Intended for UK patients prescribed Stalpex
You can also download the leaflet opposite to help you use your
Please read the Patient Information Leaflet (PIL) carefully. A paper copy
is provided with your medicine and an online version can be found here.
If you have any questions please ask your doctor, nurse or pharmacist.
The following information is provided to supplement the PIL. It does not
replace the important information contained in the PIL, but it can help
you to visualise the steps involved for correct inhalation.
Doctors may follow treatment guidelines, to ensure every patient is on the most
suitable treatments for them. Stalpex is a medicine that doctors can prescribe for
people with asthma or chronic obstructive pulmonary disease (COPD).1
Stalpex is a treatment containing two medicines in one inhaler: salmeterol xinafoate
and fluticasone propionate. Its effect on the lungs lasts for at least 12 hours.1
Taken every day as directed by a doctor,
Stalpex helps prevent breathlessness
and wheezing from coming on.1
Stalpex comes in an inhaler, which
contains 60 pre-dispensed doses of the
medicine, equivalent to 60 inhalations.1
Always use Stalpex exactly as your doctor or pharmacist has told you.
Check with them if you are not sure
Use your Stalpex every day until your doctor advises you to stop.
Do not take more than the recommended dose
Do not stop taking Stalpex or reduce the dose without talking to your doctor first
Stalpex should be inhaled through the mouth into the lungs
Make sure you use the inhaler correctly so you are getting the right treatment dose
Take it every day as prescribed, even if you’re feeling well and have no symptoms
Do not stop treatment, unless under medical advice
Stalpex should not be used to relieve a sudden attack of breathlessness or wheezing. If this happens you need to use a fast-acting ‘reliever’ (‘rescue’) inhaler, such as salbutamol
When you take your Stalpex medication, it is important to know
how to use your inhaler properly.
Your doctor, nurse or pharmacist will show you how to do this
and will check regularly that you are using your inhaler correctly.
You will also find instructions on the pharmacy label and in the
Patient Information Leaflet.
If you are unsure about anything or experience any problems
inhaling, ask your doctor, nurse or pharmacist for advice.
Your Stalpex inhaler holds blisters containing a powder. There is a counter at the top that tells you how many doses are left. It counts down to 0.
The numbers 5 to 0 appear
with a black dot to warn you that there are only a few doses left. Once the counter shows 0, your inhaler is empty.
To open your Stalpex inhaler, hold the outer
case in one hand and put the thumb of your
other hand on the thumb grip. Push your thumb
away from you as far as it will go. You will hear
a click. This will open a small hole in the
Hold your Stalpex inhaler with the mouthpiece
towards you. You can hold it in either your right
or left hand. Slide the lever away from you as far
as it will go. You will hear a click. This places
a dose of your medicine in the mouthpiece.
Every time the lever is pulled back a blister is
opened inside and the powder made ready for
you to inhale. Do not play with the lever as
this opens the blisters and wastes
Hold your Stalpex inhaler away from your mouth,
breathe out as far as is comfortable. Do not
breathe into your Stalpex inhaler.
Put the mouthpiece to your lips; breathe in
steadily and deeply through your Stalpex inhaler,
not through your nose.
Remove your Stalpex inhaler from your mouth.
Hold your breath for about 10 seconds or for
as long as is comfortable.
Breathe out slowly.
Afterwards, rinse your mouth with water and
spit it out, and/or brush your teeth. This may
help to stop you getting thrush and becoming
To close the Stalpex inhaler, slide the thumb grip
back towards you, as far as it will go. You will
hear a click. The lever will return to its original
position and is reset.
Your Stalpex inhaler is now ready for you to
We have updated the design of the Stalpex inhaler, so currently there are 2 different shaped inhalers available in the UK. Both are Stalpex and provide the same medicine to treat your asthma or COPD. You should continue to use your Stalpex inhaler in the same way as instructed by your doctor, nurse or pharmacist.
Stalpex® is a registered trademark of Glenmark Pharmaceuticals Europe Limited.
© 2021 Glenmark Pharmaceuticals Europe Ltd. All rights reserved.
Date of preparation: June 2021 NP-UK-STAL-0017
Reporting of side effects
If you experience any side effects, talk to your doctor, pharmacist or
nurse. This includes any side effects not listed in the package leaflet.
You can also report side effects directly via the Yellow Card Scheme at
www.mhra.gov.uk/yellowcard. By reporting side effects, you can help
provide more information on the safety of this medicine.