Fluticasone/salmeterol

Fluticasone/salmeterol
Fluticasone propionate (top) and salmeterol (bottom)
Combination of
Fluticasone propionateGlucocorticoid
SalmeterolLong-acting beta-adrenoceptor agonist
Clinical data
Trade namesAdvair, Seretide, Cyplos, others
AHFS/Drugs.comFDA Professional Drug Information
MedlinePlusa699063
License data
Pregnancy
category
  • AU: B3
Routes of
administration
Inhalation
ATC code
Legal status
Legal status
Identifiers
CAS Number
PubChem CID
ChemSpider
KEGG
  (verify)

Fluticasone/salmeterol, sold under the brand name Advair among others, is a fixed-dose combination medication containing fluticasone propionate, an inhaled corticosteroid; and salmeterol, a long-acting beta2‑adrenergic agonist.[2][3][4] It is used in the management of asthma and chronic obstructive pulmonary disease (COPD).[4] It is used by inhaling the medication into the lungs.[4]

Common side effects include thrush, headache, and cough.[5] Serious side effects may include worsening asthma, anaphylaxis, seizures, and heart problems.[5] Safety in pregnancy and breastfeeding is unclear.[6] Fluticasone, a corticosteroid, works by decreasing inflammation while salmeterol, a long-acting beta-adrenoceptor agonist (LABA), works by activating beta-2 adrenergic receptors.[5]

The combination was approved for medical use in the United States in 2000.[5] A generic version was approved in the United States in 2019.[7] In 2022, it was the 59th most commonly prescribed medication in the United States, with more than 11 million prescriptions.[8][9]

  1. ^ "Seroflo Multihaler (Cipla Australia Pty Ltd)". Department of Health and Ages Care. Retrieved 1 April 2023.
  2. ^ a b "Advair Diskus- fluticasone propionate and salmeterol powder". DailyMed. 30 June 2023. Retrieved 8 September 2024.
  3. ^ a b "Advair HFA- fluticasone propionate and salmeterol xinafoate aerosol, metered". DailyMed. 23 May 2024. Retrieved 8 September 2024.
  4. ^ a b c British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. pp. 263–264. ISBN 9780857113382.
  5. ^ a b c d "Fluticasone and Salmeterol inhalation - FDA prescribing information, side effects and uses". Drugs.com. Retrieved 4 March 2019.
  6. ^ "Fluticasone / salmeterol Pregnancy and Breastfeeding Warnings". Drugs.com. Retrieved 3 March 2019.
  7. ^ "FDA approves first generic Advair Diskus". U.S. Food and Drug Administration (FDA) (Press release). Retrieved 30 January 2019.
  8. ^ "The Top 300 of 2022". ClinCalc. Archived from the original on 30 August 2024. Retrieved 30 August 2024.
  9. ^ "Fluticasone; Salmeterol Drug Usage Statistics, United States, 2013 - 2022". ClinCalc. Retrieved 30 August 2024.