SEROFLO 25/500mcg Multihaler 200mdi

Seroflo Multi Haler
What is Fluticasone Propionate and Salmeterol?
Fluticasone Propionate is a corticosteroid drug which stops the release of inflammation causing chemicals and substances in the body. Salmeterol on the other hand is a bronchodilator which functions by relaxing muscles in the air passages to enhance breathing.
Fluticasone Propionate and Salmeterol combination is available as inhalers to prevent asthma attacks. It is also used to stop flare-ups or deteriorating chronic obstructive pulmonary disease (COPD) related with chronic bronchitis and/or emphysema.
Fluticasone Propionate and Salmeterol combination may also be used for condition not listed above.

Important Information about Fluticasone Propionate and Salmeterol
Fluticasone Propionate and Salmeterol cannot prevent an asthma attack that has already started. Don?t take this medication in that case.
Salmeterol may raise the risk of asthma-related death. Remember to use only the prescribed dose of Fluticasone Propionate and Salmeterol. Consult your doctor about individual risks and benefits of this medication.
Do not use Fluticasone Propionate and Salmeterol without doctor?s advice if you are pregnant, planning to become pregnant or breast feeding. Taking this medication in all of those conditions may be harmful for your baby.
Don?t give Fluticasone Propionate and Salmeterol to children below 4 years of age. This medication may affect growth in children as it contains a steroid. Tell your doctor if you think that your child?s growth pattern is not proper while using this medication.?
Use of medications containing steroids can be damaging to bone health and cause osteoporosis (porous bones). The risks increase largely if you smoke, don?t exercise, have vitamin D or calcium deficiency, or if you have a history of osteoporosis in your family lineage.

Before taking Fluticasone Propionate and Salmeterol
Don?t use Fluticasone Propionate and Salmeterol if you are allergic to fluticasone or salmeterol, or milk proteins. Also avoid this medication if you are already having an asthma attack or severe COPD conditions.?
Let your doctor know of these conditions which you may be having for safer prescription of this medication: food or drug allergy; heart disease or high blood pressure; seizure or epilepsy disorder; diabetes; eye disorder like glaucoma; tuberculosis; an infection; liver disease; thyroid problem; osteoporosis; or compromised immunity.

How should I take Fluticasone Propionate and Salmeterol?
Fluticasone Propionate and Salmeterol in powder form comes with a special inhaler device which is pre loaded with blister packs having the precise amount of medicine. This device works by opening and loading a blister each time you use the inhaler. It shouldn?t be used with a spacer.
Fluticasone Propionate and Salmeterol in an aerosol form come in a canister that is used with an actuator inhaler device. Use the device which is provided with the medication. Again, don?t use the actuator device with a spacer. Shake the inhaler for 5 seconds prior to each spray.
To prevent yeast infection in your mouth, rinse your mouth with water after using the spray. Keep a stock of the number of sprays used and discard the canister after about 120 sprays even if you feel that there is some amount of medication left in it.
Do not stop using a steroidal medication suddenly or you may get undesirable and nasty withdrawal effects. Stop the medication use gradually. Keep an identification card with you always which says that you need an oral steroid in an emergency.
Use all your medications exactly as prescribed by your doctor. Let your doctor know if the medicine is not having any effect on you. An increased need of medicine may imply an impending asthma attack. Store Fluticasone Propionate and Salmeterol medication and inhalers in a cool and dry place. Don?t expose the canisters to high temperatures or they may explode.

What if I miss a dose?
If you miss a dose, take it as soon as you remember it. However don?t take the missed dose if the time to take the next dose is near. Don?t take extra medications to make up for the missed dose.

What if I overdose?
Get emergency medical help or contact the?Doctor Immedaitely. Some symptoms of overdose of Fluticasone Propionate and Salmeterol are fast or irregular heartbeats; angina or chest pain; tremors; seizures; weakness; nausea; headache; or vomiting.
What should I avoid while taking Fluticasone Propionate and Salmeterol?
Remember not to use another form of Salmeterol (Severent) medicine or a similar inhaled bronchodilator (Foradil) like formoterol unless or otherwise directed by your doctor. This medication may reduce the count of white blood cells in your body which are crucial to your body?s defense system against foreign bodies and infections. Hence stay away from sick people and avoid places where chances of infections are high like hospitals. Seek medical help if you are exposed to chicken pox or measles as it can be fatal in people who are taking steroidal medications.

Fluticasone Propionate and Salmeterol Side Effects
Some common side effects of Fluticasone Propionate and Salmeterol are dizziness, headache, nausea, vomiting, diarrhea, dry mouth, runny nose, sinus pain, cough, or hoarse or deepened voice. Contact your doctor if these conditions persist or deteriorate.
There may be some allergic reactions to Fluticasone Propionate and Salmeterol Side like hives, breathing difficulty, swelling in face, lips, or throat. Contact your doctor immediately in such cases. Other serious side effects are tremor, restless feeling, fever, stabbing chest pain in chest, yellow or green mucus in cough, blurriness, mouth or lip sores, deteriorating asthma, irregular hear bets, bronchospasm. Get immediate medical help in such cases.
The list above is non exhaustive and there may be other side effects to Fluticasone Propionate and Salmeterol.

Drug Interactions with Fluticasone Propionate and Salmeterol
Let your doctor know about any present medication you may be using, especially amiodarone(Cordarone); anti retrovirals like atazanvir, ritonavir, indinavir, or others; a diuretic or water pill; MAO supprsors like isocarboxazid, phenelzine, tranylcypromine, or others; antidepressants like imipramine, fluoxetine, desipramine, or others; antifungals like ketoconazole or itraconazole; or beta blockers like atenolol, metoprolol, carvedilol, or others. These medications may interact with Fluticasone Propionate and Salmeterol.
The above drug interactions are not a complete list and there may be other drug interactions. Your doctor will examine you thoroughly and prescribe the medication appropriately depending on your individual case.