coordination with a spray. The dose counter helps track remaining doses.
You can expect 60–80% savings versus typical US prices when ordering from YouDrugstore. Many patients review advair inhaler price and generic advair price options to manage monthly costs. Refill reminders and multi‑month supplies can further lower per‑month spending.
Side Effects and Safety
- Common: hoarseness, throat irritation, cough, headache, nausea, oral thrush, and upper respiratory infections.
- Less common: tremor, palpitations, muscle cramps, insomnia, voice changes, and taste changes.
- Serious: paradoxical bronchospasm, allergic reactions, pneumonia (in COPD), adrenal suppression with high doses, bone density loss, eye effects (glaucoma, cataracts), and heart rhythm changes. Seek urgent care for severe breathing trouble, chest pain, or swelling of the face or throat.
Do not use if you have a severe milk protein allergy. Do not combine with other LABA-containing products. Tell your provider about all medicines. Strong CYP3A4 inhibitors (such as ritonavir, ketoconazole, or clarithromycin) can increase steroid exposure. Non‑selective beta‑blockers may reduce salmeterol effect. Diuretics may increase the risk of low potassium.
Onset Time
Salmeterol begins bronchodilation within 30 to 60 minutes. Symptom control improves over the first week. The anti‑inflammatory effect builds with consistent daily use, with full benefit often seen over 1 to 4 weeks. Continue maintenance therapy as directed, even when feeling well.
Compare With Alternatives
Advair Diskus® vs Advair HFA: Both contain fluticasone and salmeterol. The Diskus is a dry powder you inhale quickly and deeply. The HFA is a pressurized metered‑dose inhaler. Some patients prefer the spray format for coordination training or spacer use. You can review the spray option on Advair® Hfa Inhaler.
Advair Diskus® vs Symbicort: Symbicort combines budesonide and formoterol. Formoterol has a faster onset than salmeterol for many patients. Some prescribers choose Symbicort for asthma step‑up therapy or SMART regimens where appropriate. Compare features on Symbicort®.
Advair Diskus® vs fluticasone-only inhalers: An option like Arnuity Ellipta delivers only an inhaled steroid. It may suit patients controlled on a single agent. Patients with frequent symptoms often need a combination inhaler like Advair Diskus® for better control.
Combination Therapy
Many patients also use a short‑acting beta2-agonist rescue inhaler for breakthrough symptoms. Some COPD regimens include a long‑acting muscarinic antagonist (such as tiotropium) with an ICS/LABA for added control. Allergy management, nasal steroids, or leukotriene receptor antagonists may help select patients. Do not use another LABA with Advair Diskus®.
Patient Suitability and Cost-Saving Tips
Advair Diskus® is used for persistent asthma not well controlled on an inhaled steroid alone, and for selected adults with COPD who have frequent exacerbations. The 500/50 strength is for asthma only. The 250/50 strength is common for COPD. Pediatric use applies to asthma only, starting from age 4, at lower strengths. Discuss pregnancy or breastfeeding with your prescriber.
Ways to manage costs include choosing an appropriate strength, comparing brand and generic fluticasone/salmeterol, and ordering a multi‑month supply to reduce per‑month costs. Set up reorder reminders so you do not run out. For promotions and bulk options, see our advair diskus coupon page.
If you live with Asthma or Chronic Obstructive Pulmonary Disease, our pharmacists can answer medication questions during posted office hours. You can also read helpful articles like What Is Asthma And How To Avoid It and Treatment And Medications For Acute And Chronic Bronchitis And Copd for practical guidance on triggers and therapy options.
Authoritative Sources
Review the manufacturer’s information on the Advair Diskus product site. See the Health Canada listing in the Drug Product Database. For detailed safety and dosing, consult the FDA Prescribing Information.
Order from YouDrugstore for caring support, Canadian pricing, and pharmacist oversight. We ship to the US with prompt, express, cold-chain shipping. Our customer‑service chat is available during posted office hours for ordering help.
This information is not a substitute for medical advice. Always follow your prescriber’s directions and the patient leaflet for complete instructions.
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What strengths does Advair Diskus® come in?
Advair Diskus is available in 100/50, 250/50, and 500/50 micrograms of fluticasone propionate/salmeterol per inhalation. The dose used depends on the condition, severity, age, and prior therapy. For COPD, 250/50 is typically used in adults. The 500/50 strength is for asthma, not COPD.
How do I use the Advair Diskus® correctly?
Open the device, slide the lever until it clicks, and keep it level. Exhale away from the mouthpiece, then inhale quickly and deeply. Hold your breath about 10 seconds and close it. Rinse your mouth and spit after each dose to lower the risk of oral thrush. Do not use for sudden symptoms.
How long before Advair Diskus® starts working?
Salmeterol begins to open the airways within 30 to 60 minutes, while full anti‑inflammatory benefit builds over 1 to 4 weeks with consistent daily use. Keep taking it as prescribed, even when you feel well. Always keep a rescue inhaler on hand for sudden breathing problems.
What are common side effects of Advair Diskus®?
Common effects include hoarseness, throat irritation, cough, headache, nausea, and oral thrush. Serious effects include paradoxical bronchospasm, pneumonia in COPD, allergic reactions, adrenal suppression, and eye changes like glaucoma or cataracts. Report chest pain, severe shortness of breath, or swelling of the face or throat right away.
Is there a generic for Advair Diskus®, and how does it affect cost?
Yes. Fluticasone propionate/salmeterol dry powder inhalers are available as generics in compatible strengths. Many patients compare advair diskus price with generic advair price to lower monthly costs. Your prescriber can determine if a generic version is appropriate for your treatment plan.
Can I use Advair Diskus® with other inhalers?
Most patients also carry a short‑acting rescue inhaler for sudden symptoms. Some COPD regimens include a long‑acting muscarinic antagonist. Do not combine Advair Diskus with another LABA-containing product. Share all medications with your prescriber to check for interactions or overlap.
What if I have a milk allergy or use a spacer?
Advair Diskus contains lactose with milk proteins, so it should not be used in patients with a severe milk protein allergy. The Diskus is a dry powder inhaler and is not used with a spacer. If coordination is difficult, discuss spray inhalers such as Advair HFA with your provider.