Inalador de Salmeterol
Serevent, Neovent, Soltel
Revisado por Sid DajaniÚltima atualização por Michael Stewart, MRPharmSLast updated 27 Out 2022
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Use the inhaler regularly, twice a day. Its effects are usually felt within 20 minutes and last for around 12 hours.
Make sure you know how to use the inhaler properly.
If your breathing becomes worse or if you do not get the usual relief from the inhaler, contact your doctor for advice straightaway.
At a glance
Salmeterol inhalers widen airways to help ease breathing symptoms like coughing and wheezing.
This medicine treats asthma and chronic obstructive pulmonary disease (COPD).
Use your inhaler regularly, twice each day, following your doctor's instructions.
Salmeterol will not stop an asthma attack that has already started.
Tell your doctor if you have heart problems, diabetes, or an overactive thyroid gland.
Contact your doctor if your symptoms worsen or your usual dose does not provide relief.
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About salmeterol inhalers
Tipo de medicamento | Um beta2 -agonist bronchodilator |
Usado para | Asthma; chronic obstructive pulmonary disease (COPD); and other airways-related problems |
Também chamado de | Serevent®; Neovent®; Soltel® Combination brands: Aloflute®, AirFluSal®, Avenor®, Combisal®, Fixkoh®, Fusacomb®, Seffalair®, Seretide®, Sereflo®, Sirdupla®, Stalpex® (salmeterol with fluticasona) |
Disponível como | Metered-dose inhalers and breath-actuated inhalers |
Salmeterol is called a bronchodilator because it widens (dilates) your airways. It works by opening up the air passages in your lungs so that air can flow into your lungs more freely. This helps to ease symptoms such as coughing, wheezing and feeling breathless. It is prescribed to relieve airways-related problems in people who have asma ou doença pulmonar obstrutiva crônica (DPOC). Salmeterol is called a long-acting bronchodilator. Its effects are usually felt within 20 minutes and last for around 12 hours.
If you have asthma, as well as a salmeterol inhaler, you will also be prescribed a preventer inhaler containing a steroid medicine. Alternatively, there are several brands of salmeterol inhaler which already contain a steroid called fluticasona. You may be prescribed one of these combination brands to help reduce the number of inhalers you need to use each day.
Before using a salmeterol inhaler
Voltar ao conteúdoSome medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start using salmeterol it is important that your doctor knows:
Se você tem uma glândula tireoide hiperativa (hipertireoidismo).
Se você tiver problemas cardíacos ou nos vasos sanguíneos, ou batimento cardíaco irregular.
Se você tem pressão alta (hipertensão).
If you have high sugar (glucose) levels in your blood (diabetes).
Se um médico lhe disse que há baixos níveis de potássio no seu sangue.
Se você está grávida, tentando ter um bebê ou amamentando. Isso porque é particularmente importante que sua respiração esteja bem controlada se você estiver grávida.
If you are taking or using any other medicines or inhalers. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.
Se você já teve uma reação alérgica a um medicamento.
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How to use a salmeterol inhaler
Voltar ao conteúdoBefore you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about salmeterol, diagrams to remind you how to use and clean your inhaler device, and a full list of side-effects which you could experience.
Follow your doctor's instructions carefully and make sure you know how to use the inhaler properly. There are several types of inhaler device. Some of these devices create a spray or 'puff' which you breathe in through your mouth; others are activated when you breathe in through the mouthpiece. If you are not sure how to use the device you have been given, ask your nurse, doctor or pharmacist to show you.
Use your inhaler regularly, twice each day. Your doctor will tell you how many inhalations to use each time. The directions will also be printed on the label of your inhaler to remind you about what the doctor said to you. Do not use the inhaler more times than the doctor has said.
Try to use your inhaler at the same times each day, as this will help you to remember to use it regularly. If you do forget a dose, use the inhaler as soon as you remember (unless it is nearly time for your next dose, in which case leave out the missed dose). Do not take two doses together to make up for a forgotten dose.
Your doctor may give you a spacer device to use with some salmeterol inhalers, particularly if you struggle to co-ordinate breathing in and pressing the inhaler device. This helps to make sure that the medicine travels right into your lungs. Your doctor or pharmacist will be able to advise you on using the device.
Obtendo o máximo do seu tratamento
Voltar ao conteúdoIf you have asthma, you should receive a written asthma action plan from your nurse or doctor, which will help you to manage your asthma and tell you what to do if you have an asthma attack. Salmeterol will not work quickly enough to relieve an asthma attack that has already started, so your doctor will prescribe another inhaler (a shorter-acting bronchodilator, such as salbutamol) for you to use if you have an attack - make sure that you keep it with you all the time.
If you usually use a steroid (preventer) inhaler and have just been prescribed salmeterol, you should continue to use your steroid inhaler as well as salmeterol. You should continue to use both inhalers, even if your symptoms improve. Your doctor will tell you if and when it is appropriate for you to step down your treatment.
Try to keep your regular appointments with your doctor. This is so your doctor can review your condition on a regular basis. Your doctor or nurse may also want to check your technique from time to time to make sure you are using your inhaler correctly.
Do not smoke. Smoking causes irritation and damage to your lungs and will make your condition worse. Speak with your doctor or practice nurse for further advice if you are having difficulty in stopping smoking.
If you find that your symptoms are becoming worse or that you need to use a reliever (rescue) inhaler more regularly, continue to use your inhalers but also contact your doctor or nurse for advice. Also, if your usual dose of salmeterol does not provide relief from your symptoms, speak with your doctor about this as soon as you can.
If you have diabetes you may need to check your blood sugar (glucose) more frequently, as salmeterol can affect the levels of sugar in your blood. Your doctor will advise you about this.
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Can salmeterol cause problems?
Voltar ao conteúdoAlong with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the more common ones associated with salmeterol. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine. Alternatively, you can find examples of some manufacturers' information leaflets in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common salmeterol inhaler side-effects (these affect fewer than 1 in 10 people) | O que posso fazer se passar por isso? |
Muscle cramps, feeling shaky, being aware of your heartbeat | If troublesome, discuss it with your doctor or clinic |
Dor de cabeça | Beba bastante água e peça a um farmacêutico que recomende um analgésico adequado. Se as dores de cabeça continuarem, informe seu médico |
Se você sentir quaisquer outros sintomas que acha que podem ser causados pelo inalador, por favor, fale com seu médico ou farmacêutico para mais orientações.
How to store salmeterol
Voltar ao conteúdoMantenha todos os medicamentos fora do alcance e da vista das crianças.
Armazene em local fresco e seco, longe de calor e luz diretos.
Informações importantes sobre todos os medicamentos
Voltar ao conteúdoInformações importantes sobre todos os medicamentos
Se você comprar qualquer medicamento, verifique com um farmacêutico se é seguro tomá-lo com seus outros medicamentos.
Nunca tome mais do que a dose prescrita. Se suspeitar que você ou outra pessoa possa ter tomado uma overdose deste medicamento, vá ao departamento de acidentes e emergências do hospital local. Leve o recipiente com você, mesmo que esteja vazio.
Se você for se submeter a uma operação ou tratamento dentário, informe à pessoa que está realizando o tratamento quais medicamentos você está tomando.
Este medicamento é para você. Nunca o dê a outras pessoas, mesmo que a condição delas pareça ser a mesma que a sua.
Não guarde medicamentos vencidos ou indesejados. Leve-os à sua farmácia local, que se encarregará de descartá-los para você.
Se você tiver alguma dúvida sobre este medicamento, pergunte ao seu farmacêutico.
Relatar efeitos colaterais de um medicamento ou vacina
Se você sentir efeitos colaterais, pode relatá-los online através do Yellow Card website.

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Perguntas frequentes
What is the primary difference between salmeterol and a preventer inhaler?
Salmeterol is a bronchodilator that opens up your airways to relieve symptoms like coughing and breathlessness, with effects lasting around 12 hours. A preventer inhaler contains a steroid medicine and is typically used in conjunction with salmeterol to reduce inflammation in the airways, helping to prevent asthma symptoms from occurring.
Can I stop using my steroid (preventer) inhaler if my salmeterol seems to be controlling my symptoms well?
No, if you usually use a steroid (preventer) inhaler and have been prescribed salmeterol, you should continue to use both. Do not stop using your steroid inhaler even if your symptoms improve. Your doctor will advise you if and when it is appropriate to adjust your treatment.
What should I do if I forget a dose of my salmeterol inhaler?
If you forget a dose, use the inhaler as soon as you remember. However, if it is nearly time for your next scheduled dose, you should skip the missed dose and just take your next dose as usual. Do not take two doses together to try and make up for a forgotten dose.
Will a salmeterol inhaler help me during an asthma attack?
No, salmeterol is not designed to work quickly enough to relieve an asthma attack that has already started. For an asthma attack, your doctor will prescribe a separate, shorter-acting bronchodilator, such as salbutamol, which you should keep with you at all times for immediate relief.
Can I use salmeterol if I am pregnant or trying to conceive?
If you are pregnant, trying for a baby, or breastfeeding, it is important that your doctor knows this. It is particularly crucial that your breathing is well controlled during pregnancy, so your doctor will consider this when prescribing salmeterol.
What should I do if my symptoms get worse or I need my reliever inhaler more often?
If you find that your symptoms are worsening, or if you need to use your reliever (rescue) inhaler more regularly, you should continue to use your prescribed inhalers but contact your doctor or nurse for advice as soon as possible. Also, if your usual dose of salmeterol is not providing relief, speak with your doctor.
Leitura adicional e referências
- Manufacturer's PIL, Serevent® Evohaler; GlaxoSmithKline UK, The electronic Medicines Compendium. Dated August 2021.
- Manufacturer's PIL, Serevent® Accuhaler; GlaxoSmithKline UK, The electronic Medicines Compendium. Dated November 2020.
- Medicamentos Completo BNF 89ª Edição; Associação Médica Britânica e Sociedade Real de Farmácia da Grã-Bretanha, Londres.
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About the authorView full bio

Michael Stewart, MRPharmS
Gerente de Revisão de Folhetos de Medicamentos – Contratado, Farmacêutico
BPharm (Hons), MRPharmS
Michael é um farmacêutico comunitário atuando nas Midlands e em South Yorkshire, com mais de 20 anos de experiência em aconselhamento sobre medicamentos e condições médicas. Ele tem uma sólida formação em treinamento em saúde, tendo produzido e ministrado cursos de treinamento para equipes de farmácia e funcionários de ambientes de cuidados residenciais, incluindo enfermeiros. Ele também contribuiu para conselhos consultivos de farmácia para o manejo de condições de baixa gravidade na comunidade.
About the reviewer

Sid Dajani
Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.
Histórico do artigo
As informações nesta página são escritas e revisadas por clínicos qualificados.
Próxima revisão prevista: 25 Mar 2027
27 Out 2022 | Última versão

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