Serevent

A healthcare provider may prescribe Serevent to treat airway spasms caused by asthma or chronic obstructive pulmonary disease (COPD). While the medicine cannot be used to treat or cure asthma, it can be taken twice a day to help prevent asthma attacks from occurring. Using the drug 30 minutes before exercising can also help prevent exercise-induced asthma attacks. Side effects of Serevent may include headaches, nasal or sinus congestion, and a sore throat.

 

What Is Serevent?

Serevent® (salmeterol xinafoate) is a prescription medication used to treat airway spasms (called bronchospasms) caused by asthma or chronic obstructive pulmonary disease (COPD). Serevent is also approved to prevent exercise-induced asthma attacks.
 
(Click Serevent Uses for more information on what Serevent is used for, including possible off-label uses.)
 

Who Makes Serevent?

Serevent is made by GlaxoSmithKline.
 

How Does Serevent Work?

Normally, air moves easily into and out of the lungs through a network of airways. During an asthma attack, however, the muscles around these airways tighten. This narrows the airways and makes it harder to breathe. This is called bronchospasm.
 
Serevent is part of a class of drugs called beta-adrenergic receptor agonists, or beta agonists for short. Beta agonists stimulate beta receptors in the body, including those on the muscles around airways. This stimulation causes the muscles to relax, which opens up the airways and allows more air to get into and through the lungs. Serevent is a long-acting beta agonist. Because it does not work as quickly as short-acting beta agonists, it should not be used for treating an asthma attack. Rather, it is used twice a day in order to prevent attacks.
 
Serevent also has some effects on decreasing the activity of mast cells in the lungs, which play an important role in inflammation and allergic reactions.
 

Serevent Effects

 
Serevent for Asthma
In clinical studies, Serevent was shown to improve breathing and to decrease the need for rescue inhalers. The medication also decreased the chance of waking up at night due to asthma. In other studies, when Serevent was given to people who were also taking steroid asthma medications, it further improved asthma symptoms. When taken 30 minutes before exercise, Serevent was shown to help prevent exercise-induced asthma attacks.
 
Serevent for COPD
In studies of Serevent for the treatment of chronic obstructive pulmonary disease, Serevent was given to people with chronic bronchitis (with or without emphysema). People taking Serevent showed improved lung function, compared to those not taking Serevent.
 

When and How to Take Serevent

Following are some general considerations for when and how to take Serevent:
 
  • Serevent is inhaled into the lungs, usually twice daily, with about 12 hours between doses.
     
  • In the past, Serevent came as a typical inhaler. However, now it comes as Serevent Diskus®, which contains dry powder.
     
  • The Serevent Diskus is used differently than older inhalers. It contains small foil pockets which are filled with the powder. These pockets are punctured (by sliding the lever until it clicks), and the powder is inhaled using your own breath.
     
  • Be sure to keep the Serevent Diskus horizontal while using it (otherwise the powder can spill out). Never exhale into the inhaler, as this will also disrupt the powder.
     
  • Some people may not taste or feel the fine powder, even if they could taste the old Serevent inhaler. Most of the taste is due to propellants (which are not used in the new Serevent Diskus).
     
  • It is important to learn exactly how to use your Serevent Diskus. Make sure your healthcare provider shows you the steps needed to use Serevent.
     
  • Serevent should be taken at the same time each day to maintain even levels of the drug in your blood.
     
  • For the medication to work properly, it must be taken as prescribed. Serevent will not work if you stop taking it.
     

Dosing With Serevent

The dose of Serevent that your healthcare provider recommends will vary depending on whether you take Serevent on a regular schedule or only when needed to prevent exercise-induced asthma.
 
As always, do not adjust your Serevent dose unless your healthcare provider specifically instructs you to do so.
 
(Click Serevent Dosage for more information about dosing for Serevent.)
 

Side Effects of Serevent

As with any medicine, there are possible side effects with Serevent. However, not everyone who takes the medicine will experience side effects. In fact, most people tolerate it well. When Serevent side effects do occur, in most cases they are minor and either require no treatment or can easily be treated by you or your healthcare provider. Serious side effects are less common.
 
Common side effects of Serevent include but are not limited to:
 
  • Headaches
  • Bone or muscle pain
  • Nasal or sinus congestion
  • Irritation or infection of the airway, including bronchitis
  • A sore throat.
     
(Click Serevent Side Effects to learn about specific side effects of Serevent, including some of the more serious side effects that you should report to your healthcare provider.)
 

Drug Interactions With Serevent

Serevent can potentially interact with several other medicines.
 
(Click Serevent Drug Interactions for more information about Serevent and other medicines.)
 

Serevent: What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to taking Serevent if you have:
 
Also let your healthcare provider know if you are:
 
You should also make sure to tell your healthcare provider about all other medicines you may be taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
 
(Click Serevent Warnings and Precautions for more information on this topic, including information on who should not take Serevent.)
 

Overdose With Serevent

People who take too much Serevent may have overdose symptoms that could include:
 
  • Chest pain (angina)
  • High blood pressure (hypertension) or low blood pressure (hypotension)
  • Nervousness
  • Headaches
  • Shakiness (tremors)
  • Dry mouth
  • Feelings of a rapidly or forcefully beating heart (heart palpitations)
  • Nausea
  • Dizziness
  • Insomnia or fatigue
  • Seizures
  • An irregular heart rhythm (arrhythmia) or a fast heart rate (tachycardia)
  • Low potassium in the blood (hypokalemia)
  • High blood sugar (hyperglycemia)
  • Cardiac arrest
  • Loss of life.
     
If you happen to overdose on Serevent, seek medical attention immediately.
 
(Click Serevent Overdose for more information.)
 

Serevent: Storage Methods

Serevent should be stored at room temperature, away from moisture and heat. Once a Serevent Diskus is removed from its packaging, it must be discarded after six weeks, even if it is not empty.
 
Keep Serevent and all other medications out of the reach of children.
 

Serevent: What Should I Do If I Miss a Dose?

If you do not take your Serevent as scheduled, take your missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose of Serevent.
 

Serevent Strengths

Serevent is available in one strength -- Serevent Diskus (containing 60 doses, with 50 mcg of Serevent per dose).
 

Serevent Generic

Currently, there is no generic Serevent licensed for sale.
 
(Click Generic Serevent for more information.)
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;