Schedule Status : S4
FOXAIR Inhaler is a prescription medication designed to manage and prevent the symptoms of asthma. It contains two active ingredients: Salmeterol, a long-acting bronchodilator, and Fluticasone Propionate, a corticosteroid that reduces inflammation in the lungs.
The inhaler is used for long-term asthma control and not intended for immediate relief of sudden breathing difficulties. By using FOXAIR as prescribed, patients can experience improved lung function, reduced frequency of asthma attacks, and better quality of life.
FOXAIR comes in three strengths:
| Strength | Salmeterol (mcg) | Fluticasone Propionate (mcg) |
|---|---|---|
| 25/50 | 25 | 50 |
| 25/125 | 25 | 125 |
| 25/250 | 25 | 250 |
Each strength delivers a fixed dose through a metered-dose inhaler.
WHAT YOU NEED TO KNOW BEFORE YOU USE FOXAIR INHALER
Do not use FOXAIR INHALER
- If you are allergic to salmeterol, fluticasone propionate, or any other components of the inhaler.
- If you are using ritonavir (used to treat HIV) without consulting your doctor.
Warnings and precautions
Special care is required if:
- You have a history of oral thrush.
- You have or had tuberculosis (TB).
- You are undergoing treatment for thyroid disorders, heart problems, or high blood pressure.
Always consult your doctor before starting FOXAIR if you have any of the above conditions.
Children and adolescents
FOXAIR is generally prescribed for adults and adolescents over the age of 12. The effects on growth in children should be monitored carefully as high doses may slow growth.

Other medicines and FOXAIR INHALER
Inform your doctor if you are taking:
- HIV medications (e.g., ritonavir)
- Oral antifungal drugs (e.g., ketoconazole)
These may interact with FOXAIR, affecting its efficacy or increasing side effects.
Pregnancy and breast-feeding
If you are pregnant or breastfeeding, talk to your healthcare provider before using FOXAIR. The potential risks and benefits should be carefully assessed.
Driving and using machines
FOXAIR is not known to affect your ability to drive or operate machinery.
FOXAIR INHALER contains lactose
Each dose contains a small amount of lactose. If you have severe lactose intolerance, inform your doctor.
HOW TO USE FOXAIR INHALER
Proper usage
- Use FOXAIR regularly for best results.
- Do not use it for sudden asthma attacks.
- Always have a fast-acting inhaler for emergencies.
- Do not stop using FOXAIR unless advised by your doctor.
| Age Group | Recommended Dose |
|---|---|
| Adults | Two inhalations twice daily (as prescribed) |
| Adolescents (12+) | As prescribed by your healthcare provider |
If you use more FOXAIR than you should
You might feel:
- Heart palpitations
- Shakiness
- Headaches
- Muscle weakness or joint pain
Seek medical attention immediately if an overdose is suspected.
If you forget to use FOXAIR
Simply take your next dose at the scheduled time. Do not double the dose to make up for the missed one.
If you stop using FOXAIR
Stopping treatment suddenly may worsen your symptoms. Always consult your doctor before making any changes.
Instructions for use
- Test the inhaler if using it for the first time or after a week of non-use by releasing one puff into the air.
- Shake well before each use.
- Remove the mouthpiece cover, inspect and ensure cleanliness.
- Hold the inhaler upright and breathe out.
- Place the mouthpiece in your mouth, press the top of the inhaler as you begin to breathe in slowly and deeply.
- Hold your breath, remove the inhaler and continue holding your breath for a few seconds.
- Repeat for the second puff if required, after a 30-second wait.
Cleaning the inhaler
Clean the inhaler once a week:
- Remove the mouthpiece cover.
- Wipe inside and outside using a dry cloth or cotton bud.
- Do not immerse the canister in water.
POSSIBLE SIDE EFFECTS
FOXAIR, like all medicines, may cause side effects. While not everyone experiences them, it is important to be aware of potential reactions.
Serious allergic reactions (Seek immediate help)
- Sudden wheezing or chest tightness
- Swelling of the face, lips, tongue, or throat
- Skin rash or hives
Common side effects
- Sore throat or hoarse voice
- Oral thrush (rinse mouth after use to prevent this)
- Headache
- Muscle cramps
- Trembling hands
- Skin rash
Rare side effects
- Rounded face (Cushingoid appearance)
- Bone thinning (especially at high doses)
- Eye problems like cataracts or glaucoma
- Growth retardation in children
If you experience any unusual symptoms, consult your doctor promptly.
HOW TO STORE FOXAIR INHALER
Proper storage ensures the medicine remains effective.
- Store in a dry place below 30°C.
- Do not freeze or expose to direct sunlight.
- Replace the mouthpiece cover after each use.
- Keep away from children.
Disposal tips:
- Do not puncture or burn the canister, even if empty.
- Return unused medicine to your pharmacy.
- Do not flush unused medicine down the drain or toilet.
CONTENTS OF THE PACK AND OTHER INFORMATION
What FOXAIR INHALER contains
- Active ingredients: Salmeterol (25 mcg) + Fluticasone Propionate (varies by strength)
- Other ingredient: CFC-free propellant (HFA 134a)
What FOXAIR INHALER looks like
- Metal canister with metering valve
- Plastic actuator with mouthpiece and dust cap
- Delivers 120 actuations per inhaler
Holder of Certificate of Registration
GlaxoSmithKline South Africa (Pty) Ltd
39 Hawkins Avenue, Epping Industria 1, 7460
Manufacturer
Manufacturing and packaging details are aligned with GSK global standards for safety and efficacy.
Final Thoughts
FOXAIR Inhaler is a reliable and effective treatment for those with moderate to severe asthma requiring daily maintenance therapy. When used correctly, it significantly improves respiratory function and quality of life.
Always follow your doctor’s advice, adhere to the dosage schedule, and maintain proper inhaler hygiene. Awareness of possible side effects and interactions can further enhance treatment safety.
For any questions or if symptoms persist or worsen, seek medical advice immediately.
Disclaimer: This article is for informational purposes only and does not replace professional medical advice. Please consult your healthcare provider for personalized recommendations.
Sources:SAHPRA
Education:
NPU (National Pharmaceutical University) 2010-2015, 2015-2016 internship
Work experience:
2010 – 2012 Pharmacy 63 – Production Department
2012 – 2015 Pharmacy 63 – Pharmacist
2015 – 2016 Pharmacy 63 – Pharmacist
2016 – to date Pharmacy UA – Head of Pharmacy






