maxiflo 250 inhaler
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MAXIFLO 250 INHALER

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MAXIFLO 250 INHALER

By CIPLA PHARMACEUTICAL COMPANY LIMITED

MRP

978.28

₹831.54

15 % OFF

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Product DetailsArrow

Content Reviewed By:

Dr. Amit Patel

, (MBBS)

Written By:

Ms. Kavita Desai

, (B.Pharm)

About MAXIFLO 250 INHALER

  • Maxiflo 250 Inhaler is a prescription combination inhaler commonly used for the regular management of asthma and chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema, where a combination of an inhaled corticosteroid and a long-acting bronchodilator is clinically indicated. It is not a rescue or reliever inhaler and should not be used to treat sudden episodes of breathlessness or acute asthma attacks. Instead, it is intended for long-term maintenance therapy to help reduce airway inflammation, improve airflow, and decrease the frequency and severity of symptoms such as wheeze, chest tightness, cough, and shortness of breath. The product typically contains an inhaled corticosteroid (ICS) and a long-acting beta2-agonist (LABA). The corticosteroid component helps to suppress inflammation and swelling in the airways, while the LABA component relaxes the smooth muscles of the bronchial tree, leading to sustained bronchodilation. This dual mechanism supports better symptom control when used regularly as prescribed. Maxiflo 250 Inhaler is usually recommended for patients whose asthma or COPD is not adequately controlled with an inhaled corticosteroid alone, or for those who are already stabilised on separate ICS and LABA inhalers and are being switched to a single combination device for convenience and adherence. The “250” in the name refers to the strength of the corticosteroid component per actuation, but the exact strength and composition can vary by manufacturer and country; therefore, patients must follow the specific information provided on their pack and by their prescriber. The inhaler must be used exactly as directed by a healthcare professional. Patients should be trained in correct inhaler technique, as poor technique can significantly reduce drug delivery to the lungs and limit clinical benefit. Rinsing the mouth with water and spitting it out after each use is usually advised to reduce the risk of local side effects such as oral thrush and hoarseness. Treatment should not be stopped abruptly without medical advice, especially in patients with severe or unstable disease. Regular follow-up with a doctor is important to monitor symptom control, lung function, and potential side effects, and to adjust therapy if needed.

Uses of MAXIFLO 250 INHALER

  • Asthma maintenance treatment
  • Chronic Obstructive Pulmonary Disease (COPD) treatment
  • Relief from shortness of breath
  • Reducing wheezing
  • Relief from chest tightness
  • Prevention of exercise-induced bronchospasm
  • Reducing inflammation in the airways

How MAXIFLO 250 INHALER Works

  • MAXIFLO 250 Inhaler is a combination medicine used to relieve symptoms of asthma and chronic obstructive pulmonary disease (COPD) such as wheezing, shortness of breath, chest tightness, and coughing. It contains two active ingredients: Fluticasone propionate and Formoterol fumarate. These components work together to open up the airways in the lungs and reduce inflammation, making it easier to breathe.
  • Fluticasone propionate is a corticosteroid. It works by reducing inflammation in the airways. When inhaled, it suppresses the release of inflammatory substances in the lungs. This action helps to decrease swelling and mucus production in the airways, thereby preventing asthma attacks and improving breathing over time. Regular use of fluticasone helps to control the underlying inflammation associated with asthma and COPD.
  • Formoterol fumarate is a long-acting beta-agonist (LABA). It works by relaxing the muscles around the airways, causing them to widen. This bronchodilation allows air to flow more freely into and out of the lungs, providing quick relief from symptoms like wheezing and shortness of breath. The effects of formoterol last for about 12 hours, making it effective for providing sustained relief. It's crucial to use formoterol regularly as prescribed to maintain open airways.
  • The combination of fluticasone and formoterol in MAXIFLO 250 Inhaler provides both long-term control of inflammation and quick relief of bronchospasm. Fluticasone addresses the underlying inflammation that contributes to asthma and COPD, while formoterol provides rapid bronchodilation to alleviate acute symptoms. This dual action helps to improve overall lung function, reduce the frequency of exacerbations, and enhance the quality of life for individuals with these respiratory conditions. It is important to use MAXIFLO 250 Inhaler exactly as prescribed by your doctor for optimal results.
  • The inhaler delivers a fine mist of medication directly into the lungs. When you inhale, the medication particles reach the small airways, where they can exert their effects. Proper technique, such as holding your breath for a few seconds after inhaling, is essential to ensure that the medication reaches the deep parts of the lungs. Always follow your doctor's or pharmacist's instructions on how to use the inhaler correctly. Consistent and correct use of MAXIFLO 250 Inhaler helps to manage symptoms effectively and prevent flare-ups.

Side Effects of MAXIFLO 250 INHALERArrow

Common side effects of MAXIFLO 250 Inhaler may include: Hoarseness, Sore throat, Fungal infection of mouth, Headache, Muscle cramps, Bone pain, Increased heart rate, Cough, and Tremors. Uncommon side effects may include: Anxiety, Depression, Sleep disturbances, Cataract, Glaucoma, Decreased bone density, and Skin thinning.

Safety Advice for MAXIFLO 250 INHALERArrow

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Infections and Immune System

Monitor for infections

The inhaled corticosteroid component of Maxiflo 250 Inhaler can, in some individuals, slightly increase susceptibility to local infections such as oral thrush or throat infections.

Dosage of MAXIFLO 250 INHALERArrow

  • The recommended dosage of MAXIFLO 250 INHALER varies depending on the severity of your asthma or COPD and your individual response to the medication. It is crucial to strictly adhere to the dosage prescribed by your physician. Do not attempt to self-adjust the dosage, even if you feel your symptoms are improving or worsening, without consulting your healthcare provider.
  • Typically, for adults and adolescents (12 years and older) with asthma, the usual starting dose is two inhalations twice daily. The maximum daily dose should not exceed eight inhalations. For COPD, the usual dose is also two inhalations twice daily. Your doctor may adjust the dosage based on your condition and response to the treatment.
  • Children (4-11 years): The dosage will be determined by your child's doctor based on their age, weight, and the severity of their asthma. It is essential to follow the doctor's instructions precisely. Do not administer more than the prescribed dose to your child.
  • It is important to use MAXIFLO 250 INHALER consistently, even when you are feeling well, to maintain control of your asthma or COPD. If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.
  • Rinse your mouth thoroughly with water after each use of MAXIFLO 250 INHALER to help prevent oral thrush (a fungal infection in the mouth).
  • Take 'MAXIFLO 250 INHALER' only as per the prescription by your physician only

What if I miss my dose of MAXIFLO 250 INHALER?Arrow

  • If you miss a dose of MAXIFLO 250 Inhaler, 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 dosing schedule. Do not double the dose to make up for a missed one.

How to store MAXIFLO 250 INHALER?Arrow

  • Keep MAXIFLO 250 INHALER 120MD away from the reach of children and pets.
  • Store MAXIFLO 250 INHALER 120MD in a refrigerator (2 - 8°C). Do not freeze.

Benefits of MAXIFLO 250 INHALERArrow

  • MAXIFLO 250 Inhaler is a combination medicine used to treat asthma and chronic obstructive pulmonary disease (COPD). It contains two medicines: fluticasone propionate (a steroid) and formoterol (a long-acting beta-agonist). Fluticasone propionate reduces inflammation in the airways, making it easier to breathe. Formoterol works by relaxing the muscles in the airways, widening them and allowing air to flow in and out of the lungs more easily. This combination helps to control symptoms such as wheezing, shortness of breath, chest tightness, and coughing.
  • One of the primary benefits of MAXIFLO 250 Inhaler is its ability to provide long-lasting relief from respiratory symptoms. Formoterol's long-acting bronchodilator effect ensures that the airways remain open for an extended period, typically up to 12 hours. This reduces the frequency of needing rescue medication and improves overall symptom control throughout the day and night. Consistent use as prescribed helps in preventing sudden asthma attacks and COPD exacerbations.
  • Fluticasone propionate, being a corticosteroid, effectively reduces inflammation in the airways. Chronic inflammation is a key factor in both asthma and COPD, leading to airway narrowing and increased mucus production. By reducing this inflammation, MAXIFLO 250 Inhaler helps to improve lung function, reduce airway reactivity, and decrease the likelihood of symptoms being triggered by allergens, irritants, or exercise.
  • Regular use of MAXIFLO 250 Inhaler can lead to a significant improvement in the quality of life for individuals with asthma and COPD. By effectively managing respiratory symptoms, it allows patients to engage in daily activities with greater ease and comfort. This includes improved exercise tolerance, better sleep quality due to reduced nighttime symptoms, and increased participation in social and recreational activities.
  • MAXIFLO 250 Inhaler is designed for convenient and easy administration. The inhaler device delivers a consistent and measured dose of medication directly to the lungs, ensuring optimal therapeutic effect. Proper technique, as instructed by a healthcare professional, is essential to maximize the benefits of the inhaler. This targeted delivery minimizes systemic side effects compared to oral medications.
  • Furthermore, using MAXIFLO 250 Inhaler as part of a comprehensive asthma or COPD management plan can reduce the need for hospitalizations and emergency room visits. By proactively controlling symptoms and preventing exacerbations, it helps to maintain stable respiratory health and reduces the overall burden of these chronic respiratory conditions. It is crucial to use this inhaler regularly as prescribed, even when feeling well, to maintain optimal control and prevent symptom flare-ups.

How to use MAXIFLO 250 INHALERArrow

  • MAXIFLO 250 Inhaler is designed for easy and effective delivery of medication directly to your lungs. To ensure you receive the full benefit, follow these steps carefully:
  • 1. **Preparation:** Before each use, remove the cap from the inhaler and check the mouthpiece for any foreign objects. Shake the inhaler well for about 5-10 seconds. This mixes the medication properly, ensuring you get the correct dose.
  • 2. **Positioning:** Stand or sit upright. Tilt your head back slightly. This helps to open your airways for better medication delivery.
  • 3. **Exhalation:** Breathe out fully and gently. You want to empty your lungs as much as possible before inhaling the medicine.
  • 4. **Inhalation:** Place the mouthpiece of the inhaler between your teeth, and close your lips around it to form a tight seal. Start to breathe in slowly and deeply through your mouth. At the same time, press down firmly on the canister of the inhaler to release the medication. Continue inhaling deeply and steadily.
  • 5. **Breath-Holding:** After you have inhaled fully, remove the inhaler from your mouth and hold your breath for as long as is comfortable, ideally for about 10 seconds. This allows the medication to settle in your lungs.
  • 6. **Exhalation (Post-Inhalation):** Breathe out slowly through your nose.
  • 7. **Repeat (If Necessary):** If your doctor has prescribed more than one puff, wait about a minute and repeat steps 1 through 6. This allows the first dose to open your airways, improving the effectiveness of the second dose.
  • 8. **Cleaning:** After use, replace the cap on the inhaler. It’s important to keep your inhaler clean to prevent blockage. At least once a week, remove the canister and clean the plastic actuator with warm water. Allow it to air dry completely before reassembling. Do not wash the canister itself.
  • 9. **Dosage and Frequency:** Use MAXIFLO 250 Inhaler exactly as prescribed by your doctor. Do not increase the dose or frequency without consulting your healthcare provider. Overuse of the inhaler can lead to adverse effects.
  • 10. **Consultation:** If you are unsure about how to use the inhaler, or if your symptoms do not improve, consult your doctor or pharmacist for further guidance. They can provide a demonstration or answer any questions you may have.
  • By following these instructions carefully, you can ensure that you are using MAXIFLO 250 Inhaler correctly and receiving the maximum benefit from your medication.

Quick Tips for MAXIFLO 250 INHALERArrow

  • **Master Your Inhaler Technique:** Ensure you're using your MAXIFLO 250 Inhaler correctly. Shake well before each use, exhale completely, seal your lips around the mouthpiece, and inhale deeply and slowly while pressing down on the canister. Hold your breath for about 10 seconds before exhaling slowly. Proper technique maximizes medication delivery to your lungs. If unsure, ask your doctor or pharmacist for a demonstration.
  • **Consistency is Key:** Use MAXIFLO 250 Inhaler as prescribed by your doctor, even if you feel well. This medication is often used for long-term control of asthma or COPD symptoms, and consistent use is crucial for preventing flare-ups. Do not skip doses or stop using it without consulting your healthcare provider, as this could worsen your condition.
  • **Keep Your Inhaler Clean:** Regularly clean your MAXIFLO 250 Inhaler to prevent medication build-up and ensure proper functioning. Remove the canister and clean the plastic actuator with warm water and mild soap at least once a week. Allow it to air dry completely before reassembling. A clean inhaler delivers medication more effectively.
  • **Understand Potential Side Effects:** Be aware of potential side effects such as throat irritation, hoarseness, or fungal infections in the mouth (thrush). Rinse your mouth with water after each use of MAXIFLO 250 Inhaler to minimize these effects. If you experience persistent or severe side effects, consult your doctor.
  • **Know When to Seek Help:** MAXIFLO 250 Inhaler is designed to manage chronic respiratory conditions. If you experience a sudden worsening of symptoms, such as severe shortness of breath, wheezing, or chest tightness, use your rescue inhaler (if prescribed) and seek immediate medical attention. MAXIFLO 250 Inhaler is not a substitute for a rescue inhaler in acute situations.

Food Interactions with MAXIFLO 250 INHALERArrow

  • MAXIFLO 250 Inhaler is generally safe to use with food. There are no known significant interactions between this medication and specific foods or beverages. You can use the inhaler as prescribed by your doctor, regardless of your meal schedule. However, if you experience any stomach upset, taking it with a small snack might help.

FAQs

What is Maxiflo 250 Inhaler?Arrow

Maxiflo 250 Inhaler is a combination medicine used to relieve symptoms of asthma and chronic obstructive pulmonary disease (COPD), such as wheezing, shortness of breath, and coughing.

What are the active ingredients in Maxiflo 250 Inhaler?Arrow

Maxiflo 250 Inhaler contains two active ingredients: Fluticasone Propionate (a corticosteroid) and Formoterol Fumarate (a long-acting beta-agonist).

How to use Maxiflo 250 Inhaler?Arrow

Before using the inhaler, read the instructions on the label carefully. Exhale completely, place the inhaler in your mouth, inhale slowly and deeply while pressing the canister to release the medication. Hold your breath for 10 seconds, then exhale slowly.

What are the common side effects of Maxiflo 250 Inhaler?Arrow

Common side effects of Maxiflo 250 Inhaler include sore throat, hoarseness, headache, and fungal infection in the mouth.

Can I drink alcohol while using Maxiflo 250 Inhaler?Arrow

There is generally no direct danger in drinking alcohol while using Maxiflo 250 Inhaler, but it is best to consult your doctor about any potential interactions.

Is Maxiflo 250 Inhaler safe for children?Arrow

The safety and effectiveness of Maxiflo 250 Inhaler in children have not been established. It should only be given to children under medical supervision.

Is it safe to use Maxiflo 250 Inhaler during pregnancy?Arrow

Maxiflo 250 Inhaler should only be used during pregnancy if the benefits outweigh the risks. Consult your doctor.

How should I store Maxiflo 250 Inhaler?Arrow

Store Maxiflo 250 Inhaler at room temperature, away from direct sunlight and moisture.

What if I miss a dose of Maxiflo 250 Inhaler?Arrow

If you miss a dose of Maxiflo 250 Inhaler, use 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 dosing schedule. Do not use a double dose.

Is Maxiflo 250 Inhaler a steroid?Arrow

Maxiflo 250 Inhaler contains fluticasone propionate, which is a corticosteroid.

How long does it take for Maxiflo 250 Inhaler to start working?Arrow

It may take a few days for Maxiflo 250 Inhaler to start relieving symptoms. Continue using it regularly for best results.

Can I use Maxiflo 250 Inhaler for immediate relief?Arrow

Maxiflo 250 Inhaler is not meant for immediate relief. It is a maintenance medication that should be used regularly to control symptoms of asthma and COPD.

Can Maxiflo 250 Inhaler cause mouth ulcers?Arrow

Mouth ulcers are an uncommon side effect of Maxiflo 250 Inhaler, but they can occur. You can reduce this risk by rinsing your mouth with water after using the inhaler.

Can I take other medications with Maxiflo 250 Inhaler?Arrow

Consult your doctor or pharmacist before taking other medications with Maxiflo 250 Inhaler, as some medications can interact with it.

Is Maxiflo 250 Inhaler addictive?Arrow

No, Maxiflo 250 Inhaler is not addictive.

What is Maxiflo 250 Inhaler used for?Arrow

Maxiflo 250 Inhaler is generally used as a maintenance treatment for asthma and chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema, in patients who require both an inhaled corticosteroid and a long-acting bronchodilator. It helps reduce airway inflammation, improve breathing, and decrease the frequency of exacerbations when used regularly as prescribed.

Is Maxiflo 250 Inhaler a rescue inhaler for sudden asthma attacks?Arrow

No. Maxiflo 250 Inhaler is not intended for the rapid relief of acute asthma symptoms or sudden breathlessness. It has a preventive and maintenance role. For sudden attacks, a fast-acting reliever (short-acting bronchodilator) prescribed by your doctor should be used. If you need your reliever inhaler more often than usual, seek medical review promptly.

How should I use Maxiflo 250 Inhaler correctly?Arrow

Use Maxiflo 250 Inhaler exactly as directed by your doctor and according to the patient information leaflet supplied with the device. In general, you should exhale gently away from the inhaler, place the mouthpiece between your lips to form a tight seal, actuate the device as instructed while inhaling steadily and deeply, then hold your breath for several seconds before exhaling slowly. The exact steps depend on the specific inhaler device type (for example, metered-dose inhaler or dry powder inhaler), so you should ask your healthcare professional or pharmacist to demonstrate the correct technique.

Can I stop using Maxiflo 250 Inhaler once I feel better?Arrow

You should not stop using Maxiflo 250 Inhaler abruptly without consulting your doctor, even if your symptoms improve. Asthma and COPD are chronic conditions, and stopping maintenance therapy suddenly may lead to worsening symptoms or exacerbations. Your doctor may decide to step down or adjust your treatment gradually based on your control, lung function, and overall clinical status.

Can Maxiflo 250 Inhaler be used in children?Arrow

Use in children depends on age, diagnosis, and local prescribing guidelines. Some strengths and combinations may not be suitable for younger children. The decision to use Maxiflo 250 Inhaler in a child must be made by a paediatrician or respiratory specialist, who will consider the child’s symptom severity, previous treatments, and ability to use the inhaler correctly. Never give this inhaler to a child without specific medical advice.

What should I do if I miss a dose of Maxiflo 250 Inhaler?Arrow

If you miss a dose, take it as soon as you remember, unless it is almost time for your next scheduled dose. If it is close to the next dose, skip the missed dose and continue with your regular dosing schedule. Do not take extra doses to make up for a missed one, as this may increase the risk of side effects without additional benefit. If you frequently forget doses, discuss adherence strategies with your healthcare provider.

Can I use Maxiflo 250 Inhaler more often than prescribed if my symptoms worsen?Arrow

You should not increase the frequency or number of inhalations beyond what your doctor has prescribed. Overuse may increase the risk of systemic side effects from both the corticosteroid and the long-acting bronchodilator components. If your symptoms are not adequately controlled or are worsening, seek medical advice promptly; your treatment plan may need adjustment, and your doctor may review your inhaler technique and overall management.

Are there any medicines that interact with Maxiflo 250 Inhaler?Arrow

Certain medicines can interact with the components of Maxiflo 250 Inhaler. Examples include some antifungal agents, certain antibiotics, antiviral medicines, beta-blockers, and drugs that affect heart rhythm or potassium levels. Strong inhibitors of specific liver enzymes may increase systemic exposure to the corticosteroid or bronchodilator. Always inform your doctor and pharmacist about all prescription medicines, over-the-counter products, and herbal supplements you are taking so they can assess potential interactions.

What precautions should I take while using Maxiflo 250 Inhaler?Arrow

Before starting Maxiflo 250 Inhaler, inform your doctor if you have a history of tuberculosis, chronic or recurrent infections, heart disease, high blood pressure, arrhythmias, diabetes, thyroid disorders, osteoporosis, glaucoma, cataracts, or adrenal gland problems. Use the inhaler regularly as prescribed, do not exceed the recommended dose, and attend scheduled follow-up visits. Report any signs of infection, worsening breathing, vision changes, or unusual tiredness to your doctor. Proper inhaler technique and mouth rinsing after use are important to maximise benefit and minimise risks.

References

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MAXIFLO 250 Inhaler (Salmeterol/Fluticasone) - Summary of Product Characteristics. Electronic Medicines Compendium (emc).

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Salmeterol drug record on DrugBank

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Fluticasone drug record on DrugBank

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Combination Therapy of Salmeterol and Fluticasone Propionate in Asthma: A Review. PMC, National Center for Biotechnology Information.

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Salmeterol and fluticasone propionate. A new therapeutic option in asthma. PubMed.

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SEREVENT DISKUS and FLOVENT DISKUS inhalation powder label. FDA.

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