Maxiflo 100 Rotacap (Fluticasone/Formoterol)

This medicine is prescribed for long-term control of breathing problems such as:

• Asthma
• Chronic obstructive pulmonary disease (COPD)
• Wheezing and shortness of breath due to airway inflammation and narrowing
• Prevention of flare-ups in patients needing regular controller therapy

It is not meant for immediate relief of sudden breathing attacks. :contentReference[oaicite:1]{index=1}

This medicine works through two active ingredients:

• Fluticasone: A corticosteroid that reduces inflammation, swelling, and irritation in the airways.
• Formoterol: A long-acting bronchodilator that relaxes the muscles of the air passages and helps keep them open.

Together, they improve airflow, reduce wheezing, and help prevent breathing difficulty over time. :contentReference[oaicite:2]{index=2}

• Use this medicine exactly as prescribed by your doctor.
• This rotacap should be used with a suitable rotahaler or inhalation device.
• Do not swallow the rotacap.
• Inhale the contents through the device as directed.
• Use it regularly for best results, even if you feel well.
• Rinse your mouth with water after each use to help reduce the chance of oral fungal infection or throat irritation.
• Do not use this medicine as a rescue treatment for sudden asthma attacks.

Its controller role and the need to avoid using it for sudden attacks are specifically noted in current drug references. :contentReference[oaicite:3]{index=3}

Usual Dose:
The dose of this medicine depends on the strength prescribed and the severity of asthma or COPD. Use only the number of rotacaps and frequency advised by your doctor. Different strengths of Fluticasone/Formoterol are available in the market, so dosage should be individualized. Generic references show multiple strengths and variants for this combination. :contentReference[oaicite:4]{index=4}

Missed Dose:
If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue the regular schedule. Do not take extra doses to make up for the missed one.

Overdose:
Overdose may increase the risk of side effects such as tremors, fast heartbeat, headache, or worsening breathing discomfort. Seek medical attention if too much has been used.

Minor Side Effects:

• Headache
• Cough
• Throat irritation
• Hoarseness of voice
• Oral thrush
• Nausea
• Diarrhoea
• Vomiting

Major Side Effects:

• Severe allergic reaction
• Worsening breathing or bronchospasm after use
• Fast or irregular heartbeat
• Severe tremors
• Chest pain
• Persistent oral fungal infection or severe throat symptoms

Common side effects such as headache, thrush, sore throat, cough, hoarseness, diarrhoea, and vomiting are listed across current medicine pages for this combination and Maxiflo variants. :contentReference[oaicite:5]{index=5}

• Do not use this medicine for sudden asthma or COPD attacks.
• Keep a fast-acting reliever inhaler available for emergency symptoms.
• Tell your doctor if you have heart disease, high blood pressure, thyroid problems, diabetes, glaucoma, or infections.
• Use carefully if you are pregnant or breastfeeding, only on medical advice.
• Rinse your mouth after inhalation to reduce the chance of oral thrush.
• Do not stop this medicine suddenly without your doctor’s advice.
• Use cautiously if you are allergic to Fluticasone, Formoterol, or any similar inhaled medicines.
• Not recommended during acute asthma attacks.

Current references specifically state that this medicine should not be used for sudden breathing problems and should be avoided in patients allergic to its ingredients. :contentReference[oaicite:6]{index=6}

Commonly listed brands with the same Fluticasone + Formoterol combination include:

• Formoflo
• Combihale FF
• Formosone
• Avessa
• Fluticort F
• Digihaler FF
• Quikhale FF
• Ibiflo
• Combisure

Total commonly listed substitutes/brands: 9

For a Maxiflo 250 strength reference, currently listed substitute examples include Combihale FF CFC Free 250 Inhaler, Avessa 250 Inhaler, Formosone 250 CFC Free Inhaler, Fluticort F 250 Inhaler, and Digihaler FF 6mcg/250mcg Inhaler. Availability depends on strength, device type, and pharmacy stock. :contentReference[oaicite:7]{index=7}

1. What is this medicine used for?
This medicine is used for maintenance treatment of asthma and may also be prescribed in COPD to improve breathing control. :contentReference[oaicite:8]{index=8}

2. Is this medicine a rescue medicine for sudden attacks?
No. This medicine is not a rescue medicine and should not be used for sudden breathing attacks. :contentReference[oaicite:9]{index=9}

3. Why should I rinse my mouth after using this medicine?
Rinsing your mouth helps lower the chance of oral thrush, throat irritation, and hoarseness that can happen with inhaled steroids.

4. Can this medicine be stopped once symptoms improve?
No, do not stop using this medicine suddenly without your doctor’s advice, because symptoms may return or worsen.

5. Can this medicine cause fungal infection in the mouth?
Yes, oral thrush can occur in some patients, which is why proper inhaler technique and mouth rinsing are important. :contentReference[oaicite:10]{index=10}

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