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Ibires Nexhaler 200 mdi is used to treat bronchospasm and symptoms of asthma and chronic obstructive pulmonary disease (COPD). It contains Levosalbutamol, which relaxes the muscles in the airways and increases airflow to the lungs. Thus, breathing is made easier by widening the airways. It may cause common side effects such as nausea, vomiting, headache, and nasal congestion (stuffy nose). Before starting 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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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Veda Maddala , M Pharmacy
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More about the Product

Manufacturer/Marketer :

Indiabulls Pharmaceuticals Pvt Ltd

Consume Type :

Inhalation

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Ibires Nexhaler 200 mdi

This medicine, known as Ibires Nexhaler 200 mdi, is an inhalation treatment used to relieve and prevent breathing difficulties caused by asthma and chronic obstructive pulmonary disease (COPD). It is designed to target the airways directly, making it easier to breathe during sudden flare-ups or when experiencing chest tightness. By relaxing the muscles around the lungs, it helps restore normal airflow quickly.

You should take this medicine exactly as often as your doctor recommends, which may be on an as-needed basis for sudden symptoms or as a regular daily treatment. Since this is an inhalation therapy, you can take it with or without food, but rinsing your mouth with water after each use is highly recommended to prevent dryness. Making positive lifestyle changes, such as avoiding cold air triggers and keeping your living space dust-free, can help you get the best results from your treatment.

Some people may experience mild side effects, like a slight shakiness in the hands, a headache, or a faster heartbeat, when using this inhaler. These effects are usually temporary, but you must contact your doctor immediately if you notice severe chest pain, irregular heart rhythms, or a sudden worsening of your breathing right after inhaling the medicine.

Before starting this medication, talk to your doctor if you have heart problems, high blood pressure, diabetes, or thyroid issues. Do not take this medicine if you have a known allergy to any of its ingredients or if you have had a severe allergic reaction to similar inhalers in the past.

Certain medications, such as beta-blockers used for high blood pressure, can block the action of Ibires Nexhaler 200 mdi and make it less effective. If you are pregnant, breastfeeding, or managing other chronic health conditions, you should consult your doctor before using this inhaler. Additionally, you should avoid smoking, as smoke damages the airways and directly reduces the benefits of your inhalation therapy. 

Uses of Ibires Nexhaler 200 mdi

Ibires Nexhaler 200 mdi is used to relieve and prevent asthma and chronic obstructive pulmonary disease (COPD). The detailed uses of Ibires Nexhaler 200 mdi are as follows:

  • Asthma: Ibires Nexhaler 200 mdi relaxes the muscles in the walls of the small airways in the lungs, helping to quickly relieve symptoms like wheezing, coughing, and shortness of breath.
  • Chronic Obstructive Pulmonary Disease (COPD): It helps open clogged airways in chronic bronchitis and emphysema, making daily breathing more manageable and reducing chest tightness.
  • Exercise-Induced Bronchospasm: Taking this medicine shortly before physical activity helps prevent the sudden narrowing of airways triggered by exercise.

Key Benefits

Ibires Nexhaler 200 mdi helps provide rapid relief from breathing difficulties by relaxing and opening the airways. By improving airflow to the lungs, it helps reduce respiratory symptoms and supports better day-to-day breathing comfort.

  • Provides Fast Relief from Breathing Symptoms: By acting quickly to open narrowed airways, Ibires Nexhaler 200 mdi helps relieve sudden symptoms such as wheezing, chest tightness, shortness of breath, and breathing difficulty.
  • Supports Improved Physical Activity: By helping keep the airways open, Ibires Nexhaler 200 mdi can make it easier to participate in daily activities and exercise with reduced disruption from respiratory symptoms.
  • Promotes Better Quality of Life: Effective control of breathing symptoms with Ibires Nexhaler 200 mdi may help reduce symptom-related discomfort, support more restful sleep, and improve overall respiratory wellbeing and daily functioning.
Side effects of Ibires Nexhaler 200 mdi
Here are the steps to manage medication-triggered tremors or involuntary shaking:
  • Notify your doctor immediately if you experience tremors or involuntary shaking after taking medication or adjusting your medication regimen.
  • Your doctor may adjust your medication regimen or recommend alternative techniques like relaxation, meditation, or journaling to alleviate tremor symptoms.
  • Your doctor may direct you to practice stress-reducing techniques, such as deep breathing exercises, yoga, or journaling.
  • Regular physical activity, such as walking or jogging, can help reduce anxiety and alleviate tremor symptoms.
  • Your doctor may recommend lifestyle changes, such as avoiding caffeine, getting enough sleep, and staying hydrated, to help manage tremors.
  • Maintain regular follow-up appointments with your doctor to monitor tremor symptoms and adjust treatment plans as needed.
Here are the steps to manage medication-triggered Nervousness:
  • Tell your doctor immediately if you experience symptoms of Nervousness, such as anxiety, jitteriness, or an increased heart rate, after taking medication or adjusting your medication regimen.
  • Your doctor may adjust your medication regimen to alleviate symptoms of Nervousness. This can include switching to a different medication, reducing the dosage, or temporarily stopping the medication. Your doctor may also recommend alternative techniques like relaxation, mindfulness meditation, or journaling. These techniques can help reduce anxiety and Nervousness.
  • Practice stress-reducing techniques, such as deep breathing exercises, yoga, or journaling, to help manage Nervousness.
  • Engage in regular physical activity, such as walking or jogging, to help reduce anxiety and improve mood.
  • Your doctor may advise considering cognitive-behavioural therapy (CBT) or other forms of talk therapy to address underlying anxiety or Nervousness.
  • You should maintain regular follow-up appointments with your doctor to monitor nervousness symptoms, adjust treatment plans as needed, and discuss any concerns or questions.
Here are the 7 step-by-step strategies to manage the side effect of "inability to sleep" caused by medication usage:
  • Prepare for a restful night's sleep: Develop a calming pre-sleep routine, like reading or meditation, to help your body relax and prepare for sleep.
  • Create a sleep-conducive Environment: Make bedroom a sleep haven by ensuring it is quiet, dark and calm.
  • Follow a Sleep Schedule: Go to bed and get up at the same time every day to help regulate your body's internal clock and increase sleep quality.
  • Try relaxing techniques like deep breathing, mindfulness meditation and any others.
  • Limit stimulating activities before bedtime: Avoid stimulating activities before bedtime to improve sleep quality.
  • Monitor Progress: Keep track of your sleep patterns to identify areas for improvement.
  • Consult a doctor if needed: If these steps don't improve your sleep, consult a doctor for further guidance and therapy.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Here's a comprehensive approach to managing medication-triggered fever:
  • Inform your doctor immediately if you experience a fever after starting a new medication.
  • Your doctor may adjust your medication regimen or dosage as needed to minimize fever symptoms.
  • Monitor your body temperature to monitor fever progression.
  • Drink plenty of fluids, such as water or electrolyte-rich beverages, to help your body regulate temperature.
  • Get plenty of rest and engage in relaxation techniques, such as deep breathing or meditation, to help manage fever symptoms.
  • Under the guidance of your doctor, consider taking medication, such as acetaminophen or ibuprofen, to help reduce fever.
  • If your fever is extremely high (over 103°F), or if you experience severe symptoms such as confusion, seizures, or difficulty breathing, seek immediate medical attention.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.

Directions for Use

  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Hold the inhaler with the mouthpiece facing downwards. Form a tight seal by placing your lips around the mouthpiece. Start breathing slowly with your mouth and push down the inhaler once. Remove the inhaler and breathe normally.
  • Ibires Nexhaler 200 mdi is for inhalation purpose only.

How Ibires Nexhaler 200 mdi Works

Ibires Nexhaler 200 mdi contains levosalbutamol. When you inhale it, the active medicine travels directly into your lungs and targets the tiny muscles surrounding your airways. It works by stimulating specific receptors on these muscle cells, causing the tight, constricted muscles to relax almost instantly. Once these muscles relax, the airways widen, allowing more air to flow in and out of your lungs freely. Because it is delivered directly to the lungs via inhalation, the medicine begins working very quickly and requires a much smaller dose than an oral tablet, which minimises side effects in the rest of your body.
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Alcohol

Caution

Avoid drinking alcohol while taking Ibires Nexhaler 200 mdi as it can worsen your sleepiness/dizziness.

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Pregnancy

Consult your doctor

The safety of Ibires Nexhaler 200 mdi in pregnant women is unknown. Please consult your doctor if you are planning to become pregnant or already pregnant before starting Ibires Nexhaler 200 mdi.

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Breast Feeding

Consult your doctor

There is limited data on how Ibires Nexhaler 200 mdi affects breastfeeding. Please consult your doctor before starting Ibires Nexhaler 200 mdi.

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Driving

Caution

Ibires Nexhaler 200 mdi may cause drowsiness and sleepiness. Do not drive or operate machinery unless you are alert.

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Liver

Caution

Ibires Nexhaler 200 mdi should be used with caution in patients with liver diseases. Let your doctor know if you have any history of liver diseases or hepatic impairment. Your doctor will weigh the benefits and potential risks before prescribing Ibires Nexhaler 200 mdi.

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Kidney

Caution

Ibires Nexhaler 200 mdi should be used with caution in patients with kidney diseases. If you have a history of kidney diseases, let your doctor know. Your doctor will weigh the benefits and potential risks before prescribing Ibires Nexhaler 200 mdi.

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Children

Caution

Ibires Nexhaler 200 mdi is recommended for children only with a doctor's advice. Your doctor may have to adjust the dose depending on the child's condition and age.

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Heart

Caution

Ibires Nexhaler 200 mdi should be used with caution in patients with heart problems. Therefore, please inform your doctor before using Ibires Nexhaler 200 mdi.

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Geriatrics

Caution

Ibires Nexhaler 200 mdi should be used with caution in elderly patients due to an increased risk of side effects. It is important to inform a healthcare professional before use.

What if I have taken an overdose of Ibires Nexhaler 200 mdi

If you accidentally inhale too much of this medicine, you may experience extreme shakiness, a very fast or pounding heartbeat, chest pain, or severe anxiety. Seek immediate medical attention or call an emergency helpline right away.

Diet & Lifestyle Advise

  • Avoid known triggers: Keep a diary to identify and avoid triggers like pollen, dust mites, pet dander, and extreme cold air that can worsen your breathing.
  • Quit smoking and avoid second-hand smoke: Smoke damages the protective lining of your lungs, narrows your airways, and makes your inhalation therapy much less effective.
  • Practise deep breathing exercises: Talk to your doctor about pulmonary rehabilitation or simple breathing techniques (like pursed-lip breathing) to help strengthen your lungs.
  • Stay hydrated: Drinking plenty of water helps thin the mucus in your airways, making it easier to clear your lungs.
  • Maintain clean indoor air: Use dust-proof covers on pillows and mattresses, and consider using an air purifier with a HEPA filter to reduce airborne irritants.

Have a query?

How Soon It Starts Working

The time required for Ibires Nexhaler 200 mdi to start to work: The time required for Ibires Nexhaler 200 mdi to show its action is not clinically established. The time for which the effects of Ibires Nexhaler 200 mdi last: The duration of action for Ibires Nexhaler 200 mdi is not clinically established.

What if you forget to take Ibires Nexhaler 200 mdi

If you miss a scheduled dose of Ibires Nexhaler 200 mdi, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed one and return to your regular routine. Do not take a double dose to make up for a missed one.

Storage

•Store Ibires Nexhaler 200 mdi at room temperature, ideally between 20°C and 25°C (68°F to 77°F). •Keep the inhaler canister away from direct sunlight, extreme heat, and freezing conditions, as high temperatures can cause the pressurised canister to burst.

Drug Warnings

  • Inspect the device: Always check the mouthpiece for dust, dirt, or loose objects before each use to avoid inhaling foreign particles.
  • Monitor your usage: Keep track of the number of sprays remaining in your canister so you do not run out of medicine during a breathing emergency.
  • Clean your inhaler weekly: Remove the metal canister and wash the plastic actuator casing with warm water once a week, then let it air dry completely before reassembling. Do not submerge the metal canister in water.
  • Check for immediate breathing worsening: If your breathing gets suddenly worse right after inhaling Ibires Nexhaler 200 mdi, stop using it immediately and seek emergency medical help.
  • Rinse your mouth: Always rinse your mouth with water and spit it out after inhalation to prevent throat irritation and voice hoarseness.

Drug-Drug Interactions

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Drug-Drug Interactions

  • Beta-blockers (such as propranolol or atenolol): These medicines can block the effects of Ibires Nexhaler 200 mdi and cause your airways to narrow severely.
  • Diuretics (water pills): Combining these with Ibires Nexhaler 200 mdi may increase the risk of dangerously low potassium levels in your blood.
  • Other bronchodilators: Using other quick-relief inhalers alongside Ibires Nexhaler 200 mdi can increase the risk of heart-related side effects like rapid heartbeats.

Drug-Food Interactions

  • Caffeine: Large amounts of caffeine from coffee, tea, or soda can increase the risk of shakiness and a rapid heart rate when using this medicine.

Drug-Disease Interactions

  • Heart disease or high blood pressure: This medicine can cause changes in blood pressure and heart rate, which may worsen pre-existing heart conditions.
  • Diabetes: Ibires Nexhaler 200 mdi can temporarily raise blood sugar levels, requiring closer monitoring of your glucose levels.
  • Overactive thyroid (hyperthyroidism): It may worsen symptoms of an overactive thyroid, such as a rapid heart rate and restlessness.

Drug-Drug Interactions

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How does the drug interact with Ibires Nexhaler 200 mdi:
Using propranolol and Ibires Nexhaler 200 mdi together can reduce the effects or increase the risk of narrowing of the airways.

How to manage the interaction:
The combined use of propranolol and Ibires Nexhaler 200 mdi can lead to an interaction, but they can be taken if advised 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.
How does the drug interact with Ibires Nexhaler 200 mdi:
Co-administration of Salbutaml with Labetalol, the effectiveness of Ibires Nexhaler 200 mdi might be reduced.

How to manage the interaction:
Although taking Labetalol and Ibires Nexhaler 200 mdi together can possibly result in an interaction, it can be taken if a doctor has prescribed it. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Ibires Nexhaler 200 mdi:
Using levobunolol and Ibires Nexhaler 200 mdi together can reduce the benefits of both drugs and can cause narrowing of the airways.

How to manage the interaction:
The combined use of levobunolol and Ibires Nexhaler 200 mdi can lead to an interaction, it can be taken if advised by your doctor. Don't forget to inform if you have any history of asthma, or severe chronic obstructive pulmonary disease (COPD), consult the doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Ibires Nexhaler 200 mdi:
Coadministration of mifepristone and Ibires Nexhaler 200 mdi can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Ibires Nexhaler 200 mdi with mifepristone together is avoided as it can result in an interaction, it can be taken if a doctor has advised it. However, contact a doctor immediately if you experience any symptoms such as dizziness, lightheadedness, fainting, shortness of breath, or irregular heartbeat. Do not discontinue any medications without consulting a doctor.
SalbutamolPenbutolol
Severe
How does the drug interact with Ibires Nexhaler 200 mdi:
Coadministration of Penbutolol and Ibires Nexhaler 200 mdi can reduce the effects of both medications and can cause narrowing of the airways.

How to manage the interaction:
Taking Penbutolol and Ibires Nexhaler 200 mdi can lead to an interaction, it can be taken if advised by your doctor. However, if you experience Coughing, wheezing, shortness of breath, and high-pitched breathing, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
SalbutamolPindolol
Severe
How does the drug interact with Ibires Nexhaler 200 mdi:
Using pindolol and Ibires Nexhaler 200 mdi together can increase the risk of narrowing of the airways.

How to manage the interaction:
The combined use of pindolol and Ibires Nexhaler 200 mdi can lead to an interaction, it can be taken if advised by your doctor. However, if you experience Coughing, wheezing, shortness of breath, and high-pitched breathing, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Ibires Nexhaler 200 mdi:
The combined use of Papaverine and Ibires Nexhaler 200 mdi can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Co-administration of Papaverine and Ibires Nexhaler 200 mdi can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Ibires Nexhaler 200 mdi:
Coadministration of Carvedilol and Ibires Nexhaler 200 mdi may reduce the effects of both medications.

How to manage the interaction:
Although there is a possible interaction between Carvedilol and Ibires Nexhaler 200 mdi, they can be taken if your doctor advises. Consult your doctor if you experience shortness of breath, chest pain or any difficulties in breathing. Do not stop using any medications without a doctor's advice.
How does the drug interact with Ibires Nexhaler 200 mdi:
Co-administration of Ibires Nexhaler 200 mdi with timolol can increase the risk of narrowing of the airways.

How to manage the interaction:
Although taking Ibires Nexhaler 200 mdi and timolol together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience Coughing, wheezing, shortness of breath, and high-pitched breathing, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Therapeutic Class

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FAQs

Ibires Nexhaler 200 mdi is used to treat bronchospasm and symptoms of asthma and chronic obstructive pulmonary disease (COPD). It helps to relieve symptoms like coughing, wheezing and shortness of breath.
Ibires Nexhaler 200 mdi works by relaxing the muscles in the airways and increasing airflow to the lungs.
Ibires Nexhaler 200 mdi may cause central nervous system stimulation; hence, Ibires Nexhaler 200 mdi should be used cautiously if prescribed by the doctor for use in patients with seizures, as it might worsen the condition.
Ibires Nexhaler 200 mdi can cause a rise in blood glucose levels. Hence, monitor your blood glucose levels if you have diabetes and inform your doctor so that the dose can be adjusted accordingly. Your diabetologist may adjust your insulin dose or prescribe alternate diabetic medication based on your condition.
After using Ibires Nexhaler 200 mdi, you may experience headaches and shakiness. Drink plenty of water and rest to manage your headache. Shakiness goes away gradually. Consult your doctor if these symptoms persist longer.
Ibires Nexhaler 200 mdi can cause hypokalaemia in some patients, leading to cardiovascular effects. Please consult your doctor before taking Ibires Nexhaler 200 mdi if you are a hypokalaemia patient or are more susceptible to it.
Bronchodilators like Ibires Nexhaler 200 mdi may cause rapid and irregular heartbeat, changes in blood pressure, and changes in electrocardiogram (ECG). Please seek medical advice before using Ibires Nexhaler 200 mdi if you are a heart disease patient.
Bronchodilators like Ibires Nexhaler 200 mdi should be cautiously used only under a doctor's supervision if you have any heart, liver, kidney diseases, hypokalaemia, hyperthyroidism (overactive thyroid), stomach ulcer, seizure (fits), high blood pressure, or diabetes.
You should only use this medicine during pregnancy if your doctor determines that the benefits clearly outweigh the potential risks to the baby. Talk to your doctor to discuss your options.
Make sure the plastic casing is not clogged by washing it under warm running water and letting it air dry completely. If it still does not spray, check if the canister is empty or talk to your pharmacist.
No, Ibires Nexhaler 200 mdi is a bronchodilator (reliever medicine) that relaxes airway muscles, not a steroid (preventer medicine) that reduces swelling. Talk to your doctor if you need a preventer inhaler.
While some patients use it daily under medical supervision, relying on it too frequently might mean your condition is not well-controlled. If you need it more than twice a week (excluding exercise prevention), talk to your doctor.
Yes, rinsing your mouth with water and spitting it out after use helps prevent dryness, throat irritation, and hoarseness. Talk to your doctor if you continue to experience a dry mouth.
Some blood pressure medicines (like beta-blockers) can block this inhaler from working and cause your airways to tighten. Always talk to your doctor about all the medications you are taking.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Indiabulls Pharmaceuticals Limited Is M €“ 62 & 63, First Floor, Connaught Place, New Delhi €“ 11000
Other Info - IBI0023
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