Maxiflo Synchrobreathe Inhaler (Fluticasone/Formoterol)

This medicine is prescribed for:

• Asthma that requires regular controller treatment
• Chronic obstructive pulmonary disease (COPD)
• Persistent wheezing, shortness of breath, chest tightness, or coughing
• Prevention of asthma attacks and COPD flare-ups

This medicine is not used for sudden breathing attacks or emergency relief. A rescue inhaler should still be kept available. :contentReference[oaicite:1]{index=1}

• Fluticasone: Reduces inflammation, swelling, and irritation in the airways.
• Formoterol: Opens the airways by relaxing the muscles around them.

Together, these medicines help improve airflow, reduce wheezing and coughing, and lower the risk of future breathing problems. Studies show that the Fluticasone/Formoterol combination provides effective asthma control and has a rapid onset of bronchodilation. :contentReference[oaicite:2]{index=2}

• Shake the inhaler well before use.
• Open the cap and breathe out fully away from the device.
• Place the mouthpiece between your lips.
• Inhale deeply and steadily through the mouthpiece. The medicine will release automatically.
• Hold your breath for about 10 seconds.
• If another puff is prescribed, wait about 30 seconds before repeating.
• Rinse your mouth with water after each use and spit it out. This helps reduce the risk of oral thrush and throat irritation.

Use this medicine regularly, even if you feel well. Do not stop it suddenly without your doctor’s advice. :contentReference[oaicite:3]{index=3}

Usual Dose:
The dose depends on the inhaler strength prescribed by your doctor. Maxiflo Synchrobreathe is commonly available in strengths such as 125 mcg/6 mcg and 250 mcg/6 mcg. The usual dose is 1–2 puffs once or twice daily depending on the severity of asthma or COPD. :contentReference[oaicite:4]{index=4}

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

Overdose:
Using too much may cause headache, fast heartbeat, tremors, chest discomfort, dizziness, or worsening breathing symptoms. Seek medical attention if overdose is suspected. :contentReference[oaicite:5]{index=5}

Common / Minor Side Effects:

• Headache
• Sore throat
• Cough
• Hoarseness of voice
• Oral fungal infection (thrush)
• Nausea
• Vomiting
• Muscle or joint pain
• Increased heart rate

Serious / Major Side Effects:

• Worsening breathing or bronchospasm immediately after use
• Irregular heartbeat
• Chest pain
• Severe allergic reaction
• Swelling of ankles or feet
• Severe oral infection or persistent throat symptoms

Rinsing the mouth after each dose may reduce some common side effects. :contentReference[oaicite:6]{index=6}

• This medicine should not be used for sudden asthma attacks.
• Always keep a fast-acting rescue inhaler available.
• Tell your doctor if you have heart disease, high blood pressure, thyroid problems, diabetes, glaucoma, or liver disease.
• Rinse your mouth after use to help prevent oral thrush.
• Do not stop this medicine suddenly.
• Use with caution during pregnancy or breastfeeding only if advised by your doctor.
• Smoking can reduce the benefit of treatment in COPD and asthma.

Long-term use of high-dose inhaled steroids may increase the risk of weak bones, adrenal problems, or glaucoma in some patients. :contentReference[oaicite:7]{index=7}

This medicine is commonly available in the following strengths:

• 125 mcg Fluticasone + 6 mcg Formoterol
• 250 mcg Fluticasone + 6 mcg Formoterol

Common alternative brands with the same Fluticasone + Formoterol combination include:

• Combihale FF Inhaler
• Formosone Inhaler
• Avessa Inhaler
• Fluticort F Inhaler
• Digihaler FF
• Quikhale FF

Always confirm the same strength and inhaler device type before switching brands. :contentReference[oaicite:8]{index=8}

1. Can this medicine be used during an asthma attack?
No. This medicine is not a rescue inhaler and should not be used during sudden asthma attacks. :contentReference[oaicite:9]{index=9}

2. Why should I rinse my mouth after using this medicine?
Rinsing helps prevent oral thrush, hoarseness, and throat irritation caused by inhaled steroids. :contentReference[oaicite:10]{index=10}

3. How long does it take for this medicine to work?
Formoterol begins working quickly, while the full anti-inflammatory effect of Fluticasone may take several days of regular use. :contentReference[oaicite:11]{index=11}

4. Can this medicine be used with other inhalers?
Yes. Many patients use this medicine along with a separate rescue inhaler or other prescribed COPD medicines.

5. Can smoking affect the benefit of this medicine?
Yes. Smoking may worsen asthma or COPD and reduce the effectiveness of the treatment.

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