Fluticasone‑Salmeterol Dosage Guide: What You Need to Know

If you’ve been prescribed fluticasone‑salmeterol, you probably want to know the exact amount to take and how to use it safely. This inhaler combines a steroid (fluticasone) with a fast‑acting bronchodilator (salmeterol) to keep your lungs open and reduce inflammation. Below you’ll find the most common dosing schedules, practical tips for each step, and warnings to keep in mind.

How to Take Fluticasone‑Salmeterol Correctly

First, always shake the inhaler gently for a few seconds before each use. This mixes the medication evenly. Then, breathe out fully, place the mouthpiece between your teeth, and seal your lips around it. Press down on the canister once while inhaling slowly and deeply. Hold your breath for about 10 seconds, then exhale slowly. If your doctor ordered two puffs, repeat the process after waiting about 30 seconds.

Don’t use the inhaler more often than prescribed. Over‑use can cause tremors, fast heartbeat, or low potassium levels. If you’re uncertain about the technique, ask your pharmacist to demonstrate – a quick video can help, too.

Common Dosage Options and When They’re Used

For adults with asthma, the typical dose is 100 µg fluticasone + 50 µg salmeterol per puff, taken twice a day. That means a total of 200 µg fluticasone and 100 µg salmeterol daily. Some patients need a higher strength – 250 µg fluticasone + 50 µg salmeterol per puff – also taken twice daily. Your doctor will choose the strength based on how well your symptoms are controlled.

For COPD, the same two‑times‑daily schedule applies, but the dose may start lower and be increased gradually. In many cases, doctors begin with the 100 µg/50 µg strength and adjust after a few weeks.

If you miss a dose, take it as soon as you remember – unless it’s almost time for your next dose. In that case, skip the missed one; don’t double up.

Kids under 12 usually aren’t prescribed this combination inhaler because the dose isn’t easily adjusted for small bodies. Pediatric asthma often uses separate inhalers for steroids and bronchodilators.

Keep the inhaler at room temperature, away from direct heat or freezing. Store it in a dry place and replace the canister when you hear a whistle or the dose counter hits low.

Side effects can include hoarse voice, throat irritation, or oral thrush. Rinse your mouth with water and spit it out after every use – this simple step cuts down on infections.

Finally, always check with your doctor before changing the dose, adding another inhaler, or stopping the medication. Even a short break can cause symptoms to flare up.

By following these steps, you’ll get the most benefit from fluticasone‑salmeterol while minimizing risks. Keep this guide handy, and don’t hesitate to reach out to your healthcare team if anything feels off.