Recently Answered Questions on Salmeterol

I have allergy issues. I feel problem in breathing,caughing, whizzing,pain in shoulders and back ,irritated if I don't take seroflow 250mcg . Previously I was taking it occasionally like 2-3 times a week then I started taking  it once daily. from past few days I feel need of taking it twice a day. When I discussed this with my doctor she advised me to take levosalbutamol inhaler 50mcg and salmeterol & fluticasone propionate 250mcg along with montair 10 and flomist nasal spray. I want to know what is Difference between levosalbutamol inhaler 50mcg and salmeterol & fluticasone propionate 250mcg. Do I really need both of them .I mean I don't want to go for this much heavy medication. Do I have an alternative to change medicines? Due to covid I am avoiding to meet her personally in clinic and she doesn't entertain this much queries on phone so I want to have answers of my questions!

Hello sir, My grandfather (age 76 ) has pleural effusion due to heart failure.He had pleural tapping but the fluid accumulated again.He has shortness of breath and appetite loss.His condition worsens at night.He is not able to sleep at night due to shortness of breath. Doctor has prescribed these medicines- dytor 10mg atorvastatin tablets nitroglycerin controlled release tablets metoprolol tartrate tablets aspirin tablets i.p. 150 mg tamsulosin hydrochloride prolonged release capsules tiotropium bromide mh ip 9 mcg/ dose inhaler salmeterol and fluticasone propionate powder for inhalation i.p. Fluid analysis was done but the reports are normal and there is predominantly lymphocytes against a background of RBC .I am attaching the xray of  10/3/24(before Pleural tapping) What can we opt other than medications which is safe at this age?and what should we do for his shortness of breath at night?,he is not able to sleep at night

My son(march 2013 born) is getting recurrent cold and cough since november 2016..usually before that he treated with levolin syrup alone when he was in 2nd year after that once we had to go to nebulisation and after twice he had taken montelukast tablet along with levolin.this is the case when he was having viral only.since birth only twice given antibiotics when fever arises along with cold cough. Now yesterday doc gave him cipla huf puf kit with seroflo and montelukast tab for 2 months and one syrup broxum P. Never tell to give steam but whrnever i give him steam he s relieved. After having 2 puffs of seroflo (salmeterol and fluticasol) developed fast breathing with mouth about after an hour). That breathing was clearly visible it was like he is putting effort to breath.his speech also little disturbed..anyone will come to know something wrong is there..then he slept and and was fine after that.now morning also fine..i have not given any puffs in morning... Please help.