Inalador de Salmeterol
Serevent, Neovent, Soltel
Revisado por Sid DajaniÚltima atualização por Michael Stewart, MRPharmSÚltima atualização 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.
Em resumo
Salmeterol is an inhaler used to widen airways for conditions like asthma and COPD.
It helps ease breathlessness, coughing, and wheezing, with effects lasting about 12 hours.
If you have asthma, you will usually also be prescribed a separate steroid preventer inhaler.
Use your inhaler regularly twice a day as instructed by your doctor.
Salmeterol does not work for already started asthma attacks.
Contact your doctor if your symptoms worsen or your usual dose does not provide relief.
Common side effects include muscle cramps, shakiness, and headaches.
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
Some 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.
How to use a salmeterol inhaler
Before 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
If 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.
Can salmeterol cause problems?
Along 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
Mantenha 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
Informações 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.
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Perguntas frequentes
What is the difference between salmeterol and salbutamol?
Salmeterol is a long-acting bronchodilator, meaning its effects last for around 12 hours. It is used regularly to prevent symptoms. Salbutamol, on the other hand, is a shorter-acting bronchodilator prescribed for immediate relief during an asthma attack, as salmeterol does not work quickly enough for this purpose.
How long does it typically take for salmeterol to start working after I use the inhaler?
The effects of salmeterol are usually felt within 20 minutes of using your inhaler.
Are there different ways to take salmeterol?
Yes, salmeterol is available as metered-dose inhalers and breath-actuated inhalers. If you are unsure how to use the device you have been given, you can ask your nurse, doctor, or pharmacist for a demonstration.
What should I do if I find my asthma or COPD symptoms are getting worse while using salmeterol?
If your symptoms are becoming worse, or if you need to use your reliever inhaler more frequently, continue using your salmeterol inhaler but contact your doctor or nurse for advice as soon as possible. Also, if your usual dose of salmeterol isn't providing expected relief, consult your doctor.
Can I stop using my steroid preventer inhaler if my breathing improves with salmeterol?
No, if you have asthma and are using a steroid preventer inhaler, you should continue to use it alongside salmeterol, even if your symptoms get better. Your doctor will advise you if and when it is appropriate to reduce your treatment.
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.
Sobre o autorVer biografia completa

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.
Sobre o revisor

Sid Dajani
Sultan Dajani se formou na Escola de Farmácia de Londres em 1994 e se tornou o membro mais jovem eleito para o conselho da Sociedade Real de Farmácia desde sua fundação em 1842.
Histórico do artigo
As informações nesta página são escritas e revisadas por clínicos qualificados.
Artigo também disponível em Inglês, Alemão, Espanhol, Francês, Italiano, Português, Hindi, Hebraico, Árabe, e Sueco.
Próxima revisão prevista: 25 Mar 2027
27 Out 2022 | Última versão

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