COMBITIDE-250 O/C

Uses and Benefits of COMBITIDE-250 O/C (Salmeterol 50mcg + Fluticasone 250mcg)

This medicine is used for the long-term control and prevention of symptoms of asthma and chronic obstructive pulmonary disease (COPD).

WHAT THIS MEDICINE IS USED FOR

• Long-term maintenance treatment of asthma
• Long-term maintenance treatment of COPD
• Prevention of wheezing, breathlessness, and chest tightness
• Reducing the frequency of asthma or COPD flare-ups

HOW IT WORKS

• Salmeterol relaxes the muscles around the airways, keeping them open for a longer duration
• Fluticasone reduces swelling and inflammation inside the airways
• Together they help improve breathing and reduce the frequency of attacks

WHAT IT IS NOT USED FOR

• Not for sudden asthma attacks or acute breathlessness — a fast-acting reliever inhaler is needed for that
• Not a cure for asthma or COPD, only helps control symptoms
• Not meant for children below the age advised by the doctor
• Not to be used as the first medicine without proper diagnosis

Side Effects of COMBITIDE-250 O/C (Salmeterol 50mcg + Fluticasone 250mcg)

COMMON SIDE EFFECTS

• Throat irritation or dryness
• Headache
• Hoarseness of voice
• Cough
• Oral thrush (fungal infection in mouth)

LESS COMMON SIDE EFFECTS

• Muscle cramps
• Tremors
• Fast heartbeat (palpitations)
• Nausea
• Nervousness or restlessness

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Sudden worsening of breathing after using the inhaler
• Chest pain or irregular heartbeat
• Signs of allergic reaction such as swelling of face, lips, throat, or skin rash
• Vision problems or eye pain
• Signs of infection such as high fever, along with breathing difficulty
• Unusual tiredness, weight gain, or mood changes with long-term use

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use COMBITIDE-250 O/C (Salmeterol 50mcg + Fluticasone 250mcg)

HOW TO TAKE IT

• Use only through the inhaler device provided, as prescribed by your doctor
• Shake the inhaler well before use, if it is a metered-dose type
• Rinse your mouth with water after each use to prevent oral thrush and hoarseness
• Do not exceed the number of puffs advised by your doctor
• Use at the same times each day for best control of symptoms
• Do not stop suddenly without consulting your doctor, even if you feel better

IF YOU MISS A DOSE

• Take it as soon as you remember
• If it is almost time for the next dose, skip the missed one
• Do not take a double dose to make up for the missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep away from heat and open flame
• Keep out of reach of children
• Check the expiry date and the dose counter, if present, regularly

Safety Information and Precautions for COMBITIDE-250 O/C (Salmeterol 50mcg + Fluticasone 250mcg)

This is a prescription-only medicine in India and should be used only under medical supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to salmeterol, fluticasone, or any other ingredient in the inhaler
• Are having an acute asthma attack or sudden breathing difficulty
• Have been advised against long-acting bronchodilators by your doctor

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have heart disease, high blood pressure, or irregular heartbeat
• Have diabetes
• Have tuberculosis or any lung infection
• Have liver disease
• Have thyroid problems
• Are pregnant, planning pregnancy, or breastfeeding
• Have osteoporosis or weak bones

MEDICINES THAT CAN INTERACT

• Beta-blockers used for heart or blood pressure
• Other steroid medicines
• Certain antifungal or antiviral medicines like ketoconazole or ritonavir
• Diuretics (water pills)
• Other medicines for asthma or COPD

FREQUENTLY ASKED QUESTIONS

Can I use this inhaler for sudden breathlessness?

No, this is not a rescue inhaler; you need a separate fast-acting reliever for sudden symptoms.

How long does it take to work?

It may take a few days to weeks of regular use to see full benefit in controlling symptoms.

Can I stop using it once I feel better?

• No, stopping suddenly can worsen your condition; always consult your doctor before changing the dose.
• Doctor ya pharmacist se salah lein.