Fluticasone + Salmeterol
Also sold as: Seretide, Advair
Prescription neededAsthma and breathing
Comes as:Inhaler
Usual adult dose
Dose is set by your doctor. Usual adult dose: 1 inhalation twice a day (dry-powder inhaler) or 2 puffs twice a day (spray inhaler). Use every day; it is not for quick relief of an attack. Rinse your mouth after use.
Your doctor may give you a different dose. Children's doses depend on weight.
Side effects
Common
- hoarse voice
- mouth thrush
- headache
- shaking
- muscle cramps
Serious — get help
Stop taking it and see a doctor straight away if you notice:
- chest pain or irregular heartbeat
- worsening wheeze right after use
- pneumonia in COPD patients (fever
Do not take it, or take care, if
- Not for the relief of a sudden attack
- Heart disease or irregular heartbeat (use with caution)
- Untreated tuberculosis of the lungs (use with caution)
- Do not stop suddenly without your doctor
Interactions
Medicines that can react with this one.
Serious3 medicinesDo not take these together unless your doctor says so.
- Clarithromycin
Clarithromycin raises salmeterol levels and can cause heart rhythm problems; avoid the combination.
- Ketoconazole