Seroflo 50 mcg+500 mcg Multi Haler

Seroflo 50 mcg+500 mcg Multi Haler is a combination inhalation medicine that delivers salmeterol 50 mcg plus fluticasone propionate 500 mcg in each dose. It belongs to the long-acting beta2-agonist (LABA) plus inhaled corticosteroid class and is used for long-term control of asthma or COPD symptoms, not for sudden breathing attacks. The Seroflo 50 mcg+500 mcg Multi Haler pack contains 10 doses and is made by Cipla, India. Because it is a high-fluticasone strength, it is usually chosen for people whose doctor feels they need stronger maintenance treatment.

How it works: Salmeterol helps relax the muscles around the airways so breathing is easier over time, while fluticasone propionate lowers swelling and irritation inside the lungs. Used together in the Seroflo 50 mcg+500 mcg Multi Haler tablet/dose, they help keep airways open and reduce flare-ups when taken regularly.

Seroflo 50 mcg+500 mcg Multi Haler is the highest-strength version in this product range, so it is meant for patients whose symptoms are not well controlled on lower-dose options or who need a stronger anti-inflammatory effect. It is not a starter strength for most people, and a clinician should decide whether this higher fluticasone dose is appropriate based on symptom control, past inhaler use, and side effect risk.

• Maintenance treatment of asthma
• Maintenance treatment of COPD
• Reducing wheeze and shortness of breath over time
• Helping prevent asthma/COPD flare-ups
• Long-term control when a stronger inhaled steroid dose is needed

• Use the Seroflo 50 mcg+500 mcg Multi Haler exactly as your doctor prescribed; it is a maintenance medicine, not a rescue inhaler.
• Load one dose into the inhalation device and inhale deeply and steadily as directed with the Multi Haler.
• Do not swallow the dose like a regular tablet; this product is intended for inhalation through the device.
• Rinse your mouth with water and spit it out after each dose to help lower the risk of oral thrush and hoarseness.
• Take it at the same times each day if prescribed regularly, even when you feel well.
• If you need a fast-relief inhaler for sudden symptoms, follow your doctor’s instructions for that separate medicine.

This product provides salmeterol 50 mcg plus fluticasone propionate 500 mcg per dose, which is a strong maintenance dose. How often to use Seroflo 50 mcg+500 mcg Multi Haler and the maximum number of doses per day must be set by the prescriber; do not use more than directed because extra LABA or steroid exposure can raise the risk of side effects.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Salmeterol + Fluticasone Propionate may include:

• Hoarseness or voice changes
• Throat irritation
• Oral thrush (more likely with the 500 mcg fluticasone strength if the mouth is not rinsed after use)
• Headache
• Tremor or shakiness
• Cough after inhalation
• Mild palpitations

• Seroflo 50 mcg+500 mcg Multi Haler is a high-dose inhaled steroid combination, so use it only if your doctor has specifically chosen this strength.
• It is not for relief of an acute asthma attack, sudden wheezing, or severe shortness of breath.
• Tell your doctor if you have heart disease, high blood pressure, arrhythmia, diabetes, glaucoma, osteoporosis, thyroid disease, or seizure problems.
• Long-term use of the 500 mcg fluticasone dose may increase the chance of oral thrush, bruising, or steroid-related effects if not monitored.
• Avoid using additional LABA-containing inhalers unless your doctor says to.
• If you are taking strong CYP3A4 inhibitors, ask your clinician about interaction risk before starting this medicine.
• After inhalation, rinse and spit to reduce mouth and throat irritation.

• Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, ritonavir, or cobicistat can raise fluticasone levels.
• Other LABA medicines can increase the risk of overdose-like effects and should usually not be combined.
• Beta-blockers may reduce the bronchodilator effect and can worsen breathing in some patients.
• Diuretics and other medicines that lower potassium can increase the risk of low potassium with salmeterol.
• Certain antidepressants or stimulants may increase heart-related side effects such as palpitations.

Store the Seroflo 50 mcg+500 mcg Multi Haler in a dry place at room temperature, away from moisture and heat, and keep the device closed when not in use.