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Asthma

AirFluSal MDI

AirFluSal MDI is an inhaling device used in the treatment of asthma in adults. Asthma is a condition which affects the lungs and causes the airways to become irritated, sensitive, tight and inflamed. This makes breathing very difficult which can be life threatening for some people. Asthma is a long term condition which needs a long term treatment plan to keep flare ups under control.

AirFluSal MDI is a preventer inhaler which means it stops the symptoms of breathlessness and wheezing coming on, and helps to prevent asthma attacks which can be severe and dangerous. However, it should not be used to treat or relieve a sudden attack. This inhaler contains the ingredients, salmeterol and fluticasone propionate, which work together to open up the airways and reduce inflammation in the lungs. AirFluSal MDI is a prescription only medication and should be discussed with a doctor before using. Doctor-4-U can determine your suitability for this method of treatment.

Last Patient Information Leaflet Review: 15/01/2020


See AirFluSal MDIPatient Information Leaflet

This medicine is not available to request via our online service. The only treatments that we can prescribe for asthma are Ventolin, Salbutamol, and the Salbutamol Easi-breathe Inhaler. If you are still having trouble with your symptoms please visit the NHS website for services in your area


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Dr. Diana Gall GMC No. 7685129

Dr Diana Gall graduated from medical school in 2005 and has since undertaken further intensive training in many different areas of medicine. Dr Diana has reached consultant level and has practiced medicine all over Europe.

Shamir Patel GPHC No. 2049338

Shamir is a well-respected pharmacist with extensive experience running online pharmacies in the UK.

How does AirFluSal MDI work?

The active ingredients in this medicine, salmeterol and fluticasone propionate, are key to how AirFluSal prevents the symptoms of asthma. Salmeterol is a long-acting bronchodilator which works by relaxing the muscles in the airways and this helps to keep the airways open to make it easier for air to flow in and out of the lungs.

Salmeterol is usually used alongside fluticasone which is a type of corticosteroid. Corticosteroid is a natural hormone in the body which controls inflammatory responses. When the immune system is exposed to an allergen or trigger it releases chemicals which can cause inflammation. AirFluSal MDI is a type of man-made corticosteroid and it works by stopping the release of these chemicals to reduce swelling and inflammation in the lungs.

By combining these two ingredients the airways are kept open and the inflammation and irritation is reduced making breathing far easier for asthma sufferers.

How to use AirFluSal MDI

You should always follow the guidelines given by your doctor and the patient information leaflet whether you’ve used an inhaler before or not. How much you take will depend on the severity of your condition, your doctor will prescribe your dose. The usual dose for adults over the age of 18 is two puffs of the medicine twice a day.

To use the inhaler you should stand or sit in an upright position and keep the inhaler upright. Before using the inhaler remove the mouthpiece, ensure it is clean, and shake the inhaler 4-5 times to mix the contents together. Breathe in and out slowly then place the mouthpiece in your mouth and close your lips around it. Breathe in through your mouth slowly and deeply and after breathing in press down on the top of the inhaler to release one puff of medicine. Hold your breath and remove the inhaler, then continue to hold your breath for as long as you can.

It’s best to wait around 30 seconds in between each puff of medicine, and when finished rinse your mouth with water to prevent infections and sore mouth or throat.

Who is AirFluSal MDI suitable for?

AirFluSal MDI is suitable for adults over the age of 18 who have been diagnosed with asthma and are struggling with daily symptoms of wheezing, coughing, and breathlessness. This inhaler is more suitable to those who need to keep these daily symptoms under control to prevent an attack.

Who should not use AirFluSal MDI?

Some medications or existing health conditions might make you unsuitable to use this type of inhaler. This may be due to interactions between the drugs or this medicine may worsen other health conditions. If you’re pregnant or breastfeeding this may also make you unsuitable for this medicine. You should always consult your doctor if you’re taking other medication, have a health condition or a history of certain conditions, or are pregnant, to ensure that this medicine is safe for you to take.

This type of inhaler should not be used by children, there are alternative inhalers available which are more suitable to children.

Can I use AirFluSal MDI while pregnant?

AirFluSal MDI should only be used in pregnancy if the benefits are greater than the risks. Your doctor will advise on whether this type of inhaler is safe for you to use if you’re pregnant. There’s also not much evidence on the effects of using this inhaler while breastfeeding, so it’s best to avoid using it unless your doctor deems it safe to do so. Your asthma will still need to be kept under control when pregnant or breastfeeding and you discuss with your doctor the most suitable method for you.

AirFluSal MDI and health conditions

If you have any health conditions other than asthma you should discuss these with your doctor before using AirFluSal MDI. There are certain health conditions which may make you unsuitable to use this inhaler. If you have any of the following or have had them in the past always consult your doctor first as using AirFluSal MDI could be dangerous for your health:

  • Heart disease
  • Irregular or fast heartbeat
  • Overactive thyroid gland
  • High blood pressure
  • Diabetes mellitus - AirFluSal MDI could increase blood sugar
  • Low potassium in your blood
  • Tuberculosis
  • Allergy to salmeterol, fluticasone propionate, or any other ingredient in this medicine

AirFluSal MDI and other medication

If you’re currently taking other medication this should always be discussed with your doctor before using AirFluSal to avoid interactions between the drugs and unpleasant side effects. There are certain types of medicines which may not be suitable to take alongside using this inhaler. These include:

  • Beta blockers such as atenolol, propranolol, and sotalol
  • Medicines to treat infections and HIV such as ritonavir, cobicistat, ketoconazole, itraconazole, and erythromycin
  • Any other corticosteroids
  • Diuretics
  • Other bronchodilators such as salbutamol
  • Xanthine medicines used to treat asthma

Discuss with your doctor whether any medicines can be taken with AirFluSal MDI or whether you need to take alternative medication or reduce dosages.

What are the side effects of AirFluSal MDI?

All medications have some side effects but not everyone experiences them. Common side effects may affect 1 in 10 people, and there are some uncommon and rare side effects which may occur in 1 in 100 people, or 1 in 1,000 people in rarer cases. If you experience any side effects you should consult your doctor as soon as possible, to discuss lowering your dose or changing to an alternative treatment.

Common side effects

Side effects which may occur in up to 1 in 10 people include:

  • Headache
  • Cold-like symptoms
  • Thrush in the mouth and throat
  • Sore mouth/ throat, irritation, and hoarseness
  • Aching, swollen joints, and muscle pain
  • Muscle cramps

Those with COPD (Chronic Obstructive Pulmonary Disease) may experience other side effects such as pneumonia.

Uncommon/rare side effects

  • Allergic reaction - difficulty breathing, worsening of asthma symptoms, itching, rash, swelling of the face, lips, tongue or throat
  • Increased glucose in the blood - diabetics should be extra cautious when taking this medicine and monitor their blood sugar levels more frequently
  • Cataract
  • Very fast or irregular heartbeat
  • Tremors and palpitations
  • Chest pain
  • Disturbed sleep
  • Can disrupt the normal production of corticosteroids in the body if taken at high doses for long periods of time. This can affect growth and cause weight gain
  • Behavioural or mood changes such as irritability or depression

This is not an exhaustive list of the side effects and if AirFluSal MDI is having no positive effect on your asthma and is worsening your condition rather than improving it, you should stop taking this medicine. However, speak to your doctor first to ensure you have other methods in place to control your asthma.

How to buy AirFluSal MDI online

You can buy AirFluSal MDI online at Doctor-4-U. We have GMC (General Medical Council) registered doctors on hand who make buying medication online safe, convenient, and fast. You can order your prescription medication from the comfort of your home by submitting a medical consultation form and relevant details which are reviewed by our online doctors to determine your suitability. Once you have been deemed suitable to take this particular medicine you can place your order and it will be dispensed by our UK-based pharmacy and sent to you via a tracked courier service.

Dosage Instructions
TWO inhalations TWICE daily
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Delivery Charges

The following delivery methods are currently available within the UK: All orders are sent in discreet, plain packaging.

UK Standard Delivery, £1.99

Order before 12pm to have your order delivered using Royal Mail Tracked 48 Service

standard UK delivery within 3-5 working days

Additional terms and conditions apply.

UK Express Delivery, £2.99

Order before 12pm to have your order delivered using the Express delivery service* (deliveries are made Monday - Saturday)

If you order after 12pm, your order will be dispatched the next working day and will be with you within 48 hours once dispatched. This excludes weekends and bank holidays

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Anytime, £4.99 (This service includes Saturday)

Order before 12pm to have your order delivered using Royal Mail Special Delivery Service, which includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 1pm, £7.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 1pm next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

Royal Mail Special Delivery Next Day Before 9am, £14.99 (This service includes Saturday)

Order before 12pm to have your order delivered before 9am next day using Royal Mail Special Delivery service, this also includes Saturday deliveries.

Additional terms and conditions apply.

DPD Next Day Delivery, £4.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 12 Noon, £9.99 (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 12 noon the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Next Day Delivery, by 10:30am, £14.99  (Monday - Friday only. This service does not include Saturday)

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am the following working day

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, £14.99

Orders signed by the doctor before 12 noon the day before will be delivered the following Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply

DPD Saturday Delivery, by 12:00am, £21.99

Orders signed by the doctor before 12 noon the day before will be delivered by 12:00am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply.

DPD Saturday Delivery, by 10:30am, £29.99

Orders signed by the doctor before 12 noon the day before will be delivered by 10:30am Saturday

If your order is signed by the doctor after 12 noon, your order will be delivered within 2 working days

Additional terms and conditions apply, please see below.

US and outside the UK

Unfortunately, we can't process orders from outside the UK at this time.


Terms and Conditions

Delivery options exclude Bank Holidays, public holidays and Sundays.All deliveries are subject to Doctor-4-u successfully receiving payment and prescription being approved by the doctor.

All purchases require additional approval, which will involve completion of an online questionnaire and any subsequent approval.

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