Please consult your personal physician before taking any medication. INDICATIONS: Asthma: Flixotide ® has a pronounced anti-inflammatory effect in the lungs. It reduces symptoms and exacerbations of asthma in patients previously treated with bronchodilators alone or with other prophylactic therapy. Severe asthma requires regular medical assessment, it can cause death. Patients with severe asthma have constant symptoms and frequent exacerbations, with limited physical abilities and values of peak expiratory flow (PEF) below 60% predicted with more than 30% variability, usually not returning entirely to normal after a bronchodilator. These patients require treatment with high-dose inhaled corticosteroids (see DOSAGE AND ADMINISTRATION) or oral. Sudden worsening of symptoms may require increased corticosteroid dosage which should be administered under medical supervision. Adults: Prophylactic treatment: - Mild asthma (PEF values over 80% predicted less than 20% variability): Patients on more than one occasion requiring intermittent symptomatic medication, a bronchodilator to treat asthma. - Moderate asthma (PEF values 60-80% predicted with 20-30% variability): Patients requiring asthma medication regularly and patients with stable or progressive asthma under prophylactic treatment using currently available or only a bronchodilator. - Severe asthma (PEF values less than 60% predicted with more than 30% variability): Patients with severe persistent asthma. By establishing inhaled fluticasone propionate, many patients who depend on systemic corticosteroids for adequate control of their symptoms, may significantly reduce or eliminate their requirement for oral corticosteroids. Child: Any child requiring preventive asthma medication, including patients not controlled on currently available prophylactic medication. Symptomatic treatment of chronic obstructive pulmonary disease (COPD): Clinical studies have shown that regular use of inhaled fluticasone propionate has favorable effects on lung function, reducing symptoms of COPD, the frequency and severity of exacerbations and the need for additional courses of oral corticosteroids. There is also a reduction in the rate of decline in health status. DRUG INTERACTIONS: Under normal circumstances, low concentrations of fluticasone propionate in plasma are reached after inhalation dosing, due to extensive first pass metabolism and high systemic clearance mediated by cytochrome P-450 3A4 in the gut and liver. It is therefore unlikely that in clinically significant drug interactions mediated by fluticasone propionate. A drug interaction study in healthy subjects demonstrated that ritonavir (an inhibitor of cytochrome P-450 highly potent 3A4) can significantly increase plasma concentrations of fluticasone propionate, resulting in markedly reduced serum cortisol concentrations. During postmarketing use, there have been reports of clinically significant drug interactions in patients receiving fluticasone propionate and ritonavir, resulting in characteristic side effects of systemic corticosteroids, including Cushing's syndrome and adrenal suppression. Therefore, concomitant use of fluticasone propionate and ritonavir should be avoided, unless the potential benefit to the patient outweighs the risk of the typical side effects of systemic corticosteroids. Studies have shown that other inhibitors of cytochrome P450 3A4 produce negligible (erythromycin) and slight increases (ketoconazole) in systemic exposure to fluticasone propionate, no apparent reductions in serum cortisol concentrations. However, caution is advised when administered concomitantly. LEGENDS OF PROTECTION Its sale requires a prescription. Exclusively for medical literature. Keep out of reach of children. DANGER-FLAMMABLE. Do not use near fire or flame. No smoke or flame switch where applicable. The package to the excessively hot sunlight or locations or puncture or incinerate Do not expose. Avoid contact with eyes. GLAXOSMITHKLINE MEXICO, SA de CV Reg No. 172M95, SSA IV PRECAUTIONS: The management of asthma should follow a stepwise program and patient response should be monitored clinically and by lung function tests. • The increased use of inhaled beta2-agonists, short-acting to control symptoms indicates deterioration of asthma control. Under these conditions, the patient's treatment plan should be reassessed. • Sudden and progressive deterioration in asthma control carries a potential risk to life, so it should be considered an increase in the dose of corticosteroid. In patients considered at risk, daily peak flow should be instituted. • Flixotide ® should not be used for the relief of acute asthma attacks, but for the long-term regular treatment. To relieve acute asthmatic symptoms, patients will require inhaled bronchodilator fast and short action. • Lack of response or acute exacerbations of asthma should be treated by increasing the dose of Flixotide ® and, if necessary, by administering a systemic steroid and / or antibiotic for infection. • There is an increased incidence of pneumonia reported in studies in patients with COPD receiving 500 mg Flixotide (see Adverse Reactions). Physicians should remain vigilant to the possible development of pneumonia in patients with COPD as the clinical features of pneumonia and exacerbations frequently overlap. • Systemic effects may occur with the use of inhaled corticosteroid, particularly at high doses prescribed for prolonged periods; the likelihood of these effects is much lower than with oral corticosteroids (see Manifestations and management of overdose or accidental ingestion). Possible effects include Cushing's syndrome, Cushingoid features, adrenal suppression, growth retardation in children and adolescents, decrease in bone mineral density, cataract and glaucoma. It is important that the dose of inhaled corticosteroid is scaled to the lowest effective dose to maintain control (see Adverse Reactions). • It is recommended to regularly monitor the height of children receiving prolonged treatment with inhaled corticosteroid. • Some individuals may exhibit increased susceptibility to the effects of inhaled corticosteroid that most of the patients. • The technique of inhaler use by patients should be verified to ensure that the actuation of the inhaler is synchronized with inspiration, ensuring the optimal delivery of the drug into the lungs. • The function and adrenal reserve usually remain within the normal range during treatment with the recommended doses of fluticasone propionate. The benefits of treatment with inhaled fluticasone propionate should minimize the need for oral steroids. However, for some time you can persist the possibility of adverse effects in patients with previous or intermittent administration of oral steroids. The extent of the adrenal impairment may require specialist advice before elective procedures. • Always keep in mind the possibility of impaired adrenal response in emergency and elective situations likely to produce stress, and should be considered appropriate treatment with corticosteroids (see Manifestations and management of overdose or accidental ingestion). • Due to the possibility of impaired adrenal response, patients are transferred to treatment with oral steroid treatment with inhaled fluticasone propionate should be treated with special care and adrenal function should be monitored regularly. • After the introduction of inhaled fluticasone propionate, systemic treatment discontinuation should be gradual and should advise patients to carry a steroid warning card indicating the possible need for additional treatment during periods of stress. • Similarly, replacement treatment with systemic steroids for inhalation therapy may unmask allergies such as rhinitis, eczema, previously controlled by the systemic drug. These entities should be treated symptomatically with antihistamines and / or topical preparations, including topical steroid. • Special care is needed in patients with active or quiescent pulmonary tuberculosis. • Treatment with fluticasone propionate should not be interrupted or discontinued abruptly. PRECAUTIONS IN RELATION TO EFFECTS Carcinogenesis, Mutagenesis, Impairment of Fertility: Toxicology has shown only those class effects, characteristic of potent corticosteroid, which only occur at doses well above those proposed for therapeutic use. So far carcinogenic, mutagenic, teratogenic, and any impairment of fertility are unknown.
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Did you know that your private medical file can be used against you to raise your insurance rates or in some cases and countries to lose your job? We take your privacy very seriously and by using these payment methods and the way in which we use them your bank does not directly get charged from our pharmacy. This way your medical needs stay as private as possible.
You will also receive a complete invoice in your email with payment totals and simple payment instructions toward the bottom of the email should you wish to pay at a later convenience.
IMPORTANT: If you need to make some changes in regards an existing order, contact us within 24 hours, otherwise, Mexican Pharm is not liable due to errors on customer’s information or products presentation.
To ensure the delivery of your order we handle EXPRESS SHIPPING only. Signature is required.
Tracking numbers for all orders will be sent with instructions once shipped.
How long does it take to ship the drugs to my home or office?
*Due to unexpected Postal Service changes, one of the shipping methods above could be temporarily disabled.
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We reply promptly to your enquiries and requests emails, but are too busy to repeatedly resend email that customers do not receive because our replies have been moved to a customers’ Spam, Junk or Bulk email folder.
Online pharmacy Medicines Mexico shipping terms and conditions.
Our team endeavors to process all orders and ship within 72 business hours. All credit card and electronic check payments for your mexicanpharm take 24 to 48 hours to be approved by our Payment Processor; upon verification your order will be processed. If there are any problems with your order, we will contact you, so please ensure the email address and phone number you provide is correct, and that any spam filtering software you use accepts email from www.mexicanpharm.com
We offer Mex Post Express Shipping as an option. This option costs from $24.95 depending on the quantity of medications in your order (up to 9 medications). This option requires a customer signature on delivery. For all other locations Express Shipping is $39.95. All packages are shipped in plain packaging to guarantee your privacy. All packages are sent by parcel express mail from Mexico. Some parcels require a signature upon delivery at our discretion. There are no other handling fees, drug dispensing fees, or Mexican customs charges. If two or more people are ordering their prescription drugs from the same address at the same time, you will be billed for only one shipping charge from our Mexico pharmacy, up to our maximum order quantities limited by customs to 90 day supply. We are able to provide a tracking number on your express shipping parcels. If after 30 business days your order has not arrived, first check with your local postal office to ensure that your package is not being held for pick-up. If you still have problems, please contact us by email and we will attempt to assist you.
If no one is at home at the time of delivery, the status of you order on the Postal System will be updated to “Notice Left” which means USPS attempted to deliver your item and a notice was left because an authorized recipient was not available. You may arrange redelivery by visiting or calling 800-ASK-USPS, or may pick up the item at the Post Office indicated on the notice. If this item is unclaimed after five days then it will be returned to the sender. You can pay for reshipping $24.95 in order to receive a new tracking number. (Reshipping will be issued until the package is received back in our offices).
Note that on Holidays season, the Mexican Postal, USA and other countries will be extra busy; therefore a delay is expected in packages shipped during this season. You will need to consider as well the Mexican holidays. We appreciate your understanding, our customer service will be happy to assist you and available to inform you the latest status on your existing order shipped, you can always contact us at Toll Free number or email address.
Due to our policy of same day payment processing, ORDERS CANNOT BE CANCELLED.
Due to government regulations and the possibility of tampering with medications, returns cannot be accepted. In case your package is returned due to no one was available to sign for it. You can pay for reshipping $24.95 in order to receive a new tracking number. (Reshipping will be issued until the package is received back in our offices).
How to find the online pharmacy drug you need.
There are many more medications available in Mexico that are not listed on our website. If you can’t find the Mexican drug or medication you require, please contact us and we may be able to help. Some products are listed only in a single dosage size or medicine type, but may be available in other dosages and forms. Our experienced Mexican pharmacy Pharmacists will do their best to accommodate your requirements. Please always specify the chemical name of the medication (and any applicable brand name) with all inquiries. Please feel free to ask about ANY drug. We will reply promptly to your request.
What you should know about brand and generic drug alternates.
Prescription drugs are a costly medical expense, especially for the elderly, those who are chronically ill and those with no or minimal drug coverage on their Health Insurance. However, each state in America has a law that allows pharmacists to substitute less expensive generic drugs for many brand name products. Depending on your prescription needs, your savings could be very significant. Before you talk with your doctor or pharmacist about switching, there are things you should know about generic drugs.
What is the difference between a generic and brand name drug?
Nothing except for the name, packaging, and the price, a generic drug is called by its chemical name; manufacturers assign their own brand name. The generic products have the same ingredients. Standard practice and most state laws require that a generic drug be generically equivalent to its brand name counterpart. That is, it must have the same active ingredients, strength, and dosage form, be it a pill, liquid, or injection. The generic drug also must be therapeutically equivalent. It must be the same drug chemically and have the same medical effect.
Do all drugs have generic equivalents?
No. Some drugs are protected by patents and are supplied by only one company. However, when the patent expires, other manufacturers can produce its generic version. Currently, about half the drugs on the market are available in generic form.
Will my doctor automatically prescribe generic drugs?
It depends on the physician. You can ask your doctor to write a prescription permitting substitution of a generic drug product when appropriate or to define the chemical name for the prescription. This will ensure you are purchasing the correct Mexico drug. Generic products will be as effective and less costly. Or, you can order only brand name products if you wish. www.mexicanpharm.com Mexico pharmacy offers a wide selection of both Brand Name & Generic Mexico medicine. Our Mexican generic drugs are of the highest quality, selected only from the most reputable manufacturers, and are safe to replace brand name medications costing much more.
Feel free to contact us for further information.
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You can apply for warranty service at the official service centers of the product manufacturer and in our stores.
When contacting a service center with you, you must take:
The warranty is provided for a period of 2 weeks to 99 months. Please check the completeness and absence of defects in the goods upon receipt.
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