Drug Studies
Generic name: Fluticasone propionate and Salmeterol
Brand name: Seretide
Drug classification: Adrenergic
Suggested Dose: -DISKUS ROAD
adult & adolescences greater than equal 12 yr: 1 inhalation of seretide 100,
250, or 500 BID
Child greater than equal 4 yr: 1 inhalation of seretide 100 BID
COPD ADULT: 1 inhalation of seretide 500 BID
-MDI ROAD
adult & adolescences greater than equal 12yr: 2 inhalations of seretide 25/50
or 25/125 or 25/250 BID
Child greater than equal 4 yr: 2 inhalation of seretide 25/50 BID
-COPD ADULT: 2 inhalations of seretide 25/125 or 25/250
Mechanism of action: Selectively activates beta 2 adrenergic receptors which results
in bronchodilation and block the release of allergic mediators from the mast cell in the
respiratory tract.
Indication: Regular treatment of reversible obstructive airways disease (ROAD)
including asthma where use combination therapy (bronchodilator and inhaled
corticosteroids) is appropriate, and COPD including chronic bronchitis & emphysema.
Contraindication: Hypersensitivity to sympathomimetics, tachydysrhythmias, severe
cardiac disease, monotherapy treatment of asthma, milk protein, primary treatment in
status asthmaticus, acute bronchospasm
Side effects & Adverse Effects:
upper respiratory tract infections
throat irritation
hoarseness, voice changes, and trouble speaking
thrush (fungal infections in your mouth or throat)
bronchitis
cough
headache
nausea and vomiting
muscle and bone pain
dizziness
pneumonia
increase in mucus production
change in mucus color
fever
chills
increased cough
increased breathing problems
Nursing Intervention:
1. Assess patient for severe allergic reaction notify health care professional
immediately if these occur.
2. Follow Doctor’s prescription accordingly
3. Tell the patient to keep this drug in a dry place away from heat and sunlight.
4. Assess patient respiratory condition starting therapy
5. Inform the patient to not use drug if acute bronchospasm occurs.
6. Instruct the patient in how to use inhaler, to use it once daily at the same time
each day.
7. Asses for severe milk allergies; may be allergic to fluticasone vilanterol.
8. Inform patient of increased risk of pneumonia. Advise patient to notify health
care professional if fever, chills, change in sputum color, increased cough, or
increase in breathing problems occur.
9. Instruct the patient to rinse her mouth with water after each time you use your
Seretide inhaler.
10. Instruct the patient to use dust-proof covers on the mattress and pillows. Wash
the sheets and blankets on the bed once a week in very hot water.