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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Pulmosmart 400 Pulmicap is used to treat asthma symptoms and chronic obstructive pulmonary diseases (COPD). It contains Budesonide and Formoterol, which works by reducing the irritation and swelling by acting inside the nasal passage and airways lining cells and stopping the release of certain chemicals responsible for causing inflammatory reactions and allergies. Thereby, it provides relief from sneezing, runny or blocked nose and sinus discomfort. Also, it relaxes and widens respiratory airway muscles, making it easier for asthma and COPD patients to breathe. Some people may experience side effects such as fungal infection in the mouth, headache, sore throat, hoarse voice, upper respiratory tract infection, flu, cough, back pain, increased heart rate, and trembling. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Drug-Drug Interactions

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BudesonideRibociclib
Critical
BudesonideMifepristone
Critical

Drug-Drug Interactions

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BudesonideRibociclib
Critical
How does the drug interact with Pulmosmart 400 Pulmicap:
Coadministration of Pulmosmart 400 Pulmicap and Ribociclib may increase the absorption of the medication from Pulmosmart 400 Pulmicap into the blood stream.

How to manage the interaction:
Taking Ribociclib with Pulmosmart 400 Pulmicap can cause an interaction, consult a doctor before taking it. Consult a doctor if experience swelling, weight gain, high blood pressure, high blood glucose, muscle weakness, depression, acne, thinning skin, stretch marks, easy bruising, bone density loss, cataracts, menstrual irregularities, excessive growth of facial or body hair, and abnormal distribution of body fat, especially in the face, neck, back, and waist. Do not stop using any medications without talking to a doctor.
BudesonideMifepristone
Critical
How does the drug interact with Pulmosmart 400 Pulmicap:
Using mifepristone together with Pulmosmart 400 Pulmicap may significantly reduce the effects of Pulmosmart 400 Pulmicap.

How to manage the interaction:
Taking Pulmosmart 400 Pulmicap with Mifepristone is not recommended as it can cause an interaction, but it can be taken if prescribed by the doctor. Do not stop using any medications without talking to a doctor.
FormoterolPenbutolol
Severe
How does the drug interact with Pulmosmart 400 Pulmicap:
Using Pulmosmart 400 Pulmicap together with penbutolol can reduce the effect of both medications.

How to manage the interaction:
There may be a possibility of interaction between Penbutolol and Pulmosmart 400 Pulmicap, but it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolRibociclib
Severe
How does the drug interact with Pulmosmart 400 Pulmicap:
Taking ribociclib together with Pulmosmart 400 Pulmicap can increase the risk of an irregular heart rhythm

How to manage the interaction:
Co-administration of Pulmosmart 400 Pulmicap with Ribociclib can possibly result in an interaction, but it can be taken if your doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, or shortness of breath, contact your doctor right away. Do not stop using any medications without first talking to your doctor.
FormoterolEpinephrine
Severe
How does the drug interact with Pulmosmart 400 Pulmicap:
Using epinephrine together with Pulmosmart 400 Pulmicap may increase the risk of irregular heart rhythm.

How to manage the interaction:
Although taking Pulmosmart 400 Pulmicap and Epinephrine together can cause an interaction, it can be taken if your doctor has suggested it. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolMetipranolol
Severe
How does the drug interact with Pulmosmart 400 Pulmicap:
Using Pulmosmart 400 Pulmicap together with metipranolol can reduce the effects of both medications.

How to manage the interaction:
Although there is an interaction between Pulmosmart 400 Pulmicap and metipranolol, they can be taken together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolLevobunolol
Severe
How does the drug interact with Pulmosmart 400 Pulmicap:
Using Pulmosmart 400 Pulmicap together with levobunolol can reduce the effects of both medications.

How to manage the interaction:
Taking Pulmosmart 400 Pulmicap with Levobunolol together can possibly result in an interaction, but it can be taken if your doctor has advised it. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolPropranolol
Severe
How does the drug interact with Pulmosmart 400 Pulmicap:
Coadministration of propranolol with Pulmosmart 400 Pulmicap can reduce the effects of both medications.

How to manage the interaction:
Although taking propranolol and Pulmosmart 400 Pulmicap together can result in an interaction, it can be taken if your doctor has prescribed it. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolPindolol
Severe
How does the drug interact with Pulmosmart 400 Pulmicap:
Using Pulmosmart 400 Pulmicap with pindolol together could decrease the effects of both medications.

How to manage the interaction:
Although there is an interaction between Pulmosmart 400 Pulmicap and Pindolol, they can be taken together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolSotalol
Severe
How does the drug interact with Pulmosmart 400 Pulmicap:
Taking sotalol with Pulmosmart 400 Pulmicap could reduce the benefits of both medications because they have opposite effects on the body.

How to manage the interaction:
Although there is an interaction between Sotalol and Pulmosmart 400 Pulmicap, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.

Drug-Food Interactions

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BUDESONIDE-400MCG+FORMOTEROL-6MCGFruit juices, Fruits
Moderate

Drug-Food Interactions

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BUDESONIDE-400MCG+FORMOTEROL-6MCGFruit juices, Fruits
Moderate
Common Foods to Avoid:
Grapefruit Juice, Grapefruit

How to manage the interaction:
Pulmosmart 400 Pulmicap levels in your body can grow due to grapefruit, which will result in more side effects. While using Pulmosmart 400 Pulmicap, you must stay away from consuming grapefruits and grapefruit juice. In case of any unusual side effects, consult a doctor. Do not discontinue any medication without consulting a doctor.

Pulmosmart 400 Pulmicap Substitute

Substitutes safety advice
  • Foracort 400 Rotacaps 30's

    by Others

    7.01per tablet
  • Budamate 400 Transhaler

    by Others

    3.39per tablet
  • Foracort 400 Synchrobreathe Inhaler 120 mdi

    by AYUR

    4.09per tablet
  • Budamate 400 Transcaps 30's

    by Others

    7.01per tablet
  • Formonide 400 Inhaler 120 mdi

    by Others

    3.39per tablet

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