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Your doctor will provide you with specific instructions on how frequently you should use your inhaler It is important to take the lowest effective dose to manage your asthma The effects of this medicine may be noticeable within a few days but will take a few weeks to reach their maximum effectiveness It is important to use this medicine regularly even if you are not experiencing any symptoms as it is still working to control your asthma Stopping the medication can worsen your asthma and COPD symptoms It should not be used for sudden asthma attacks instead use your quickrelief inhaler To ensure the medication works properly it is important to use the correct inhaler technique Common side effects may include nausea vomiting respiratory tract infections fungal infections in the mouth headaches hoarseness sore throat cough musculoskeletal pain joint pain and increased heart rate If you experience these side effects do not stop taking the medication but consult your doctor Rinsing your mouth and throat with water or brushing your teeth after using the inhaler can help prevent some of these symptoms There are rare but potentially serious side effects so if you have concerns discuss them with your doctor It is advisable to avoid triggers that worsen your asthma symptoms and to refrain from smoking If you are pregnant or breastfeeding consult your doctor for advice on whether it is safe to take this medication Additionally inform your doctor if you have any kidney or liver diseases as they may need to prescribe a suitable dose for you