INTRODUCTION ABOUT SEROFLO 250 INHALER
SEROFLO
250 INHALER is a combination of Fluticasone and Salmeterol which
belongs to the group of medicines called Corticosteroids and
Bronchodilators respectively. It is used to manage asthma and chronic
obstructive pulmonary disease (COPD). It also helps in reducing the
flare-ups of COPD symptoms.
Asthma is a long-term respiratory
disease in which your airways become inflamed, swollen and narrowed. It
also causes excessive mucous secretion in the airways which makes it
difficult for the air to pass through, leading to unpleasant symptoms
like wheezing, difficulty in breathing, chest pain and/or cough.
COPD
is a lung disease characterized by chronic lung inflammation and
obstructed air flow within the airways. It causes wheezing, breathing
difficulties, cough with mucus production and chest pain.
Use
SEROFLO 250 INHALER every day until your doctor tells you to stop. It is
meant for inhalation use only, and therefore do not the swallow the
medicine. Do not stop using this medicine once your symptoms subside
without consulting your doctor. It is suitable for use both in adults
and in adolescents (aged 12 years or above).
SEROFLO 250 INHALER
should not be used to relieve a sudden asthma attack (such as sudden
breathing problems). Instead contact your doctor or use a fast-acting
‘rescue’ inhaler containing salbutamol to subside the symptoms.
Before
using SEROFLO 250 INHALER inform your doctor if you have any lung
infections, liver problems or heart problems. You must also inform your
doctor if you have diabetes, hypertension, fits, overactive thyroid
functions, osteoporosis, adrenal gland problems or a weak immune system
as a precaution.
SEROFLO 250 INHALER should be used in pregnant
and breastfeeding women only if it is considered necessary by the
physician. The most common side effects of using SEROFLO 250 INHALER are
headache, cold, oral thrush or oral sores, throat irritation, hoarse
voice, muscle pain and joint pain. Contact your doctor if any of these
side effect worsens.
USES OF SEROFLO 250 INHALER
It is used to manage, manage the symptoms of:
- Asthma
- Chronic Obstructive Pulmonary Disease (COPD)
HOW SEROFLO 250 INHALER WORKS
SEROFLO
250 INHALER is a combination of two medicines namely, fluticasone and
salbutamol. Fluticasone is an inhalation corticosteroid. It blocks the
release of certain chemical messengers in the airways (such as
prostaglandins, leukotrienes) that cause inflammation and swelling.
Salmeterol
is a bronchodilator. It relaxes the smooth muscles of the airways and
widens them. Collectively, they reduce airway inflammation, allows the
air to pass through more freely and makes breathing easier.
DIRECTIONS FOR USE
Use
SEROFLO 250 INHALER medicine every day until your doctor tells you to
stop. It is meant for inhalation only. Inhale the medicine only through
your mouth into the lungs and not via nose.
Follow the instruction given in the enclosed leaflet.
- prime the device by releasing two puffs of the medicine into the air
- place the mouthpiece in your mouth between your teeth and ensure completely closure
- breathe
in slowly and deeply using your mouth through the mouthpiece while
simultaneously pressing the top of the canister firmly to release a puff
of medicine - remove the device from your mouth and hold your breath for about 10 seconds or for as long as is comfortable
- wait about 30 seconds between taking each puff of medicine
- after inhalation, wipe the mouthpiece with a dry tissue and close the device after use
- once inhalation is over, rinse your mouth with water and spit it out or brush your teeth
Your
doctor will decide the correct dose, duration and number of puffs for
you depending upon your age, body weight and disease condition.
 Do
not start using this medicine unless your doctor or health care
provider has taught you how to use and you understand how to use it
correctly. If you find it difficult to use this device, your doctor may
recommend you a suitable spacer device.
Do not stop taking this
medicine abruptly or reduce the dose without consulting your doctor, as
it could make your breathing even worse.
SIDE EFFECTS OF SEROFLO 250 INHALER
COMMON
- headache
- common cold
- thrush in the mouth or throat (a yeast infection that causes sore, creamy-yellow, raised patches)
- sore tongue, hoarse voice, throat irritation
- muscle pain or cramps
- joint pain and swelling
- bruising and fractures
- inflammation of sinuses
- signs of low levels of potassium in blood (such as an uneven heartbeat, muscle weakness or cramps)
UNCOMMON
- diabetes (increased blood sugar levels)
- cataract (cloudy eyes)
- unusually fast or uneven heartbeat, tremor (feeling shaky)
- chest pain
- feeling worried, disturbance in sleep
- allergic skin rash
RARE
- slowing of growth in adolescents, bone thinning, glaucoma, weight gain
- Cushing’s Syndrome (a disorder caused due to release of high levels of cortisol)
- changes in behavior (such as being unusually active and irritable)
- fungal infection in the esophagus which causes difficulties in swallowing
Stop using SEROFLO 250 INHALER and contact your doctor immediately if you experience any of the following side effects:
- severe
allergic reactions (such as sudden wheezing, cough, shortness of
breath, skin rash, itching, swelling of the face, lips, tongue, or
throat, breathing difficulties, sudden fast heartbeat which can cause
fainting, light-headedness, collapse or even loss of consciousness) - sign
of pneumonia (a lung infection accompanied with fever, chills,
increased cough production, increased breathing difficulties, excessive
mucus production and change in mucus color)
HOW TO MANAGE SIDE EFFECTS
Headache: Â
Rest
and relax. Drink plenty of fluids such as water or electrolytes. Apply a
pain-relieving balm on the head if required. Do not consume too much of
alcohol. Consult your doctor if the symptom did not improve.
Throat irritation:
Gargle
your throat with salt water twice a day. Always try to drink warm
water. Avoid chilled, cooled, or sweetened food items or beverages.
Drinking turmeric milk or ginger tea mixed with honey and pepper powder
can ease the soreness. Consult your doctor if the symptom did not
improve.
Muscle pain or cramps:
Rub a
pain-relieving balm or place a heat pack on the affected area for some
time, as it could ease the pain. Do not move the affected area
frequently. Try to do some simple movements every day which would
improve blood circulation and reduce further incidence of muscle pain.
Try to eat a well-balanced protein rich diet, so that it can help to
repair and rebuild the damaged muscle. Consult your doctor if the
symptom did not improve.
Joint pain:
Rub a
pain-relieving balm or place a heat pack on the affected area for some
time, as it could ease the pain. Do not move the affected area
frequently. Consume calcium and vitamin supplements regularly,
particularly if you are elderly. Consult your doctor if the symptom did
not improve.
Allergic skin rash:
Avoid
hot showers because hot water can irritate your skin further. Do not
scratch the affected area. Use protective clothing when going outdoors.
Regularly moisturize your skin. Consult your doctor if the symptom did
not improve.
WARNING & PRECAUTIONS
PREGNANCY
SEROFLO
250 INHALER should be used in pregnant women only if it is considered
necessary by the doctor. Your doctor may prescribe this medicine after
outweighing the risk and benefits to you and your baby. Therefore,
inform your doctor before using it.
BREASTFEEDING
SEROFLO
250 INHALER should be used in breastfeeding women only if it is
considered necessary by the doctor. Therefore, consult your doctor for
advice before using it.
DRIVING AND USING MACHINES
Do not drive or operate any heavy tools or machines if your ability is affected by SEROFLO 250 INHALER.
LIVER
SEROFLO
250 INHALER should be taken with caution in patients with liver
diseases. Therefore, consult your doctor before using it.
ALLERGY
Do not use SEROFLO 250 INHALER if you are allergic to Salmeterol or Fluticasone.
LUNGS
SEROFLO
250 INHALER should be taken with caution among patients who have or
previously had any Tuberculosis or any other lung infections. Therefore,
consult your doctor before using it.
HEART DISEASE
SEROFLO
250 INHALER should be taken with caution in patients with heart
diseases (such as irregular or fast heartbeat). Therefore, consult your
doctor before using it.
OTHERS
SEROFLO 250 INHALER is not recommended for use in patients having:
- status asthmaticus (respiratory failure)
- acute asthma attacks
Before using SEROFLO 250 INHALER, inform your physician if you:
- have an over-active thyroid gland
- have diabetes
- have high blood pressure
- have hypokalemia (low levels of potassium in blood)
- have fits (seizure)
- have osteoporosis (weak bones)
- have a weak immune system
- have or had eye problems (such as glaucoma, increased pressure in the eyes, cataracts)
- have viral, bacterial or fungal infections (Ex. measles, chickenpox)
- have glucose intolerance
- have problems in adrenal gland (Ex. adrenal insufficiency)
- met with any major trauma (accidents) or undergone a surgery
Use in pediatrics:
SEROFLO
250 INHALER is not recommended for use in children younger than 12
years of age. Kindly consult your doctor before using it.
Use in geriatrics:
SEROFLO
250 INHALER should be taken with caution in elderly patients (aged 65
years or above). Therefore, consult your doctor before using it. Proper
dose adjustments and careful monitoring are required in such patients.
INTERACTIONS
A. Drug-Drug interactions:
Before using SEROFLO 250 INHALER, inform your physician if you are taking any of the following medicines such as:
- other beta-blockers (used to manage high blood pressure or other heart conditions) Ex. atenolol, propranolol and sotalol
- medicines used to manage fungal infection (such as ketoconazole and itraconazole)
- medicines used to manage HIV infection (Ex. ritonavir, atazanavir, indinavir, nelfinavir, saquinavir or cobicistat)
- clarithromycin, erythromycin (used to manage bacterial infections)
- other corticosteroids (taken orally or via injections to manage pain or inflammation) Ex. dexamethasone
- potassium-sparging diuretics (used to manage high blood pressure by increasing urine output) Ex. spironolactone, acetazolamide
- other medicines that can cause bronchodilation (such as salbutamol, formoterol)
- xanthine medicines (used to manage asthma) Ex. theophylline and aminophylline
- nefazodone (used to manage depression)
- medicines
used to manage depression such as (rasagiline, selegiline, phenelzine,
amitriptyline, nortriptyline, doxepin, imipramine, desipramine)
Overdosage:
If
you or anyone else accidentally inhaled excessive amount of this
medicine, contact your doctor immediately or go to the hospital straight
away. Symptoms of overdosage might include shortness of breath, chest
pain, fast heartbeat, feeling shaky, dizziness, headache, muscle
weakness and joint pain.
SYNOPSIS
| Drug | :Â Â | Fluticasone, Salmeterol |
| Pharmacological Category | :Â Â | Corticosteroids, Beta-1 receptor agonists |
| Therapeutic Indication | :Â Â | Asthma, COPD |
| Dosage Forms | :Â Â | Autohaler, Blisters, Capsule, Inhalation capsule, Octacaps, Respicaps, Rotacaps, Trans caps, Nexcaps, Accuhaler, Inhaler, Ciphaler, Multihaler |
MORE INFORMATION
- Keep SEROFLO 250 INHALER out of reach of children
- Store SEROFLO 250 INHALER at room temperature
FAQs ABOUT SEROFLO 250 INHALER
What is the use of SEROFLO 250 INHALER?
SEROFLO
250 INHALER is used to manage asthma and chronic obstructive pulmonary
disease (COPD). It also helps in reducing flare-ups of COPD symptoms.
How SEROFLO 250 INHALER works in my body?
SEROFLO
250 INHALER relaxes the smooth muscles of the airways and widens them.
It also reduces the inflammation of airway tract. Therefore, it allows
the air to pass through more freely and makes breathing easier.
Can SEROFLO 250 INHALER be used on an asthma attack?
SEROFLO
250 INHALER is only used to manage or manage the symptoms of asthma and
COPD (such as breathlessness or wheezing). If your asthma or breathing
gets worse suddenly, contact your doctor immediately or go to the
straight away to avoid further exacerbation of the attack. Meanwhile use
a fast-acting rescue inhaler containing salbutamol along with this
medicine.
Is SEROFLO 250 INHALER safe?
SEROFLO 250 INHALER is considered safe at doses prescribed by the physician.
What are the side effects of using SEROFLO 250 INHALER?
The
most common side effects of using SEROFLO 250 INHALER are headache,
cold, oral thrush or oral sores, throat irritation, hoarse voice, muscle
pain and joint pain. Contact your doctor if any of these side effect
worsens.
Can I stop using SEROFLO 250 INHALER once my symptoms subside?
No.
Use SEROFLO 250 INHALER every day until your doctor tells you to stop.
Do not stop taking this medicine abruptly or reduce the dose without
consulting your doctor, as it could make your breathing even worse. Your
doctor will access your disease condition regularly and will increase
or decrease the dose accordingly.
Will SEROFLO 250 INHALER more effective if taken at higher doses?
Always
consume the dose prescribed for you by your physician. Your doctor will
decide the correct dose and duration of therapy for you depending upon
your age, body weight and severity of the disease. Do not take a higher
dose of this medicine without consulting your doctor as it could lead to
unwanted side effects. It your symptoms are not relieved by the
prescribed dose, consult your doctor so that he might adjust the dose
according to your health condition or can suggest an alternative
therapy.
I’m pregnant. Can I use SEROFLO 250 INHALER?
SEROFLO
250 INHALER should be used in pregnant women only if it is considered
necessary by the physician. Your doctor will prescribe you with SEROFLO
250 INHALER after evaluating the risks and benefits of the therapy.
Can SEROFLO 250 INHALER be used in children?
SEROFLO
250 INHALER is considered safe for use in children and adolescents aged
12 years or above. However, it is not recommended for use in children
younger than 12 years due to lack of safety data. Kindly consult your
doctor before taking.
How long will it take for SEROFLO 250 INHALER to relieve the symptoms and how long the effects can last?
Generally,
SEROFLO 250 INHALER takes about 10-15 minutes to relieve the symptoms
of asthma or COPD. However, the onset of action slightly differs from
person to person based upon their disease condition. The effects of
SEROFLO 250 INHALER can last for 12-18 hours, because salmeterol present
in this medicine is considered as a longer-acting beta-1 adrenergic
agonist.
Can SEROFLO 250 INHALER cause infection in the mouth?
Yes. SEROFLO 250 INHALER may cause fungal
infections of the mouth (oral thrush). To avoid this, make sure to
rinse your mouth with water after inhaling the medicine. However, if an
infection develops, consult your doctor.
What happens when you forget to use SEROFLO 250 INHALER?
If
you forget to use SEROFLO 250 INHALER, use it as soon as you remember.
However, if it’s time for the next dose, skip the missed dose and take
the next dose. Do not use a double dose to compensate the missed dose.
Can SEROFLO 250 INHALER be used if you have an infection?
Inform
your doctor if you have any bacterial, fungal, or viral infection
before using SEROFLO 250 INHALER. Your doctor will evaluate your
existing health condition and advise changes in management accordingly.
Also, inform your doctor if have exposure to an infectious environment
or with a person with infectious diseases, as SEROFLO 250 INHALER may
mask your symptoms of the infection.
| Weight | 30 g |
|---|
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