You may notice that you sleep better and get on with people more easily because you're less anxious. increased mucus production, change in mucus colour, increased cough or increased breathing difficulties, unusual fast heartbeat and disorders of heart rhythm, some changes in the electrocardiogram (ECG), increased blood flow to some tissue in the body, increase in the number of blood platelets, a fall in the level of potassium in the blood, increase in the blood level of insulin, free fatty acid and ketones. Breathe out as slowly and deeply as possible. If you have disorders of your heart rhythm such as increased or irregular heart rate, a fast pulse rate or palpitations or if you have been told that your heart trace is abnormal. medicines for treating Parkinson’s Disease (L-dopa), to treat an underactive thyroid gland (L-thyroxine), medicines containing oxytocin (which causes uterine contraction) and alcohol can lower your heart’s tolerance to beta-2 agonists, such as formoterol. By reporting side effects you can help provide more information on the safety of this product. Fostair must not be used if you are pregnant, think that you might be pregnant or are planning to become pregnant, or if you are breast-feeding, unless you are advised to do so by your doctor. In some cases these can continue even after stopping the medicine. Citalopram tablets come in different strengths ranging from 10mg to 40mg. Single pack containing one actuator with 120 doses. Your asthma may be getting worse and your doctor may need to increase your dose of Fostair or prescribe alternative treatment. In this case, the doctor treating you will decide whether you may need to increase your dose of corticosteroids and may prescribe some steroid tablets or a steroid injection. Fortisip ® Compact Protein Not suitable for use in child under 3 years Formulation Liquid (sip feed) per 100 mL Type: Prescribing and Technical Information (Add filter) Chronic obstructive pulmonary disease (COPD). Hold your breath for as long as possible and, finally, remove the inhaler from your mouth and breathe out slowly. Tell your doctor if you have any of these symptoms. Remove the protective cap from the mouthpiece and check that the mouthpiece is clean and free from dust and dirt or any other foreign objects. The effect should reverse once you stop taking the medicine. 4. Possible side effects. But it may be started at a lower dose and increased to a maximum dose of 40mg a day. Indications, side effects, contraindications and other prescribing information for Fortisip Bottle on MIMS Do not bite the mouthpiece. Each pack contains one canister which provides 120 actuations (puffs). If you have any heart problems, such as angina (heart pain, pain in the chest), a recent heart attack (myocardial infarction), heart failure, narrowing of the arteries around your heart (coronary heart disease), valvular heart disease or any other known abnormalities of your heart or if you have a condition known as hypertrophic obstructive cardiomyopathy (also known as HOCM, a condition where the heart muscle is abnormal). Fortisip Multi Fibre can be used to supplement the diet of patients unable to meet their nutritional requirements from other foods, or used as a sole source of nutrition. Ask your doctor, pharmacist or a nurse about this device. Citalopram is available on prescription as tablets and liquid drops that you put in a drink of water. If you see ‘mist’ coming from the top of the inhaler or the sides of your mouth, this means that Fostair will not be getting into your lungs as it should. To bookmark a medicine you must sign up and log in. If you have been using a different inhaler containing beclometasone dipropionate previously, your doctor will advise you on the exact dose of Fostair you should take for your asthma. Ensure Plus Juce 1 case (30 x 220ml bottles) £1.97 per bottle Apple, Fruit Punch, Lemon & Lime, Orange, Peach or Strawberry. Your doctor can explain the risks and the benefits, and will help you decide which treatment is best for you and your baby. If you have weak hands, it may be easier to hold the inhaler with both hands: hold the upper part of the inhaler with both index fingers and its lower part with both thumbs. Do not lower the dose or stop using the medication. By continuing to browse the site you are agreeing to our policy on the use of cookies. There's some evidence that citalopram can reduce the quality of sperm, but it's not known whether this reduces male fertility. Keep this medicine out of the sight and reach of children. The two active substances are beclometasone dipropionate and formoterol fumarate dihydrate. They may sound similar, but they're different medicines. Some medicines may increase the effects of Fostair and your doctor may wish to monitor you carefully if you are taking these medicines (including some medicines for HIV: ritonavir, cobicistat). Side effects requiring immediate medical attention. Breathe in slowly and deeply through your mouth and, just after starting to breathe in press down firmly on the top of the inhaler to release one puff. COPD is a long term disease of the airways in the lungs which is primarily caused by cigarette smoking. Take care not to drop the inhaler as this may cause the counter to count down. But if your depression is not treated during pregnancy, this can also increase the chance of problems. Fostair is effective for the treatment of asthma in a dose of beclometasone dipropionate which may be lower than that of some other inhalers containing beclometasone dipropionate. If you have low blood levels of potassium. Side effects can range from mild, such as drowsiness or feeling sick (nausea), to life-threatening conditions, although these are rare. Check with your doctor or pharmacist if you are not sure. Later on, you may gain a little weight as your appetite returns. But sometimes people respond better to one antidepressant than to another. For women, there's no firm evidence to suggest that taking citalopram will reduce your fertility. Wipe inside and outside of the mouthpiece and the actuator with a clean, dry cloth or tissue. If you have or had any medical problems or any allergies or if you are not sure as to whether you can use Fostair talk to your doctor, asthma nurse or pharmacist before using the inhaler. 2. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine. Fostair contains a small amount of alcohol. Always Burden. If you have narrowing of the arteries (also known as arteriosclerosis), if you have high blood pressure or if you know that you have an aneurysm (an abnormal bulging of the blood vessel wall). What you need to know before you use Fostair3. Treatment with a beta-2-agonist like the formoterol contained in Fostair can cause a sharp fall in your serum potassium level (hypokalaemia). If symptoms persist or you have side effects please consult your doctor, pharmacist or healthcare professional. It is written for patients and gives information about taking or using a medicine. Side effects. Your doctor may wish to carry out some blood tests to check your blood potassium and blood glucose levels. It might be best to stop driving and cycling for the first few days of treatment until you know how this medicine makes you feel. Using high dose inhaled corticosteroids over a long time can cause, in very rare cases, systemic effects. Citalopram can be taken by adults and children over the age of 12 years. Tell your doctor if you are taking or have recently taken any other medicines including medicines obtained without a prescription. However, he is very lucky to be at The Marsden, Sutton and they will prescribe it whenever he needs it. The active substances are: beclometasone dipropionate, formoterol fumarate dihydrate. Citalopram helps many people recover from depression, and has fewer unwanted side effects than older antidepressants. Formulation Liquid (sip feed) per 100 mL Energy (Kj) 1005 (240 Kcal) Protein (g) 9.5 (milk proteins) Carbohydrate (g) 25.2 (sugars 14.1 g) Fat (g) 10.4 Fibre (g) 3.6 … Fostair 100/6 micrograms per actuation pressurised inhalation solution. If you need to use beta blockers, and including beta blockers in eye-drops, the effect of formoterol may be reduced or formoterol may not work at all. beclometasone dipropionate/ formoterol fumarate dihydrate. If you get any side effects talk with your doctor, or pharmacist or nurse. Side effects such as tiredness, dry mouth and sweating are common. To email a medicine you must sign up and log in. Give the medicine at least 6 weeks to work. If you feel you need more puffs each day to control your asthma symptoms, contact your doctor to seek his advice. Fostair should be inhaled via your mouth into your lungs. If your doctor or health visitor says your baby is healthy, citalopram can be used during breastfeeding. Taking more formoterol than you should can have the following effects: feeling sick, being sick, heart racing, palpitations, disturbances of heart rhythm, certain changes in the electrocardiogram (heart trace), headache, trembling, feeling sleepy, too much acid in the blood, low blood potassium levels, high levels of glucose in the blood. If you have any further questions on the use of this product, ask your doctor or pharmacist. Fortisip is a therapeutic food manufactured/produced by Nutricia. Do not stop taking citalopram after 1 or 2 weeks just because you feel it is not helping your symptoms. Beta blockers such as atenolol, propranolol and sotalol are used to treat a number of conditions including high blood pressure and heart conditions such as abnormal heart rhythms and heart failure; timolol is used to treat glaucoma. Fortisip® is available in 200ml bottles, with a flexible straw attached, in 8 flavours. Speak to your doctor if you're concerned. Depending on the type of anaesthetic, it may be necessary to stop taking Fostair at least 12 hours before the anaesthesia. In New Zealand we get this on perscription at no cost. It may harm them, even if their signs of illness are the same as yours. Take the citalopram packet, or the leaflet inside it, plus any remaining medicine with you. Visit Yellow Card for further information, read this leaflet on the Best Use of Medicines in Pregnancy (BUMPs) website, HealthUnlocked: mental health support forum, Healthtalk: real stories of antidepressants, How to cope with side effects of citalopram. Start typing to retrieve search suggestions. If you are due to have an anaesthetic. The good effects of citalopram may, after a while, improve your sex life as your mood lifts and you become interested in life and relationships again. If you develop worsening shortness of breath or wheezing (breathing with an audible whistling sound), straight after inhaling your medicine, stop using Fostair inhaler immediately and use your quick-acting “reliever” inhaler straightaway. It will increase your risk of side effects. The maximum daily dose is 4 puffs. With liquid drops of citalopram, 4 drops is equivalent to a 10mg tablet. Do not take more than 6 Fostair “reliever” puffs per day. If you have any disease of your liver or kidneys. Quantity-+ Estimated Delivery Date. Menu Do not stop taking citalopram suddenly or without talking to your doctor first. It'll simply help you feel like yourself again. You should get a replacement when the counter shows the number 20. It can be used in addition to a healthy varied diet, which can assist with aiding recovery when unwell, improving body weight and quality of your life. As with other inhaler treatments there is a risk of worsening shortness of breath and wheezing immediately after using Fostair and this is known as paradoxical bronchospasm. Like all medicines, Fostair can cause side effects, although not everybody gets them. If the inhaler has been exposed to severe cold, warm it with your hands for a few minutes before using. You may report side effects to FDA at 1-800-FDA-1088. Fostair is for inhalation use. The pharmacist’s label will tell you how many puffs to take and how often they must be taken. It's important for you and your baby that you stay well during your pregnancy. Whenever possible, stand or sit in an upright position when inhaling. The usual dose of citalopram in children is 10mg a day, but this may be increased to 40mg a day. If you notice that your baby is not feeding as well as usual or seems unusually sleepy, or you have any other concerns about your baby, talk to your health visitor or doctor as soon as possible. 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