Fludalt Duo 250/50mcg Inhalation Powder
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Prescription Required
Overview
Fludalt Duo 250/50mcg Inhalation Powder is a prescription-only medicine (POM) presented as a powder, with Fluticasone propionate 250mcg per dose and Salmeterol 50mcg per dose as its active ingredient content.
This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.
Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.
Directions for Use
Load a dose by following the device’s priming steps as instructed by your pharmacist, breathe out gently away from the device, seal your lips around the mouthpiece, and inhale forcefully and deeply to draw the dry powder into your lungs. Hold your breath for about 10 seconds before breathing out slowly. Rinse your mouth with water and spit it out after every use to reduce the risk of oral thrush and hoarseness.
Dosage
The usual dose of Fludalt Duo 250/50mcg Inhalation Powder is one inhalation twice daily, morning and evening, as prescribed by your doctor. Your doctor will determine the appropriate strength and frequency based on the severity of your condition and will review your treatment periodically.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Oral thrush (candidiasis) and hoarseness of the voice – reduce risk by rinsing your mouth after use
- Throat irritation or cough after inhalation
- Headache
- Tremor or palpitations (a recognised effect of the long-acting bronchodilator component)
- Serious: sudden worsening of wheeze or breathlessness after using this inhaler (paradoxical bronchospasm) requires you to stop use and seek urgent medical attention
Contraindications
- Known hypersensitivity to fluticasone propionate, salmeterol, or any ingredient in this product
- Not to be used as a rescue/reliever inhaler for sudden breathlessness or an acute asthma attack – a separate fast-acting reliever inhaler must always be available
- Use with caution in patients with heart rhythm disturbances, uncontrolled cardiovascular disease, or thyrotoxicosis
Drug / Food Interactions
- Potent CYP3A4 inhibitors (e.g. ritonavir, ketoconazole, itraconazole) can significantly increase fluticasone levels and the risk of systemic corticosteroid side effects
- Beta-blocker medicines may reduce the effectiveness of salmeterol and should generally be avoided
- Other beta2-agonist bronchodilators may add to the risk of tremor, palpitations, and low blood potassium
- Medicines that prolong the QT interval may increase the risk of heart rhythm effects when combined with salmeterol
Quick Tips
- Always carry a separate fast-acting reliever inhaler for sudden symptoms – this inhaler is not for rapid relief
- Rinse your mouth with water and spit it out after every use
- Use this inhaler regularly and at the same times each day, even when you feel well
- Ask your pharmacist to check your inhaler technique periodically
- Do not stop this medicine suddenly without your doctor’s advice
Frequently Asked Questions
Is Fludalt Duo 250/50mcg Inhalation Powder a prescription medicine?
Yes. Fludalt Duo 250/50mcg Inhalation Powder is a prescription-only medicine (POM). It can only be supplied against a valid prescription written by a registered doctor, and it should be used only by the person named on the prescription label.
What does Fludalt Duo 250/50mcg Inhalation Powder contain?
Fludalt Duo 250/50mcg Inhalation Powder is supplied as a powder and contains Fluticasone propionate 250mcg per dose and Salmeterol 50mcg per dose. The full composition is listed in the Composition section on this page and on the product packaging.
Why is there no information here about what Fludalt Duo 250/50mcg Inhalation Powder is for?
Malaysian rules for prescription medicines limit public product pages to product, safety and handling information. Your doctor decides whether this medicine is appropriate for you and will explain it during your consultation, and your pharmacist can answer further questions when the medicine is dispensed.
How should I take Fludalt Duo 250/50mcg Inhalation Powder?
Take it exactly as written on your prescription label. Do not increase, reduce or skip doses on your own, and do not continue beyond the period your doctor has prescribed. Practical handling steps are set out in the Directions for Use section on this page.
What should I do if I miss a dose?
Take it as soon as you remember, unless your next dose is nearly due. In that case skip the missed dose and carry on with your usual schedule. Never take two doses together to make up for a missed one. If you miss doses often, tell your doctor or pharmacist.
How should I store Fludalt Duo 250/50mcg Inhalation Powder?
Store below 30°C in a dry place, away from direct sunlight and out of reach of children. Keep it in the original pack until use, and do not use it after the expiry date printed on the packaging.
What should I do if I notice side effects?
Tell your doctor or pharmacist about any reaction that concerns you, and seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.
Can I stop taking Fludalt Duo 250/50mcg Inhalation Powder on my own?
No. Speak to your doctor before stopping, pausing or changing the dose, even if you feel well or think you no longer need the medicine.
How do I get a prescription for Fludalt Duo 250/50mcg Inhalation Powder?
Customers in Malaysia can complete an online consultation with a DoctorOnCall doctor, who decides whether a prescription is appropriate, or upload a valid prescription already issued by their own doctor.
Orders going to Singapore are dispatched from Malaysia as an international delivery, so you need to hold a valid prescription or doctor’s letter for the medicine. Check the consultation and prescription upload options shown at checkout for your delivery address before placing the order.
How long will delivery take?
Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.
Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.
What payment methods can I use?
Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.
FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.
Can Fludalt Duo 250/50mcg Inhalation Powder be delivered to Singapore?
Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.
Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.
Is Fludalt Duo 250/50mcg Inhalation Powder registered with the authorities?
Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.
An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.
Who do I contact if there is a problem with my order?
DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.
For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.
Ingredients / Active Ingredients
- Fluticasone propionate 250mcg per dose
- Salmeterol 50mcg per dose
