Salmeterol + Fluticasone + Propionate

Salmeterol + Fluticasone + Propionate — Uses and Benefits

This combination is used for long-term control of breathing disorders like asthma and COPD.

WHAT THIS MEDICINE IS USED FOR

• Long-term maintenance treatment of asthma
• Long-term maintenance treatment of chronic obstructive pulmonary disease (COPD)
• Reducing frequency of asthma or COPD flare-ups
• Improving day-to-day breathing and lung function

HOW IT WORKS

• Salmeterol is a long-acting bronchodilator that relaxes airway muscles for easier airflow
• Fluticasone is a corticosteroid that reduces swelling and irritation inside the airways
• Together they help keep airways open and reduce inflammation over time

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 recommended for children below the age advised by the doctor
• Not to be used as the only treatment during a severe attack

How to Use Salmeterol + Fluticasone + Propionate

HOW TO TAKE IT

• Use only by inhalation, exactly as prescribed by your doctor
• Usually taken twice daily, at the same times each day
• Shake the inhaler (if applicable) before use and follow the technique shown by your pharmacist or doctor
• Rinse your mouth with water after each use to reduce risk of oral thrush and hoarseness
• Do not exceed the prescribed number of puffs
• Continue using it regularly even if you feel well, as it is a preventive treatment

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
• Do not double the dose to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep away from heat and flame, as inhalers are pressurised
• Keep out of reach of children
• Do not puncture or throw the canister into fire, even after it appears empty

Salmeterol + Fluticasone + Propionate — Side Effects

COMMON SIDE EFFECTS

• Throat irritation or hoarseness
• Headache
• Oral thrush (white patches in mouth)
• Cough
• Nasal congestion

LESS COMMON SIDE EFFECTS

• Muscle cramps
• Tremor or shakiness
• Fast or irregular heartbeat
• Nervousness
• Sleep disturbances

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Sudden worsening of breathing after using the inhaler
• Severe allergic reaction with swelling of face, lips or throat
• Chest pain or severe palpitations
• Vision changes or eye pain (possible glaucoma or cataract with long-term use)
• Signs of low bone density or fractures with prolonged use
• Symptoms of adrenal suppression like extreme tiredness, weakness, low blood pressure

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

Salmeterol + Fluticasone + Propionate — Safety Information and Precautions

This medicine is available only with a doctor's prescription in India.

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 worsening breathlessness (this is not a rescue inhaler)

TELL YOUR DOCTOR BEFORE STARTING IF YOU

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

MEDICINES THAT CAN INTERACT

• Other beta-agonist bronchodilators
• Beta-blockers used for heart problems or blood pressure
• Certain antifungal medicines like ketoconazole or itraconazole
• Certain antiviral medicines like ritonavir
• Diuretics (water tablets)
• Steroid medicines taken by mouth or injection

FREQUENTLY ASKED QUESTIONS

Can I use this inhaler for sudden breathlessness?

No, this is a maintenance inhaler and works slowly; you need a separate fast-acting reliever inhaler for sudden symptoms.

How long does it take to work?

It may take one to two weeks of regular use to feel the full benefit, so continue using it even if you don't notice immediate improvement.

Can I stop using it once I feel better?

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