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Asthma

Sereflo

Sereflo is a preventive treatment for patients with severe asthma or other breathing difficulties. The medicine contained in Sereflo is taken via an inhaler and is used on a daily basis to keep a patient’s breathing healthy and consistent.

Last PIL Review Date: 20/01/2020

See Sereflo Patient Information Leaflet

This medicine is not available to request via our online service. The only treatments that we can prescribe for asthma are Ventolin, Airomir, Bricanyl, Salamol, and the Salamol 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.

What is Sereflo?

Sereflo is an inhaler treatment for severe asthma and other issues related to breathing. Designed to treat long-term illnesses that affect breathing, Sereflo is a preventive measure meaning it is taken on a regular basis to prevent breathing difficulties from developing. This makes it different to certain other medicines which are used in response to an attack of breathlessness or wheeziness.

How does Sereflo work?

Sereflo contains two medicines which are called salmeterol and fluticasone propionate. Salmeterol is a long-acting bronchodilator which helps the airways in the lungs stay open, allowing air to get in and out easier. The effect of this medicine lasts for at least 12 hours.

Fluticasone propionate is classed as a corticosteroid and is included in order to reduce any swelling and irritation in the lungs which could obstruct normal breathing.

It should be noted that Sereflo is a preventive measure and if a patient experiences a sudden attack of breathlessness or wheezing, they should switch to a fast-acting reliever inhaler.

Is Sereflo safe for me to use?

Sereflo is meant to be used by people who have long term illnesses related to breathing such as asthma. But even if you have such a condition which requires treatment, certain factors may make this treatment unsuitable.

Before starting treatment with Sereflo, you should speak to your doctor if any of the following applies to you:

  • You have a heart disease, which may cause an irregular or fast heart beat
  • You have an overactive thyroid gland
  • You have high blood pressure
  • You have diabetes mellitus (Sereflo could increase your blood sugar)
  • You have low potassium in your blood
  • You have or have previously had tuberculosis or other lung infections

Other medications you may be currently taking could also affect your ability to use Sereflo safely. Consult your doctor or pharmacist if you are taking or have recently used any other medicines, including any obtained without a prescription. Other medicines could increase the risk of experiencing side effects. It’s particularly important to mention these medicines if you are using or have recently used any of them:

  • Beta blockers (such as propranolol and atenolol)
  • Medicines that treat infections (such as erythromycin and ketoconazole)
  • Corticosteroids (by mouth or by injection)
  • Diuretics (aka water tablets) which treat high blood pressure
  • Xanthine medicines (often used to treat asthma)
  • Other bronchodilators (such as salbutamol)

Take note as well that Sereflo is not meant to be used by people aged below 18 years old.

What is the dosage for Sereflo?

Sereflo is available in two strengths of either 25/125 micrograms or 25/250 micrograms. Provided with this product is an information leaflet that has detailed instructions on how to use and maintain the inhaler device correctly. Follow these instructions closely or speak to your doctor if you’re unsure how to use Sereflo for treatment.

The typical dosage is two inhalations twice a day. These inhalations should be suitable spaced apart (ideally 12 hours). Your doctor will determine what strength of Sereflo you should be prescribed, and you should not change the strength of medication unless you are specifically instructed to.

Your inhaler features a dose indicator which counts down. Therefore, when the number gets low, you’ll know you’ll need to see your doctor to get a new one.

What are the side effects of Sereflo?

It is possible to experience side effects while using Sereflo, although not everybody gets them. To reduce the chance of side effects, your doctor will likely prescribe the lowest dose of Sereflo to being with.

The most commonly reported side effects from users of Sereflo include the following:

  • Headaches
  • Increased number of colds among patients with chronic obstructive pulmonary disease (COPD)
  • Thrush in the mouth and throat
  • Sore tongue and hoarse voice plus throat irritation
  • Aching, swollen joints and muscle pain
  • Muscle cramps

Other side effects are possible but are also uncommon. In rare cases, Sereflo may cause an allergic reaction for users. If you notice your breathing is getting worse just after using this medication, then this may indicate an allergic reaction is occurring and you should use your fast-acting reliever inhaler to help you breathe.

Other potential signs of an allergic reaction include itching, rashes, an abnormal heartbeat and swelling around the face, lips, tongue or throat.

What if I inhale too much Sereflo?

If you accidentally take a larger dose of this medicine than recommended, you should talk to your doctor or pharmacist as soon as possible for advice. You may notice symptoms such as a faster than normal heartbeat or feelings of shakiness. Dizziness, headaches, muscle weakness and aching joints are other symptoms that may occur.

What if I forget to use Sereflo?

If you forget to have a dose of Sereflo, then just skip it and take the next one due at the usual time. Never take a double dose of this medication to make up for any missed doses. If, for whatever reason, you want to stop using Sereflo or reduce your dose, then you should speak to your doctor before taking such action. When prescribed, Sereflo should be taken every day as directed.

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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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