Seretide 50mcg/500mcg Accuhaler: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Sudden worsening of breathing or no improvement after using the inhaler
- Severe allergic reaction with swelling of face, lips, or throat
- Irregular or fast heartbeat with dizziness or fainting
- Chest pain or palpitations
- Signs of oral thrush such as white patches in the mouth or sore throat
- Symptoms of pneumonia such as fever, chills, increased cough, or difficulty breathing
- Vision changes or eye pain
If experiencing severe symptoms, call emergency services immediately.
What is esiflo 50 mcg/500 mcg inhaler used for?
This medicine is a combination inhaler containing salmeterol and fluticasone propionate. It is used for regular maintenance treatment of asthma and COPD to keep airways open and reduce inflammation. It is not a rescue inhaler for sudden breathing attacks.
- Generic Name: Salmeterol (50mcg) + Fluticasone Propionate (500mcg)
- Manufacturer: Lupin Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 esiflo 50 mcg/500 mcg inhaler के बारे में (Hindi Summary)
उपयोग: यह दवा साल्मेटेरोल और फ्लूटिकासोन प्रोपियोनेट का संयोजन इनहेलर है, जिसका उपयोग अस्थमा और क्रोनिक ऑब्सट्रक्टिव पल्मोनरी डिजीज (सीओपीडी) के नियमित इलाज के लिए किया जाता है। यह दवा वायुमार्ग को खोलकर और सूजन को कम करके सांस लेने में मदद करती है। यह दवा तुरंत सांस की तकलीफ के लिए नहीं है, बल्कि इसे रोजाना नियमित रूप से लेना होता है। इसे डॉक्टर के बताए अनुसार ही लें और बिना पूछे बंद न करें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में गले में जलन, आवाज में भारीपन, सिरदर्द, और श्वसन संक्रमण शामिल हैं। कुछ लोगों को मांसपेशियों में ऐंठन, कंपन, या दिल की धड़कन तेज हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, सांस की अचानक समस्या, या अनियमित दिल की धड़कन हो सकती है। मुँह में फंगल संक्रमण से बचने के लिए हर बार इनहेलर लेने के बाद पानी से कुल्ला करें।
सुरक्षा सलाह: इस दवा का उपयोग डॉक्टर के बताए अनुसार ही करें। इसे अचानक सांस की तकलीफ के लिए राहत इनहेलर की तरह न लें। हर बार इनहेलर लेने के बाद मुँह धोएं। बेहतर महसूस होने पर भी दवा बंद न करें। अगर आपको दिल, थायरॉइड, या मधुमेह की समस्या है तो डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।
💊 esiflo 50 mcg/500 mcg inhaler Uses & Benefits
[{"condition":"Asthma maintenance therapy","description":"Used regularly to control asthma symptoms and reduce the frequency of exacerbations in patients not adequately controlled on inhaled corticosteroids alone or requiring both a long-acting beta-2 agonist and an inhaled corticosteroid.","evidence":"Well-established"},{"condition":"Chronic obstructive pulmonary disease (COPD)","description":"Used to improve lung function, reduce symptoms, and decrease exacerbations in patients with COPD who require combination therapy.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Exercise-induced bronchoconstriction","description":"Sometimes prescribed off-label for prevention of exercise-induced asthma symptoms, but not a first-line approach.","evidence":"Limited"}]
Primary treatment for: Asthma
Also treats: Chronic obstructive pulmonary disease (COPD)
📋 Drug Information
| Generic Name(s) | Salmeterol (50mcg) + Fluticasone Propionate (500mcg) |
| Brand Name | esiflo 50 mcg/500 mcg inhaler |
| Manufacturer | Lupin Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Inhalation |
| Storage | Store at room temperature (below 30°C) in a dry place, away from direct sunlight and moisture. Do not puncture or incinerate the inhaler. Keep out of reach of children. |
| Shelf Life | Refer to the packaging for the expiry date. Do not use after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary actions. Salmeterol is a long-acting beta-2 adrenergic agonist that selectively stimulates beta-2 receptors in the smooth muscle of the airways, leading to relaxation and bronchodilation that lasts for about 12 hours. Fluticasone propionate is an inhaled corticosteroid that binds to glucocorticoid receptors inside cells, reducing the production of inflammatory mediators and suppressing the migration and activity of inflammatory cells in the airways. Together, they reduce airway inflammation and keep the airways open, improving breathing and reducing the frequency of asthma attacks and COPD exacerbations.
Mechanism Steps
💡 How to Take esiflo 50 mcg/500 mcg inhaler
Strength: Dry powder inhaler (Accuhaler) delivering 50 micrograms salmeterol and 500 micrograms fluticasone propionate per actuation.
Dosage Information
| Adult Dosage | The usual adult dose is one inhalation twice daily (morning and evening) for asthma or COPD. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and response to treatment. Do not exceed the prescribed dose. This medicine is for regular maintenance use only and not for acute attacks. |
| Pediatric Dosage | Pediatric dosing is not established from available information for this specific strength. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | No specific dose adjustment is required for elderly patients, but they should be monitored for systemic effects and cardiac side effects. Dose must be individualized by a qualified clinician. |
| Renal Impairment | No specific dose adjustment is recommended for renal impairment, but use with caution as data are limited. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment as systemic exposure to fluticasone propionate may increase. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose is two inhalations per day (one in the morning and one in the evening). Do not exceed this unless directed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of esiflo 50 mcg/500 mcg inhaler
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Ritonavir | Major | |
| Propranolol | Major | |
| Furosemide | Moderate | |
| MAOIs | Moderate | |
| Tricyclic antidepressants | Moderate | |
| Grapefruit juice | Minor |
🚨 Major Interactions
- Strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
- Beta-blockers (e.g., propranolol)
⚡ Moderate Interactions
- Diuretics (e.g., furosemide)
- Monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants
🍷 Alcohol Interaction
Alcohol may increase the risk of dizziness, drowsiness, or changes in heart rate when used with this medicine. It is advisable to limit or avoid alcohol while using this inhaler.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to salmeterol, fluticasone propionate, or any component of the inhaler","Acute severe asthma attack or status asthmaticus","Use as a rescue inhaler for sudden breathing problems","Children under 4 years of age (for this specific strength and device, consult doctor)"]
⚠️ Warnings & Precautions
["Do not use this medicine to treat sudden breathing attacks; always carry a short-acting reliever inhaler.","Rinse mouth with water after each inhalation to prevent oral thrush.","Do not exceed the prescribed dose; higher doses may increase risk of systemic effects.","Use with caution in patients with cardiovascular disease, arrhythmias, or hypertension.","Use with caution in patients with diabetes; may increase blood glucose levels.","Use with caution in patients with thyroid disorders.","Long-term high-dose use may lead to adrenal suppression, cataracts, glaucoma, and reduced bone density.","Avoid close contact with people who have chickenpox or measles if you are not immune.","Do not stop this medicine abruptly without medical advice.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding."]
🤱 Lactation Safety
It is not known whether salmeterol and fluticasone propionate are excreted in human breast milk. Caution should be exercised when using this medicine during breastfeeding. Consult your doctor to weigh the benefits and risks.
💊 Overdose Management
Overdose with this inhaler is unlikely due to low systemic exposure. However, acute overdose may cause tachycardia, tremor, headache, and hypokalemia. Chronic overdose may lead to adrenal suppression. Treatment is supportive and symptomatic. In case of suspected overdose, contact your doctor or a poison control center immediately.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Always use this medicine exactly as prescribed by your doctor. Do not use it as a rescue inhaler for sudden breathing problems; keep a short-acting reliever inhaler available for that purpose. Rinse your mouth with water after each dose to prevent oral fungal infections. Do not stop or change the dose without consulting your doctor, even if you feel better. Tell your doctor if you have heart problems, thyroid disorders, diabetes, or liver disease before using this medicine. Avoid close contact with people who have infections like chickenpox or measles if you have not had them, as this medicine may weaken your ability to fight infections. Carry your emergency card or a list of your medicines at all times. If your breathing does not improve or worsens, seek medical help immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to systemic effects of inhaled corticosteroids, such as bone loss and cataracts. Regular monitoring is advised. Also, caution is needed if there is underlying heart disease due to the beta-2 agonist component.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before conception. Asthma and COPD should be well controlled during pregnancy. Inhaled corticosteroids are generally preferred. Your doctor will assess the benefits and risks of this specific combination.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are using this inhaler. Continue using it as prescribed unless told otherwise. It is important to maintain good lung function before and after surgery.
🦷 Dental Procedures
Inform your dentist that you use this inhaler, as it may increase the risk of oral thrush. Rinsing your mouth after use and maintaining good oral hygiene can help. No specific precautions are usually needed for dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You can exercise while using this medicine, but avoid strenuous activity in cold, dry air or high pollution. Use your reliever inhaler before exercise if advised by your doctor. Stop and rest if you feel breathless, wheezy, or dizzy.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is unlikely to affect your ability to drive or operate machinery. However, if you experience dizziness, tremors, or palpitations, avoid driving or operating heavy machinery until you feel well. It should not interfere with your daily work routine when used as prescribed.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor, even if you feel better. Stopping suddenly can lead to worsening of asthma or COPD. Your doctor may adjust or discontinue it based on your condition and response to treatment.
📅 Long-Term Use Effects
Long-term use of this medicine at high doses may increase the risk of cataracts, glaucoma, reduced bone mineral density, and adrenal suppression. Regular monitoring of lung function, growth in children, and eye examinations is recommended. Do not stop the medicine without consulting your doctor, as sudden discontinuation can worsen symptoms.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
May be sufficient for mild asthma; however, this combination is for patients needing both a long-acting bronchodilator and corticosteroid.
Evidence: Well-establishedDifferent combinations of inhaled corticosteroids and long-acting beta-2 agonists may be prescribed based on individual needs.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Ensure you are up to date with influenza and pneumococcal vaccinations, as respiratory infections can worsen asthma and COPD. Live vaccines should be avoided if you are on high-dose inhaled corticosteroids, but inactivated vaccines are generally safe. Consult your doctor.
📦 Storage Guide
✅ DO
Store at room temperature (below 30°C)
❌ DON'T
Do not refrigerate
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry your inhaler in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid temperature extremes in checked baggage. If traveling across time zones, continue your usual twice-daily schedule, adjusting times gradually. Store away from direct sunlight and moisture. Check customs regulations for carrying prescription inhalers, and carry a doctor's note if needed.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Salmeterol provides bronchodilation within 10-20 minutes, but the full anti-inflammatory effect of fluticasone propionate may take days to weeks. You may not feel immediate improvement, but regular use is essential.
A: No, this is a maintenance inhaler and should not be used for sudden breathing attacks. Always use a short-acting reliever inhaler for acute symptoms.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
🤔 Common Patient Concerns
🔄 Substitutes for esiflo 50 mcg/500 mcg inhaler
View AllAlternative brands with exact same active ingredient:
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combitide 50mcg/500mcg inhalerSun Pharmaceutical Industries Ltd ₹136.00 40.2% CHEAPER
-
vent sf 50 mcg/500 mcg capsuleMerck Ltd ₹221.35 2.6% CHEAPER
-
Rheoran SF 50mcg/500mcg RheocapSun Pharmaceutical Industries Ltd ₹228.68 0.6% COSTLIER
-
rheoran sf 50 mcg/500 mcg octacapSun Pharmaceutical Industries Ltd ₹295.50 30% COSTLIER
-
seroflo 500 multihalerCipla Ltd ₹307.03 35% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This inhaler can be used as a rescue inhaler during an asthma attack.
Fact: This medicine is a maintenance inhaler and should not be used for sudden breathing problems. Always use a short-acting reliever inhaler for acute attacks. - Myth: Inhaled steroids are dangerous and should be avoided.
Fact: Inhaled corticosteroids are safe and effective for controlling airway inflammation when used as prescribed. They have far fewer systemic side effects than oral steroids. - Myth: Once symptoms improve, the inhaler can be stopped.
Fact: This medicine controls symptoms but does not cure the disease. Stopping it without medical advice can lead to worsening of asthma or COPD.