Maxiflo 250 Rotacaps

• To prevent breathing problems in asthma patients like breathless or wheezing

• Allergy to fluticasone, formoterol, or other contents of the medicine
• Pregnancy
• Children under the age of 5 years

• Shortness of breath
• Swelling of eyelids, face
• Rash
• Immediate increase in wheezing
• Low blood pressure
• Nausea

Other General Warnings

• You have a different illness
• You are taking other medications or plan to take new ones even those not prescribed
• You have an infection of lungs or in the chest
• You suffer from tuberculosis or have had it in the past
• You have heart problems
• You have an abnormal bulging of any blood vessels in the body (called aneurysms)
• You suffer from diabetes or have high blood pressure problem
• You have a hyperactive thyroid gland
• You suffer from potassium deficiency in the blood
• Your adrenal gland function is not working properly or have an adrenal tumour
• You have liver problems
• You will have an operation under general anaesthesia or are under extreme stress
• You are experiencing discomfort and are facing vision disturbances due to this medicine

• Use the inhaler exactly as prescribed by the doctor
• Read the leaflet attached with the pack for specific instructions on how to use
• Do not use the inhaler when the counter reads zero
• Do not exceed the recommended dosage
• In case of any exposure of the inhaler to freezing temperatures or if you are using it for the first time, it must be 'primed' before use (instructions are given in the leaflet)
• The inhaler must always be shaken just before use
• Rinse your mouth or gargle after taking the medicine and spit out the residue to avoid a sore mouth or throat
• Clean the inhaler properly after use

Overdose

Missed a Dose

How Does It Work?

Interactions with other medicines

• Medicines containing cromoglicate should not be used with Maxiflo
• The risk of side effects is increased when Maxiflo is given with certain viral antibiotics, ketoconazole, telithromycin, or cobicistat
• Concomitant anaesthesia with halogenated hydrocarbons can increase risk of abnormal heart rhythm
• Effect of formoterol may be enhanced if given with other adrenergic medicines
• Blood pressure medicines called beta blockers can reduce effect of formoterol
• Loop or thiazide diuretics (used to manage high blood pressure) or digitalis glycosides and Maxiflo if given together can cause potassium deficiency in the blood
• L-dopa, L-thyroxine, oxytocin, and alcohol can all reduce cardiac tolerance to Maxiflo
• Co-administration with furazolidone and procarbazine can cause high blood pressure
• Care should be taken while giving Maxiflo with antidepressants, antipsychotics, antihistamines and with quinidine, disopyramide, procainamide to avoid risk for abnormal heart rhythm