Hiflo 250 mcg Rotacap

Hiflo 250 mcg Rotacap is a prescription inhalation medicine that contains salmeterol and fluticasone propionate in each rotacap. It belongs to the long-acting bronchodilator plus inhaled corticosteroid class and is used for long-term control of asthma symptoms, not for sudden breathing attacks. The 250 mcg strength is a higher-dose option that a clinician may choose when a lower inhaled steroid/bronchodilator strength is not enough to keep asthma controlled. This product is supplied as a rotacap for use with a compatible rotahaler-type device, and each rotacap delivers the labeled 250 mcg dose.

How it works: Salmeterol relaxes the muscles around the airways so air can move in more easily over time, while fluticasone propionate reduces inflammation and swelling inside the lungs. In rotacap form, the powder is inhaled directly into the airways, helping the medicine act where it is needed most.

Hiflo 250 mcg Rotacap is not a starter strength for everyone; it is typically used when a doctor wants stronger controller treatment than a lower dose would provide. Because it is a 250 mcg rotacap, it is generally suited to patients who need more maintenance control of airway inflammation and bronchospasm, rather than immediate relief. A clinician may choose this strength if symptoms persist, if nighttime asthma is frequent, or if a lower strength has not been enough.

• Long-term asthma control
• Prevention of wheezing
• Reduction of asthma flare-ups
• Maintenance treatment for airflow symptoms
• Not for sudden asthma attacks

• Use Hiflo 250 mcg Rotacap only with the inhalation device it was prescribed for; do not swallow the rotacap.
• Place one rotacap in the device, pierce it as directed by the inhaler, and inhale the powder deeply and steadily through the mouth.
• Do not use Hiflo 250 mcg Rotacap to treat sudden shortness of breath; keep a rescue inhaler for attacks if prescribed.
• Rinse your mouth with water and spit after each dose to help lower the risk of mouth irritation and oral thrush.
• Take it at the same times each day if your doctor prescribed regular maintenance use.
• If a dose is missed, take it when remembered unless it is close to the next dose; do not take extra doses.

Each Hiflo 250 mcg Rotacap provides 250 mcg of the prescribed inhaled combination dose in a single rotacap. The exact schedule depends on your doctor’s asthma plan; many controller inhalers are used once or twice daily, but the dose and timing should be set by the prescriber for this specific strength. Do not exceed the number of inhalations your doctor recommends, because too much salmeterol or fluticasone can increase side effects without improving control.

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
• Cough after inhalation
• Oral thrush (white patches in the mouth)
• Headache
• Tremor or shakiness
• Mild fast heartbeat

• This 250 mcg strength is a higher controller dose, so use it only if a clinician has specifically assessed your asthma needs.
• Do not use it as a rescue medicine for sudden asthma symptoms.
• Tell your doctor if you have heart disease, high blood pressure, an irregular heartbeat, diabetes, hyperthyroidism, seizures, or low potassium.
• Use caution with caffeine or stimulant products if they make you feel shaky or increase your heart rate.
• If you are taking oral steroids or have recently reduced them, do not stop or change them on your own.
• Rinse and spit after inhalation to lower the chance of mouth and throat fungal infection.
• Avoid sharing the inhalation device and keep the rotacaps dry until use.

• Other long-acting beta agonists or inhaled bronchodilators
• Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, or ritonavir
• Other corticosteroids, including oral or nasal steroids, which may add to steroid effects
• Certain heart medicines or stimulants that can increase palpitations
• Diuretics that can lower potassium

Store Hiflo 250 mcg Rotacap in a dry place at room temperature, protected from moisture, and keep each rotacap in its strip until just before use.