Seroflo 250 Ciphaler is a metered-dose inhaler (MDI) manufactured by Cipla Ltd. It contains a combination of two active medicines:

• Fluticasone propionate (250 micrograms) — this is an inhaled corticosteroid that reduces inflammation and swelling inside the airways of the lungs.
• Salmeterol (50 micrograms) — this is a long-acting bronchodilator (LABA) that relaxes the muscles around the air passages so they stay open and allow air to flow more easily.

The device delivers a measured dose of medicine each time you press the inhaler while breathing in. It is meant for daily, regular use under medical supervision and is not a rescue inhaler for sudden breathing attacks.

How It Works

When you inhale from the Seroflo 250 Ciphaler:

• Fluticasone works to suppress inflammation. It blocks the release of chemical messengers that cause swelling and excess mucus in the airways, helping reduce persistent symptoms and preventing flare-ups.
• Salmeterol acts on the smooth muscles of the bronchial tubes, relaxing them so the airflow is improved and breathing becomes easier.

This dual action helps improve lung function over time, reduces shortness of breath, wheezing, chest tightness, and coughing, and helps prevent worsening of symptoms.

Uses and Benefits

Seroflo 250 Ciphaler is prescribed for:

• Asthma, to help control symptoms and reduce the frequency of attacks.
• Chronic Obstructive Pulmonary Disease (COPD), to support easier breathing and reduce symptoms associated with chronic airflow limitation.

Because it helps reduce inflammation and widen the airways, regular use can improve exercise tolerance, quality of life, and reduce symptom flare-ups when used as directed.

How to Use It

Follow your doctor’s instructions exactly. Common steps include:

1. Shake the inhaler gently before each use so the medication is properly mixed.
2. Exhale fully, then place the mouthpiece in your mouth and close your lips around it.
3. Inhale deeply and press the canister once so the dose is delivered into your lungs.
4. Hold your breath for a few seconds to allow the medicine to reach deep into the airways.
5. Rinse your mouth with water and spit it out after inhalation to reduce the risk of fungal infections in the mouth and throat.

Do not swallow the medicine; it must be inhaled into the lungs. It is typically used twice daily (morning and evening), but your doctor will specify the exact frequency and number of puffs.

Common Side Effects

Some people may experience side effects, most of which are mild and often improve with continued use. These include:

• Throat irritation or soreness
• Hoarseness or changes in voice
• Headache
• Dry mouth or cough
• Upper respiratory tract infections
• Fungal infection in the mouth (oral thrush)
• Muscle cramps or joint pain
• Slight increase in heart rate or palpitations

Rinsing your mouth regularly and maintaining good oral hygiene can help reduce the risk of fungal infections. If side effects are severe, persistent, or worrying, consult your doctor.

Important Precautions

• Not for sudden asthma attacks: keep a separate fast-acting rescue inhaler for acute symptoms.
• Allergies: do not use if you are allergic to fluticasone, salmeterol, or any other ingredients.
• Medical conditions: tell your doctor if you have heart disease, high blood pressure, diabetes, thyroid disorders, liver or kidney problems, or low potassium.
• Pregnancy and breastfeeding: use only if prescribed by a doctor after weighing benefits and risks.
• Children: it is generally not recommended for children under 12 without a doctor’s advice.

Do not stop this medicine abruptly, even if you feel better; unplanned discontinuation may lead to worsening of symptoms.

Storage

Keep the inhaler in a cool, dry place away from direct sunlight and heat. Store at room temperature and keep out of reach of children. Check the packaging for any specific storage instructions.

Active Ingredient (Generic Name):	Salmeterol + Fluticasone Propionate
Manufacturer:	Cipla Limited
Packaging:	60.0 MDI in 1 box
Strength:	250 MCG