MAXIFLO FORTE ROTACAP (30 CAP) by CIPLA LTD.

MAXIFLO FORTE ROTACAP is a medication prescribed for the regular management of chronic respiratory conditions. It is manufactured by Cipla Ltd..

• Name: Maxiflo Forte Rotacap.
• Composition: Each Rotacap contains a combination of Fluticasone Propionate (500 mcg) and Formoterol Fumarate (12 mcg).
• Uses: MAXIFLO FORTE ROTACAP is indicated for the regular management of patients with asthma (wheezing and shortness of breath) and severe Chronic Obstructive Pulmonary Disease (COPD), which includes conditions like emphysema and chronic bronchitis. It works by relaxing the muscles in the airways, widening them, and reducing inflammation, thereby making breathing easier.
• Dosage and Administration: The typical dosage for MAXIFLO FORTE ROTACAPS is one inhalation twice daily, administered via a Rotahaler device. Rotacaps are for oral inhalational use only and must not be swallowed. It is important to use the correct inhalation technique and to gargle with warm water after each inhalation to prevent fungal infections in the mouth and throat. Your doctor will determine the appropriate dose and duration of treatment. This medicine should be used regularly and not for sudden breathing problems or acute asthma attacks.
• Side Effects:
  • Common Side Effects: Dry mouth, sore or irritated throat, alteration in voice (hoarseness), headache, dizziness, tremors, palpitations, nausea, cough, upper respiratory tract infection, nasopharyngitis, sinus inflammation, and stomach discomfort.
  • Serious Side Effects (rare): Sudden swelling of the eyelids, tongue, lips, face or throat; rash or itching (especially involving the whole body); light-headedness, fainting; sudden changes in breathing patterns such as shortness of breath or increased wheezing; blurred vision or other visual problems; chest pain or irregular heartbeat; high blood pressure; worsening breathing problems; suppressed adrenal gland function (with long-term use); increased risk of infections; high blood sugar levels; and bone thinning (osteoporosis) with prolonged use.
• Precautions:
  • Not recommended for use in children below 12 years of age.
  • Use with caution in pregnant and breastfeeding women, only if advised by a doctor after assessing benefits and risks.
  • Inform your doctor if you have lung, heart, or liver disease, aneurysm, diabetes, an overactive thyroid gland, a planned surgery, stress, low levels of potassium, pheochromocytoma, or poor adrenal gland function.
  • Caution is advised for patients with pulmonary tuberculosis, quiescent tuberculosis, or fungal, viral, or other infections of the airway.
  • Avoid consuming alcohol while using this medicine.
  • Inform your doctor about all other ongoing medicines and herbal supplements, especially beta-agonists, beta-antagonists, digoxin, quinidine, disopyramide, procainamide, antihistamines, diuretics, and certain antifungals, as interactions may occur.
  • Initial doses should be taken under medical supervision as it may cause immediate wheezing or tightening of the airways (bronchospasm).
  • Long-term use may slightly lower immune response, increasing the risk of infections.
  • Regular monitoring of blood sugar levels and blood potassium levels may be required.
• Storage: Store below 25°C or at room temperature (below 30°C). Keep out of reach of children. Do not freeze.

Frequently Asked Questions about MAXIFLO FORTE ROTACAP

What is MAXIFLO FORTE ROTACAP used for?

MAXIFLO FORTE ROTACAP is primarily used for the regular management of chronic respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). It helps alleviate symptoms like wheezing, shortness of breath, and coughing, making breathing easier. It is not intended for sudden asthma attacks; a quick-relief inhaler should be used for that purpose.

How does MAXIFLO FORTE ROTACAP work?

MAXIFLO FORTE ROTACAP is a combination of two active medicines: Formoterol and Fluticasone Propionate. Formoterol is a long-acting bronchodilator that works by relaxing the muscles in the airways, thereby widening them and making breathing easier. Fluticasone Propionate is a corticosteroid (steroid) that reduces inflammation and swelling in the lungs by stopping the release of certain chemical messengers that cause inflammation. Together, these two components work to improve airflow and reduce respiratory symptoms.

What is the usual dosage for MAXIFLO FORTE ROTACAP?

The typical dosage for MAXIFLO FORTE ROTACAP (containing Fluticasone Propionate 500 mcg and Formoterol 12 mcg) is one inhalation twice daily, administered via a Rotahaler device. It is crucial to follow your doctor's instructions regarding the dose and duration, and not to exceed the recommended amount. The effects may be noticeable after a few days, reaching maximum efficacy after a few weeks, and it should be used regularly as a maintenance treatment.

What are the possible side effects of MAXIFLO FORTE ROTACAP?

Common side effects can include upper respiratory tract infection, nasopharyngitis (inflammation of the throat and nasal passages), sinus inflammation, stomach discomfort, tremors, palpitations (awareness of increased heartbeat), voice changes (hoarseness), headache, cough, dry mouth, sore throat, dizziness, nausea, and oral thrush (fungal infection in the mouth). To prevent oral thrush, it is recommended to rinse your mouth with water or brush your teeth after each inhalation. If side effects persist or worsen, consult your doctor.

Is MAXIFLO FORTE ROTACAP safe during pregnancy or breastfeeding?

MAXIFLO FORTE ROTACAP may be unsafe to use during pregnancy. Animal studies have indicated harmful effects on the developing baby, though human studies are limited. It is generally not recommended during breastfeeding as limited human data suggests the drug may pass into breast milk and potentially harm the baby. Always consult your doctor to weigh the benefits and potential risks before using this medicine if you are pregnant or breastfeeding.

Can MAXIFLO FORTE ROTACAP be taken with other medications?

It is important to inform your doctor about all ongoing medications and herbal supplements. Concomitant use with certain blood pressure-lowering medicines (like propranolol, atenolol, or water pills), medicines for fungal/bacterial infections (ketoconazole, itraconazole, erythromycin), and antiviral medicines (ritonavir, cobicistat-containing products) should be done with caution as they may worsen side effects. If you are taking oral or injectable steroids, discuss this with your doctor.

What precautions should be taken when using MAXIFLO FORTE ROTACAP?

Do not swallow the Rotacap; it is for oral inhalation only. Rinse your mouth and gargle with warm water after each inhalation to help prevent fungal infections in the mouth and throat. Take the first dose under medical supervision as it may cause immediate wheezing or tightening of the airways. Your doctor may monitor your blood potassium levels. Inform your doctor if you have conditions such as heart disease, diabetes, thyroid disease, kidney or liver disorders, fungal/bacterial/viral infections, low blood potassium levels, or eye problems like glaucoma or cataracts. Avoid alcohol consumption with this medicine.

What happens if a dose of MAXIFLO FORTE ROTACAP is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a forgotten one.

How should MAXIFLO FORTE ROTACAP be stored?

MAXIFLO FORTE ROTACAP should be stored in a dry place at a temperature below 25°C or 30°C, depending on the specific product information. Keep the container tightly closed and avoid exposure to direct sunlight and excessive heat. Do not freeze the inhaler medication.