Fluticasone propionate and salmeterol

(Advair HFA®)

Advair HFA®

Drug updated on 5/17/2024

Dosage FormAerosol (inhalation; fluticasone propionate/salmeterol; 45 mcg/21 mcg, fluticasone propionate/salmeterol; 115 mcg/21 mcg, fluticasone propionate/salmeterol; 230 mcg/21 mcg)
Drug ClassCorticosteroids and long-acting beta2-adrenergic agonists
Ongoing and
Completed Studies


  • Indicated for treatment of asthma in adult and adolescent patients aged 12 years and older.

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  • Fluticasone propionate and salmeterol (Advair HFA) is indicated for the treatment of asthma in adults and adolescents aged 12 years and older. It has been shown to significantly improve health-related quality of life compared to placebo, long-acting beta-agonists alone, or inhaled corticosteroids only.
  • Five systematic reviews/meta-analyses focused on the effectiveness and safety of Advair HFA in comparison with other medications for treating asthma.
  • The safety profile of fluticasone propionate/salmeterol was comparable to that of the formoterol/budesonide combination therapies among adults and adolescents. Nonetheless, there is a lack of studies focusing on the children population subgroup.
  • In terms of efficacy against pediatric asthma management, fluticasone propionate/salmeterol demonstrated clearer improvements than fluticasone propionate/formoterol, particularly regarding primary lung function measures and related symptom scores.
  • For chronic obstructive pulmonary disease (COPD), LABA/LAMA combinations generally showed more effectiveness than ICS/LABA options like Advair HFA at improving trough FEV1 levels while reducing exacerbation risk. However, this does not diminish the importance or relevance of Advair HFA, especially when dealing with overlap between COPD and asthma conditions.
  • The overall conclusion from these studies suggests that despite some treatments offering advantages over others depending on specific contexts such as purely COPD cases vs. asthma-COPD overlaps, etc., it remains crucial to consider individual needs effectively by tailoring treatment plans accordingly based on multifaceted comparisons across different drug profiles.

Product Monograph / Prescribing Information

Document TitleYearSource
Advair HFA (fluticasone propionate and salmeterol) Prescribing Information.2023GlaxoSmithKline, Durham, NC

Systematic Reviews / Meta-Analyses

Clinical Practice Guidelines