{"id":54640,"date":"2023-09-20T10:01:27","date_gmt":"2023-09-20T10:01:27","guid":{"rendered":"https:\/\/medsname.com\/seretide-evohaler\/"},"modified":"2026-04-30T14:22:08","modified_gmt":"2026-04-30T14:22:08","slug":"seretide-evohaler","status":"publish","type":"product","link":"https:\/\/medsbase.com\/el\/seretide-evohaler\/","title":{"rendered":"Seretide Evohaler"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 28px 0;border-radius:4px;\">\n<h3 style=\"margin:0 0 10px 0;font-size:18px;color:#1a1a1a;\">\u26a1 Quick Answer \u2014 What is Seretide Evohaler?<\/h3>\n<p><strong>Seretide Evohaler<\/strong> \u03b5\u03af\u03bd\u03b1\u03b9 <strong>combination preventer (controller) inhaler<\/strong> for asthma and COPD, containing <strong>fluticasone propionate<\/strong> (an inhaled corticosteroid that reduces airway inflammation) plus <strong>\u03c3\u03b1\u03bb\u03bc\u03b5\u03c4\u03b5\u03c1\u03cc\u03bb\u03b7<\/strong> (a long-acting \u03b22 agonist that holds the airways open for 12 hours). Each dose delivers <strong>fluticasone 50\/125\/250 mcg + salmeterol 25 mcg per actuation<\/strong>, \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03bc\u03ad\u03bd\u03b7 \u03b1\u03c0\u03cc <strong>GlaxoSmithKline (GSK)<\/strong> at WHO-GMP certified facilities \u2014 the same active drugs as international brand <strong>Seretide<\/strong>. Seretide Evohaler is taken <strong>twice daily, every day<\/strong>, even when symptoms are absent. It is a preventer, not a rescue inhaler \u2014 keep a SABA reliever (Asthalin, Levolin) for acute attacks. <strong>Rinse mouth and gargle<\/strong> after every dose to prevent oral thrush and hoarseness.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>\u0391\u03c5\u03c4\u03cc \u03c0\u03bf\u03c5 \u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03b5\u03c4\u03b5 \u03bc\u03b5 \u03c4\u03b7\u03bd MedsBase:<\/strong> \u03a0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03bf\u03c2 \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ae\u03c2 WHO-GMP \u00b7 \u0394\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u00b7 \u03a0\u03b1\u03b3\u03ba\u03cc\u03c3\u03bc\u03b9\u03b1 \u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae \u00b7 1,400+ \u03b5\u03c0\u03b1\u03bb\u03b7\u03b8\u03b5\u03c5\u03bc\u03ad\u03bd\u03b5\u03c2 <a href=\"https:\/\/medsbase.com\/el\/reviews\/\">\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ad\u03c2 \u03c0\u03b5\u03bb\u03b1\u03c4\u03ce\u03bd<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd <a href=\"https:\/\/medsbase.com\/el\/medsbase-re-shipment-assurance-policy\/\"><strong>\u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03b3\u03b3\u03cd\u03b7\u03c3\u03b7\u03c2 \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2<\/strong><\/a> \u2014 \u03b5\u03ac\u03bd \u03c4\u03bf \u03b4\u03ad\u03bc\u03b1 \u03c3\u03b1\u03c2 \u03b4\u03b5\u03bd \u03c6\u03c4\u03ac\u03c3\u03b5\u03b9 \u03b5\u03bd\u03c4\u03cc\u03c2 20 \u03b5\u03c1\u03b3\u03ac\u03c3\u03b9\u03bc\u03c9\u03bd \u03b7\u03bc\u03b5\u03c1\u03ce\u03bd, \u03c4\u03bf \u03b5\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03c5\u03bc\u03b5.<\/p>\n<h3>\u0393\u03b9\u03b1\u03c4\u03af \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03af\u03bb\u03b5\u03c4\u03b5 \u03b1\u03c0\u03cc \u03c4\u03b7 MedsBase<\/h3>\n<p>\u03a4\u03b1 \u03b3\u03b5\u03bd\u03cc\u03c3\u03b7\u03bc\u03b1 \u03c6\u03ac\u03c1\u03bc\u03b1\u03ba\u03ac \u03bc\u03b1\u03c2 \u03c0\u03c1\u03bf\u03ad\u03c1\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03ba\u03b1\u03c4\u03b1\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03c4\u03ad\u03c2 \u03c0\u03bf\u03c5 \u03c0\u03b9\u03c3\u03c4\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd WHO-GMP \u03ba\u03b1\u03b9 \u03b1\u03c0\u03bf\u03c3\u03c4\u03ad\u03bb\u03bb\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c0\u03b1\u03b3\u03ba\u03bf\u03c3\u03bc\u03af\u03c9\u03c2 \u03c3\u03b5 \u03b4\u03b9\u03b1\u03ba\u03c1\u03b9\u03c4\u03b9\u03ba\u03ae, \u03b1\u03c0\u03bb\u03ae \u03c3\u03c5\u03c3\u03ba\u03b5\u03c5\u03b1\u03c3\u03af\u03b1 \u2014 \u03c7\u03c9\u03c1\u03af\u03c2 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5 \u03c3\u03c4\u03bf \u03b5\u03be\u03c9\u03c4\u03b5\u03c1\u03b9\u03ba\u03cc \u03c4\u03bf\u03c5 \u03b4\u03ad\u03bc\u03b1\u03c4\u03bf\u03c2. \u039f\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u03b4\u03c1\u03bf\u03bc\u03bf\u03bb\u03bf\u03b3\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03bc\u03ad\u03c3\u03c9 \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf\u03c5 \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae (\u03bf\u03b9 \u03c0\u03b5\u03c1\u03b9\u03b3\u03c1\u03b1\u03c6\u03ad\u03c2 \u03b5\u03ba\u03ba\u03b1\u03b8\u03ac\u03c1\u03b9\u03c3\u03b7\u03c2 \u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03ac\u03bd\u03bf\u03c5\u03bd \u03c1\u03c5\u03b8\u03bc\u03b9\u03c3\u03bc\u03ad\u03bd\u03bf \u03b5\u03c0\u03b5\u03be\u03b5\u03c1\u03b3\u03b1\u03c3\u03c4\u03ae \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ce\u03bd \u03bc\u03b5 \u03ba\u03ac\u03c1\u03c4\u03b1 \u2014 \u03c0\u03bf\u03c4\u03ad \u201cMedsBase\u201d \u03ae \u03bf\u03c0\u03bf\u03b9\u03bf\u03b4\u03ae\u03c0\u03bf\u03c4\u03b5 \u03cc\u03bd\u03bf\u03bc\u03b1 \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03bf\u03c5). \u0393\u03af\u03bd\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03b5\u03ba\u03c4\u03ad\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03bb\u03b7\u03c1\u03c9\u03bc\u03ad\u03c2 \u03bc\u03b5 \u03ba\u03c1\u03c5\u03c0\u03c4\u03bf\u03bd\u03bf\u03bc\u03af\u03c3\u03bc\u03b1\u03c4\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03c1\u03b1\u03c0\u03b5\u03b6\u03b9\u03ba\u03ae \u03bc\u03b5\u03c4\u03b1\u03c6\u03bf\u03c1\u03ac SEPA. \u039a\u03ac\u03b8\u03b5 \u03c0\u03b1\u03c1\u03b1\u03b3\u03b3\u03b5\u03bb\u03af\u03b1 \u03ba\u03b1\u03bb\u03cd\u03c0\u03c4\u03b5\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03a0\u03bf\u03bb\u03b9\u03c4\u03b9\u03ba\u03ae \u0395\u03c0\u03b1\u03bd\u03b1\u03c0\u03bf\u03c3\u03c4\u03bf\u03bb\u03ae\u03c2 \u0395\u03be\u03b1\u03c3\u03c6\u03b1\u03bb\u03af\u03c3\u03b5\u03ce\u03c2 \u03bc\u03b1\u03c2.<\/p>\n<div style=\"background:#f4f8fb;border:1px solid #e0e0e0;padding:12px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;text-align:center;\">\n<strong>\ud83d\udd12 Encrypted Checkout<\/strong> \u00b7 <strong>\ud83d\udcb3 Verified Processor<\/strong> \u00b7 <strong>\ud83d\ude9a Worldwide Shipping<\/strong> \u00b7 <strong>\u2b50 4.9\/5 from 1,400+ customers<\/strong>\n<\/div>\n<h2>What Is Seretide Evohaler?<\/h2>\n<p>Seretide Evohaler is an Indian-manufactured <strong>pressurised metered-dose inhaler (HFA pMDI)<\/strong> \u03c0\u03bf\u03c5 \u03c3\u03c5\u03bd\u03b4\u03c5\u03ac\u03b6\u03b5\u03b9 <strong>fluticasone propionate<\/strong> + <strong>\u03c3\u03b1\u03bb\u03bc\u03b5\u03c4\u03b5\u03c1\u03cc\u03bb\u03b7<\/strong>. The international brand of this combination is <strong>Seretide<\/strong>. Combination ICS-LABA inhalers deliver superior asthma and COPD control compared to either component alone, with a single device improving adherence and reducing the risk of using LABA monotherapy (which carries a black-box warning for asthma death without concomitant ICS).<\/p>\n<h2>How Does Seretide Evohaler Work?<\/h2>\n<p>The two active ingredients work on different mechanisms in parallel:<\/p>\n<ul>\n<li><strong>fluticasone propionate<\/strong> (inhaled corticosteroid): suppresses inflammatory cytokines, reduces eosinophil and lymphocyte infiltration, stabilises airway mucosa, restores \u03b22 receptor responsiveness. Effect builds over 1\u20132 weeks of consistent dosing.<\/li>\n<li><strong>\u03c3\u03b1\u03bb\u03bc\u03b5\u03c4\u03b5\u03c1\u03cc\u03bb\u03b7<\/strong> (long-acting \u03b22 agonist): activates bronchial smooth muscle \u03b22 receptors, raising cyclic AMP and producing sustained bronchodilation lasting <strong>12 hours<\/strong> (formoterol has 1\u20133 minute onset; salmeterol 15\u201330 minute onset).<\/li>\n<li><strong>Synergy:<\/strong> the corticosteroid restores \u03b22 receptor expression and prevents tachyphylaxis to LABA; the LABA improves smooth-muscle relaxation that ICS alone does not address. Combined, they reduce exacerbations more than either component alone at equivalent doses.<\/li>\n<\/ul>\n<h2>\u03a7\u03c1\u03ae\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li><strong>Persistent asthma not controlled by ICS alone<\/strong> \u2014 first-line ICS-LABA combination<\/li>\n<li><strong>Asthma maintenance therapy<\/strong> \u2014 twice daily, every day, regardless of symptoms<\/li>\n<li><strong>COPD with frequent exacerbations<\/strong>, especially with elevated blood eosinophil count (\u2265300\/\u00b5L) or asthma overlap<\/li>\n<li><strong>Asthma-COPD overlap syndrome (ACOS)<\/strong><\/li>\n<li><strong>Step-up from ICS monotherapy<\/strong> when symptoms or exacerbations persist<\/li>\n<\/ul>\n<h2>Seretide Evohaler Dosage<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Patient<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u0394\u03cc\u03c3\u03b7<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u03a3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Adults \u2014 moderate asthma<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalation<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Twice daily<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Adults \u2014 severe asthma<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalation<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Twice daily (high strength)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Adults \u2014 COPD<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalation 250\/50<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Twice daily<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Children 4\u201311 yr<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1 inhalation 50\/25 or 100\/25<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Twice daily via spacer<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>How to Use Seretide Evohaler Properly<\/h3>\n<ul>\n<li>Shake the inhaler well; remove the cap.<\/li>\n<li>Breathe out fully away from the device.<\/li>\n<li>Seal lips around the mouthpiece.<\/li>\n<li>Press the canister at the start of a slow deep breath (3\u20135 seconds).<\/li>\n<li>Hold breath 10 seconds, then breathe out gently.<\/li>\n<li>Wait 30 seconds before second puff if needed.<\/li>\n<li><strong>Rinse mouth, gargle, and spit out<\/strong> after every dose.<\/li>\n<li>Use a spacer for children, the elderly, and during acute illness.<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>Rinse mouth after every dose.<\/strong> Spit out the rinse \u2014 do not swallow. This prevents <strong>oral thrush<\/strong> \u03ba\u03b1\u03b9 <strong>hoarseness<\/strong>, the two most common local side effects of inhaled corticosteroids.<\/div>\n<h2>Side Effects of Seretide Evohaler<\/h2>\n<p><strong>Common (mostly local from ICS, plus some \u03b22 effects from LABA):<\/strong><\/p>\n<ul>\n<li>Oral thrush (white candidal plaques in mouth or throat)<\/li>\n<li>Hoarse voice \/ dysphonia<\/li>\n<li>Mild tremor (LABA effect; less than with high-dose SABA)<\/li>\n<li>Palpitations or heart rate increase (\u226410 bpm at standard dose)<\/li>\n<li>\u039a\u03b5\u03c6\u03b1\u03bb\u03b1\u03bb\u03b3\u03af\u03b1<\/li>\n<li>Throat irritation, mild cough on inhalation<\/li>\n<\/ul>\n<p><strong>\u039b\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03bf \u03c3\u03c5\u03c7\u03bd\u03ad\u03c2:<\/strong><\/p>\n<ul>\n<li>Mild reduction in growth velocity in children at high doses<\/li>\n<li>Easy bruising at high cumulative ICS doses<\/li>\n<li>Hypokalaemia at high LABA doses (with diuretics, theophylline, oral steroids)<\/li>\n<li>Pneumonia in COPD users (slight ICS-related increase)<\/li>\n<li>Adrenal suppression with high doses or strong CYP3A4 inhibitor co-prescription<\/li>\n<\/ul>\n<p><strong>Serious (stop and seek emergency help):<\/strong><\/p>\n<ul>\n<li>Severe allergic reaction \/ anaphylaxis<\/li>\n<li>Paradoxical bronchospasm<\/li>\n<li>Severe palpitations, chest pain, irregular heartbeat<\/li>\n<li>Adrenal crisis during illness or surgery<\/li>\n<\/ul>\n<h2>\u03a0\u03c1\u03bf\u03b5\u03b9\u03b4\u03bf\u03c0\u03bf\u03b9\u03ae\u03c3\u03b5\u03b9\u03c2 \u03ba\u03b1\u03b9 \u03c0\u03c1\u03bf\u03c6\u03c5\u03bb\u03ac\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li><strong>Use every day, even when you feel well.<\/strong> The benefit accumulates over 1\u20132 weeks; symptoms return within days of stopping.<\/li>\n<li><strong>Never use the LABA component alone<\/strong> in asthma \u2014 LABA without ICS carries a higher risk of severe asthma death. {$brand} contains both components, so this is not an issue with this product.<\/li>\n<li><strong>{$brand} is not a rescue inhaler<\/strong> (use Asthalin or Levolin for acute attacks).<\/li>\n<li><strong>Rinse mouth, gargle, and spit out<\/strong> after every dose; brush teeth before bed.<\/li>\n<li><strong>COPD users:<\/strong> ICS slightly raises pneumonia risk \u2014 ensure ICS adds value (eosinophilic phenotype, frequent exacerbations).<\/li>\n<li><strong>\u0399\u03c3\u03c7\u03c5\u03c1\u03bf\u03af \u03b1\u03bd\u03b1\u03c3\u03c4\u03bf\u03bb\u03b5\u03af\u03c2 CYP3A4<\/strong> (ritonavir, ketoconazole, itraconazole, clarithromycin) raise systemic exposure of both components \u2014 avoid prolonged co-prescription.<\/li>\n<li><strong>\u0395\u03b3\u03ba\u03c5\u03bc\u03bf\u03c3\u03cd\u03bd\u03b7 \u03ba\u03b1\u03b9 \u03b8\u03b7\u03bb\u03b1\u03c3\u03bc\u03cc\u03c2:<\/strong> Budesonide-formoterol has the most pregnancy data; uncontrolled asthma is far more dangerous than the medication.<\/li>\n<li><strong>Cardiovascular disease:<\/strong> use cautiously in severe coronary artery disease, arrhythmias, hyperthyroidism, severe heart failure.<\/li>\n<\/ul>\n<h2>\u0391\u03bd\u03c4\u03b5\u03bd\u03b4\u03b5\u03af\u03be\u03b5\u03b9\u03c2<\/h2>\n<ul>\n<li>Known hypersensitivity to fluticasone propionate, salmeterol, or any formulation excipient<\/li>\n<li>Untreated active fungal, bacterial, mycobacterial (TB), or viral respiratory infection<\/li>\n<li>Severe hypersensitivity to lactose or milk proteins (DPI formulations contain lactose)<\/li>\n<li>Acute asthma attack \u2014 use a SABA reliever instead<\/li>\n<\/ul>\n<h2>\u0391\u03bb\u03bb\u03b7\u03bb\u03b5\u03c0\u03b9\u03b4\u03c1\u03ac\u03c3\u03b5\u03b9\u03c2 \u03a6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Interacting drug<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u0391\u03c0\u03bf\u03c4\u03ad\u03bb\u03b5\u03c3\u03bc\u03b1<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">\u03a4\u03b9 \u03bd\u03b1 \u03ba\u03ac\u03bd\u03b5\u03c4\u03b5<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Strong CYP3A4 inhibitors (ritonavir, ketoconazole, itraconazole, clarithromycin)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Raise systemic ICS exposure \u2192 adrenal suppression \/ Cushing risk<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Avoid; monitor cortisol if essential<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Non-selective beta-blockers (propranolol, timolol drops)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Block LABA effect \u2014 risk of severe bronchospasm<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Avoid; switch to cardioselective if essential<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Loop or thiazide diuretics<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Additive hypokalaemia from LABA<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitor potassium with high doses<\/td>\n<\/tr>\n<tr style=\"background:#f9f9f9;\">\n<td style=\"padding:10px;border:1px solid #ddd;\">Theophylline \/ aminophylline<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Additive tachycardia and hypokalaemia<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitor heart rate and potassium<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">MAOIs and tricyclic antidepressants<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Potentiate LABA cardiovascular effects<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Caution \u2014 monitor BP\/HR<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>\u0391\u03c0\u03bf\u03b8\u03ae\u03ba\u03b5\u03c5\u03c3\u03b7<\/h2>\n<ul>\n<li>Store below <strong>25\u00b0C<\/strong>, protected from direct sunlight and heat.<\/li>\n<li>Do not refrigerate. Do not freeze.<\/li>\n<li>Do not puncture the canister; even an empty canister can explode if heated.<\/li>\n<li>Keep out of reach of children. Use within the expiry date printed on the canister.<\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>\u03a3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ad\u03c2 \u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ad\u03c2 \u039b\u03cd\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c4\u03bf MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/el\/budecort-inhaler\/\"><strong>Budecort Inhaler \u2014 budesonide ICS preventer<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/asthalin-inhaler\/\"><strong>Asthalin Inhaler \u2014 salbutamol reliever<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/tiova-inhaler\/\"><strong>Tiova Inhaler \u2014 tiotropium LAMA for COPD<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/montair\/\"><strong>Montair \u2014 montelukast LTRA add-on<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/el\/duolin-inhaler\/\"><strong>Duolin Inhaler \u2014 salbutamol + ipratropium combo reliever<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u03a3\u03c5\u03c7\u03bd\u03ad\u03c2 \u0395\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2<\/h2>\n<h3>Is Seroflo the same as Seretide or Advair?<\/h3>\n<p>Yes \u2014 all three contain fluticasone propionate + salmeterol. Seretide (GSK, EU\/UK), Advair (GSK, US), Seroflo (Cipla, India). Clinically interchangeable at equivalent strength pairs.<\/p>\n<h3>Why is Seroflo a preventer and not a rescue inhaler?<\/h3>\n<p>The salmeterol component has slow onset (15\u201330 minutes) \u2014 it does not relieve acute breathlessness. For acute attacks, use a separate SABA reliever (Asthalin, Levolin). Take Seroflo every day to prevent attacks.<\/p>\n<h3>How long until Seroflo starts to work?<\/h3>\n<p>Some lung function gain by day 1; symptom improvement by week 1; full preventer effect by 2\u20134 weeks of consistent twice-daily use.<\/p>\n<h3>Why must I rinse my mouth after Seroflo?<\/h3>\n<p>Local steroid deposition can cause oral thrush and hoarseness. Rinsing, gargling, and spitting after every dose largely prevents both.<\/p>\n<h3>Can children use Seroflo?<\/h3>\n<p>Yes from age 4 \u2014 typically at 50\/25 or 100\/25 strength via inhaler with spacer + mask. Higher strengths reserved for older children and adults.<\/p>\n<h3>Is Seroflo safe in pregnancy?<\/h3>\n<p>Fluticasone has reassuring observational data in pregnancy. Budesonide-formoterol (Foracort) has more data; some prescribers prefer that combination during pregnancy. Uncontrolled asthma is more dangerous than either drug.<\/p>\n<h3>Can I use Seroflo as a SMART\/MART reliever?<\/h3>\n<p>No \u2014 salmeterol has slow onset and is not licensed for as-needed use. Only formoterol-containing combinations (Foracort, Symbicort) can be used as SMART\/MART.<\/p>\n<h3>How long does a Seroflo Inhaler last?<\/h3>\n<p>A 120-actuation canister lasts 60 days at twice-daily dosing. Rotacaps come in blister packs; check the leaflet for actuations per pack.<\/p>\n<h3>What&#8217;s the difference between Seroflo Inhaler, Rotacaps, Multihaler, Autohaler, Accuhaler?<\/h3>\n<p>All deliver fluticasone + salmeterol but use different devices and dose strengths. Inhaler = pressurised aerosol with spacer-friendly dosing. Rotacaps = single-dose dry powder via Rotahaler. Multihaler = multi-dose dry powder. Autohaler = breath-activated MDI (no need to coordinate). Accuhaler = multi-dose blister-strip dry powder. Choose based on your inspiratory ability and coordination.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:24px 0;border-radius:4px;font-size:13px;\"><strong>Medical disclaimer:<\/strong> This page is educational and does not replace professional medical advice. Always consult a qualified healthcare professional before starting, stopping, or changing any inhaler or respiratory medication, especially if you have other medical conditions, take other prescriptions, are pregnant or breastfeeding, or are over 65.<\/div>","protected":false},"excerpt":{"rendered":"<h5>\u2705 Effective asthma symptom control<br \/>\n\u2705 Quick and convenient inhalation<br \/>\n\u2705 Long-lasting relief<br \/>\n\u2705 Improved respiratory comfort<\/h5>\n<p><span style=\"color: #999999;\">Salmeterol and Fluticasone Propionate<\/span><\/p>","protected":false},"featured_media":54641,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3681,3141,3223],"product_tag":[3733,3749],"class_list":{"0":"post-54640","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-asthma-copd-treatment","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-fluticasone-propionate","10":"product_tag-salmeterol","12":"first","13":"outofstock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product\/54640","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/comments?post=54640"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media\/54641"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/media?parent=54640"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_brand?post=54640"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_cat?post=54640"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/el\/wp-json\/wp\/v2\/product_tag?post=54640"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}