Not for sudden asthma attacks
Qvar Inhaler is a maintenance inhaler used every day to prevent and control asthma symptoms. It does not work quickly enough to treat a sudden asthma attack or acute breathing difficulty.
Always keep your prescribed rescue inhaler, such as albuterol or salbutamol, available for sudden wheezing, chest tightness, coughing, or shortness of breath.
Seek urgent medical attention if:
- Your rescue inhaler does not relieve your symptoms
- Your breathing becomes rapidly worse
- You cannot speak comfortably because of shortness of breath
- Your lips or fingertips appear blue or grey
- You feel faint, confused, or extremely weak
Do not take extra doses of Qvar during an asthma attack unless your healthcare provider has specifically instructed you to do so.
Allergic reactions
Do not use Qvar if you are allergic to beclomethasone dipropionate or any ingredient in the inhaler.
Stop using the medication and seek immediate medical attention if you develop signs of a serious allergic reaction, such as:
- Swelling of the face, lips, tongue, or throat
- Difficulty breathing or swallowing
- Hives or a widespread rash
- Severe dizziness or fainting
Qvar can also rarely cause sudden tightening of the airways immediately after a dose. This is called paradoxical bronchospasm. Use your rescue inhaler and seek medical advice immediately if your wheezing or breathing becomes suddenly worse after using Qvar.
Use Qvar exactly as prescribed
Use Qvar regularly, even when you feel well and do not have asthma symptoms. The medication controls inflammation over time, so skipping doses may allow your symptoms to return.
Do not:
- Use more inhalations than prescribed
- Use the inhaler more frequently than directed
- Change your dose on your own
- Stop treatment without medical advice
Taking extra doses will not provide rapid relief and may increase the risk of corticosteroid side effects.
Qvar may begin improving asthma control within several days, but it may take a few weeks of regular use to experience the full benefit. Contact your healthcare provider if your symptoms do not improve or become worse.
Signs that your asthma may not be well controlled include:
- Needing your rescue inhaler more often
- Waking at night because of coughing or breathing problems
- Having difficulty with exercise or everyday activities
- Experiencing more frequent or severe asthma attacks
Tell your healthcare provider about your medications
Before using Qvar, tell your healthcare provider and pharmacist about every medication, vitamin, herbal product, and supplement you take.
This is especially important if you are currently taking or recently stopped an oral or injected corticosteroid. Your body may need time to begin producing enough natural cortisol again, and the oral steroid may need to be reduced gradually.
Do not stop an oral corticosteroid suddenly unless your healthcare provider tells you to do so.
Switching from oral corticosteroids
Special care is needed when changing from an oral corticosteroid, such as prednisone, to Qvar.
Even when your asthma is improving, your adrenal glands may not yet be producing enough cortisol. This can lead to adrenal insufficiency, particularly during an infection, injury, surgery, or another physically stressful event.
Contact your healthcare provider immediately if you experience:
- Severe tiredness or weakness
- Nausea or vomiting
- Dizziness or fainting
- Loss of appetite
- Abdominal pain
- Low blood pressure
- Muscle or joint pain
Follow the dose-reduction schedule provided by your healthcare provider carefully.
Infections and immune-system effects
Corticosteroids can reduce your body’s ability to fight certain infections, especially when used in higher doses or for a long time.
Tell your healthcare provider if you have:
- Active or inactive tuberculosis
- An untreated fungal, bacterial, viral, or parasitic infection
- Recently been exposed to chickenpox or measles
- A weakened immune system
Contact your healthcare provider if you develop fever, chills, a persistent sore throat, worsening cough, unusual tiredness, or other signs of infection.
People using corticosteroids who have not previously had chickenpox or measles may develop a more serious illness if exposed. Contact your healthcare provider promptly after a known exposure.
Oral thrush
Qvar may cause oral thrush, a fungal infection in the mouth or throat.
Symptoms may include:
- White patches inside the mouth
- Mouth or throat soreness
- Pain when swallowing
- An unpleasant taste
Rinse your mouth thoroughly with water after each dose and spit the water out. Do not swallow it. This helps reduce the risk of thrush.
Contact your healthcare provider if you develop signs of thrush. You may need antifungal treatment, but you may be able to continue using Qvar.
Medical conditions to discuss
Before starting Qvar, tell your healthcare provider if you have:
- Tuberculosis
- Frequent or untreated infections
- Osteoporosis or weak bones
- Cataracts or glaucoma
- Adrenal gland problems
- Liver disease
- Recent surgery, injury, or severe illness
Kidney disease, heart disease, diabetes, and thyroid disorders are not specific contraindications to Qvar. However, your healthcare provider should still know about all your health conditions.
High doses or long-term corticosteroid treatment may affect blood sugar, bone strength, eye health, adrenal function, and growth in children. Your healthcare provider may recommend additional monitoring when appropriate.
Bone health
Long-term use of inhaled corticosteroids may reduce bone mineral density in some patients.
The risk may be higher if you:
- Have osteoporosis
- Are postmenopausal
- Smoke
- Have limited physical activity
- Have poor calcium or vitamin D intake
- Use oral corticosteroids for long periods
Your healthcare provider may discuss exercise, calcium and vitamin D intake, bone-density testing, or other ways to protect your bones.
Eye problems
Long-term inhaled corticosteroid use may increase the risk of cataracts or glaucoma.
Tell your healthcare provider if you experience blurred vision, eye pain, pressure in the eye, halos around lights, or other changes in eyesight. Regular eye examinations may be recommended if you use Qvar for a long time or have other risk factors.
Pregnancy and breastfeeding
Tell your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding.
Good asthma control during pregnancy is important because poorly controlled asthma can reduce oxygen delivery and create risks for both the pregnant patient and the baby.
Your healthcare provider will consider the benefits of maintaining asthma control and any potential medication risks before recommending treatment. Do not stop Qvar because you become pregnant without first obtaining medical advice.
It is not known with certainty how much beclomethasone from Qvar passes into human breast milk. Your healthcare provider will consider your treatment needs, the benefits of breastfeeding, and any possible risks to the nursing baby.
Use in children
Qvar Inhaler is approved for asthma maintenance treatment in children aged 4 years and older. It is not approved for children younger than 4 years.
A parent or caregiver may need to supervise treatment and make sure the child uses the inhaler correctly.
Long-term inhaled corticosteroid treatment may slow growth slightly in some children. The child’s healthcare provider may monitor their height and use the lowest dose that adequately controls the asthma.
Important safety reminder
Use Qvar every day as prescribed, rinse your mouth after each dose, and keep your rescue inhaler available.
Attend regular asthma appointments so your healthcare provider can review your symptoms, inhaler technique, rescue-inhaler use, growth if applicable, and ongoing treatment needs.
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