ESIFLO 250 INHALER

Uses and Benefits of ESIFLO 250 INHALER (SALMETEROL 25MCG + FLUTICASONE PROPIONATE 250MCG)

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

WHAT THIS MEDICINE IS USED FOR

• Regular maintenance treatment of asthma in patients who need both a bronchodilator and an inhaled steroid
• Long-term management of COPD to reduce flare-ups and improve breathing
• Reducing frequency of wheezing, breathlessness, and chest tightness

HOW IT WORKS

• Salmeterol relaxes the muscles around the airways, keeping them open for a longer duration
• Fluticasone reduces inflammation and swelling inside the airways
• Together they improve airflow and reduce the chances of asthma or COPD flare-ups

WHAT IT IS NOT USED FOR

• Not for immediate relief of a sudden asthma attack or acute breathlessness
• Not a rescue inhaler; a fast-acting reliever inhaler is needed for emergencies
• Not used for common cold, cough due to infection, or other unrelated respiratory issues

Side Effects of ESIFLO 250 INHALER (SALMETEROL 25MCG + FLUTICASONE PROPIONATE 250MCG)

COMMON SIDE EFFECTS

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

LESS COMMON SIDE EFFECTS

• Muscle cramps
• Palpitations or fast heartbeat
• Tremors (shakiness)
• Nausea
• Nasal congestion or sinus discomfort

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 changes or eye pain (possible signs of glaucoma or cataract with long-term steroid use)
• Signs of low bone density or repeated infections with long-term use

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

How to Use ESIFLO 250 INHALER (SALMETEROL 25MCG + FLUTICASONE PROPIONATE 250MCG)

HOW TO TAKE IT

• Use only by inhalation, through the mouth, as directed by your doctor
• Shake the inhaler well before use if instructed by the product label
• Rinse your mouth with water after each use to reduce risk of oral thrush and hoarseness
• Do not exceed the number of inhalations prescribed 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 your next dose, skip the missed one and continue as usual
• Do not take two doses together to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep away from heat sources and open flame
• Keep out of reach of children
• Check the expiry date and discard the inhaler after the labelled number of doses are used

Safety Information and Precautions for ESIFLO 250 INHALER (SALMETEROL 25MCG + FLUTICASONE PROPIONATE 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 experiencing an acute asthma attack requiring immediate relief

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have heart disease, high blood pressure, or irregular heartbeat
• Have tuberculosis, chest infection, or any untreated infection
• Have diabetes, as steroids can affect blood sugar
• Have liver disease
• Have glaucoma, cataract, or weak bones (osteoporosis)
• Are pregnant, planning pregnancy, or breastfeeding

MEDICINES THAT CAN INTERACT

• Beta-blockers used for heart or blood pressure conditions
• Other medicines containing steroids
• Certain antifungal or antiviral medicines like ketoconazole or ritonavir
• Diuretics (water pills)
• Other bronchodilator inhalers

FREQUENTLY ASKED QUESTIONS

Can I use this inhaler for sudden breathlessness?

No, this is a maintenance inhaler and not for immediate relief; keep a separate reliever inhaler for emergencies.

How long does it take to work?

It may take a few days to weeks of regular use to see full benefit, so continue using it even if you feel well.

Can children use this inhaler?

• It may be prescribed for children in certain age groups, but only under strict doctor supervision and correct dose adjustment.
• Doctor ya pharmacist se salah lein.