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Salmeterol: uses, side effects & brands
Salmeterol is a long-acting airway opener used with an inhaled steroid. It belongs to the COPD & long-acting inhaler group. These daily inhalers keep the airways open in COPD and long-term asthma.
Drug type — dosing is set by your doctor
| Measure | Range |
|---|---|
| Drug class | COPD & long-acting inhaler |
| Type | Prescription |
| Dose | Individual — ask your doctor or pharmacist |
What it is used for
- Long-term control of asthma, always with an inhaled steroid
- Maintenance treatment of COPD
- Preventing night-time asthma symptoms
Common brand names
- India: Seroflo (combo), Serobid
- Worldwide: Serevent
Common side effects
- Shakiness (tremor)
- Headache
- Fast heartbeat or palpitations
- Muscle cramps
Before taking it — precautions
- In asthma it must be used with an inhaled steroid, never alone
- Not a reliever for sudden attacks
- Tell the doctor about heart rhythm problems, overactive thyroid or diabetes
When to see a doctor urgently
- Asthma getting worse or needing your reliever more often (urgent)
- Chest pain or very fast, irregular heartbeat (urgent)
- Wheeze right after inhaling (urgent)
Frequently asked questions
Why can't salmeterol be used alone for asthma?
On its own it can hide worsening airway inflammation and raise the risk of severe attacks. An inhaled steroid treats the inflammation.
How is salmeterol different from salbutamol?
Both relax airways, but salmeterol is slow-starting and long-lasting, while salbutamol works fast for sudden symptoms.
Is shaking of the hands normal?
Mild tremor is common at first and often settles. Tell your doctor if it persists.
Explore more
Sources & further reading
- World Health Organization (WHO)
- MedlinePlus — U.S. National Library of Medicine
- Ministry of Health & Family Welfare, India
- Indian Council of Medical Research (ICMR)
Reviewed by Dr. Sanjay Anbu, MBBS. MedDroid is an AI medical assistant and can make mistakes. It provides general health information, not a diagnosis or medical advice — always consult a qualified clinician. In an emergency, contact your local emergency number immediately.