Order Serobid (salmeterol) inhaler online in the USA

| Product Name | Serobid (Salmeterol) |
| Dosage | Inhalation powder 50 mcg per blister/capsule; HFA inhaler 25 mcg per actuation |
| Active Ingredient | Salmeterol xinafoate |
| Form | Inhalation powder (Diskus/rotacaps) or metered-dose inhaler (HFA) |
| Description | Long-acting beta2-agonist (LABA) for maintenance treatment of asthma and COPD. Not a rescue inhaler. Use with an inhaled corticosteroid for asthma. |
| How to Order Without Prescription | Online pharmacy with U.S.-licensed telehealth evaluation (prescription provided when appropriate) |
Serobid is a brand name for salmeterol, a long-acting beta2-adrenergic agonist (LABA) designed for maintenance control of airway symptoms in asthma and chronic obstructive pulmonary disease (COPD). In the United States, salmeterol is typically dispensed as an inhalation powder (for example, 50 mcg per blister administered via a device) or as a metered-dose inhaler (for example, 25 mcg per actuation). Unlike quick-relief rescue inhalers, Serobid works slowly and provides prolonged bronchodilation, helping to prevent day and night symptoms when used regularly.
For asthma, U.S. guidelines emphasize that LABA medications like salmeterol should not be used alone. They must be used together with an inhaled corticosteroid (ICS) to reduce the risk of asthma-related hospitalizations and deaths. For COPD, salmeterol may be used as part of a maintenance regimen to improve airflow and reduce exacerbations. This page explains how Serobid is used, who it is for, how to take it correctly, safety warnings (including the FDA boxed warning for LABAs), typical dosing, device technique, potential side effects, and how to order online in the USA with a licensed telehealth prescription when clinically appropriate.
Serobid price and ways to save in the USA
The cost of salmeterol varies in the United States depending on the device type (inhalation powder versus HFA inhaler), the pharmacy, whether you use brand or authorized generic products, and your insurance coverage. Cash prices for a typical 60-blister inhalation powder supply often range widely, and discount programs or pharmacy coupons can substantially lower out-of-pocket costs. Employer-based or marketplace insurance plans typically place LABAs on tiered formularies; your final copay will depend on your specific plan and whether prior authorization is required.
Money-saving tips:
- Ask your clinician about an authorized generic salmeterol option if available for your device.
- Use pharmacy discount cards or digital coupons to lower cash prices.
- Compare local pharmacy and mail-order prices; sometimes 90-day fills can reduce the per-month cost.
- Check whether your plan prefers a specific LABA brand; switching to a formulary-preferred option can reduce copays.
- Look for patient assistance or manufacturer-sponsored savings programs if eligible.
Our online pharmacy partner displays real-time prices during checkout and, where permitted, supports use of digital discounts. A U.S.-licensed provider can review your intake and issue a prescription if clinically appropriate, which you can fill through our partner network for convenient home delivery.
Where can I buy Serobid in the USA?
If you need a maintenance LABA inhaler such as Serobid (salmeterol), you can order through our U.S.-based online pharmacy partner. During checkout, an intake questionnaire is reviewed by a licensed clinician. If medically appropriate, a prescription is issued so you can complete your purchase and have your inhaler shipped to your address. This telehealth pathway is especially helpful when you cannot schedule an in-person visit promptly.
We have supported patients nationwide for years by connecting them with licensed providers and accredited pharmacies. The platform focuses on timely prescription review, transparent pricing, and fast shipping. If you already have a prescription from your clinician, you can upload it securely and proceed directly to fulfillment.
Important: In the United States, salmeterol is a prescription-only medication. It should be used under the guidance of a healthcare professional and, for asthma, always in combination with an inhaled corticosteroid controller.
Serobid availability
In the U.S., salmeterol products are dispensed in different device formats. Many patients are familiar with Diskus-style inhalation powder devices (delivering 50 mcg per blister) and HFA metered-dose inhalers (commonly 25 mcg per actuation). Your clinician may prescribe one device over another based on your dexterity, inspiratory flow, and preference. Our partner pharmacists can provide device coaching to help ensure correct technique and consistent dosing.
What is Serobid (salmeterol)?
Salmeterol is a selective, long-acting beta2-adrenergic receptor agonist. It relaxes bronchial smooth muscle, increasing airflow and reducing symptoms like wheeze, chest tightness, and cough when taken regularly. Because its onset is slower than short-acting beta agonists (SABAs) such as albuterol, it is not appropriate for relief of sudden bronchospasm.
Indications in the USA include:
- Asthma maintenance therapy (only in combination with an inhaled corticosteroid)
- Prevention of exercise-induced bronchospasm (EIB) when longer-duration protection is needed
- Maintenance treatment of airflow obstruction in COPD, including chronic bronchitis and emphysema
Serobid is intended for long-term control. Patients should continue using their prescribed rescue inhaler (e.g., albuterol) to treat sudden symptoms and follow their asthma or COPD action plan.
Serobid for asthma maintenance therapy
For persistent asthma, U.S. guidelines and the FDA boxed warning require that LABAs like salmeterol only be used together with an inhaled corticosteroid (ICS). This combination reduces exacerbations and improves lung function more effectively than either component alone. If you have had frequent symptoms, awakening at night with breathing problems, or recurrent exacerbations, your clinician may recommend stepping up therapy with an ICS plus LABA regimen.
Do not use Serobid as monotherapy for asthma. If you are using Serobid without an ICS, contact your healthcare provider to review your regimen and safety plan.
Serobid for COPD
In COPD, long-acting bronchodilators such as LABAs play a central role in maintenance therapy. Salmeterol helps reduce dyspnea, improves exercise tolerance, and may lower the frequency of exacerbations. Your clinician may choose a LABA alone or a LABA combined with a long-acting muscarinic antagonist (LAMA) and/or an ICS depending on symptom burden, exacerbation history, and blood eosinophil counts. Proper inhaler technique and adherence are crucial to realizing the full benefit.
Serobid and exercise-induced bronchospasm (EIB)
Salmeterol can help prevent EIB when used before activity. Typical guidance is to take a dose about 30 minutes before exercise. Do not take extra doses beyond the prescribed schedule, and do not use salmeterol as rescue therapy for acute symptoms during exercise. Short-acting beta agonists remain first-line for immediate relief. Work with your clinician to determine the best pre-exercise plan for you.
How Serobid works (mechanism of action)
Salmeterol selectively stimulates beta2-adrenergic receptors in bronchial smooth muscle, leading to increased intracellular cyclic AMP and subsequent relaxation of smooth muscle fibers in the airways. This results in bronchodilation and decreased airway resistance over approximately 12 hours per dose. Compared to short-acting agents, salmeterol’s lipophilic side chain leads to a prolonged duration of action.
Boxed warning and key safety information
Important boxed warning: LABA monotherapy increases the risk of asthma-related hospitalization and death. For asthma patients, use salmeterol only in combination with an inhaled corticosteroid. If control is achieved, your clinician may re-evaluate continuing the LABA.
Serobid is not a rescue inhaler. Do not use it to treat sudden wheezing or acute bronchospasm. Keep a quick-relief inhaler (e.g., albuterol) on hand and follow your action plan. Seek urgent medical help if symptoms are severe or not responding to rescue treatment.
Serobid dosage and administration
Always follow your clinician’s instructions and the patient information leaflet provided with your device. Typical dosing examples include:
- Asthma (with ICS): 50 mcg inhalation powder twice daily (morning and evening) or 2 inhalations of 25 mcg HFA twice daily.
- Prevention of EIB: single dose about 30 minutes before exercise; do not exceed prescribed frequency or add extra doses.
- COPD maintenance: 50 mcg inhalation powder twice daily or 2 inhalations of 25 mcg HFA twice daily.
Do not exceed the prescribed dose or frequency. If you miss a dose, take it as soon as you remember unless it is close to your next scheduled dose. Do not double up doses.
Step-by-step: how to use your Serobid inhaler
Correct inhaler technique makes a major difference in symptom control. Review these general steps, then confirm device-specific directions for the inhaler you receive:
- Prepare the device: Open or load the inhaler as directed. For capsule-based devices, place a capsule in the chamber and pierce it if required. For Diskus-type devices, slide the lever until it clicks to load a dose. For HFA inhalers, remove the cap and shake well.
- Exhale fully: Breathe out away from the device to empty your lungs.
- Seal and inhale: Place the mouthpiece between your teeth, close your lips around it, and inhale quickly and deeply for powder devices, or slowly and steadily for HFA devices.
- Hold your breath: Remove the inhaler and hold your breath for about 10 seconds, or as long as comfortable, then exhale gently.
- Repeat if instructed: If your prescribed dose requires two inhalations, wait the recommended interval and repeat.
- Rinse: After using beta agonists, rinsing is not mandatory as with ICS, but many clinicians recommend rinsing and spitting to reduce throat irritation.
- Store properly: Keep the device dry, at room temperature, and away from extreme heat or cold.
Ask your pharmacist for a demonstration or a video tutorial. Recheck technique at every visit—small adjustments can greatly improve control.
Storage, missed dose, and overdose information
Store Serobid at room temperature, protected from moisture and heat. Do not wash or submerge inhalation devices. Keep track of remaining doses using the device counter or by noting actuations. If you miss a dose, take it when you remember unless it is almost time for the next dose; never double up. Overuse may cause tachycardia, tremor, hypokalemia, and other systemic effects—seek medical attention if you suspect overdose.
Indications and important limitations of use
Serobid is indicated for the maintenance treatment of asthma and COPD and for preventing exercise-induced bronchospasm. It is not indicated for relief of acute bronchospasm and should not be initiated in acutely deteriorating asthma or COPD. For asthma, it must be combined with an inhaled corticosteroid and should not be used as monotherapy.
Pregnancy and breastfeeding
There are limited data on the use of salmeterol in pregnancy. Clinicians weigh maternal benefits and potential fetal risks when deciding on therapy. Uncontrolled asthma or COPD poses its own risks to the pregnant patient and fetus. During breastfeeding, discuss salmeterol use with your clinician; systemic exposure is low with inhaled formulations, but individualized risk-benefit assessment is essential.
Pharmacist’s tips for getting the most from Serobid
Use Serobid at the same times each day for steady control. Keep a rescue inhaler accessible at all times, and follow your written action plan. If you need your rescue inhaler more often than usual, or you wake at night with symptoms, contact your clinician—your maintenance plan may need adjustment.
For asthma, make sure an inhaled corticosteroid is part of your daily regimen while using a LABA. If you notice hoarseness, throat irritation, or tremor, tell your pharmacist; adjustments in timing, spacer use (for HFA), or device selection may help.
Schedule regular technique checks. Even experienced users benefit from refreshers to ensure optimal delivery.
Safety precautions
Do not use Serobid to treat sudden breathing problems. Use only as prescribed. Tell your healthcare provider if you have heart disease, arrhythmias, hypertension, hyperthyroidism, diabetes, low potassium, seizures, or are taking other stimulants or beta-blockers.
Avoid more than one long-acting beta agonist at a time. Report any chest pain, severe dizziness, fainting, or a rapid or irregular heartbeat. If breathing suddenly worsens after inhalation (paradoxical bronchospasm), use your rescue inhaler and seek medical attention right away.
Serobid side effects
Most people tolerate salmeterol well. Common effects can include headache, throat irritation, cough, hoarseness, nervousness, tremor, palpitations, or muscle cramps. These are often mild and transient. Serious side effects are uncommon but can occur.
Seek immediate medical help for signs of a serious reaction: chest pain, severe dizziness, fainting, rapid or irregular heartbeat, worsening shortness of breath, wheezing that starts right after a dose (paradoxical bronchospasm), or allergic symptoms (rash, swelling of the face/lips/tongue, trouble breathing).
If you experience persistent jitteriness, insomnia, or troublesome palpitations, consult your clinician—dose timing or device choice may be adjusted.
Recognizing symptom patterns
Contact your healthcare provider promptly if you notice any of the following:
- Needing your rescue inhaler more than usual, or decreased benefit from your usual dose
- Frequent nighttime awakenings due to symptoms
- Reduced exercise tolerance or daily activity limitation
- Peak flow readings consistently dropping below your personal best zones
- New or worsening chest discomfort or palpitations
These may signal that your maintenance regimen requires re-evaluation or that an exacerbation is developing.
Reporting side effects
If you experience any side effects, contact your doctor or pharmacist. You may also report adverse effects to FDA MedWatch at 1-800-FDA-1088 or online at www.fda.gov/medwatch.
Drug interactions with salmeterol
Tell your healthcare provider and pharmacist about all prescription drugs, over-the-counter medicines, vitamins, and herbal supplements you use. Certain medicines may increase side effects or reduce Serobid’s effectiveness.
Examples include:
- Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, clarithromycin, ritonavir, cobicistat)
- Nonselective beta-blockers (e.g., propranolol) which can blunt bronchodilation
- Other sympathomimetics or LABAs (risk of additive cardiovascular effects)
- MAO inhibitors or tricyclic antidepressants (potentiation of adrenergic effects)
- Diuretics that deplete potassium (loop or thiazide diuretics), potentially increasing hypokalemia risk
This list is not exhaustive. Keep a complete, up-to-date medication list and share it with every clinician who treats you. Your provider may adjust doses, choose alternatives, or monitor you more closely when interactions are possible.
Frequently asked questions (FAQ)
Is Serobid a rescue inhaler? No. It works slowly to keep airways open for up to about 12 hours per dose. You still need a quick-relief inhaler for sudden symptoms.
Can I use Serobid alone for asthma? No. For asthma, a LABA must be taken with an inhaled corticosteroid (ICS). Using a LABA alone increases the risk of asthma-related events.
How soon will I notice benefits? Some patients notice improved breathing within the first few days, but full maintenance benefit can take 1–2 weeks of regular use. Keep taking it as prescribed even if you feel well.
What if I’m switching devices? Have a pharmacist demonstrate your new device. Technique differences (inhalation speed, priming, loading doses) can affect drug delivery and symptom control.
Can I take Serobid with my other inhalers? In many regimens, yes. LABAs are often paired with ICS and sometimes with LAMAs for COPD. Do not use more than one LABA at the same time unless specifically instructed.
Clinical pearls and action plan
Work with your clinician to create or update an asthma or COPD action plan that outlines your daily medications, how to escalate therapy in the yellow zone, and when to seek urgent care in the red zone. Periodic spirometry or peak flow monitoring can track control and guide therapy adjustments. Additionally, verify your technique at each visit, discuss adherence barriers, and address environmental triggers (allergens, smoke exposure, workplace irritants) to reduce flares.
Insurance, prescriptions, and delivery
In the USA, salmeterol is available by prescription only. Our partner service provides a streamlined telehealth pathway: complete a brief online questionnaire, a licensed clinician reviews your information, and if appropriate, a prescription is issued. You can then fill it through our partner pharmacy for home delivery. If you prefer, have your prescriber send an e-prescription directly to our pharmacy partner.
We accept many major insurance plans for eligible fills. Cash pay options and discount programs are available for those without insurance. Shipping is fast, discreet, and tracked so you know when to expect your medication.
Ready to support your long-term breathing control?
Consistent maintenance therapy is key to preventing flare-ups. Order Serobid today through our trusted online pharmacy network and have your prescription reviewed by a U.S.-licensed provider.
- Streamlined telehealth review — prescription issued when clinically appropriate
- Fast, secure shipping across the USA, with tracking and support
- Authentic products from licensed, accredited pharmacies
- Transparent pricing with insurance, cash pay, and discount options
- Expert support from pharmacists who can coach inhaler technique
Thousands of patients trust our platform for reliable access to maintenance inhalers and respiratory care. Get started now and breathe easier with a plan tailored to you.
Contact Us
Address: Frankford Avenue, Portland, 81338, USA
Phone: +1 222-730-7900
Opening Hours: 24/7 Online Service