ForAir 250 Respicap

ForAir 250 Respicap is a prescription asthma medicine that contains salmeterol and fluticasone propionate in each capsule, with the labeled higher-strength dose of 250 mcg fluticasone propionate plus salmeterol. It belongs to the inhaled corticosteroid and long-acting beta2-agonist (ICS/LABA) class. This capsule is used for maintenance treatment of asthma symptoms such as wheeze, chest tightness, cough, and shortness of breath. It is not meant for quick relief of sudden breathing problems.

How it works: The fluticasone propionate in ForAir 250 Respicap calms swelling and irritation inside the airways, helping prevent asthma flare-ups over time. Salmeterol relaxes the muscles around the airways for long-lasting opening of the lungs, and the capsule is inhaled so the medicine goes directly to the lungs.

ForAir 250 Respicap is a higher-strength option than ForAir 100 Respicap, so it is usually chosen when a clinician wants stronger anti-inflammatory control from the fluticasone component. Because it is a salmeterol/fluticasone propionate capsule formulation, it is meant for regular controller use rather than fast symptom relief, and a doctor may select it for patients whose asthma is not adequately controlled on a lower strength.

• Maintenance treatment of asthma
• Prevention of asthma symptoms
• Reduction of wheezing and chest tightness
• Long-term control of airway inflammation
• Help with nighttime or exercise-related asthma symptoms when prescribed

• Use ForAir 250 Respicap exactly as your doctor prescribed; it is inhaled from the capsule and should not be swallowed whole.
• Do not use it for sudden asthma attacks or emergency breathing trouble; keep a rescue inhaler for quick relief if prescribed.
• Follow the inhaler device instructions carefully so the capsule is pierced and inhaled properly; if the capsule is not fully emptied, ask your pharmacist to review the technique.
• Take it at the same times each day if your doctor has you on a regular schedule.
• Rinse your mouth with water and spit after use to lower the risk of thrush and hoarseness.
• Do not change to a lower or higher strength, including ForAir 100 Respicap or the inhaler forms, unless your clinician tells you to.

Each ForAir 250 Respicap capsule contains the labeled higher-strength dose of fluticasone propionate plus salmeterol for inhalation. How often it is taken depends on the prescription, but it is typically used on a regular maintenance schedule and should not be used more often than directed; your doctor decides the exact dose and timing. Do not exceed the prescribed number of inhalations per day, and do not use extra capsules for sudden symptoms.

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 (fungal infection in the mouth)
• Headache
• Tremor or shakiness
• Mild cough after inhalation
• Fast heartbeat or palpitations, which may be more noticeable with this higher-strength product

• ForAir 250 Respicap is a higher-strength controller capsule, so it should be used only if a clinician has determined that this dose is appropriate for your asthma control needs.
• Do not use it to treat a sudden asthma attack; have a rescue inhaler available if your prescriber has ordered one.
• Rinse and spit after each dose to reduce the chance of mouth thrush.
• Use extra caution if you have heart disease, high blood pressure, irregular heartbeat, hyperthyroidism, diabetes, glaucoma, or seizures.
• Tell your clinician if you are pregnant, breastfeeding, or have frequent infections, since inhaled steroids can affect infection risk and may need monitoring.
• Do not stop this medicine suddenly without medical guidance, because asthma control can worsen.
• If you notice your breathing getting worse after taking it, seek medical help right away.

• Other LABA medicines, which can increase the risk of side effects
• Strong CYP3A4 inhibitors such as ketoconazole, ritonavir, or cobicistat, which may raise steroid exposure
• Beta-blockers such as propranolol, which can reduce bronchodilator effect and worsen asthma
• Diuretics or other medicines that can lower potassium, which may increase heart rhythm risk
• MAO inhibitors or tricyclic antidepressants, which may increase cardiovascular side effects

Store ForAir 250 Respicap in a dry place at room temperature, protected from moisture, and keep the capsules in the strip/box until use.