Seroflo 125 Inhaler MD

When prescribed for an appropriate patient the combination supports the following treatment goals.

• Reduced airway inflammation

• Longer lasting bronchodilation

• Better control of recurring asthma symptoms

• Reduced need for rescue treatment when asthma control improves

Ask your pharmacist or asthma nurse to watch you use the inhaler. A demonstration followed by practice helps identify errors. Discuss a compatible spacer if coordination is difficult.

Fluticasone propionate is an inhaled corticosteroid. It reduces inflammation and swelling in the airways. This helps address an important part of asthma rather than only the sensation of tight breathing.

Salmeterol is a long acting beta 2 agonist. It relaxes airway smooth muscle and helps air move through the lungs more easily. The two ingredients work together in a maintenance treatment plan.

The full treatment benefit develops with regular use. Do not judge the inhaler by whether it gives immediate relief after one puff. Continue the prescribed schedule even on days when breathing feels comfortable.

Seroflo contains salmeterol rather than formoterol. It is not used for maintenance and reliever therapy with extra doses for sudden symptoms. Follow your separate rescue treatment instructions instead.

Cipla's  prescribing information lists two inhalations twice daily for Seroflo 125 Inhaler. Follow the schedule and age appropriate strength selected by your prescriber. The dose depends on asthma control and the exact device. Do not use this page to start treatment or change an existing prescription.

Use the inhaler regularly at the prescribed times. For a missed dose follow the supplied leaflet. General combination inhaler guidance advises skipping the missed dose and continuing the normal schedule without doubling.

For a conventional pressurised metered dose inhaler the basic technique includes the following steps.

• Remove the cap and check the mouthpiece

• Shake the inhaler as directed in its leaflet

• Breathe out comfortably away from the mouthpiece

• Seal your lips around the mouthpiece

• Begin breathing in slowly and press the canister to release one puff

• Continue breathing in steadily and deeply

• Hold your breath for as long as comfortable

• Repeat for the prescribed second puff following the leaflet's interval

• Replace the cap after use

Rinse your mouth with water after the prescribed dose and spit the water out. This helps reduce mouth and throat side effects. Use a spacer only when it is compatible and recommended for your device.

Follow the actual leaflet for priming and cleaning. These instructions differ between devices. Do not apply these steps to a breath actuated inhaler without checking its instructions.

Seek prompt medical advice if you use more than prescribed. Chest pain or a markedly fast heartbeat needs urgent assessment. Sudden severe breathing difficulty requires emergency help. 

Reported side effects of fluticasone and salmeterol include headache and trembling. Throat irritation and a hoarse voice also occur. The steroid component increases the risk of oral thrush. White patches or soreness in the mouth need a pharmacist or clinician's assessment. Rinsing and spitting after each dose helps reduce local side effects. Report symptoms that persist or interfere with daily life.

Get emergency help for severe breathing difficulty or swelling of the face or throat. If wheezing increases immediately after inhalation then stop using that inhaler and seek urgent medical advice. Use your prescribed rescue treatment as directed. Chest pain or fainting requires immediate attention. Report a fast or irregular heartbeat promptly. Longer term steroid treatment also requires review for effects on the eyes and other health risks. Report blurred vision or other new visual symptoms.

Do not use Seroflo if you are allergic to either active ingredient or an excipient in the supplied product. These situations need prescriber review before treatment.

• Heart disease or an irregular heartbeat

• High blood pressure

• An overactive thyroid

• Diabetes

• Low blood potassium

• Current or previous tuberculosis

• Other significant infections

• Glaucoma or cataracts

• Osteoporosis or increased fracture risk

• Pregnancy or breastfeeding

Children need an age appropriate strength and device assessment. Do not use an adult prescription for a child. Growth monitoring is relevant when children use inhaled corticosteroids over time.

Do not start Seroflo as an emergency response to an asthma attack. Follow the prescribed rescue plan and seek help when symptoms are severe or fail to improve.

Ask a pharmacist to check everything you take. Include inhalers and tablets as well as supplements. The following groups need attention.

• Other long acting beta agonists

• Beta blockers such as propranolol

• Ritonavir and cobicistat

• Strong antifungals such as ketoconazole and itraconazole

• Diuretics that lower potassium

• Theophylline and related medicines

• Systemic corticosteroids

• Monoamine oxidase inhibitors and tricyclic antidepressants

Do not add another inhaler containing a long acting beta agonist yourself. Different brand names contain overlapping ingredients. Show your pharmacist the packaging before changing treatment.

Some medicines increase exposure to fluticasone or salmeterol. Others affect heart rhythm or blood potassium. The clinician decides whether a combination should be avoided or monitored.

• Follow the storage conditions printed on the supplied carton

• Keep the mouthpiece cap in place when not in use

• Protect the inhaler from excessive heat and direct sunlight

• Do not puncture or burn the pressurised canister

• Keep it out of sight and reach of children

• Check the expiry date and remaining doses

• Return used or expired inhalers to a pharmacy for disposal

Plan a replacement before the prescribed doses run out. Follow the leaflet's method for tracking remaining doses. Do not assume that an inhaler still contains usable medicine just because it releases spray.