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Salmeflo

Salmeflo

salmeterol + fluticasone

Manufacturer:

Lloyd

Distributor:

InnoGen Pharmaceuticals
Concise Prescribing Info
Contents
Per 25 mcg/125 mcg MDI Salmeterol xinafoate 25 mcg, fluticasone propionate 125 mcg. Per 25 mcg/250 mcg MDI Salmeterol xinafoate 25 mcg, fluticasone propionate 250 mcg. Per 50 mcg/250 mcg DPI Salmeterol xinafoate 50 mcg, fluticasone propionate 250 mcg. Per 50 mcg/500 mcg DPI Salmeterol xinafoate 50 mcg, fluticasone propionate 500 mcg
Indications/Uses
MDI: Reversible obstructive airways disease including asthma where use of combination therapy is appropriate. Maintenance treatment of COPD including chronic bronchitis & emphysema. DPI: Maintenance & treatment of mild, moderate & severe persistent asthma in patients >5 yr & w/ COPD.
Dosage/Direction for Use
MDI Adult & adolescent ≥12 yr 2 inhalations bid. Childn ≥4 yr 2 inhalations bid. DPI Adult & adolescent ≥12 yr 1 cap bid.
Contraindications
Hypersensitivity. DPI: History of paradoxical bronchospasm.
Special Precautions
MDI: Risk of exacerbation when therapy in patients w/ asthma is stopped abruptly. Cessation of therapy in patients w/ COPD may be associated w/ symptomatic decompensation. Patients w/ active or quiescent pulmonary TB, thyrotoxicosis, systemic effects including adrenal suppression, growth retardation (childn & adolescents) decrease in bone mineral density, cataract, glaucoma. Regularly monitor height in childn w/ prolonged treatment. DPI: Discontinue use then shift to short acting selective β2-agonist if breakthrough asthma symptoms or acute asthma exacerbations occur. Avoid use during pregnancy.
Adverse Reactions
Tachycardia, palpitations, cardiac arrhythmias, precipitation of angina pectoris, CNS stimulation, dry mouth, sweating, headache, dizziness, nausea, vomiting, nervousness, anxiety & tremor, hypersensitivity reactions. DPI: Salmeterol: Peripheral vasodilatation; muscle cramps; potentially serious hypokalemia w/ large doses; paradoxical bronchospasm, angioedema, urticaria, hypotension, collapse. Fluticasone: Churg-Strauss syndrome.
Drug Interactions
MDI: Nonselective & selective β-blockers. Fluticasone: Potential increased systemic exposure when co-administered w/ strong CYP3A4 inhibitors eg, ketoconazole, ritonavir. DPI: Salmeterol: Increased risk of hypokalaemia w/ corticosteroids, diuretics, or xanthines. Fluticasone: Enhanced metabolism & reduced systemic effects w/ barbiturates, carbamazepine, phenytoin, primidone, rifampicin. Increased plasma conc w/ OCs, ritonavir. Excessive K loss w/ K-depleting diuretics eg, thiazides or frusemide.
MIMS Class
Antiasthmatic & COPD Preparations
ATC Classification
R03AK06 - salmeterol and fluticasone ; Belongs to the class of adrenergics in combination with corticosteroids or other drugs, excluding anticholinergics. Used in the treatment of obstructive airway diseases.
Presentation/Packing
Form
Salmeflo MDI 25 mcg/125 mcg
Packing/Price
1's (P440/canister)
Form
Salmeflo MDI 25 mcg/250 mcg
Packing/Price
1's (P619/canister)
Form
Salmeflo DPI 50 mcg/250 mcg
Packing/Price
(w/ Innohaler) 40 × 1's (P494/box)
Form
Salmeflo DPI 50 mcg/500 mcg
Packing/Price
(w/ Innohaler) 40 × 1's (P688/box)
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