Salmeterol + Fluticasone

Salmeterol + Fluticasone is a combination of two medicines that opens the airways and makes it easier to breathe. It is used in the treatment of asthma (wheezing and shortness of breath) and chronic obstructive pulmonary disorder (a lung disorder in which the flow of air to the lungs is blocked). Your doctor will tell you how often you need to use your inhaler. The effect of this medicine may be noticeable after a few days but will only reach its maximum after a few weeks. This medicine must be used regularly to be effective, so go on taking it even if you don't have any symptoms. That means it's doing its job. If you stop taking it your asthma and chronic obstructive pulmonary disorder (COPD) may get worse. It should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (reliever). To get the benefit from this medicine you need to make sure you get your inhaler technique right, otherwise, it does not work as well. The most common side effects are nausea, vomiting, respiratory tract infection, fungal infections in the mouth, headache, hoarseness of voice, sore throat, cough, musculoskeletal (bone, muscle or joint) pain, and increased heart rate. If you get there, do not stop taking it but do talk to your doctor. You can help prevent some of these symptoms by rinsing your mouth and throat with water or brushing your teeth after using your inhaler. There are other, rarer side effects which can be serious. Talk to your doctor if you're worried about them. In general, you should be trying to avoid situations that make your asthma worse (your triggers) and try not to smoke. Ask your doctor whether it's safe to take this medicine if you're pregnant or breastfeeding. Before taking it, you should tell your doctor if you have any kidney or liver diseases so that your doctor can prescribe a suitable dose for you. Salmeterol + Fluticasone is a combination of two medicines: Salmeterol and Fluticasone Propionate. Salmeterol is a long-acting bronchodilator which works by relaxing the muscles in the airways and widens the airways. Fluticasone Propionate is a steroid. It works by stopping the release of certain chemical messengers that cause inflammation (swelling) of the airways. Together, they make breathing easier.

• Asthma • Chronic obstructive pulmonary disease (COPD)

Salmeterol, a long acting beta 2-agonist which acts locally in the lung to mediate bronchodilation. Fluticasone, a corticosteroid with mainly glucocorticoid activity, reduce symptoms and exacerbations of asthma.

Adult Dose: Inhalation Asthma Adult: As combination containing salmeterol 50 mcg and fluticasone propionate 100/250/500 mcg/dose of inhalation powder: 1 inhalation bid. As combination containing salmeterol 25 mcg and fluticasone propionate 50/125/250 mcg/dose of pressurised inhalation: 2 inhalation bid. Chronic obstructive pulmonary disease Adult: As combination containing salmeterol 50 mcg and fluticasone propionate 500 mcg/dose of inhalation powder: 1 inhalation bid. Child Dose: Inhalation Asthma Child: 4-12 yr: As combination containing salmeterol 50 mcg and fluticasone propionate 100 mcg/ dose of inhalation powder: 1 inhalation bid; As combination containing salmeterol 25 mcg and fluticasone propionate 50 mcg/dose of pressurised inhalation: 2 inhalation bid. >12 yr: As combination containing salmeterol 50 mcg and fluticasone propionate 100/250/500 mcg/dose of inhalation powder: 1 inhalation bid; As combination containing salmeterol 50/125/250 mcg and fluticasone propionate 50 mcg/dose of pressurised inhalation: 2 inhalation bid.

Check the label for directions before use. Shake the inhaler. While you are breathing in from mouth, press down on the inhaler one time to release the medication and hold your breath for 10 seconds. Repeat until you have inhaled the number of puffs as suggested by the doctor.Afterwards, rinse your mouth thoroughly with water and spit it out.

Common: • Nausea • Vomiting • Respiratory tract infection • Fungal infection of mouth • Sore throat • Headache • Hoarseness of voice • Cough • Musculoskeletal (bone, muscle or joint) pain • Increased heart rate

No interaction found/established This medicine is for inhalation only. The tablet should not be swallowed. It should be taken at the same time each day. It does not work right away and should not be used to relieve sudden breathing problems. Use your rescue inhaler to control sudden difficulty in breathing. Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help. Gargle with warm water after each inhalation to avoid any fungal infections in your mouth and throat. Take the first dose of this medicine under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using. Your doctor may regularly monitor your blood potassium level as low oxygen level in the blood (hypoxia) and medicines such as Salmeterol + Fluticasone can lower blood potassium level. Only miniscule amounts of Salmeterol + Fluticasone may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.

Not for primary treatment of status asthmaticus or other acute attacks of asthma. Severe hypersensitivity to milk proteins.

Increased fluticasone levels with CYP 3A4 inhibitors e.g ritonavir, ketoconazole, itraconazole. Additive effects with other beta-agonist.

[CONSULT YOUR DOCTOR] It is not known whether it is safe to consume alcohol with Salmeterol + Fluticasone. Please consult your doctor.

[CONSULT YOUR DOCTOR] Salmeterol + Fluticasone may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

[SAFE IF PRESCRIBED] Salmeterol + Fluticasone is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.

No interaction found/established No interaction found/established

Chest choked, severe cough, facing difficulty in breathing,allergy from soil particles. All this is repeated again and again after 25-30 days. Already taking amoxycilin 625 MG but now no effect. Please suggest remedy. Take seroflo inhaler 2puffs BDGet chest X Ray n PFT I have breathing Problem twice a month. I m using Inhaler name called Seroflo 250mg. Is it possible to cure completely without using Inhalers. a spirometry test can ascertain your level of asthma control and guide further treatment. CHILD IS SUFFERING FROM ASTHAMA AND TAKES LEVOLIN AND BEUDICORT WHEN NEEDED. SEROFLO INHALER AND MONTAIR TAB. WHAT IS THE PERMANENT TREATMENT. PLZ SUGGEST Get vaccinated for influenza and pneumonia. Staying current with vaccinations can prevent flu and pneumonia from triggering asthma flare-ups. Identify and avoid asthma triggers. A number of outdoor allergens and irritants ? ranging from pollen and mold to cold air and air pollution ? can trigger asthma attacks. Find out what causes or worsens your asthma, and take steps to avoid those triggers. Know your asthma triggers and minimize contact with them. Monitor your breathing. You may learn to recognize warning signs of an impending attack, such as slight coughing, wheezing or shortness of breath. But because your lung function may decrease before you notice any signs or symptoms, regularly measure and record your peak airflow with a home peak flow meter. Take your medication as prescribed. Just because your asthma seems to be improving, don't change anything without first talking to your doctor. It's a good idea to bring your medications with you to each doctor visit, so your doctor can double-check that you're using your medications correctly and taking the right dose.?If your child seems to have asthma that's triggered by allergies, the doctor may want to do allergy skin testing. During a skin test, the skin is pricked with extracts of common allergy-causing substances, such as animal dander, mold or dust mites, and observed for signs of an allergic reaction Whenever I do any type of work I suffer from breathing it becomes difficult to breathe I am using Seroflo 250 rotocap for the last 10 years but I use SOS exercise induced asthma is common. it is important to assess your asthma control using spirometry test. get tested.read more at :http://www.arohealth.com/pulmonology/spirometry/ I am 26 years old, with asthma/copd since i was 3 years old,from last 3 years I am taking Seroflo 250 Rotocap everyday with asthalin inhaler (SOS). But now i have developed GERD/Acid Reflux from last 2 years with high ige level(350) for which i m taking nexium everyday. So my Question is Can SEROFLO or ROTOCAP capsule can cause GERD symptoms? as i don't want to take nexium for a very long time and have also tried various types of diets no fat, gluten free. but nothing worked. Sir i will suggest u to kindly consult gastroentrologist I have asthma problem.rarely i use seroflo 250 mg. sometimes it is not working.what medicine can i take for immediate relief. iam diabetic and i take medicines consult chest physician for the same I m allergic to dust cold, so in 6 months I get bronchitis type of problem in which cough congestion is being taken over my whole system, so please guide me to take the appropriate medicine. Currently I was taking Amoxyclav 625 Levobact 750 Albrodo syrup Rotacap Fullform 200 inhaler capsules Before start of the season when you et Bronchitis start with Seroflo 250 rotacp 1 twice a day till the duration of that season and take steam inhalation and use N 95 face mask i m suffering from breathing problem cough chest infame . Do tell chronic obstructive pulmonary disease .So tell which medicines should i take to treat this problem. It is less likely you have copd at this age You need detailed check up and spirometry test for same