Hiflo Rotacaps (Salmeterol + Fluticasone)

Precautions

• Not a rescue medication – Do not use for sudden breathing problems
• Use exactly as prescribed, even when symptoms improve
• Caution in patients with heart disease, hypertension, thyroid disorders, or diabetes
• Avoid exposure to infections, especially tuberculosis (TB)
• Not recommended for children under 4 years without medical guidance
• Pregnant or breastfeeding? Consult your doctor before use

Uses

Hiflo Rotacaps are prescribed for:

• Long-term control and prevention of asthma symptoms
• Management of COPD, including chronic bronchitis and emphysema
• Reducing airway inflammation, wheezing, and breathlessness
• Preventing exacerbations of respiratory conditions

Side Effects

Common side effects:

• Hoarseness or throat irritation
• Headache
• Cough or dry mouth
• Fungal infections (oral thrush)
• Nausea

Serious (rare) side effects:

• Increased heart rate or palpitations
• Severe allergic reactions (rash, swelling, difficulty breathing)
• Vision changes or eye pain (glaucoma risk)
• Adrenal suppression (with long-term high-dose use)

Rinse your mouth after each use to prevent oral thrush and other local side effects.

FAQs

Q1. How do I use Hiflo Rotacaps?
A: Insert the rotacap into the rotahaler, twist to break the capsule, and inhale deeply through the mouthpiece. Follow your doctor’s instructions.

Q2. Can Hiflo Rotacaps be used during an asthma attack?
A: No. This is a maintenance therapy, not a quick-relief medication.

Q3. How long does it take to work?
A: Full benefits are usually seen after a few days to weeks of regular use.

Q4. What if I miss a dose?
A: Take it as soon as you remember. If it’s close to your next dose, skip the missed one—do not double dose.

Q5. Do I need to rinse my mouth after use?
A: Yes. Rinse and spit out the water to prevent oral infections (like thrush).

Interactions

Hiflo Rotacaps may interact with:

• Beta-blockers (may reduce efficacy)
• Antifungals (ketoconazole, itraconazole) – may increase steroid levels
• HIV protease inhibitors – may increase risk of side effects
• Other steroids or bronchodilators – dose adjustment may be needed