Ludoflu-S 250 CFC-Free Inhaler

Ludoflu-S 250 CFC-Free Inhaler is a prescription combination inhaler that contains salmeterol and fluticasone propionate in the labeled strength for this product. It belongs to the long-acting beta2-agonist (LABA) plus inhaled corticosteroid class and is used for ongoing control of asthma symptoms, not for sudden breathing attacks. Ludoflu-S 250 CFC-Free Inhaler helps reduce airway swelling and keeps the airways open to improve day-to-day breathing. Each pack contains the inhaler units supplied as a strip/box of 10 packs, with the medication strength exactly as labeled on Ludoflu-S 250 CFC-Free Inhaler.

How it works: Salmeterol relaxes the muscles around the airways so they stay open longer, making breathing easier through the inhaler route. Fluticasone propionate reduces swelling and irritation inside the lungs, helping prevent asthma symptoms when used regularly.

Ludoflu-S 250 CFC-Free Inhaler is a higher-strength maintenance inhaler, so it is typically chosen for patients whose asthma is not controlled well enough on a lower-dose inhaled steroid/LABA combination. Because it is the 250-strength version, a doctor may select it when stronger anti-inflammatory control is needed, while still using the same inhaler route and regular schedule rather than a rescue pattern. It may feel more like a controller medicine than a quick-relief inhaler, since salmeterol is long-acting and fluticasone works over time.

• Maintenance treatment of asthma
• Prevention of wheezing and shortness of breath
• Reduction of nighttime asthma symptoms
• Long-term control of airway inflammation
• Support for better day-to-day breathing

• Use Ludoflu-S 250 CFC-Free Inhaler exactly as prescribed and only as a regular controller inhaler, not for sudden asthma attacks.
• Prime and inhale the dose by mouth according to the device instructions before use if your inhaler is new or has not been used for a while.
• Breathe out fully away from the inhaler, place the mouthpiece in your mouth, and inhale steadily and deeply as directed.
• Hold your breath for a few seconds after inhaling, then breathe out slowly.
• Rinse your mouth with water and spit it out after each use to lower the risk of oral thrush and hoarseness.
• Do not increase the number of inhalations or use it more often than prescribed, even if symptoms flare up.

Ludoflu-S 250 CFC-Free Inhaler provides the 250-strength salmeterol/fluticasone combination as labeled on the pack, which is a maintenance dose rather than a rescue dose. It is usually taken on a fixed schedule, commonly twice daily, but the exact frequency and maximum daily use must be set by the prescriber based on asthma severity and response. Do not use more often than your doctor tells you, because higher exposure can raise the risk of side effects without giving safe extra relief.

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
• Headache
• Cough after inhalation
• Mouth or throat fungal infection (oral thrush)
• Shakiness or tremor
• Mild palpitations

• Ludoflu-S 250 CFC-Free Inhaler is not a rescue inhaler and will not stop a sudden asthma attack.
• Because this is a higher-strength inhaler, it should be used only under a doctor’s guidance after asthma has been assessed.
• People with heart disease, high blood pressure, arrhythmias, or thyroid disease should use it cautiously.
• Tell your clinician if you have diabetes, glaucoma, cataracts, osteoporosis, or a history of low potassium.
• Rinse and spit after each dose to reduce the chance of oral thrush.
• Do not stop the inhaler suddenly without medical advice, especially if you have been using it regularly.
• If symptoms worsen or you need your reliever more often, seek medical review promptly.

• Other LABA medicines or other salmeterol-containing products
• Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, ritonavir, or cobicistat
• Beta-blockers such as propranolol, which can reduce bronchodilator effect
• Diuretics that may lower potassium, especially with high-dose use
• Monoamine oxidase inhibitors or tricyclic antidepressants, which may increase heart-related side effects

Store Ludoflu-S 250 CFC-Free Inhaler at room temperature in a dry place, away from heat, moisture, and direct sunlight, and keep the cap closed when not in use.