Your need for Advair (fluticasone propionate and salmeterol) to control asthma may change over time. If your presumed asthma has been very nicely controlled for 3 months or more, you should ask your doctor to consider step-down therapy, as recommended in the National Heart, Lung, and Blood Institute’s (NHLBI) Asthma Guidelines, most recently updated in 2007. Advair comes in 3 strengths and the step-down should continue, if well tolerated, to the lowest dose of fluticasone, which is 90 mcg if you are using the HFA inhaler or 100 mcg if you are using the diskus.
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