Seroflo 250 Rotacaps (Salmeterol/Fluticasone)

This medicine is prescribed for:

• Asthma requiring regular controller therapy
• Moderate to severe persistent asthma
• Chronic obstructive pulmonary disease (COPD)
• Frequent wheezing, coughing, chest tightness, or shortness of breath
• Prevention of asthma attacks and COPD flare-ups

This medicine is not used for immediate relief of sudden breathing difficulty.

• Fluticasone Propionate: An inhaled corticosteroid that reduces inflammation, swelling, and mucus production in the lungs.
• Salmeterol: A long-acting beta-2 agonist (LABA) that relaxes the muscles in the airways and keeps them open for up to 12 hours.

Together, these medicines improve breathing, reduce wheezing, and help prevent future asthma or COPD symptoms.

• Use this medicine exactly as prescribed by your doctor.
• Do not swallow the Rotacap.
• Insert the Rotacap into a compatible Rotahaler or Revolizer device.
• Breathe out fully before inhaling.
• Inhale the medicine deeply and steadily through the device.
• Hold your breath for about 10 seconds after inhalation.
• Rinse your mouth with water after each dose and spit it out.
• Use this medicine regularly, even if you feel well.

Rinsing the mouth after use helps lower the chance of oral thrush and throat irritation.

Usual Dose:
The dose depends on the strength prescribed. Seroflo Rotacaps are commonly available in strengths such as:

• 50 mcg Salmeterol + 100 mcg Fluticasone
• 50 mcg Salmeterol + 250 mcg Fluticasone
• 50 mcg Salmeterol + 500 mcg Fluticasone

The usual adult dose is 1 Rotacap inhaled once or twice daily depending on the prescribed strength and severity of the disease.

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 doses.

Overdose:
Too much medicine may cause tremors, fast heartbeat, headache, dizziness, chest pain, or worsening breathing symptoms. Seek medical help if overdose is suspected.

Common / Minor Side Effects:

• Headache
• Throat irritation
• Cough
• Hoarseness of voice
• Oral thrush
• Nausea
• Muscle cramps
• Tremors

Serious / Major Side Effects:

• Severe allergic reaction
• Chest pain
• Irregular heartbeat
• Worsening breathing immediately after use
• Severe fungal infection in the mouth
• Swelling of face, lips, or throat

Tell your doctor if any side effects persist or become severe.

• This medicine should not be used during sudden asthma attacks.
• Always keep a rescue inhaler available for emergencies.
• Do not stop this medicine suddenly without your doctor's advice.
• Tell your doctor if you have heart disease, high blood pressure, diabetes, glaucoma, thyroid problems, liver disease, or infections.
• Use cautiously during pregnancy or breastfeeding only if prescribed.
• Smoking may reduce the benefit of this medicine.
• Rinse your mouth after every dose to help prevent oral fungal infection.

Common alternative brands containing Salmeterol and Fluticasone include:

• Airtec SF Rotacaps
• Salbair F Rotacaps
• Asthalin SF Rotacaps
• Seretide Accuhaler
• Maxiflo SF Rotacaps
• Combitide Rotacaps

These substitutes may be available in different strengths such as 100 mcg, 250 mcg, or 500 mcg Fluticasone with 50 mcg Salmeterol. Always confirm the same strength and device compatibility before changing brands.

1. Can this medicine be used during an asthma attack?
No. This medicine is not a rescue medicine and should not be used for sudden asthma attacks.

2. Why should I rinse my mouth after using this medicine?
Rinsing helps reduce the risk of oral thrush, throat irritation, and hoarseness.

3. Can I swallow the Rotacap?
No. The Rotacap should only be inhaled using a Rotahaler or Revolizer device.

4. How long does this medicine take to work?
Salmeterol begins improving breathing within about 30 minutes, but the full anti-inflammatory effect of Fluticasone may take several days of regular use.

5. Can this medicine be used with other inhalers?
Yes. It may be used together with a rescue inhaler or other COPD medicines if prescribed by your doctor.

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