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Reimbursement Resource Center

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Other Assistance Programs. Patient Authorization Form Patients will be required to sign a written release of medical information and authorization for GlaxoSmithKline to provide patient-specific and benefit verification assistance through the Reimbursement Resource Center. Particular care is needed for patients who have been transferred from systemically active corticosteroids to inhaled corticosteroids because deaths due to adrenal insufficiency have occurred in patients with asthma during and after transfer from systemic corticosteroids to less systemically available inhaled corticosteroids.

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Hypercorticism and adrenal suppression may occur with high doses of inhaled corticosteroids, including fluticasone propionate, or at the recommended dose in susceptible individuals. Decreases in bone mineral density have been observed with long-term administration of products containing inhaled corticosteroids.

Prescription Drugs

Patients with major risk factors for decreased bone mineral content, such as prolonged immobilization, family history of osteoporosis, postmenopausal status, tobacco use, advanced age, poor nutrition, or chronic use of drugs that can reduce bone mass eg, anticonvulsants, oral corticosteroids should be monitored and treated with established standards of care. Inhaled corticosteroids, as well as poorly controlled asthma, may cause a reduction in growth velocity, and the long-term effect on final adult height is unknown.

Patients should be maintained on the lowest dose of inhaled corticosteroid that effectively controls their asthma. Monitor growth of pediatric patients.

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