QVAR (beclomethasone dipropionate HFA) Inhalation Aerosol
Use the Asthma Symptoms Checklist to see if your asthma is under control

Asthma Symptoms and Control Checklist

Are you worried that you may have asthma, or that your asthma isn't under control? Fill out this checklist and use it to talk about your symptoms with your healthcare provider.

Place a check mark in the box next to any symptom you have had.1
A whistling or wheezing sound when you breathe
Coughing
Shortness of breath
Chest tightness or pain

Do any of these things make your symptoms worse?1
Exercise
Viral infection (Colds or the flu)
Animals with fur or hair
Dust mites (in mattresses, pillows, upholstered furniture, carpets)
Mold
Smoke (tobacco, wood)
Pollen
Changes in weather
Laughing or crying hard
Airborne chemicals or dust

Do your symptoms get worse at night or wake you up?1
Yes    No

In the last week, how many days have you had to use your quick-relief inhaler?
0-1    2    More than 2

In the last month, how many times have you woken up due to asthma symptoms?
0-1    2    More than 2

In the last year, how many times have you refilled your quick-relief inhaler?
0-1    2    More than 2

Click the "Print" button below to print this page. Use this checklist to go over your symptoms with your healthcare provider.



Reference
  1. NHLBI Expert Panel Report 3 (EPR3): Guidelines for the Diagnosis and Management of Asthma. Available at: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm. Accessed April 20, 2010.
QVAR® is indicated in the maintenance treatment of asthma as prophylactic therapy in patients 5 years of age or older. QVAR® is also indicated for asthma patients who require systemic corticosteroid administration, where adding QVAR® may reduce or eliminate the need for systemic corticosteroids.

Important Safety Information


QVAR® does not replace fast-acting (rescue) inhalers for sudden symptoms.

CAUTION: If you are switching from an oral corticosteroid to QVAR®, follow your doctor's instructions to avoid health risks when you stop using oral corticosteroids (See WARNINGS, Prescribing Information).

Inhaled corticosteroids may cause a reduction in growth rate. The long-term effect on final adult growth is unknown.

In clinical studies, common side effects included headache and pharyngitis.

Do not stop taking QVAR® abruptly without talking to your doctor.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

101755