Buy Fildena 50 Mg
CategoriesErectile Dysfunction

Fildena vs Cenforce: How the Two Sildenafil Brands Compare

Fildena and Cenforce are two of the most widely recognized Indian generic brands of sildenafil citrate, the active ingredient in Viagra. Fildena is made by Fortune Healthcare and Cenforce by Centurion Laboratories. People often ask which one is stronger or works better. The short answer is that, dose for dose, they contain the same medicine, so the real differences lie elsewhere. Here is how they compare.

Fildena vs Cenforce at a glance

FildenaCenforce
Active ingredientSildenafil citrateSildenafil citrate
MakerFortune Healthcare, IndiaCenturion Laboratories, India
Tablet colorPurpleBlue
Standard strengths25, 50 and 100 mg25, 50 and 100 mg
Strengths above the licensed maximum120 mg, 150 mg, Double 200 mg120 mg, 150 mg, 200 mg
Other formatsChewable (CT), soft gel (Super Active), sublingual (Professional)Soft chewable, sublingual (Professional)
Licensed in the US, UK or EUNoNo

Same drug, same dose, same effect

Both brands contain sildenafil, a PDE5 inhibitor that improves blood flow to the penis when you are sexually aroused. A 100 mg tablet of either brand is intended to deliver 100 mg of sildenafil, so you should expect the same timing: it starts working within 30–60 minutes and helps for around 4–5 hours. The side effects and safety rules are identical too.

Because neither brand is licensed in the US, UK or EU, neither has been through those regulators’ bioequivalence testing against the original. Online claims that one brand is “stronger” than the other at the same milligram strength are not backed by published data.

Where they differ

Manufacturer

The biggest difference is who makes them. Fortune Healthcare and Centurion Laboratories are separate Indian companies with their own factories and quality systems. Some people simply trust or tolerate one brand better, often out of habit.

Color and coating

Fildena tablets are purple, Cenforce tablets are blue. The coating and inactive ingredients differ slightly, which very occasionally matters for someone with an allergy to a particular dye or excipient.

Format choice

Fildena has a slightly wider range of formats, including Fildena CT 100 mg (a chewable tablet) and Fildena Super Active (a soft gel capsule). Cenforce offers Cenforce Soft 100 mg and a sublingual Professional version. Chewables can help people who dislike swallowing tablets, but they are not meaningfully faster in reliable studies.

Price

Prices are close. On our store, packs of Fildena 100 mg start from $70 and packs of Cenforce 100 mg from $75, with lower strengths costing less.

Picking the right strength

The strength matters far more than the brand. Sildenafil is licensed at 25, 50 and 100 mg, with 100 mg once a day as the maximum.

  • 50 mg is the usual starting dose (for example Fildena 50 mg).
  • 100 mg is for men who have tried 50 mg without enough effect and without troublesome side effects.
  • 25 mg suits people over 65, those with liver or severe kidney problems, those on medicines that raise sildenafil levels, and anyone who gets side effects at 50 mg.

The 120, 150 and 200 mg tablets sold by both brands go beyond any approved dose. They add risk without proven extra benefit, so we do not recommend them.

Safety rules for both brands

  • Never take sildenafil with nitrates (such as GTN spray or isosorbide) or riociguat.
  • Take only one dose in 24 hours and never mix brands or formats on the same day.
  • Seek urgent help for an erection lasting more than 4 hours, sudden vision or hearing loss, or chest pain.
  • Tell your doctor about alpha-blockers, HIV medicines and antifungals, which can interact.
  • Heavy meals delay the effect; heavy drinking reduces it.

How to spot counterfeit tablets

Fake sildenafil is one of the most counterfeited medicines in the world, and popular brands such as Fildena and Cenforce are copied too. Whichever brand you use, look for these signs of a genuine pack:

  • A sealed blister strip with the brand name, strength, batch number and expiry date printed clearly on the foil.
  • Tablets that are consistent in color, shape and embossing, with no cracks or powdery edges.
  • A patient leaflet or carton with the manufacturer’s name and address.
  • A supplier that shows its contact details and answers questions about the product.

If tablets look different from your previous pack, or cause unusual side effects, stop taking them and speak to a pharmacist.

Fildena or Cenforce: which should you choose?

If one brand already works well for you, there is little reason to switch. If you are choosing for the first time, pick a standard strength, then decide on format and price. If you would prefer a licensed product, ask your doctor about Viagra or licensed generic sildenafil instead; our comparison of Cenforce vs Viagra explains the trade-offs. Every option is listed in our sildenafil range.

Frequently asked questions

Is Fildena stronger than Cenforce?

Not at the same strength. Fildena 100 mg and Cenforce 100 mg both contain 100 mg of sildenafil.

Can I take Fildena and Cenforce together?

No. That would double the dose of sildenafil. Take one tablet of one brand, at most once a day.

Why is Fildena purple?

It is simply the color of the tablet coating, which helps the brand stand out. It does not change how the medicine works.

Do chewable versions work faster?

Any difference is small. Food and timing affect onset more than the format does.

For general information only. Sildenafil is a prescription medicine; please see a doctor before using Fildena, Cenforce or any ED treatment.

Buy Asthalin Inhaler
CategoriesAsthma & Allergy

Asthalin vs Ventolin: Are These Albuterol Inhalers the Same?

Asthalin and Ventolin are blue reliever inhalers that contain the same medicine, albuterol (also called salbutamol), at the same dose of 100 micrograms per puff. Ventolin is made by GSK and is one of the most widely used inhalers in the world; Asthalin is made by Cipla in India. If you are wondering whether one can replace the other, this guide explains what is the same, what differs, and how to get the most from whichever you use.

Asthalin vs Ventolin at a glance

Asthalin InhalerVentolin Inhaler
Active ingredientAlbuterol 100 mcg per puffAlbuterol 100 mcg per puff
MakerCipla, IndiaGSK
TypePressurized metered-dose inhalerPressurized metered-dose inhaler
Doses per canister200200
Licensed in the US, UK and EUNoYes
Other formats from the same makerRotacaps (dry powder), Respules (nebuliser), tabletsAccuhaler (dry powder, some markets), nebules, syrup

In India, GSK sells its albuterol inhaler as Ventorlin Inhaler 100 mcg, which we stock alongside the Asthalin Inhaler.

How albuterol works

Albuterol is a short-acting beta-2 agonist (SABA). It relaxes the muscle bands around the airways, opening them within a few minutes and easing wheeze, chest tightness and breathlessness for around 4–6 hours. It is a reliever: it treats symptoms when they happen but does nothing for the underlying inflammation of asthma. That is the job of a preventer inhaler. Our guide to types of asthma inhalers explains the difference.

What is the same and what is different?

The dose and the effect

Both deliver 100 mcg of albuterol per actuation from an HFA-propelled canister, so one or two puffs of either should have the same effect. Switching between them does not normally require a change in how many puffs you take.

Licensing

Ventolin is licensed by regulators including the MHRA, EMA and FDA. Asthalin is licensed in India but not in the US, UK or EU, so it has not been assessed by those regulators.

Look and feel

The canisters, mouthpieces and spray feel slightly different, and not every inhaler has a dose counter. If yours has no counter, keep a note of how many puffs you have used so you are never caught with an empty inhaler.

Price

Indian brands such as Asthalin and Ventorlin usually cost much less than Ventolin bought in the US or UK without insurance.

How to use a albuterol inhaler properly

  1. Remove the cap and shake the inhaler well.
  2. If it is new or has not been used for several days, spray one or two puffs into the air first.
  3. Breathe out gently, away from the mouthpiece.
  4. Seal your lips around the mouthpiece, start breathing in slowly and press the canister once.
  5. Keep breathing in deeply, then hold your breath for up to 10 seconds.
  6. Wait about 30 seconds before a second puff.

A spacer makes a big difference, especially for children and during an attack, because it removes the need to co-ordinate pressing and breathing. Wash the plastic actuator weekly and let it air-dry.

How much and how often

The usual adult dose is 1–2 puffs when needed, up to four times a day, or 2 puffs 15 minutes before exercise if exercise triggers symptoms. Follow the plan your doctor or nurse gives you.

If you need your reliever three or more times a week, or it wakes you at night, your asthma is not well controlled and you should see your doctor about a preventer. If your reliever does not help, or you need it every few hours, get urgent medical help.

Side effects

Albuterol can cause a fine tremor in the hands, a fast or pounding heartbeat, headache and muscle cramps. These usually fade within an hour. At high doses it can lower potassium levels. Tell your doctor if you have heart disease, an overactive thyroid or diabetes, and avoid non-selective beta-blockers such as propranolol, which can block its effect.

Keeping your reliever ready

A reliever only helps if it works when you need it. Carry it with you at all times, and keep a spare at home or work if you use it often. Store it below 86°F (30°C) and out of direct sunlight; very cold canisters can give a weaker puff, so warm one in your hand for a minute in winter. Never puncture or burn an empty canister.

Check the expiry date every few months and replace the inhaler before it runs out. If you have an asthma action plan, keep it next to your inhaler so family members know what to do in an attack. Ask your nurse to check your inhaler technique at every review, as small mistakes in timing can halve the dose that reaches your lungs.

Is there an alternative?

Levalbuterol (also called levosalbutamol) contains only the active half of the albuterol molecule. Levolin Inhaler is Cipla’s version. It works in a very similar way; some people notice slightly less tremor, though the evidence for a real difference is limited. Albuterol is also available as Asthalin Rotacaps for those who prefer a dry-powder device. Browse the full asthma range for other options.

Frequently asked questions

Can I use Asthalin instead of Ventolin?

Both contain 100 mcg of albuterol per puff, so they are generally interchangeable. Tell your doctor or asthma nurse if you switch, and check your technique with the new device.

How long does a 200-dose inhaler last?

It depends on use. If a reliever runs out within a month or two, your asthma probably needs a review.

Is Asthalin a steroid?

No. Albuterol is a bronchodilator. Preventers such as budesonide and fluticasone are the steroid inhalers.

Can children use these inhalers?

Yes, with a spacer and at the dose prescribed for their age.

This article gives general information and does not replace advice from your doctor or asthma nurse. If breathing is getting worse or your reliever is not helping, seek emergency care.

Buy Vidalista 20 Mg
CategoriesErectile Dysfunction

Vidalista vs Cialis: Differences, Dosage and Which to Choose

Vidalista and Cialis both contain tadalafil, the long-acting erectile dysfunction (ED) medicine often called “the weekend pill”. Cialis is the original brand developed by Eli Lilly; Vidalista is an Indian generic made by Centurion Laboratories. This guide compares them on the things that actually differ, from licensing and strengths to daily versus on-demand use, so you can talk it through with your doctor.

Vidalista vs Cialis at a glance

VidalistaCialis
Active ingredientTadalafilTadalafil
MakerCenturion Laboratories, IndiaEli Lilly
Licensed in the US, UK and EUNoYes
Standard ED strengths2.5, 5, 10 and 20 mg (also sold as 40, 60 and 80 mg, above the licensed maximum)2.5, 5, 10 and 20 mg
Other approved usesNone outside IndiaBenign prostatic hyperplasia (BPH) with the 5 mg daily dose
Starts workingAbout 30 minutes to 2 hoursAbout 30 minutes to 2 hours
LastsUp to 36 hoursUp to 36 hours

How tadalafil works

Tadalafil is a PDE5 inhibitor, the same class as sildenafil and vardenafil. It blocks the enzyme that switches off the chemical signal responsible for relaxing blood vessels in the penis during arousal, so an erection is easier to achieve and keep. What makes tadalafil different from its relatives is its long half-life of about 17.5 hours. One dose can keep working for up to a day and a half, and food makes little difference to how it is absorbed.

Because Vidalista and Cialis contain the same drug at the same doses, you can expect the same timing, effects and precautions from both.

Two ways to take tadalafil

On demand

The usual starting dose is 10 mg, taken at least 30 minutes before sex. Depending on the response, a doctor may increase it to 20 mg or reduce it to 5 mg. The maximum is one dose a day, and many people find they do not need it every day. Vidalista 20 mg and Vidalista 10 mg match these on-demand doses.

Once daily

Low-dose tadalafil (2.5 mg or 5 mg) taken at the same time every day keeps a steady level in the body, so there is no need to plan ahead. This suits men who expect to have sex at least twice a week, and the 5 mg daily dose is also licensed for urinary symptoms caused by an enlarged prostate. Vidalista 5 mg and Vidalista 2.5 mg correspond to these daily strengths. Do not add an on-demand dose on top of a daily dose.

What is actually different?

Licensing

Cialis and licensed generic tadalafil in the US, UK and EU have been assessed by regulators such as the FDA, MHRA and EMA. Vidalista is made and sold under Indian regulation but is not licensed in those markets, so it has not been through their independent quality and bioequivalence checks.

Strengths above the maximum

The licensed maximum for ED is 20 mg in 24 hours. Vidalista 40, 60 and 80 mg exceed that. Tadalafil 40 mg is used for pulmonary arterial hypertension, but only under specialist care and under a different brand; it is not an ED dose. Higher doses raise the risk of headache, back pain, dizziness and low blood pressure, and because tadalafil lingers for so long, those effects can last too.

Formats

Vidalista also comes as chewable tablets, such as Vidalista CT 20 mg, and sublingual “Professional” versions. They contain the same tadalafil dose; any difference in how quickly they work is small.

Price

Branded Cialis is the most expensive way to take tadalafil. Licensed generics have been available in the US and UK since 2017–2018 and cost much less, and Indian generics such as Vidalista are typically cheaper still.

Side effects

Headache, indigestion, flushing, a stuffy nose and dizziness are common with any PDE5 inhibitor. Tadalafil is more likely than sildenafil to cause back pain and aching muscles, usually starting 12–24 hours after a dose and settling within two days. Get urgent help for an erection lasting more than 4 hours, sudden loss of vision or hearing, or chest pain.

Who should not take Vidalista or Cialis

  • Anyone taking nitrates or riociguat. If emergency nitrates are needed, at least 48 hours must pass after the last tadalafil dose.
  • People with serious heart disease, a recent heart attack or stroke, or very low blood pressure.
  • Those with severe kidney or liver impairment, unless a doctor sets a reduced dose.

Alpha-blockers, strong CYP3A4 inhibitors (such as ritonavir, ketoconazole or clarithromycin) and heavy drinking (five or more units) can all increase the risk of low blood pressure with tadalafil, so mention every medicine you take.

Vidalista or Cialis: which should you choose?

  • For a licensed product, choose Cialis or a licensed generic tadalafil prescribed by your doctor.
  • If price matters most, Indian generics such as Vidalista are widely used. Stay at 20 mg or below, take one dose a day at most, and never combine it with nitrates.
  • If you want spontaneity, ask your doctor whether daily 2.5–5 mg dosing would suit you.

Not sure whether tadalafil or sildenafil is the better fit? Read our comparison of sildenafil vs tadalafil, or browse all strengths in our tadalafil range.

Frequently asked questions

Is Vidalista the same as Cialis?

Both contain tadalafil and work the same way. Vidalista is a different brand from a different manufacturer and is not licensed in the US, UK or EU.

Why is tadalafil called the weekend pill?

Because a single dose can help for up to 36 hours, covering a Friday evening to Saturday morning without another tablet.

Is Vidalista 40 mg twice as effective as 20 mg?

No. 20 mg is the licensed maximum for ED. Doubling the dose mainly doubles the side effects.

Can I drink alcohol with tadalafil?

A small amount is usually fine, but heavy drinking can cause dizziness and a drop in blood pressure.

This guide is general information, not medical advice. Tadalafil is a prescription medicine; check with a doctor that it is suitable before you take it.

Buy Careprost 3ml with Brush
CategoriesCareprost

Careprost vs Latisse: Same Bimatoprost, What’s Different?

Careprost and Latisse are both eye solutions containing bimatoprost 0.03%, the ingredient that makes eyelashes grow longer, thicker and darker. Latisse is the brand licensed specifically for eyelash growth; Careprost is an Indian bimatoprost eye drop made by Sun Pharma. Because the active ingredient and strength are the same, the choice mostly comes down to licensing, how the product is supplied and price. This comparison walks through the details.

Careprost vs Latisse at a glance

CareprostLatisse
Active ingredientBimatoprost 0.03%Bimatoprost 0.03%
MakerSun Pharma, IndiaAllergan (AbbVie)
What it is licensed forGlaucoma and raised eye pressure (India); used off-label for lashesEyelash growth (hypotrichosis), FDA-approved in 2008
Bottle size3 ml3 ml or 5 ml
Applicators includedOnly in “with brush” packsYes, sterile single-use brushes
Licensed in the US, UK or EUNoYes in the US (lashes); availability varies elsewhere

How bimatoprost grows lashes

Bimatoprost is a prostaglandin analogue. It was first developed to lower pressure inside the eye in glaucoma, and doctors noticed that patients’ eyelashes grew longer and darker. It works by extending the growth (anagen) phase of the lash follicle and increasing the number of lashes that are growing at any one time. The same molecule at the same 0.03% strength is used in both products, so the growth effect is expected to be the same.

What is actually different?

Licensing and purpose

Latisse is the version approved for cosmetic lash growth, with instructions and applicators designed for that use. Careprost is licensed in India as a glaucoma eye drop; using it on the lash line is an off-label use of the same medicine. Neither is an over-the-counter cosmetic, and both should be used under a doctor’s advice.

Applicators

Latisse comes with sterile, single-use brushes, one for each eye each night. Plain Careprost bottles do not, which is why many people buy Careprost 3 ml with Brush packs. Using a fresh sterile applicator every time is important to avoid eye infections; do not use a mascara wand or cotton bud.

Inactive ingredients

Both are preserved eye solutions, but the exact inactive ingredients can differ between manufacturers. Check the leaflet if you have known sensitivities, particularly to preservatives such as benzalkonium chloride.

Price

Latisse is considerably more expensive per milliliter. Indian bimatoprost products such as Careprost 3 ml and Generic Latisse 3 ml cost much less.

How to apply bimatoprost to your lashes

  1. Remove make-up and contact lenses, and wash your face.
  2. Put one drop on a sterile applicator.
  3. Draw it along the base of the upper lashes, from the inner to the outer corner, where lash meets skin.
  4. Blot any excess with a tissue and use a fresh applicator for the other eye.
  5. Do not apply to the lower lashes and do not put drops in the eye for lash growth.

Apply once a night. Using more does not speed things up; it only increases the chance of side effects. Wait 15 minutes before putting contact lenses back in.

What results to expect

Most people notice a difference after about 8 weeks, with the full effect at around 16 weeks. Lashes stay longer and fuller for as long as you keep using it. If you stop, they gradually return to their previous appearance over several weeks to months, as the lash growth cycle resets. Our guide to Careprost for eyelash growth covers routines and results in more detail.

Side effects

The side effects are the same for both products because the medicine is the same:

  • itchy, red or dry eyes, which are the most common and usually mild
  • darkening of the eyelid skin, which usually fades after stopping
  • hair growth on skin that the solution repeatedly touches
  • a possible permanent increase in brown pigment in the colored part of the eye (iris), reported mainly with drops placed in the eye
  • rarely, a slight hollowing of the area around the eyes

Stop and see a doctor if you develop eye pain, swelling, discharge or any change in vision.

Who should check with a doctor first

Speak to your eye doctor before using either product if you have glaucoma or raised eye pressure (especially if you already use prostaglandin drops, as combining them can reduce their pressure-lowering effect), eye inflammation, a history of eye surgery, or if you are pregnant or breastfeeding.

Careprost or Latisse: which should you choose?

  • If you want the licensed cosmetic product, Latisse prescribed by a doctor is the approved option.
  • If cost matters, bimatoprost 0.03% from brands such as Careprost gives the same active ingredient for less. Buy a pack with sterile brushes, apply once a night, and follow the safety advice above.

See all bimatoprost options in our eyelash care range.

Frequently asked questions

Is Careprost the same as Latisse?

Both contain bimatoprost 0.03%. Latisse is licensed for lash growth and supplied with applicators; Careprost is licensed in India for glaucoma and used off-label on lashes.

Can I use Careprost on my eyebrows?

That is an off-label use without much evidence. Ask a doctor first, and avoid getting it near your eyes.

How long does a 3 ml bottle last?

With one drop per eye each night, a 3 ml bottle typically lasts a couple of months, but throw it away four weeks after opening if the leaflet advises this.

Will my eye color change?

It is uncommon when applied only to the lash line, but it is possible, especially in people with mixed-color (hazel or green-brown) eyes.

General information only. Bimatoprost is a prescription medicine; ask a doctor or eye specialist whether it is suitable for you.

Buy Cenforce 100 Mg
CategoriesErectile Dysfunction

Cenforce vs Viagra: Differences, Dosage and Which to Choose

Cenforce and Viagra are both erectile dysfunction (ED) tablets that contain the same active ingredient, sildenafil citrate. Viagra is the original brand made by Pfizer, while Cenforce is a generic version made in India by Centurion Laboratories. Because the medicine inside is the same, most of the differences come down to licensing, the strengths on offer, the formats available and price. This guide sets them side by side so you can have an informed conversation with your doctor.

Cenforce vs Viagra at a glance

CenforceViagra
Active ingredientSildenafil citrateSildenafil citrate
MakerCenturion Laboratories, IndiaPfizer (now Viatris in many markets)
Licensed in the US, UK and EUNoYes
Licensed strengths25, 50 and 100 mg (also sold as 120, 150 and 200 mg, above the licensed maximum)25, 50 and 100 mg
FormatsFilm-coated tablets, soft chewable tablets, sublingual “Professional” tabletsFilm-coated tablets (plus orodispersible versions in some countries)
Starts workingAbout 30–60 minutesAbout 30–60 minutes
LastsAround 4–5 hoursAround 4–5 hours

The same medicine, working the same way

Sildenafil belongs to a group of medicines called PDE5 inhibitors. During sexual arousal, nitric oxide triggers a chemical messenger (cGMP) that relaxes the smooth muscle in the penis and lets blood flow in. PDE5 is the enzyme that breaks that messenger down. By blocking it, sildenafil helps an erection develop and last. It does not create desire and does nothing without stimulation.

Because the active ingredient is identical, a 100 mg Cenforce tablet is designed to deliver the same dose of sildenafil as a 100 mg Viagra tablet. The expected onset, duration, side effects and precautions are therefore the same for both.

What is actually different?

1. Licensing and quality checks

Viagra and licensed generic sildenafil sold in the US, UK and EU have been assessed by regulators such as the FDA, MHRA or EMA, including checks that generics release the drug in the same way as the original. Cenforce is manufactured and sold under Indian regulation, but it is not a licensed medicine in the US, UK or EU, so those regulators have not reviewed it. That does not mean it is ineffective, but it does mean the independent checks you would get with a licensed product are not there.

2. The strength range

The licensed maximum dose of sildenafil for ED is 100 mg once a day. Cenforce is also sold as 120, 150 and 200 mg tablets. These strengths go beyond what any major regulator has approved and increase the risk of side effects such as headaches, dizziness and low blood pressure without clear extra benefit. If a doctor has agreed that sildenafil is suitable for you, stay within 25–100 mg. Our range of Cenforce 100 mg, Cenforce 50 mg and Cenforce 25 mg covers the standard doses.

3. Formats

Beyond standard tablets, Cenforce comes in variations such as Cenforce Soft 100 mg, a chewable tablet some people find easier to take. These contain the same sildenafil dose. Claims that chewable or sublingual versions work dramatically faster are not well supported, and you should never combine formats or take more than one dose in 24 hours.

4. Price

Branded Viagra carries the cost of Pfizer’s original research and marketing. Generic sildenafil, whether a licensed generic or an Indian brand such as Cenforce, usually costs far less per tablet. In the US and UK, licensed generic sildenafil is now widely available with a prescription at a much lower price than the brand.

How to take sildenafil

  • The usual starting dose is 50 mg, taken about an hour before sex. A doctor may raise it to 100 mg or lower it to 25 mg depending on effect and side effects.
  • Take no more than one dose in 24 hours.
  • A heavy, fatty meal can delay the effect, so a light meal works better.
  • A lower starting dose (25 mg) is often advised for people over 65, those with liver problems or severe kidney disease, and anyone taking certain medicines that raise sildenafil levels, such as ritonavir or some antifungals.
  • Alcohol in moderation is unlikely to be harmful, but heavy drinking makes erections harder and increases dizziness.

Side effects

The most common side effects are the same for both brands: headache, facial flushing, indigestion, a blocked or runny nose, dizziness and, occasionally, a temporary blue tinge or blurring of vision. Get urgent medical help if you have:

  • an erection lasting more than 4 hours (priapism)
  • sudden loss of vision in one or both eyes, or sudden hearing loss
  • chest pain, fainting or an irregular heartbeat during or after sex

Who should not take Cenforce or Viagra

Do not take sildenafil if you use any nitrate medicine (such as nitroglycerin (glyceryl trinitrate) sprays or isosorbide tablets) or the lung medicine riociguat, because the combination can cause a dangerous drop in blood pressure. Sildenafil is also unsuitable for people who have been advised to avoid sexual activity because of heart problems, have had a recent heart attack or stroke, have very low blood pressure or have certain inherited eye conditions. If you take alpha-blockers for blood pressure or prostate symptoms, a doctor will usually start sildenafil at 25 mg.

Erectile dysfunction can be an early sign of heart disease, diabetes or hormone problems, so it is worth having a check-up rather than simply treating the symptom.

Cenforce or Viagra: which should you choose?

Clinically, both deliver sildenafil, so the choice is mostly practical:

  • If regulatory approval matters most to you, choose Viagra or a licensed generic sildenafil prescribed by your doctor.
  • If cost is the main concern, many people use Indian generics such as Cenforce. If you do, stick to the licensed strengths (25–100 mg), follow the dosing rules above, and never take it alongside nitrates.
  • If sildenafil’s 4–5 hour window feels restrictive, a longer-acting medicine such as tadalafil may suit you better. Our guide to sildenafil vs tadalafil explains the differences.

You can compare every strength and format in our sildenafil range.

Frequently asked questions

Is Cenforce the same as Viagra?

It contains the same active ingredient, sildenafil citrate, and works in the same way. It is a different brand from a different manufacturer and is not licensed in the US, UK or EU.

Is Cenforce 200 mg stronger or better than 100 mg?

It contains twice the licensed maximum dose. Higher doses mainly increase side effects; they are not recommended.

Can I switch from Viagra to Cenforce?

If you already take Viagra without problems, the same dose of sildenafil should have a similar effect. Check with your doctor or pharmacist first, and never take both on the same day.

What is Cenforce FM?

Cenforce FM is marketed for women, but sildenafil is not approved for female sexual problems and the evidence that it helps is weak. Women with low desire or arousal difficulties should speak to a doctor about proven options.

This article is for general information only and is not a substitute for medical advice. Sildenafil is a prescription medicine; speak to a doctor before starting it.

Melacare Cream
CategoriesSkin Care

Melasma Treatment: How Hydroquinone and Triple Combination Creams Work

Melasma causes brown or grayish-brown patches, most often on the cheeks, forehead, nose and upper lip. It isn’t harmful, but it can be frustrating: it tends to be stubborn, and it often returns after treatment. The good news is that with the right combination of sun protection and proven topical treatments, most people can significantly lighten their patches. This guide explains what causes melasma and how the most effective melasma treatment creams work.

What Causes Melasma?

Melasma happens when the pigment-producing cells in the skin (melanocytes) become overactive. The main triggers are:

  • Sun exposure: ultraviolet (UV) and visible light are the biggest drivers, and even short daily exposure counts.
  • Hormones: pregnancy (melasma is sometimes called “the mask of pregnancy”), the contraceptive pill and hormone therapy.
  • Genetics: it often runs in families.
  • Skin type: it is more common in women and in people with medium to darker skin tones.
  • Heat and some cosmetics, which can make it worse.

Step 1: Sun Protection (The Non-Negotiable)

No cream will work well without strict sun protection. Even brief sun exposure can undo weeks of progress.

  • Use a broad-spectrum sunscreen, SPF 30–50, every morning, all year round, indoors and out.
  • Choose a tinted sunscreen containing iron oxides where possible. It also blocks visible light, which ordinary sunscreens don’t.
  • Reapply every 2 hours when outdoors.
  • Wear a wide-brimmed hat and seek shade between 10am and 4pm.

Step 2: Hydroquinone Creams

Hydroquinone has long been one of the most widely used topical treatments for melasma. It works by blocking tyrosinase, the enzyme the skin needs to make melanin, which gradually lightens dark patches.

  • Common strengths are 2% and 4%.
  • Improvement usually becomes visible after 4–12 weeks.
  • It is typically used for about 3–4 months, followed by a break. Long-term continuous use can, rarely, cause a bluish-black darkening called exogenous ochronosis.
  • Mild redness, dryness or stinging can occur. Do a patch test on a small area first.

Hydroquinone creams include Melalite Forte Cream, Eukroma Cream and Melanorm Cream.

Step 3: Triple Combination Creams

For moderate to stubborn melasma, dermatologists often prescribe a triple combination cream. It combines three ingredients that work together:

  1. Hydroquinone: reduces melanin production
  2. Tretinoin: speeds up skin cell turnover, so pigmented cells are shed faster and hydroquinone penetrates better
  3. A mild corticosteroid (such as mometasone or fluocinolone): calms the irritation the other two can cause

Triple combination therapy is considered one of the most effective topical treatments for melasma. An example is Melacare Cream (hydroquinone, tretinoin and mometasone).

Because these creams contain a steroid, they are usually used for a limited period, often up to 8 weeks, as directed by a doctor. Longer use can cause skin thinning, visible blood vessels, acne-like breakouts or stretch marks.

How to Apply Melasma Creams

  1. Cleanse gently and pat the skin completely dry.
  2. Apply a thin layer only to the dark patches, once daily at night, unless told otherwise.
  3. Avoid the eyes, lips and corners of the nose.
  4. Wash your hands afterwards.
  5. Apply sunscreen every morning without exception.

Gentler Options and Maintenance

Melasma often comes back, especially after sun exposure or hormonal changes. Once your patches have improved, a doctor may switch you to a gentler maintenance routine, such as:

  • Azelaic acid (for example Aziderm 20% cream): lightens pigment and is often considered suitable in pregnancy
  • Niacinamide, vitamin C, kojic acid or tranexamic acid serums
  • Continued daily tinted sunscreen

In-clinic treatments such as chemical peels may also help, but some lasers can make melasma worse, so choose an experienced dermatologist.

Who Should Be Careful

Avoid hydroquinone and tretinoin if you are pregnant or breastfeeding. Melasma that appears during pregnancy often fades on its own after delivery. See a doctor first if you are unsure whether a patch is melasma. Other conditions, including some skin cancers, can look similar and should be checked.

Frequently Asked Questions

Can melasma be cured permanently?

Melasma can be greatly improved and sometimes cleared, but it tends to recur. Long-term sun protection and a maintenance routine are the best ways to keep it away.

How long does it take for melasma creams to work?

Most people notice lightening within 4–8 weeks, with more significant results by around 12 weeks.

Why is my melasma getting darker during treatment?

Usually this is due to sun or heat exposure, or irritation from the cream. Review your sunscreen routine and speak to your doctor if the skin becomes very red or inflamed.

Browse our full range of melasma treatments, or read our guide to using tretinoin for tips on reducing irritation.

This article is for general information only and is not a substitute for professional medical advice. Consult a doctor or dermatologist for diagnosis and before using prescription skin-lightening treatments.

Buy Flomist Nasal Spray
CategoriesAsthma & Allergy

Nasal Spray for Allergies: How Steroid Sprays Work and How to Use Them

Sneezing, a runny or blocked nose, and itchy, watery eyes are the classic signs of allergic rhinitis, better known as hay fever when it’s triggered by pollen. Antihistamine tablets are often the first thing people reach for. But for persistent or moderate-to-severe symptoms, doctors usually recommend a steroid nasal spray as the most effective treatment. This guide explains how nasal sprays for allergies work, the different types available, and how to use them correctly.

What Is Allergic Rhinitis?

Allergic rhinitis happens when the immune system overreacts to harmless particles in the air and releases histamine and other chemicals that inflame the lining of the nose. It comes in two main forms:

  • Seasonal: triggered by tree, grass or weed pollen at certain times of year.
  • Perennial: year-round symptoms caused by dust mites, pet dander, mold or cockroaches.

Allergic rhinitis is closely linked to asthma. Treating nasal symptoms properly can also help improve asthma control.

How Steroid Nasal Sprays Work

Steroid (corticosteroid) nasal sprays reduce inflammation inside the nose. This eases all the main symptoms: congestion, sneezing, itching and runny nose. Because the medicine works locally in a very small dose, very little is absorbed into the rest of the body.

Common steroid nasal sprays include:

Combination Nasal Sprays

Some sprays combine a steroid with an antihistamine such as azelastine. The antihistamine starts working within minutes, while the steroid provides longer-lasting control. This makes combination sprays useful for people whose symptoms aren’t controlled by a steroid spray alone. Furamist AZ Nasal Spray is one such option.

How Long Do Steroid Nasal Sprays Take to Work?

Many people start to notice some improvement within 12 hours, but the full effect can take several days to two weeks of regular use. For best results:

  • Use it every day, not just when symptoms flare.
  • If you have seasonal allergies, start 1–2 weeks before your usual pollen season begins.
  • Don’t give up after a day or two. Consistency is what makes it work.

How to Use a Nasal Spray Correctly

Good technique improves results and reduces side effects like nosebleeds.

  1. Gently blow your nose to clear it.
  2. Shake the bottle. If it is new or hasn’t been used for a while, prime it by spraying into the air until a fine mist appears.
  3. Tilt your head slightly forward, looking at your toes rather than the ceiling.
  4. Close one nostril and insert the nozzle just inside the other.
  5. Aim the nozzle slightly outwards, towards the outer wall of the nostril and away from the center (septum). A simple trick: use your right hand for your left nostril and vice versa.
  6. Spray while breathing in gently through the nose. Don’t sniff hard, or the medicine ends up in your throat.
  7. Repeat on the other side, then wipe the nozzle clean.

Possible Side Effects

Steroid nasal sprays are well tolerated by most people. Possible side effects include:

  • Nasal dryness, irritation or stinging
  • Minor nosebleeds (often reduced by aiming away from the septum)
  • Unpleasant taste or smell
  • Headache

Unlike decongestant sprays, steroid nasal sprays are not habit-forming and can be used long term under medical advice.

Steroid Sprays vs Decongestant Sprays

Decongestant sprays such as oxymetazoline or xylometazoline unblock the nose within minutes. However, they should be used for no more than 3 days. Longer use can cause “rebound congestion” (rhinitis medicamentosa), where the nose becomes more blocked each time the spray wears off. They don’t treat the underlying allergic inflammation, so they are not a long-term solution.

Other Allergy Treatments

  • Non-drowsy antihistamine tablets (such as cetirizine, levocetirizine, loratadine or fexofenadine) help with sneezing, itching and watery eyes.
  • Montelukast (for example Montair 10 mg) may be prescribed, especially for people who have both allergies and asthma. Rarely, it can cause mood or sleep changes, so it is usually reserved for when other treatments aren’t suitable.
  • Saline nasal rinses help wash allergens and mucus out of the nose.
  • Reducing exposure: keep windows closed on high-pollen days, shower after being outdoors, wash bedding hot weekly, and use dust-mite-proof covers.

When to See a Doctor

See a doctor if your symptoms don’t improve after 2–4 weeks of regular treatment, affect your sleep or daily life, or come with wheezing or breathlessness. Also get checked if you have frequent nosebleeds, facial pain, or symptoms on only one side of the nose, as these may point to something other than allergies.

Frequently Asked Questions

Can I use a steroid nasal spray every day?

Yes. Steroid nasal sprays are designed for regular daily use and are generally safe for long-term use under medical guidance.

Which is better for allergies: a nasal spray or tablets?

For blocked nose and persistent symptoms, steroid nasal sprays are generally more effective than antihistamine tablets. Many people use both during peak season.

Why does my nasal spray run down my throat?

This usually happens when you tilt your head back or sniff too hard. Keep your head tilted slightly forward and breathe in gently.

Browse our full range of allergy treatments. If you also have asthma, read our guide to the different types of asthma inhalers.

This article is for general information only and is not a substitute for professional medical advice. Speak to a doctor or pharmacist before starting any new medicine, especially if you are pregnant, breastfeeding or taking other medicines.

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CategoriesErectile Dysfunction

Sildenafil vs Tadalafil: Key Differences, Dosage and Which One to Choose

Sildenafil and tadalafil are the two most widely prescribed medicines for erectile dysfunction (ED). Both belong to the same drug class and work in a similar way, yet they feel quite different in everyday use. One acts for a few hours, the other for up to a day and a half. This guide compares sildenafil vs tadalafil side by side so you can have a better-informed conversation with your doctor about which one suits your lifestyle.

How Sildenafil and Tadalafil Work

Both medicines are PDE5 inhibitors. During sexual arousal, the body releases nitric oxide, which relaxes the smooth muscle in the penis and lets more blood flow in. An enzyme called phosphodiesterase type 5 (PDE5) normally switches this process off. By blocking PDE5, sildenafil and tadalafil help the body maintain the blood flow needed for an erection.

An important point that many men do not realize: neither medicine causes an erection on its own. Sexual stimulation is still needed. They make a natural response easier, rather than creating one.

Sildenafil vs Tadalafil at a Glance

SildenafilTadalafil
Original brandViagraCialis
Starts workingAbout 30–60 minutesAbout 30 minutes to 2 hours
How long it worksAround 4–6 hoursUp to 36 hours
Effect of foodA heavy, high-fat meal can delay itNot significantly affected by food
Common strengths25 mg, 50 mg, 100 mg2.5 mg and 5 mg (daily); 10 mg and 20 mg (as needed)
Daily dosing optionNoYes, low-dose daily tablets
Other approved usesPulmonary arterial hypertension (different dosing)Enlarged prostate (BPH) symptoms, pulmonary arterial hypertension

Sildenafil: Fast-Acting and Predictable

Sildenafil was the first PDE5 inhibitor and has more than 25 years of real-world use behind it. It is usually taken about an hour before sexual activity, and its effect lasts for several hours. Many men like that it has a clear, predictable window.

The main practical drawback is that a large or fatty meal can slow its absorption, so it tends to work best on a light stomach. Doctors commonly start at 50 mg and adjust up or down depending on response and side effects. The maximum is one dose in 24 hours.

Popular generic sildenafil brands include Fildena 100 mg, Cenforce 100 mg and Aurogra 100 mg. You can see all strengths in our sildenafil range.

Tadalafil: Long-Lasting and Flexible

Tadalafil’s biggest advantage is its long duration. A single as-needed dose can remain effective for up to 36 hours, which is why it earned the nickname “the weekend pill”. This removes much of the pressure of timing, and food has little effect on how well it works.

Tadalafil is also available as a low daily dose (2.5 mg or 5 mg) taken at the same time every day. This keeps a steady level in the body, so there is no need to plan around a tablet at all. The daily 5 mg dose is also used to relieve urinary symptoms caused by an enlarged prostate. This makes it a practical option for men who have both conditions.

Common generic tadalafil options include Vidalista 20 mg and Tadarise 20 mg for as-needed use, and Vidalista 5 mg for daily use. Browse our full tadalafil range.

What About Vardenafil and Avanafil?

Two other PDE5 inhibitors are also available:

  • Vardenafil works much like sildenafil, lasting around 4–5 hours. Some men who don’t respond well to one medicine find another suits them better.
  • Avanafil is the newest of the group and can start working in as little as 15–30 minutes, with fewer reported visual side effects.

Side Effects to Know About

Because both medicines widen blood vessels, they share similar common side effects. These are usually mild and short-lived:

  • Headache
  • Facial flushing
  • Blocked or runny nose
  • Indigestion or heartburn
  • Dizziness

There are a few differences. Sildenafil is more likely to cause temporary visual changes, such as a blue tint or sensitivity to light. Tadalafil is more likely to cause back pain or muscle aches, which typically appear 12–24 hours after a dose.

Seek urgent medical help if you have an erection lasting more than 4 hours (priapism), sudden loss of vision or hearing, or chest pain during sexual activity.

Who Should Not Take Them

PDE5 inhibitors are not safe for everyone. Do not take sildenafil or tadalafil if you:

  • Use nitrate medicines for chest pain (such as nitroglycerin/GTN spray or isosorbide) or recreational “poppers”. The combination can cause a dangerous drop in blood pressure.
  • Take riociguat for pulmonary hypertension.
  • Have been advised by a doctor to avoid sexual activity because of a heart condition.
  • Have had a recent heart attack or stroke, or have very low blood pressure.

Extra caution is needed if you take alpha-blockers for blood pressure or prostate problems, certain antifungals or HIV medicines, or if you have liver or kidney disease. Never take two different ED medicines together. Limit alcohol, which can reduce effectiveness and increase dizziness. Grapefruit juice can raise drug levels in the blood.

Which One Should You Choose?

There is no single “best” ED medicine. Large studies show sildenafil and tadalafil are similarly effective, so the right choice mostly comes down to your routine and preferences:

  • Choose sildenafil if you prefer a shorter-acting tablet taken shortly before planned activity, or you have used it successfully before.
  • Choose tadalafil if you want more spontaneity, a longer window of effect, or also have enlarged-prostate symptoms.
  • Consider daily tadalafil if you are sexually active several times a week and would rather not plan around a tablet.

Your doctor will consider your heart health, other medicines and any side effects you’ve had before recommending a medicine and dose.

Frequently Asked Questions

Can I take sildenafil and tadalafil together?

No. Combining PDE5 inhibitors increases the risk of low blood pressure and other side effects without improving results.

Is tadalafil stronger than sildenafil?

Not exactly. They are similarly effective at their recommended doses. Tadalafil simply lasts longer, which some men experience as “stronger”.

Do I need to take them every day?

Sildenafil and as-needed tadalafil (10–20 mg) are taken only before sexual activity. Low-dose tadalafil (2.5–5 mg) is the option designed for daily use.

Does ED always need medication?

Not always. ED can be an early sign of heart disease, diabetes or high blood pressure, and lifestyle changes such as exercise, weight loss, stopping smoking and drinking less can make a real difference. Read our guide to tips for managing erectile dysfunction for more.

This article is for general information only and is not a substitute for professional medical advice. Always speak to a doctor or pharmacist before starting, stopping or changing any medicine.

Tretinoin 0.05% Cream
CategoriesSkin Care

Tretinoin for Acne: Strengths, How to Use It and What to Expect

Tretinoin is one of the most effective and well-studied topical treatments for acne. Dermatologists have prescribed it for over 50 years. It can clear blackheads and whiteheads, reduce breakouts, and even improve post-acne marks and fine lines. It also has a reputation for causing dryness and peeling in the first few weeks, which is why so many people give up too early. This guide explains how tretinoin for acne works, which strength to start with, and how to use it for the best results with the least irritation.

What Is Tretinoin?

Tretinoin (also known as all-trans retinoic acid) is a topical retinoid, a form of vitamin A applied directly to the skin. It is available as a cream or gel on prescription, and is sold under brand names such as Retin-A, as well as generics like Tretinoin cream and Tretoin gel.

How Tretinoin Treats Acne

Acne starts when dead skin cells and oil block a pore, forming a microcomedone that can become a blackhead, whitehead or inflamed spot. Tretinoin works on this root cause:

  • Speeds up skin cell turnover, so dead cells don’t build up and clog pores
  • Unblocks existing comedones (blackheads and whiteheads)
  • Prevents new blockages from forming
  • Reduces inflammation and helps other acne treatments penetrate better
  • Fades dark marks left by old spots and improves skin texture over time

Which Tretinoin Strength Should You Use?

StrengthBest for
0.025% creamBeginners, sensitive or dry skin, mild acne
0.05% creamModerate acne, or after tolerating 0.025% well
0.1% cream / gelOily, resilient skin and more stubborn acne, usually once lower strengths are tolerated

Creams are generally more moisturizing and gentler. Gels suit oilier skin but can feel more drying. Most dermatologists recommend starting low and increasing gradually. A higher strength isn’t necessarily better if it leaves your skin too irritated to use consistently.

How to Use Tretinoin: Step by Step

  1. Apply at night only. Tretinoin breaks down in sunlight and makes skin more sun-sensitive.
  2. Cleanse gently with a mild, non-foaming cleanser and pat dry.
  3. Wait 20–30 minutes until your skin is completely dry. Applying to damp skin increases irritation.
  4. Use a pea-sized amount for your whole face. Dot it on the forehead, cheeks and chin, then spread thinly. More is not better.
  5. Avoid sensitive areas: the corners of the nose, the eyes and the lips.
  6. Moisturize with a simple, fragrance-free moisturizer, before or after tretinoin.
  7. Use sunscreen every morning: broad-spectrum SPF 30 or higher, even on cloudy days.

Start with two or three nights a week, then increase to every other night and eventually nightly as your skin adjusts.

What to Expect: The Tretinoin Timeline

  • Weeks 1–4: Dryness, flaking, redness and mild stinging are common while the skin adjusts (sometimes called “retinisation”). Some people get a temporary flare of breakouts as clogged pores come to the surface (“purging”).
  • Weeks 6–8: Irritation usually settles and fewer new spots appear.
  • Weeks 12 and beyond: Clearer skin, fewer blackheads and faded marks. Full results can take 3–6 months.

Patience is the key to success. Most people who say tretinoin “didn’t work” stopped before the 12-week mark.

What Not to Combine With Tretinoin

  • Harsh scrubs, exfoliating acids (AHA/BHA) and toners with alcohol. These can seriously increase irritation.
  • Benzoyl peroxide at the same time. It can break down some tretinoin formulas. If both are prescribed, use benzoyl peroxide in the morning and tretinoin at night.
  • Waxing on treated skin. It can lift the skin.

Who Should Not Use Tretinoin

Avoid tretinoin if you are pregnant, trying to conceive or breastfeeding, unless a doctor specifically advises otherwise. Don’t apply it to sunburned, broken or eczema-affected skin. Other prescription retinoids such as tazarotene (Tazret gel) must also be avoided in pregnancy.

What If Tretinoin Isn’t Enough?

For moderate acne, doctors often combine tretinoin with a topical antibiotic or benzoyl peroxide. Azelaic acid (such as Aziderm 20% cream) is a gentler alternative that also helps with dark marks. Severe, scarring or cystic acne may need oral treatment such as isotretinoin. That medicine requires specialist supervision, regular monitoring and strict pregnancy prevention, so it should only be started by a dermatologist.

Frequently Asked Questions

Can I use tretinoin every night from the start?

Most people can’t without significant irritation. Starting two or three nights a week and building up is far more sustainable.

Does tretinoin help acne scars?

It can fade dark marks (post-inflammatory hyperpigmentation) and mildly improve texture over months. Deep, pitted scars usually need procedures such as microneedling or laser treatment.

Is tretinoin the same as retinol?

No. Retinol is a weaker, over-the-counter ingredient that the skin must convert into retinoic acid. Tretinoin is already the active form, making it considerably stronger and more effective for acne.

Explore our complete acne treatment range and other skin care products.

This article is for general information only and is not a substitute for professional medical advice. Speak to a doctor or dermatologist before starting a prescription skin treatment.

Seroflo Inhaler 250 Mcg
CategoriesAsthma & Allergy

Types of Asthma Inhalers: Relievers, Preventers and How to Use Them Correctly

If you have asthma, chances are you have more than one inhaler, and it isn’t always obvious which one to use and when. Relievers, preventers, combination inhalers, rotacaps, accuhalers: the terminology can be confusing. Getting it right matters, because using the correct inhaler with the correct technique is one of the biggest factors in keeping asthma under control. This guide explains the main types of asthma inhalers, how each one works, and how to use them properly.

Why Asthma Needs Different Types of Inhalers

Asthma involves two problems happening in the airways:

  1. Inflammation: the airway lining becomes swollen and sensitive, reacting to triggers such as dust, pollen, smoke, cold air or exercise.
  2. Bronchospasm: the muscles around the airways tighten, narrowing them and causing wheezing, coughing and breathlessness.

Different inhalers target different parts of this process. That is why many people need both a quick-relief inhaler and a daily controller.

1. Reliever Inhalers (Blue Inhalers)

Reliever inhalers contain a short-acting bronchodilator, most commonly albuterol (also called salbutamol), or levalbuterol (levosalbutamol). They relax the tightened airway muscles within minutes, and their effect lasts around 4–6 hours.

Relievers are used when symptoms appear, or before exercise if your doctor recommends it. Examples include Asthalin Inhaler (albuterol) and Levolin Inhaler (levalbuterol).

Important: relievers treat symptoms but not the underlying inflammation. If you need your reliever more than two or three times a week, your asthma is probably not well controlled. Speak to your doctor about a preventer.

2. Preventer Inhalers (Inhaled Corticosteroids)

Preventer inhalers contain a low-dose inhaled corticosteroid (ICS), such as budesonide, fluticasone or beclomethasone (beclometasone). They reduce inflammation in the airways over time, making them less sensitive to triggers and lowering the risk of asthma attacks.

Key things to know about preventers:

  • They must be used every day, even when you feel well.
  • They don’t give instant relief. The full benefit builds over days to weeks.
  • Rinse your mouth and spit after each use to reduce the risk of oral thrush and hoarseness.
  • Inhaled steroid doses are far lower than steroid tablets, and are considered safe for long-term use under medical supervision.

An example is Budecort Inhaler (budesonide).

3. Combination Inhalers (Preventer + Long-Acting Reliever)

Combination inhalers pair an inhaled corticosteroid with a long-acting bronchodilator (LABA), such as salmeterol or formoterol. The LABA keeps airways open for around 12 hours, while the steroid controls inflammation. They are prescribed when a preventer alone isn’t enough, and for many people with COPD.

Popular combination inhalers include:

A long-acting bronchodilator should never be used on its own for asthma without an inhaled steroid. Salmeterol-based inhalers are also not meant for rescuing a sudden attack, so keep your reliever with you.

Tablets Used Alongside Inhalers

Some people also benefit from tablets added to their inhaler treatment:

  • Montelukast (for example Montair 10 mg) blocks leukotrienes, chemicals that cause airway swelling. It can help with exercise-induced and allergy-related asthma. Rarely, it has been linked to mood changes, sleep problems or depression. Tell your doctor promptly if you notice any.
  • Acebrophylline (for example AB Phylline 200 mg SR) is a bronchodilator that also helps thin mucus. It is prescribed in some countries for asthma and COPD.

Types of Inhaler Devices

The medicine is only half the story. The device matters too.

  • Metered-dose inhaler (MDI): the classic “puffer” that releases a measured spray. It requires coordinating pressing and breathing in, and works much better with a spacer.
  • Dry-powder inhaler (DPI): devices such as the Accuhaler, or rotacaps used with a Rotahaler. You breathe the powder in with a quick, deep breath. No coordination with pressing is needed, but you need enough breath strength.

How to Use a Metered-Dose Inhaler Correctly

  1. Remove the cap and shake the inhaler well.
  2. Breathe out gently, away from the mouthpiece.
  3. Seal your lips around the mouthpiece (or spacer).
  4. Start breathing in slowly and press the canister once at the same time.
  5. Keep breathing in slowly and deeply, then hold your breath for about 10 seconds.
  6. Wait about 30–60 seconds before taking a second puff, if prescribed.

How to Use a Dry-Powder Inhaler Correctly

  1. Load the dose (slide the lever or insert the capsule, depending on the device).
  2. Breathe out fully, away from the device. Moisture from your breath can clump the powder.
  3. Seal your lips around the mouthpiece and breathe in quickly and deeply.
  4. Hold your breath for about 10 seconds, then breathe out slowly.

Warning Signs of Poorly Controlled Asthma

Contact your doctor if you:

  • Use your reliever more than 2–3 times a week
  • Wake at night with asthma symptoms
  • Find symptoms limit your daily activities or exercise

Call emergency services if your reliever isn’t helping, you’re too breathless to speak or walk, or your lips or fingertips look blue or gray.

Frequently Asked Questions

What is the difference between a reliever and a preventer?

A reliever opens the airways quickly during symptoms. A preventer reduces the underlying inflammation when used daily, lowering the chance of symptoms happening in the first place.

Can I stop my preventer when I feel better?

No. Feeling well usually means the preventer is working. Stopping suddenly can let inflammation return. Always discuss changes with your doctor.

Do I need a spacer?

Spacers are strongly recommended with metered-dose inhalers, especially for children and anyone who finds timing difficult. They help more medicine reach the lungs.

Explore our full range of asthma medicines and respiratory care products. If allergies trigger your asthma, you may also find our guide to nasal sprays for allergies helpful.

This article is for general information only and is not a substitute for professional medical advice. Always follow your doctor’s asthma action plan and speak to a healthcare professional before changing any treatment.

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