Seroflo Multihaler 500

What It’s For

• Ongoing control of moderate to severe asthma when symptoms aren’t controlled on a steroid alone
• Maintenance treatment of COPD (including chronic bronchitis/emphysema) in adults with frequent symptoms or flare‑ups
• Not for sudden breathing attacks—this is not a rescue inhaler. Keep a quick‑relief inhaler (like albuterol/salbutamol) on hand for fast relief

What’s Inside (typical)

• Active ingredients per inhalation (typical for this strength):
  • Fluticasone Propionate 500 mcg (an inhaled corticosteroid / ICS)
  • Salmeterol 50 mcg (a long‑acting beta‑agonist / LABA)
• Device: breath‑actuated, dry powder Multihaler for consistent dosing
• Excipients often include lactose (may contain trace milk proteins). If you have a severe milk protein allergy, tell your doctor

Always check your pack label for the exact composition in your market.

How It Works

• Fluticasone Propionate reduces airway inflammation less swelling, less mucus, fewer flare‑ups
• Salmeterol relaxes airway muscles for up to 12 hours, keeping the tubes open Together, this ICS/LABA combo helps prevent symptoms during the day and at night. You should notice fewer wheeze episodes and better exercise tolerance with regular use.

How to Use Seroflo Multihaler 500

• Use exactly as prescribed. Most adults take 1 inhalation twice daily (morning and evening), but your dose may differ
• General DPI steps:
  • Open/load the Multihaler as per the device instructions until it clicks
  • Breathe out fully (away from the device)
  • Seal lips around the mouthpiece and breathe in deeply and fast
  • Hold your breath for about 10 seconds (or as long as comfortable), then breathe out slowly
  • Close the device
• Rinse your mouth and gargle with water after each dose, then spit it out. This simple step lowers the risk of oral thrush and hoarseness
• Do not shake, and don’t blow into the device. Keep it dry

Missed a dose? Take it when you remember unless it’s nearly time for the next one. Don’t double up.

Who Should Use It (and who should not)

Good fit:

• Adults and older teens who need high‑strength maintenance therapy for persistent asthma
• Adults with COPD who have ongoing symptoms or frequent exacerbations despite standard therapy

Talk to your doctor bfeore use if:

• You have severe milk protein allergy (DPI lactose may contain traces)
• You have glaucoma, cataracts, osteoporosis, or a history of adrenal issues
• You have heart rhythm problems, high blood pressure, thyroid disease, diabetes, or low potassium
• You’re pregnant or breastfeeding benefits vs risks should be reviewed

Do not use it to treat sudden breathing problems. Use your rescue inhaler and seek medical help if attacks are severe.

Benefits You’ll Notice

• Maintenance control: helps reduce day‑to‑day symptoms and night awakenings
• Fewer flare‑ups: steady use can lower the risk of exacerbations
• Long‑acting support: Salmeterol works up to 12 hours per dose
• Anti‑inflammatory backbone: Fluticasone tackles the root inflammation that fuels asthma and COPD symptoms

Possible Side Effects

Common, usually mild:

• Hoarseness, sore throat, cough
• Oral thrush (white patches) or mouth irritation—much less likely if you rinse and spit after use
• Headache, mild tremor, or palpitations (from the LABA)
• Throat dryness or odd taste

Less common but important speak to your clinician:

• Worsening breathing right after using the inhaler (paradoxical bronchospasm). Stop and use your rescue inhaler; seek medical help
• Eye pressure changes, cataracts, or blurred vision with long‑term high‑dose steroid use
• Easy bruising, slow wound‑healing, or signs of adrenal suppression with prolonged high doses
• Low potassium (cramps, weakness), high blood sugar, or heart rhythm changes

If side effects don’t settle or worry you, your dose or device technique may need a tweak.

Interactions to Know

• Strong CYP3A4 inhibitors (ketoconazole, itraconazole, ritonavir) can raise steroid levels monitor or adjust
• Non‑selective beta‑blockers (propranolol) may blunt Salmeterol effect and provoke bronchospasm
• Other long‑acting bronchodilators or duplicate LABA therapy avoid stacking
• Diuretics or other drugs that lower potassium: combined use may increase hypokalemia risk
• MAO inhibitors or tricyclic antidepressants: may enhance cardiovascular effects of LABA

Always share your full med/supplement list with your prescriber.

Smart Use Tips

• Make it routine: same times every day
• Technique matters: ask your clinician or pharmacist to watch your inhaler technique. A tiny correction can change everything
• Rinse and spit, every time this one step really helps
• Keep a symptom and rescue‑inhaler diary if your plan is changing
• If you need your rescue inhaler more often than usual, tell your doctor—your maintenance plan may need adjusting

Storage & Care

• Keep the Multihaler dry; do not wash with water
• Wipe the mouthpiece with a dry, clean cloth if needed
• Store at room temperature, away from moisture and direct heat
• Keep out of reach of children
• Use only until the doses run out (check the dose counter or pack size). Don’t try to refill the device

Frequently Asked Questions

A: It’s the higher‑strength DPI. Lower strengths (like 100 or 250) have less Fluticasone Propionate. There are also different device formats (e.g., inhaler/MDI or rotacaps). Your doctor chooses based on your control needs and device preference. A: No. This is a controller inhaler. For sudden symptoms, use your quick‑relief inhaler. If attacks are frequent, your maintenance dose may need review. A: Some people notice easier breathing within a few days, but best control usually builds over 1–2 weeks of steady use. Keep taking it daily even when you feel fine. A: Yes—every time. It helps prevent oral thrush and hoarseness from the inhaled corticosteroid. A: Most DPIs use lactose as a carrier and may contain trace milk proteins. If you have severe milk protein allergy, talk to your doctor. A: Take it when you remember unless it’s close to the next dose. Don’t double up. A: Spacers are for MDIs (metered‑dose inhalers). The Multihaler is a DPI, so no spacer is needed or used. A: Asthma control is important in pregnancy. Your clinician will weigh benefits and risks. Don’t stop a controller inhaler without medical advice. A: Mild tremor or palpitations can happen from Salmeterol. If it’s strong or persistent, let your doctor know—dose or timing may need adjusting. A: Many devices include a dose counter. If yours doesn’t, follow the pack’s stated number of doses and note your start date. Never try to refill a Multihaler.