{"id":22606,"date":"2022-07-04T07:52:30","date_gmt":"2022-07-04T07:52:30","guid":{"rendered":"https:\/\/zeepedia.com\/?p=22606"},"modified":"2022-07-04T11:50:12","modified_gmt":"2022-07-04T11:50:12","slug":"salmeterol-fluticasone-cipla","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/salmeterol-fluticasone-cipla\/","title":{"rendered":"Salmeterol \/ Fluticasone Cipla &#8211; Fluticasone propionat uses, dose and side effects"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p>25 micrograms \/ 125 micrograms \/ dose, 25 micrograms \/ 250 micrograms \/ dose&nbsp;inhalation&nbsp;spray ,&nbsp;salmeterol<br>\/ fluticasone propionate suspension<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Salmeterol \/ Fluticasone Cipla is and what it is used for<\/h2>\n\n\n\n<p>Salmeterol \/ Fluticasone Cipla contains two medicines,&nbsp;salmeterol&nbsp;and fluticasone propionate<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Salmeterol\u00a0is a long-acting tracheal dilator.\u00a0Tracheal dilators act on the airways in the lungs to keep them open.\u00a0This makes it easier to breathe.\u00a0The effect lasts for at least 12 hours.<\/li><li>Fluticasone propionate is a\u00a0corticosteroid\u00a0that reduces swelling and irritation in the lungs.<br>Your doctor has prescribed this medicine to prevent breathing problems such as\u00a0asthma.\u00a0Salmeterol \/ Fluticasone Cipla must be taken every day according to the doctor&#8217;s instructions for it to work in the best way and give control of your\u00a0asthma.<br>Salmeterol \/ Fluticasone Cipla prevents breathing problems and wheezing.\u00a0However, Salmeterol \/ Fluticasone Cipla should not be used to relieve a sudden onset of shortness of breath or wheezing.\u00a0Then you should use a fast-acting tracheal dilator &#8216;on demand&#8217;\u00a0inhaler, such as\u00a0salbutamol.\u00a0You should always have your fast-acting &#8216;if needed&#8217;\u00a0inhaler\u00a0with you.<br>Salmeterol\u00a0and fluticasone propionate contained in Salmeterol \/ Fluticasone Cipla may also be approved for the treatment of other conditions not included in this product information.\u00a0Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you use Salmeterol \/ Fluticasone Cipla<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Salmeterol \/ Fluticasone Cipla:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to\u00a0salmeterol, fluticasone propionate, or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor, pharmacist, or nurse before using Salmeterol \/ Fluticasone Cipla.\u00a0Your treatment will be followed up more often if you have<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>heart disease, including irregular or rapid heartbeat<\/li><li>overactive&nbsp;thyroid gland<\/li><li>high&nbsp;blood pressure<\/li><li>diabetes&nbsp;(Salmeterol \/ Fluticasone Cipla may increase blood sugar)<\/li><li>conditions with low potassium in the blood<\/li><li>ongoing or previously had&nbsp;tuberculosis&nbsp;(TB), or other lung infections.<\/li><\/ul>\n\n\n\n<p>Contact a doctor if you experience blurred vision or other visual disturbances.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Salmeterol \/ Fluticasone Cipla<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including medicines for\u00a0asthma\u00a0and over-the-counter medicines.\u00a0This is important because it may not be appropriate to take Salmeterol \/ Fluticasone Cipla with certain other medicines.<\/p>\n\n\n\n<p>Tell your doctor if you are taking any of the following medicines before starting treatment with Salmeterol \/ Fluticasone Cipla.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Beta-blockers\u00a0(eg atenolol, propranolol, and sotalol).\u00a0Beta-blockers are often used to treat high\u00a0blood pressure\u00a0or other heart conditions.<\/li><li>Medicines for\u00a0infection\u00a0(eg\u00a0ketoconazole, erythromycin, and itraconazole).\u00a0Some of these medicines may increase the amount of fluticasone propionate or\u00a0salmeterol\u00a0in your body.\u00a0This may increase the risk of\u00a0side effects\u00a0of Salmeterol \/ Fluticasone Cipla, including irregular heartbeat, or aggravate\u00a0side effects.<\/li><li>Cortisone\u00a0(taken orally or by\u00a0injection\u00a0).\u00a0If you have recently been treated with these drugs, it may increase the risk of affecting the function of the adrenal glands.<\/li><li>Diuretics, also known as diuretics, are used to treat high\u00a0blood pressure.<\/li><li>Other bronchodilators (eg\u00a0salbutamol\u00a0).<\/li><li>Xanthines.\u00a0These are often used to treat\u00a0asthma.<\/li><li>Antiviral\u00a0drugs\u00a0(eg some anti-HIV drugs: ritonavir, cobicistat).\u00a0Your doctor may want to monitor you closely if you are taking these medicines.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Salmeterol \/ Fluticasone Cipla is unlikely to affect your ability to drive or use machines.&nbsp;<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Salmeterol \/ Fluticasone Cipla<\/h2>\n\n\n\n<p>Always use this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Use your Salmeterol \/ Fluticasone Cipla every day until your doctor tells you to stop.\u00a0Do not take more than the recommended\u00a0dose.\u00a0Ask your doctor or pharmacist if you are unsure.<\/li><li>Do not stop taking Salmeterol \/ Fluticasone Cipla and do not reduce the\u00a0dose\u00a0of Salmeterol \/ Fluticasone Cipla without talking to your doctor first.<\/li><li>Salmeterol \/ Fluticasone Cipla should be inhaled through the mouth and into the lungs.<\/li><\/ul>\n\n\n\n<p><strong>Adults and adolescents aged 12 years and older<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Salmeterol \/ Fluticasone Cipla 25 micrograms \/ 125 micrograms \/ dose &#8211; 2 puffs twice daily<\/li><li>Salmeterol \/ Fluticasone Cipla 25 micrograms \/ 250 micrograms \/ dose &#8211; 2 puffs twice daily<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Use for children and adolescents<\/h2>\n\n\n\n<p>Salmeterol \/ Fluticasone Cipla 25 micrograms \/ 125 micrograms and 25 micrograms \/ 250 micrograms are not recommended for children under 12 years of age.<\/p>\n\n\n\n<p>Dose&nbsp;one should be adjusted so that you are on the lowest&nbsp;dose&nbsp;that keeps your ailments under control.<\/p>\n\n\n\n<p>If your problems are kept under good control with the lowest strength of Salmeterol \/ Fluticasone Cipla (25\/125 micrograms), the next step may be a switch to another inhalation drug-containing salmeterol\/fluticasone, but with a lower strength (25\/50 micrograms).<\/p>\n\n\n\n<p>If your symptoms are well controlled when you take Salmeterol \/ Fluticasone Cipla twice a day, your doctor may decide to reduce your dose once or&nbsp;once&nbsp;a day.&nbsp;Dose&nbsp;one can be changed to:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>once in the evening &#8211; if you have problems\u00a0<strong>at night<\/strong><\/li><li>once in the morning &#8211; if you have problems\u00a0<strong>during the day<\/strong>.<\/li><\/ul>\n\n\n\n<p>It is very important to follow your doctor&#8217;s instructions on how many&nbsp;inhalations&nbsp;you should take and how often you should take your medicine.<\/p>\n\n\n\n<p>If you are using Salmeterol \/ Fluticasone Cipla for\u00a0asthma, your doctor may want to follow up on your symptoms more often.<\/p>\n\n\n\n<p><strong>Contact a doctor immediately if your\u00a0asthma\u00a0or breathing worsens.\u00a0<\/strong>You may feel that your breathing becomes more wheezy, the feeling of tightness in your chest comes more often, or you need to use more of your fast-acting bronchodilator medication.\u00a0If any of these occur, continue to take Salmeterol \/ Fluticasone Cipla, but do not increase the number of\u00a0doses.\u00a0Your breathing problems may worsen and you may become seriously ill.\u00a0Contact your doctor as you may need additional asthma treatment.<\/p>\n\n\n\n<p><strong>Instructions for use<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Doctors, nurses, or pharmacists should<\/li><li>The medicine is stored under pressure in a container that sits in a plastic housing with a nozzle<\/li><li>A dose counter on the front of the indicator shows how many\u00a0doses\u00a0you have left.\u00a0When using the inhaler, the dose counter rotates to a lower number after every 5 to 7 puffs.<\/li><li>Be careful not to drop the inhaler as this may cause the meter to count down a\u00a0dose.<\/li><\/ul>\n\n\n\n<p><strong>To check that the inhaler is working<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Before using the inhaler for the first time, check that it works.\u00a0Remove the nozzle by tapping both sides of it with your thumb and forefinger and pulling it apart.<\/li><li>To check that the inhaler works, shake it well, point the nozzle away from you, push the container down and spray four puffs into the air.\u00a0The dose counter shows the number &#8216;120&#8217; which indicates the number of puffs in the inhaler.\u00a0If you have not used the inhaler for a week or more, shake well and spray two puffs in the air.<\/li><\/ol>\n\n\n\n<p><strong>How to use the inhaler<\/strong><\/p>\n\n\n\n<p>It is important to breathe as slowly as possible just before using the inhaler.<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Stand or sit upright when using the inhaler.<\/li><li>Remove the cover on the nozzle.\u00a0Check that the nozzle is clean and free of loose objects both inside and outside (picture A).<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20130202000028#\" rel=\"noopener\"><\/a><\/li><li>Shake the inhaler 4 or 5 times so that any loose objects are removed and the contents of the inhaler are mixed well (picture B).<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20130202000028#\" rel=\"noopener\"><\/a><\/li><li>Hold the inhaler upright with your thumb on the bottom, under the mouthpiece.\u00a0Exhale as far as it feels comfortable (picture C).<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20130202000028#\" rel=\"noopener\"><\/a><\/li><li>Place the mouthpiece in your mouth between your teeth.\u00a0Close your lips around the nozzle.\u00a0Do not bite (picture D).<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20130202000028#\" rel=\"noopener\"><\/a><\/li><li>Inhale through the mouth slowly and deeply.\u00a0Just as you begin to inhale, firmly press down on the top of the container to spray a\u00a0dose.\u00a0Continue to inhale calmly and deeply (picture D).<\/li><li>Hold your breath, remove the inhaler from your mouth and release your finger from the top of the inhaler.\u00a0Continue to hold your breath for a few seconds, or as long as possible without it starting to feel uncomfortable (Figure E).<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20130202000028#\" rel=\"noopener\"><\/a><\/li><li>If another\u00a0dose\u00a0is to be taken, wait about half a minute between each\u00a0dose\u00a0and then repeat steps 3 to 7.<\/li><li>Rinse mouth with water and spit out, and\/or brush teeth after use.\u00a0This will help you reduce the risk of getting fungal infections and getting hoarse.<\/li><li>Always put the protective cap back on as a dust cover after using the inhaler.\u00a0A snap is heard when the protective hood is pressed into place.\u00a0If it cannot be pushed into place, check that it is facing in the right direction and try again.\u00a0Do not press too hard.<\/li><\/ol>\n\n\n\n<p>Do not rush through steps 4, 5, 6, and 7. You must inhale as slowly as possible just before using your\u00a0inhaler.\u00a0You should stand in front of a mirror the first few times you use the inhaler.\u00a0If you see a &#8220;shower&#8221; coming from the top of the inhaler or the sides of your mouth, start again from step 3.<\/p>\n\n\n\n<p>As with all\u00a0inhalers, caregivers should ensure that adolescents who have been prescribed this medication use the correct inhalation technique, as described above.<\/p>\n\n\n\n<p>If you find it difficult to use the inhaler, a breathing container, e.g.&nbsp;Use Volumatic or AeroChamber Plus or other respirators (depending on national guidelines).&nbsp;Before using a respirator for the first time or if you need to change to a respirator of a different model, talk to your doctor, nurse or pharmacist.<\/p>\n\n\n\n<p>You should get a new\u00a0inhaler\u00a0when the dose counter shows &#8217;40&#8217; and the color of the dose counter changes from green to red.\u00a0Stop using the inhaler when the dose counter shows &#8216;0&#8217; as the remaining amount in the inhaler may not give a full\u00a0dose.\u00a0Never try to change the numbers in the dose counter or remove the dose counter from the shutter button.\u00a0The dose counter cannot be reset and is attached to the trigger.<\/p>\n\n\n\n<p><strong>How to clean the inhaler<\/strong><\/p>\n\n\n\n<p>To prevent the inhaler from clogging, it is important to clean it at least once a week.<\/p>\n\n\n\n<p>To clean the inhaler:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Remove the cover on the nozzle.<\/li><li>Never remove the metal container from the plastic cover.<\/li><li>Wipe the inside and outside of the nozzle and plastic wrap with a dry cloth or paper towel.<\/li><li>Replace the cover on the nozzle.&nbsp;A click is heard when pressed in place.&nbsp;If it cannot be pushed into place, check that it is facing in the right direction and try again.&nbsp;Do not use excessive force.<\/li><\/ul>\n\n\n\n<p>Do not place the metal container in water.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Salmeterol \/ Fluticasone Cipla than you should&nbsp;<\/h2>\n\n\n\n<p>You must use the inhaler according to the instructions.\u00a0If you accidentally ingest a larger amount than recommended, contact your doctor or pharmacist.\u00a0You may feel that your heart is beating faster than usual and that you are shaking.\u00a0You may also experience dizziness, headache, muscle weakness, and joint pain.<\/p>\n\n\n\n<p>If you have taken larger amounts for a long time or if e.g.\u00a0If a child has ingested the medicine by mistake, contact a doctor or hospital for risk assessment and advice.\u00a0Larger amounts of Salmeterol \/ Fluticasone Cipla may reduce the amount of\u00a0cortisone\u00a0produced in the adrenal glands.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Salmeterol \/ Fluticasone Cipla<\/h2>\n\n\n\n<p>If you forget to use your\u00a0inhaler, take the next\u00a0dose\u00a0as usual.\u00a0Do not take a double\u00a0dose\u00a0to make up for a forgotten\u00a0dose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Salmeterol \/ Fluticasone Cipla<\/h2>\n\n\n\n<p>You must take Salmeterol \/ Fluticasone Cipla every day as\u00a0prescribed.\u00a0Keep taking this medicine until your doctor tells you to stop.\u00a0Do not stop taking or reduce the\u00a0dose\u00a0of Salmeterol \/ Fluticasone Cipla suddenly.\u00a0This can make your breathing worse.<\/p>\n\n\n\n<p>In addition, if you suddenly stop taking Salmeterol \/ Fluticasone Cipla or reduce the\u00a0dose\u00a0of one of Salmeterol \/ Fluticasone Cipla, this can (in very rare cases) cause problems with the adrenal glands (adrenal insufficiency) which sometimes causes\u00a0side effects.<\/p>\n\n\n\n<p>Side effects&nbsp;may include any of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Stomach ache<\/li><li>Fatigue, loss of appetite, and malaise<\/li><li>Nausea and diarrhea<\/li><li>Weight loss<\/li><li>Headache or drowsiness<\/li><li>Low blood sugar<\/li><li>Low\u00a0blood pressure\u00a0and seizures (seizures).When your body is exposed to stress, e.g.\u00a0In the form of fever, trauma (eg after a car accident),\u00a0infection,\u00a0or surgery, adrenal cortex weight may worsen and you may experience any of the\u00a0side effects\u00a0listed above.<\/li><\/ul>\n\n\n\n<p>If you get any\u00a0side effects, talk to your doctor or nurse<\/p>\n\n\n\n<p>pharmacy staff.&nbsp;To prevent these symptoms from happening, your doctor may&nbsp;prescribe&nbsp;extra&nbsp;corticosteroid&nbsp;supplements in tablet form (eg&nbsp;prednisolone&nbsp;).<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.\u00a0To reduce the risk of\u00a0side effects, your doctor will\u00a0prescribe\u00a0the lowest\u00a0dose\u00a0of Salmeterol \/ Fluticasone Cipla needed to control your\u00a0asthma.<\/p>\n\n\n\n<p><strong>Allergic reactions<\/strong>: You may notice that you suddenly find it harder to breathe immediately after taking Salmeterol \/ Fluticasone Cipla.\u00a0You may have wheezing and coughing or feel short of breath.\u00a0You may also experience\u00a0itching, rash (hives), and swelling (usually on the face, lips, tongue, or throat), or you may suddenly feel your heart beating very fast or feel dizzy and dizzy (which may lead to collapse or that you lose consciousness).\u00a0Stop taking Salmeterol \/ Fluticasone Cipla and contact a doctor immediately if any of these occur or if they occur suddenly after taking Salmeterol \/ Fluticasone Cipla.\u00a0Allergic reactions to Salmeterol \/ Fluticasone Cipla are uncommon (may affect up to 1 in 100 people).<\/p>\n\n\n\n<p>Other&nbsp;side effects&nbsp;are listed below:<\/p>\n\n\n\n<p><strong>Very common (may affect more than 1 user in 10)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Headache &#8211; usually disappears after continued use.<\/li><li>More colds have been reported in patients with COPD.<\/li><\/ul>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Fungal infection (sore, light yellowish raised spots) in mouth and throat.\u00a0Also sore tongue and hoarseness as well as irritation in the throat.\u00a0This can be prevented by rinsing your mouth with water and spitting it out immediately and\/or brushing your teeth after each inhalation.\u00a0Your doctor may\u00a0prescribe\u00a0a fungicide to treat the fungal infection.<\/li><li>Painful, swollen joints, and muscle aches.<\/li><li>Muscle cramps.<\/li><\/ul>\n\n\n\n<p>The following&nbsp;side effects&nbsp;have also been reported in patients with chronic&nbsp;obstructive pulmonary disease&nbsp;(COPD)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Pneumonia\u00a0in COPD patients tell your doctor if you have any of the following symptoms while taking Salmeterol \/ Fluticasone Cipla as they may be symptoms of pneumonia:\u2022 fever or chills\u2022 increased mucus production, changed the color of the mucus\u2022 increased cough or increased difficulty breathing<\/li><li>Irritation in the throat.\u00a0This can be prevented by rinsing the mouth with water and spitting it out immediately after each inhalation.<\/li><li>Bruises and broken bones.<\/li><li>Sinusitis (a feeling of pressure or swelling in the nose, cheeks, and behind the eyes, sometimes with a throbbing pain).<\/li><li>Decreased potassium content in the blood (which can cause irregular heartbeat, muscle weakness, and cramps).<\/li><\/ul>\n\n\n\n<p><strong>Uncommon (may affect up to 1 in 100 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Elevated blood sugar (\u00a0glucose\u00a0) (hyperglycemia).\u00a0If you have\u00a0diabetes, you may need to do more frequent blood sugar checks and possibly change your usual diabetes treatment.<\/li><li>Cloudy eye lens (\u00a0cataract\u00a0).<\/li><li>Very fast heartbeat (\u00a0tachycardia\u00a0).<\/li><li>Feeling shaky (\u00a0tremor\u00a0) and fast or irregular heartbeat (\u00a0palpitation\u00a0).\u00a0This is usually harmless and disappears after a period of use.<\/li><li>Chest pain.<\/li><li>Feeling of anxiety (this occurs mainly in children).<\/li><li>Difficulty sleeping.<\/li><li>Allergic skin rash.<\/li><\/ul>\n\n\n\n<p>Rare&nbsp;<strong>(may affect up to 1 in 1,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Difficulty breathing or wheezing that worsens immediately after taking Salmeterol \/ Fluticasone Cipla.&nbsp;If this happens, stop taking Salmeterol \/ Fluticasone Cipla.&nbsp;Use the inhaler with the fast-acting bronchodilator medicine and contact a doctor immediately.<\/li><li>Salmeterol \/ Fluticasone Cipla can affect the normal production of&nbsp;cortisone&nbsp;in the body, especially if you have been taking high&nbsp;doses&nbsp;for a long time.&nbsp;Effects of this can give:<ul><li>delayed height growth in children and adolescents<\/li><li>reduced bone density<\/li><li>damage to the&nbsp;optic nerve&nbsp;of the eye (&nbsp;glaucoma&nbsp;)<\/li><li>weight gain<\/li><li>rounded face (full moon face) (Cushing&#8217;s syndrome).<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>Your doctor will monitor your treatment regularly to make sure you are on the lowest\u00a0dose\u00a0that keeps your\u00a0asthma\u00a0under control to reduce the risk of these\u00a0side effects.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Behavioral disorders, e.g.\u00a0becoming overactive and irritable (seen mainly in children).<\/li><li>Irregular heartbeat or that the heart beats an extra beat (\u00a0arrhythmia\u00a0).\u00a0Tell your doctor but do not stop taking Salmeterol \/ Fluticasone Cipla until your doctor tells you to stop.<\/li><li>A fungal infection of the esophagus (esophagus), can cause difficulty swallowing.<\/li><\/ul>\n\n\n\n<p><strong>Has been reported&nbsp;<\/strong><strong>(occurs in an unknown number of users)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Depression or aggression.\u00a0These\u00a0side effects\u00a0are more likely to occur in children.\u00a0If any of the\u00a0side effects\u00a0gets serious, or if you notice any\u00a0side effects\u00a0not listed in this leaflet, please tell your doctor or pharmacist.<\/li><li>Dim sum<\/li><\/ul>\n\n\n\n<p><em>Reporting of&nbsp;side effects&nbsp;ar<\/em><\/p>\n\n\n\n<p>If you get\u00a0any side effects, talk to your doctor, pharmacist, or nurse.\u00a0This also applies to\u00a0side effects\u00a0that are not mentioned in this information. You can also report\u00a0side effects\u00a0directly (see details below).\u00a0By reporting\u00a0side effects, you can help increase the safety of medicines.<\/p>\n\n\n\n<p>The Medical Products Agency<\/p>\n\n\n\n<p>Box 26<\/p>\n\n\n\n<p>751 03 Uppsala<\/p>\n\n\n\n<p><a href=\"http:\/\/www.xn--lkemedelsverket-0kb.se\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.l\u00e4kemedelsverket.se<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Salmeterol \/ Fluticasone Cipla<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Replace the protective cap immediately after use with a push until you hear a click.&nbsp;Do not use extra force.<\/p>\n\n\n\n<p>Do not store above 25 \u00b0 C.&nbsp;Do not expose to temperatures above 50 \u00b0 C.&nbsp;Salmeterol \/ Fluticasone Cipla should not be stored cold as the effect of the medicine may be impaired.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the label and the carton after EXP.\u00a0The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>The container contains a liquid under pressure.&nbsp;The container must not be punctured.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Each metered\u00a0dose\u00a0of Salmeterol \/ Fluticasone Cipla contains:25 micrograms\u00a0of salmeterol\u00a0(as salmeterol xinafoate) and 125 or 250 micrograms of fluticasone propionate (the\u00a0dose\u00a0leaving the valve).\u00a0This corresponds to a given\u00a0dose\u00a0(the\u00a0dose\u00a0leaving the inhaler) of 21 micrograms\u00a0of salmeterol\u00a0and 110 or 220 micrograms of fluticasone propionate.<\/li><li>The other ingredients are norflurane (HFA 134a).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Aluminum container with a suitable dosing valve, a polypropylene trigger with a protective cap, and a dose counter in a sealed bag containing desiccant.<\/li><li>Each container contains 120\u00a0doses.<\/li><\/ul>\n\n\n\n<p>Pack sizes:<\/p>\n\n\n\n<p>1, 2 (2&#215;1) or 3 (3&#215;1) containers containing 120&nbsp;doses&nbsp;.<\/p>\n\n\n\n<p>10 (10&#215;1) containers containing 120\u00a0dose\u00a0er &#8211; hospital packaging only.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Cipla Europe NV<\/p>\n\n\n\n<p>De Keyserlei 58-60, Box-19,<\/p>\n\n\n\n<p>2018 Antwerp,<\/p>\n\n\n\n<p>Belgium<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>S&amp;D Pharma CZ, spol.&nbsp;s ro,<\/p>\n\n\n\n<p>Theodor 28, 273 08<\/p>\n\n\n\n<p>Archery (Pharmos as a facility),<\/p>\n\n\n\n<p>Czech Republic<\/p>\n\n\n\n<p>Cipla Europe NV<\/p>\n\n\n\n<p>De Keyserlei 58-60, Box-19,<\/p>\n\n\n\n<p>2018 Antwerp,<\/p>\n\n\n\n<p>Belgium<\/p>\n\n\n\n<p>For any information about this medicine, please contact the local representative of the Marketing Authorization Holder:<\/p>\n\n\n\n<p>Orion Pharma AB<\/p>\n\n\n\n<p>medinfo@orionpharma.com<\/p>\n\n\n\n<p><strong>This medicinal product is authorized under the European Economic Area under the names:<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>&nbsp;Sweden<\/strong><\/td><td>&nbsp;Salmeterol \/ Fluticasone Cipla 25 micrograms \/ 125 micrograms \/ dose&nbsp;inhalation spray&nbsp;,&nbsp;suspension&nbsp;Salmeterol \/ Fluticasone Cipla 25 micrograms \/ 250 micrograms \/ dose&nbsp;inhalation spray&nbsp;,&nbsp;suspension<\/td><\/tr><tr><td>&nbsp;<strong>Germany<\/strong><\/td><td>SERROFLO 25 Micrograms \/ 125 Micrograms \/ Dose Compressed Gas Inhalation,&nbsp;SuspensionSERROFLO 25 Micrograms \/ 250 Micrograms \/ Dose Compressed Gas Inhalation,&nbsp;Suspension<\/td><\/tr><tr><td>&nbsp;<strong>Czech Republic<\/strong><\/td><td>FULLHALE 25 micrograms \/ 125 micrograms \/ davka Suspension for inhalation in ovalFULLHALE 25 micrograms \/ 250 micrograms \/ davka Suspension for inhalation in oval<\/td><\/tr><tr><td>&nbsp;<strong>Slovakia<\/strong><\/td><td>FULLHALE 25\/125 micrograms \/ davka Inhalation suspension in oval coatingFULLHALE 25\/250 micrograms\/dab Inhalation suspension in oval coating<\/td><\/tr><tr><td>&nbsp;<strong>Greece<\/strong><\/td><td>CIPLACOMBO 25\/125 micrograms per dose Containing a single dose instead of a doseCIPLACOMBO 25\/250 micrograms per dose Containing a single dose or dose<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>25 micrograms \/ 125 micrograms \/ dose, 25 micrograms \/ 250 micrograms \/ dose inhalation spray , salmeterol<br \/>\n\/ fluticasone propionate suspension<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18530],"tags":[23609,2591,2593,2549,2552,11349,11353,23611,11345,4910,11350,11351],"class_list":["post-22606","post","type-post","status-publish","format-standard","hentry","category-medicines","category-s","tag-benefits-of-salmeterol","tag-fluticasone-cipla","tag-fluticasone-cipla-side-effects","tag-fluticasone-propionate","tag-fluticasone-propionate-side-effects","tag-salmeterol","tag-salmeterol-side-effects","tag-what-fluticasone-cipla-is-used-for","tag-what-fluticasone-propionate-is-used-for","tag-what-is-fluticasone-propionate","tag-what-is-salmeterol","tag-what-salmeterol-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22606","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=22606"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22606\/revisions"}],"predecessor-version":[{"id":22640,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22606\/revisions\/22640"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=22606"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=22606"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=22606"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}