Nistami Ecopack Capsule 30's
MRP ₹935.5
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About Nistami Ecopack Capsule
Nistami Ecopack Capsule is used for long-term, maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD). COPD is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the bronchial tube lining). In COPD, the muscles around the airways tighten, making it difficult to breathe.
Nistami Ecopack Capsule is a combination of two medicines: Indacaterol and Glycopyrrolate. Indacaterol relaxes and widens the openings in the airways, making it easier for the air to get in and out of the lungs. Glycopyrrolate decreases the secretions in the airways. Together, Nistami Ecopack Capsule provides relief from COPD.
In some cases, you may experience certain common side effects such as upper respiratory tract infection, inflammation of the sinuses, runny/stuffy nose, headache, dizziness, and stomach upset. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
Do not stop using Nistami Ecopack Capsule on your own, as it might cause worsening of symptoms. Consult your doctor if you are pregnant or breastfeeding. Nistami Ecopack Capsule may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Nistami Ecopack Capsule is not recommended for children below 18 years, as safety and effectiveness have not been established.
Uses of Nistami Ecopack Capsule
Nistami Ecopack Capsule is used in the treatment of chronic obstructive pulmonary disease (COPD). The detailed uses of Nistami Ecopack Capsule are as follows:
- Management of chronic obstructive pulmonary disease: Nistami Ecopack Capsule helps improve airflow and makes it easier to breathe in COPD patients.
- Relief of bronchospasm: This combination relaxes the airway muscles, preventing bronchial constriction and reducing shortness of breath.
- Control of symptoms in chronic bronchitis and emphysema: Nistami Ecopack Capsule effectively manages persistent cough, wheezing, and mucus buildup.
- Maintenance treatment of airflow obstruction: It is used as a long-term maintenance therapy to improve lung function and quality of life.
- Prevention of COPD exacerbations: Regular use reduces the frequency and severity of flare-ups in stable COPD patients.
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Directions for Use
- Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
- Place the mouthpiece between your lips, press the inhaler, and breathe in slowly. Hold your breath for a few seconds, then slowly breathe out.
- Rinse your mouth with water and spit it out to avoid fungal infections in the mouth and throat.
Key Benefits
Nistami Ecopack Capsule is a combination of two medicines: Indacaterol and Glycopyrrolate. Nistami Ecopack Capsule belongs to the group of medicines called bronchodilators used to treat Chronic Obstructive Pulmonary Disease (COPD). Indacaterol is a long-acting beta-agonist that relaxes and widens the openings in the airways, making it easier for air to get in and out of the lungs. Glycopyrrolate is an anticholinergic that decreases the secretions in the airways. Together, Nistami Ecopack Capsule provides relief for those with COPD.
How Nistami Ecopack Capsule Works
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- Inform your doctor about the common cold symptoms you're experiencing due to medication.
- Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
- Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
- Drink plenty of fluids, such as warm water or soup, to help thin out mucus.
- Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
- Throat pain can worsen if there is no proper rest for your throat.
- Drink plenty of warm fluids and frequently gargle with salt water.
- Humidify the surrounding air using a humidifier, as dry air may increase dryness and throat pain.
- Consider taking lozenges or hard candy throat pain relievers, which give a soothing effect.
- Take enough rest and stay in warm places to reduce pain quickly.
- Consult your doctor if you experience nasal congestion, runny nose, or sinus pressure after taking medication.
- Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your rhinitis symptoms.
- If advised by your doctor, use nasal decongestants or saline nasal sprays to help relieve nasal congestion.
- Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
- Stay hydrated by drinking plenty of water and other fluids to help thin out mucus and soothe your nasal passages.
- Tell your doctor about the cough symptoms you're experiencing, which may be triggered by your medication.
- Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your cough symptoms.
- Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
- Stay hydrated by drinking plenty of fluids, such as water, tea, or soup, to help thin out mucus and soothe your throat.
- Get plenty of rest and engage in stress-reducing activities to help your body recover. If your cough persists or worsens, consult your doctor for further guidance.
- Rest and get enough sleep, and try to give your voice a break.
- Drink fluids to stay hydrated and to keep your throat moist; avoid caffeine and alcohol.
- Soothe your throat with warm drinks like tea, broth, or warm water with honey.
- Gargle with salt water to ease throat pain.
- Use a humidifier or steam to moisten dry air.
- Lozenges or hard candy can help soothe a sore throat.
- Avoid smoke and harsh cleaning products that can irritate your throat.
- Stay at home until you are feeling better to avoid spreading germs.
- Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
- Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
- Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
- Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
- Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
- Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
- Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
What if I have taken an overdose of Nistami Ecopack Capsule
Drug Warnings
Do not take Nistami Ecopack Capsule if you are allergic to any of its contents. Inform your doctor if you have asthma, heart problems, seizures/epilepsy, thyroid gland problems, diabetes, narrow-angle glaucoma, kidney problems, severe liver problems, if you have any difficulty in passing urine or if you are taking any medicines for lung diseases. Consult your doctor if you are pregnant or breastfeeding. Nistami Ecopack Capsule may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Nistami Ecopack Capsule is not recommended for children below 18 years as safety and effectiveness have not been established.
Drug-Drug Interactions
Drug-Drug Interactions
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Coadministration of levodopa with Nistami Ecopack Capsule can significantly decrease the blood levels of levodopa.
How to manage the interaction:
Although using Nistami Ecopack Capsule and levodopa together can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any unusual symptoms contact the doctor immediately. Do not stop using any medications without a doctor's advice.
Taking Pramlintide with Nistami Ecopack Capsule can cause slow stomach emptying or slow the intestinal absorption of nutrients.
How to manage the interaction:
Although using Pramlintide and Nistami Ecopack Capsule together can lead to an interaction, it can be taken if advised by your doctor.
Co-administration of Digoxin and Nistami Ecopack Capsule may increase the serum concentration of Digoxin and increase the risk or severity of adverse effects.
How to manage the interaction:
Although there is a possible interaction between Digoxin and Nistami Ecopack Capsule, you can take these medicines together if prescribed by a doctor. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, confusion, loss of appetite, nausea, vomiting, diarrhea, change in vision such as blurry or yellow vision, fatigue, and fast or irregular heartbeat, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
The use of Potassium chloride and Nistami Ecopack Capsule can increase the irritant effects of potassium on your stomach and upper intestine.
How to manage the interaction:
Using Potassium chloride and Nistami Ecopack Capsule together can lead to an interaction, however, it can be taken if advised by a doctor. However, if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, or dark, tarry stools, consult the doctor immediately. Do not discontinue any medications without a doctor's advice.
The combined use of secretin and Nistami Ecopack Capsule can inhibit gastric acid secretion.
How to manage the interaction:
Although using secretin and Nistami Ecopack Capsule together can lead to an interaction, it can be taken if advised by your doctor.
Taking Carvedilol and Nistami Ecopack Capsule may reduce the treatment outcomes.
How to manage the interaction:
There may be a possibility of interaction between Nistami Ecopack Capsule and Carvedilol, but it can be taken if prescribed by a doctor. Do not stop using any medications without a doctor's advice.
Combining Labetalol and Nistami Ecopack Capsule could decrease the medical benefits of both medications.
How to manage the interaction:
Although taking Labetalol and Nistami Ecopack Capsule together can result in an interaction, it can be taken if a doctor has prescribed it. Do not forget to inform a doctor, if you have severe chronic obstructive pulmonary disease (COPD) or a history of asthma, as Labetalol is often not advised in these patients. Do not discontinue any medications without a doctor's advice.
Using propranolol together with Nistami Ecopack Capsule may reduce the benefits of both medications, since they have opposing effects in the body. In addition, propranolol can cause breathing problems.
How to manage the interaction:
Although taking Propranolol together with Nistami Ecopack Capsule can possibly result in an interaction, 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.
Drug-Food Interactions
Drug-Food Interactions
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Diet & Lifestyle Advise
- Eat a healthy diet and exercise regularly to strengthen your breathing muscles and boost your immune system.
- Avoid foods such as cabbage, beans, garlic, onions, shrimp, pickled food, dried fruits, fried foods, carbonated drinks, wine, and bottled lemon and lime juice, as they may worsen symptoms.
- Do meditation, deep breathing, regular exercise, and try progressive muscle relaxation techniques to get relief from stress and reduce the risk of an attack.
- Quit smoking as it may irritate the lungs and worsen breathing problems.
- Learn breathing exercises like pursed-lip breathing. It helps provide relief from COPD.
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Alcohol
Safe if prescribed
You are advised not to consume alcohol while taking Nistami Ecopack Capsule as it might cause increased dizziness.
Pregnancy
Consult your doctor
Nistami Ecopack Capsule belongs to pregnancy category C. Please consult your doctor if you have any concerns regarding this; your doctor will prescribe only if the benefits outweigh the risks.
Breast Feeding
Consult your doctor
Consult your doctor if you are breastfeeding; your doctor will decide whether Nistami Ecopack Capsule can be taken by breastfeeding mothers or not.
Driving
Safe if prescribed
Nistami Ecopack Capsule may cause dizziness. Drive or operate machinery only if you are alert.
Liver
Consult your doctor
Dose adjustment may be needed. Please consult your doctor if you have liver impairment or any concerns regarding this.
Kidney
Consult your doctor
Dose adjustment may be needed. Please consult your doctor if you have kidney impairment or any concerns regarding this.
Children
Safe if prescribed
Nistami Ecopack Capsule is not recommended for children below 18 years as safety and effectiveness have not been established.
Heart
Nistami Ecopack Capsule should be used with caution in patients with heart disease due to increased risk of side effects. Therefore, please consult your doctor before using Nistami Ecopack Capsule .
Geriatrics
Consult your doctor
Nistami Ecopack Capsule should be used in elderly patients only when prescribed by a doctor. If you have any concerns about using Nistami Ecopack Capsule in older adults, please consult your doctor.
FAQs
Nistami Ecopack Capsule is indicated for long-term, maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD).
Nistami Ecopack Capsule contains Indacaterol and Glycopyrrolate. Indacaterol relaxes and widens the openings in the airways, making it easier for the air to get in and out of the lungs. Glycopyrrolate decreases the secretions in the airways. Together, Nistami Ecopack Capsule provides relief for those with COPD.
Nistami Ecopack Capsule is indicated for the maintenance treatment for COPD. It does not treat a sudden attack of wheezing or breathlessness. Use a rescue inhaler to treat sudden breathing problems.
Dry mouth may be a side effect of Nistami Ecopack Capsule . Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly, and chewing sugar-free gum or candy may help stimulate saliva and thereby prevent mouth dryness.
Do not stop taking Nistami Ecopack Capsule on your own, as it might cause worsening of symptoms. To treat your condition effectually, continue taking Nistami Ecopack Capsule for as long as your doctor has prescribed it. Talk to your doctor if your breathing problems, wheezing, or cough do not improve or worsen.
No, Nistami Ecopack Capsule is not indicated for the treatment of asthma, as the safety and effectiveness of Nistami Ecopack Capsule in patients with asthma have not been established. Consult your doctor if you have asthma.
The safety of Nistami Ecopack Capsule during pregnancy or breastfeeding is not well established. It should only be used if prescribed by a doctor. Your doctor will evaluate whether the benefits outweigh the risks in your specific case.
Nistami Ecopack Capsule is not recommended for children under 18 years, as its safety and effectiveness have not been established for this age group.
If you are allergic to milk proteins, you should be cautious when taking Nistami Ecopack Capsule , as it may contain milk proteins or lactose (milk sugar). Always make sure that your doctor is aware of your allergies so they can determine whether this medication is safe for you.
Some people may experience common side effects such as a sore throat, sinus inflammation, a runny or blocked nose, headache, dizziness, or an upset stomach. These are usually mild and go away on their own without requiring medical attention. If these side effects persist or become bothersome, contact your doctor for further advice and management.
Store Nistami Ecopack Capsule at room temperature, away from heat, moisture, and direct sunlight. Keep it in a safe place, out of the reach of children. Do not freeze the medication.
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Reference
- https://www.medicines.org.uk/emc/files/pil.3496.pdf
- https://www.accessdata.fda.gov/drugsatfda_docs/label/2015/207930s000lbl.pdf
- https://www.ema.europa.eu/en/documents/product-information/ultibro-breezhaler-epar-product-information_en.pdf
- https://www.drugs.com/mtm/glycopyrrolate-and-indacaterol-inhalation.html
