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compositionComposition:BUDESONIDE-200MCG+FORMOTEROL-6MCG
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Pulmosmart 200 Pulmicap is used to treat asthma and chronic obstructive pulmonary disease (COPD). It contains Budesonide and Formoterol, which work by reducing the swelling and relaxing air passages in the lungs, making it easier 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 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 Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

BUDESONIDE-200MCG+FORMOTEROL-6MCG

Manufacturer/Marketer :

Alkem Laboratories Ltd

Consume Type :

Inhalation

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Pulmosmart 200 Pulmicap

Pulmosmart 200 Pulmicap is an inhalation medicine prescribed to manage asthma and chronic obstructive pulmonary disease (COPD). It is designed to relieve airway swelling and relax tight breathing muscles, making it easier for you to breathe. This treatment is used as a long-term controller to help prevent sudden breathing difficulties.

For this medicine to work effectively, you must take it consistently every day, even when you are not experiencing breathing symptoms. Because it is an inhaled medicine, it does not depend on your meals and can be taken with or without food. Making key lifestyle adjustments, such as avoiding known allergens and staying active within your physical limits, can significantly support your treatment progress.

While Pulmosmart 200 Pulmicap is highly effective, some people may experience mild side effects like a hoarse voice, throat irritation, or a mild headache. If you develop signs of a yeast infection in your mouth, chest pain, or an unusually fast heartbeat, contact your healthcare provider immediately.

Before you start using Pulmosmart 200 Pulmicap , tell your doctor if you have a history of high blood pressure, heart rhythm problems, diabetes, or thyroid disorders. Do not take this medicine if you have a severe allergy to any of its components or to milk proteins, as some inhalers may contain them.

Certain medicines can change how Pulmosmart 200 Pulmicap works, especially beta-blockers used for blood pressure or specific antifungal treatments. If you are pregnant, planning to become pregnant, breastfeeding, or are an older adult, consult your doctor to ensure this treatment is safe and appropriate for your specific needs.
 

Uses of Pulmosmart 200 Pulmicap

Pulmosmart 200 Pulmicap is used to manage long-term respiratory conditions by reducing airway inflammation and improving airflow, including:
 

  • Asthma: Helps control inflammation and narrowing of the airways, reducing the frequency and severity of asthma symptoms and attacks.
  • Chronic Obstructive Pulmonary Disease (COPD): Improves airflow by relaxing the muscles around the airways, helping relieve symptoms such as wheezing, breathlessness, chest tightness, and chronic coughing.
     

Key Benefits

Pulmosmart 200 Pulmicap provides several important benefits for individuals with asthma or COPD, including:

  • Improved Breathing: Helps keep the airways open and reduces inflammation, making breathing easier throughout the day.
  • Better Control of Symptoms: Reduces common respiratory symptoms such as wheezing, shortness of breath, chest tightness, and coughing.
  • Enhanced Daily Activity: Regular use can improve exercise tolerance and make everyday activities, such as walking or climbing stairs, more comfortable.
  • Reduced Risk of Flare-Ups: Helps prevent asthma attacks and COPD exacerbations, reducing the need for urgent medical treatment or hospital visits.
  • More Stable Lung Function: Provides consistent, long-term control of airway inflammation and hyper-responsiveness, supporting more predictable breathing patterns and overall respiratory health.
  • Improved Quality of Life: Better symptom control can contribute to greater independence, improved sleep quality, and increased participation in daily activities.
     
Side effects of Pulmosmart 200 Pulmicap
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.
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.
  • Avoid triggers like alcohol, caffeine, and energy drinks.
  • Try relaxation techniques such as yoga, meditation, or deep breathing.
  • Exercise regularly as it helps maintain heart health.
  • Follow a nutritious and balanced diet.
  • 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.
Here are the steps to manage the medication-triggered Cough:
  • 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.
  • To keep your vocal cords lubricated and hydrated, drink lots of water.
  • Suck on ice chips, popsicles, or lozenges to clear your throat and reduce hoarseness.
  • Your voice cords may be soothed and healed by honey's antibacterial and anti-inflammatory properties.
  • Gargle with salt water.
  • Using a steam humidifier or inhaling steam might help minimize hoarseness and release mucus.

Directions for Use

To get the full benefit of Pulmosmart 200 Pulmicap , follow these step-by-step instructions for proper inhalation. Always take this medication exactly as your doctor has instructed.

  • Remove the cap and shake the inhaler thoroughly before each puff.
  • Breathe out fully, away from the inhaler, to empty your lungs.
  • Place the mouthpiece in your mouth and close your lips firmly around it.
  • Inhale deeply and steadily through your mouth while pressing down firmly on the canister to release the medicine.
  • Hold your breath for about 5 to 10 seconds, then breathe out slowly.
  • Always rinse your mouth with water and spit it out after completing your inhalation to prevent mouth infections.
     

How Pulmosmart 200 Pulmicap Works

Pulmosmart 200 Pulmicap contains budesonide and formoterol, which work together to improve breathing and help manage respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). Budesonide is a corticosteroid that reduces inflammation and swelling in the airways. It works by suppressing the release of inflammatory substances in the lungs, helping to decrease airway irritation, mucus production, and sensitivity to triggers such as dust, smoke, and allergens. Formoterol is a long-acting bronchodilator that relaxes the muscles surrounding the airways. This helps widen the air passages, making it easier for air to flow in and out of the lungs. Its long-lasting action helps maintain improved breathing for an extended period. Together, these actions help reduce airway inflammation, prevent airway narrowing, improve airflow, and provide long-term control of symptoms such as wheezing, chest tightness, coughing, and shortness of breath.
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Alcohol

Consult your doctor

The interaction of Pulmosmart 200 Pulmicap with alcohol is unknown. Please consult a doctor before consuming alcohol with Pulmosmart 200 Pulmicap .

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Pregnancy

Consult your doctor

The safety of Pulmosmart 200 Pulmicap in pregnant women is unknown. Therefore, it is given to pregnant women only if the doctor thinks the benefits outweigh the risks.

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Breast Feeding

Consult your doctor

It is unknown whether Pulmosmart 200 Pulmicap is excreted in human milk. It is given to breastfeeding mothers only if the doctor thinks the benefits are greater than the risks.

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Driving

Safe if prescribed

Pulmosmart 200 Pulmicap usually does not affect your ability to drive or operate machinery.

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Liver

Caution

Use Pulmosmart 200 Pulmicap with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

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Kidney

Consult your doctor

If you have any concerns regarding the use of Pulmosmart 200 Pulmicap in patients with Kidney problems, please consult a doctor.

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Children

Consult your doctor

Pulmosmart 200 Pulmicap is not recommended for children below 6 years as the safety and effectiveness were not established. However, please consult a doctor before giving Pulmosmart 200 Pulmicap to children.

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Heart

Consult your doctor

Please consult your doctor if you have any concerns regarding the usage of Pulmosmart 200 Pulmicap in heart patients.

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Geriatrics

Caution

Pulmosmart 200 Pulmicap should be used with caution in elderly patients due to an increased risk of side effects. It is important to consult a healthcare professional before use.

What if I have taken an overdose of Pulmosmart 200 Pulmicap

If you take more than your prescribed dose, seek emergency medical attention immediately. An overdose can cause symptoms such as severe muscle shaking, chest pain, a rapid or pounding heartbeat, feeling dizzy, or severe headaches.

Diet & Lifestyle Advise

  • Avoid Environmental Triggers: Stay indoors when pollen counts are high, and avoid exposure to dust mites, pet dander, and strong chemical fumes.
  • Eliminate Tobacco Smoke: If you smoke, seek support to quit. Avoid secondhand smoke, as it directly damages airway tissues and reduces the effectiveness of your inhalation therapy.
  • Practice Rinsing and Spitting: Make it a strict habit to rinse your mouth with water and spit it out after every dose to prevent local fungal infections.
  • Stay Well-Hydrated: Drink plenty of water throughout the day to keep mucosal linings in your airways moist, which helps thin out phlegm.
     
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How Soon It Starts Working

The time required for Pulmosmart 200 Pulmicap to start to work: Pulmosmart 200 Pulmicap ideally shows its action within 15 minutes after administration. The time for which the effects of Pulmosmart 200 Pulmicap last: The effect of Pulmosmart 200 Pulmicap lasts for 12 hours.

What if you forget to take Pulmosmart 200 Pulmicap

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

Storage

•Keep the inhaler at room temperature, ideally between 20°C and 25°C (68°F to 77°F). • Store in a dry place away from direct sunlight, excessive heat, humidity, and freezing temperatures.

Drug Warnings

  • Monitor Dose Counter: Always check the dose indicator window on your inhaler to track how many inhalations are left, and refill your prescription before it runs empty.
  • Clean Properly: Never wash or submerge the inhaler canister in water; if the mouthpiece needs cleaning, wipe it gently with a dry tissue.
  • Not a Rescue Inhaler: Do not use Pulmosmart 200 Pulmicap as a rescue inhaler during a sudden, severe asthma attack unless your doctor has specifically instructed you to do so as part of a single-maintenance-and-reliever therapy plan.
  • Monitor Breathing Symptoms: If you notice your breathing worsening or you need your quick-relief medicine more often than usual, contact your doctor immediately.
  • Keep the Mouthpiece Protected: Keep the protective cap on the mouthpiece whenever you are not using the inhaler to keep dust and debris out.
     

Drug-Drug Interactions

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Drug-Drug Interactions

Pulmosmart 200 Pulmicap may interact with certain medications, potentially affecting its effectiveness or increasing the risk of side effects. Inform your doctor about all medicines, supplements, and herbal products you are using, including:

  • Beta-Blockers (such as certain blood pressure or heart medications): These medicines may reduce the bronchodilator effect of FORMOTEROL, potentially causing airway narrowing and worsening breathing difficulties.
    Strong CYP3A4 Inhibitors (such as ketoconazole, itraconazole, ritonavir, or clarithromycin): These medications can increase the amount of BUDESONIDE absorbed into the bloodstream, raising the risk of corticosteroid-related side effects.
  • Diuretics (Water Pills): Using diuretics alongside Pulmosmart 200 Pulmicap may increase the risk of low potassium levels (hypokalaemia), particularly in susceptible individuals.
  • Other Bronchodilators or Sympathomimetic Medicines: Concurrent use may increase the risk of side effects such as palpitations, tremors, or changes in heart rhythm.
  • Certain Antidepressants and Monoamine Oxidase Inhibitors (MAOIs): These medicines may enhance the cardiovascular effects of FORMOTEROL and should be used with caution.


Drug-Disease Interactions

Certain medical conditions may affect how Pulmosmart 200 Pulmicap works or increase the likelihood of side effects. Tell your doctor if you have any of the following:

  • Heart Disease or High Blood Pressure: FORMOTEROL may cause changes in heart rate, blood pressure, or heart rhythm, requiring careful monitoring.
  • Diabetes: Inhaled corticosteroids may occasionally increase blood glucose levels, making closer blood sugar monitoring necessary.
  • Thyroid Disorders: Individuals with an overactive thyroid (hyperthyroidism) may be more sensitive to side effects such as tremors, nervousness, or a rapid heartbeat.
  • Seizure Disorders: Bronchodilators such as FORMOTEROL may increase the risk of nervous system stimulation in some patients.
  • Liver Problems: Severe liver impairment may affect the metabolism of BUDESONIDE, potentially increasing systemic exposure.
  • Infections: BUDESONIDE may reduce the body's immune response, so patients with active infections, particularly respiratory infections, may require additional monitoring.
     
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

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BUDESONIDE-200MCG+FORMOTEROL-6MCGFruit juices, Fruits
Moderate

Drug-Food Interactions

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BUDESONIDE-200MCG+FORMOTEROL-6MCGFruit juices, Fruits
Moderate
Common Foods to Avoid:
Grapefruit Juice, Grapefruit

How to manage the interaction:
Pulmosmart 200 Pulmicap levels in your body can grow due to grapefruit, which will result in more side effects. While using Pulmosmart 200 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.

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Therapeutic Class

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FAQs

Pulmosmart 200 Pulmicap is used to treat asthma and chronic obstructive pulmonary disease (COPD).
Yes, Pulmosmart 200 Pulmicap may cause fungal infection in the mouth (oral thrush) as a common side effect. It is not necessary for everyone taking Pulmosmart 200 Pulmicap to experience this side effect. However, to avoid such side effects, brush your teeth or rinse your mouth with water after using Pulmosmart 200 Pulmicap every time.
Pulmosmart 200 Pulmicap should be used with caution in osteoporosis (low bone density resulting in weak and brittle bones) patients, as it may worsen the condition. Therefore, inform your doctor if you have osteoporosis before taking Pulmosmart 200 Pulmicap so that the dose may be adjusted or an alternate medicine may be prescribed.
No, you are not recommended to take ketoconazole or other antifungal drugs such as itraconazole, posaconazole and voriconazole with Pulmosmart 200 Pulmicap as co-administration of these medicines may increase the absorption of Pulmosmart 200 Pulmicap into the bloodstream and increase the risk of adverse effects such as high blood pressure, weight gain, depression, muscle weakness, swelling, acne, skin thinning, cataracts, excessive growth of facial or body hair, stretch marks, high blood glucose levels, menstrual irregularities, loss of bone density, easy bruising and abnormal distribution of body fat, especially in the waist, back, neck and face, neck. However, please consult a doctor before using other medicines with Pulmosmart 200 Pulmicap .
You are not recommended to take more than the prescribed dose of Pulmosmart 200 Pulmicap as it may cause adverse effects such as a fast heartbeat, trembling or headache. However, if you experience any of these symptoms while taking Pulmosmart 200 Pulmicap , please consult a doctor immediately.
Throat irritation or pain, oral thrush (fungal infection), respiratory tract infections, low potassium level and sinusitis (sinus inflammation) are some of the common side effects of Pulmosmart 200 Pulmicap , which might occur in some patients.
In rare cases, Pulmosmart 200 Pulmicap may cause a low potassium level. So if you experience tiredness, muscle cramps, weakness, abnormal heart rhythms (arrhythmias) and constipation, contact a doctor for advice.
People with heart problems (including high blood pressure, chest pain, fast heartbeat, fits (seizures), thyroid problems, diabetes, immune system problems, weak bones or osteoporosis, eye problems (glaucoma, cataracts) and liver problems should consult a doctor before using Pulmosmart 200 Pulmicap .
Yes, Pulmosmart 200 Pulmicap is a combination of two drugs: Budesonide (a corticosteroid) and Formoterol (LABA—long-acting beta-agonists or bronchodilators).
No, taking more than the prescribed dose may not be more effective; it may raise the possibility of experiencing severe adverse reactions.
Before taking the Pulmosmart 200 Pulmicap , let your doctor know about all your medical conditions, sensitivities, and all the medications you are using. And inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
It's possible that your immune system is not strong enough to receive a live vaccine while you're taking Pulmosmart 200 Pulmicap . If you need vaccinations, inform the healthcare professional that you're taking Pulmosmart 200 Pulmicap .
It depends on your health condition. As directed by your physician, you will need to use it for longer to keep symptoms under control.
Store it at room temperature and away from sunlight, excess heat and moisture (not in the bathroom). Please dispose of the inhaler three months after you remove it from the foil overwrap or when the dose indicator reads 0), whichever comes first.
Asthma is a chronic (long-term) respiratory condition in which airways narrow, swell, and produce extra mucus, leading to difficulty breathing. Symptoms include wheezing (a whistling sound while breathing), shortness of breath, chest tightness, and cough, especially at night.
The muscle-relaxer component starts working within minutes to help open your airways, but the swelling-reduction component may take several days or weeks of daily use to show its full benefit. Do not stop taking it if you do not feel immediate results. Talk to your doctor if you have questions about your progress.
Yes, you must always rinse your mouth thoroughly with water and spit it out after every inhalation. This simple step removes any medicine left on your tongue or throat, preventing local side effects like throat irritation and oral thrush. Talk to your doctor or pharmacist if you notice white patches in your mouth.
Pulmosmart 200 Pulmicap is primarily a daily controller medicine designed to prevent flare-ups. While some treatment plans allow its use as a reliever, you should never use it for sudden breathing emergencies unless your doctor has explicitly instructed you to do so. Always carry your fast-acting rescue inhaler if prescribed. Talk to your doctor to clarify your specific action plan.
If you miss a dose, take it as soon as you remember. If it is close to your next scheduled dose, skip the missed dose and continue with your normal routine. Never double your dose to make up for a missed one. Talk to your doctor or pharmacist if you miss multiple doses.
Because Pulmosmart 200 Pulmicap is delivered directly into your lungs via inhalation, very little of the steroid enters your bloodstream compared to oral steroid tablets. Consequently, weight gain is highly uncommon with typical prescribed doses. Talk to your doctor if you notice unexpected weight changes.
No, you should not stop taking Pulmosmart 200 Pulmicap suddenly, even if your breathing feels completely normal. Stopping the medication can cause your airway swelling and tightness to return. Your doctor will decide when and how to safely adjust your dose. Talk to your doctor before making any changes.
Yes, some patients experience mild muscle trembling, particularly in their hands, or a slightly faster heart rate after inhaling this medicine. This is a recognised side effect of the muscle-relaxing component and often improves as your body adjusts to the medication. Talk to your doctor if these tremors are severe or do not go away.

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Reference

  1. U.S. Food and Drug Administration (FDA). 021929S013Lbl [FDA Prescribing Information]. Silver Spring, MD: FDA; 2024. [Accessed on 02 Jun. 2026]Check here
  2. Drugs.com Clinical Review Team. Budesonide And Formoterol Clinical Drug Monograph. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026]Check here
  3. Budesonide/formoterol fumarate dihydrate. 2018Check here
  4. Budesonide + Formoterol fumarate dihydrate. 2001. [Accessed on 19 Apr. 2019]Check here
  5. Budesonide + Formoterol fumarate dihydrate. 2003. [Accessed on 19 Apr. 2019]Check here
  6. FORACORT Rotacaps (Formoterol fumarate dihydrate + Budesonide) [Internet]. Ciplamed.com. 2022 [Accessed on 22 April 2026]Check here
  7. Symbicort Turbohaler 200/6 Inhalation powder - Patient Information Leaflet (PIL) - (emc) [Internet]. Medicines.org.uk. 2022 [Accessed on 22 April 2026]Check here

Country of origin

India

Manufacturer/Marketer address

Alkem Laboratories Limited, Devashish Building, Alkem House, Senapati Bapat Road, Lower Parel, Mumbai - 400 013.
Other Info - PUL0184
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