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Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Triohale Inhaler is used to treat asthma symptoms and chronic obstructive pulmonary disease (COPD). It relaxes the airway muscles and widens the airways. Thus, makes breathing easier for asthma and COPD patients. It may cause side effects such as fungal infections in the mouth, vomiting, nausea, headache, sore throat, hoarse voice, upper respiratory tract infections, flu, cough, musculoskeletal pain (in the bones, muscles, or joints), increased heart rate, and trembling.

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Manufacturer/Marketer :

Cipla Ltd

Consume Type :

INHALATION

Return Policy :

Not Returnable

Expires on or after :

About Triohale Inhaler

Triohale Inhaler belongs to the class respiratory stimulants, which are primarily used to treat asthma symptoms and chronic obstructive pulmonary disease (COPD). Asthma is a chronic (long-term) respiratory condition in which airways narrow, swell, and produce extra mucus, leading to difficulty breathing. COPD is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the lining of bronchial tubes).

Triohale Inhaler is a combination of three drugs: Tiotropium (anti-cholinergic), Formoterol (LABA - long-acting beta-agonist or bronchodilator), and ciclesonide (corticosteroid). Tiotropium is an anticholinergic, and formoterol is a bronchodilator. Both medicines work by relaxing the airway muscles and widening the airways. These medicines together make it easier for asthma and COPD patients to breathe. Whereas ciclesonide is a corticosteroid, it stops the release of certain natural substances in the body that are responsible for inflammation of the airways.

Your doctor will recommend how often you take Triohale Inhaler based on your medical condition. Some people may experience side effects, including a fungal infection in the mouth, vomiting, nausea, headache, sore throat, hoarse voice, upper respiratory tract infection, flu, cough, musculoskeletal pain (in the bones, muscles, or joints), increased heart rate, and trembling. Most of these side effects of Triohale Inhaler do not require medical attention and typically resolve on their own over time. However, if the side effects persist or worsen, stop the medicine and consult your doctor.

If you are allergic to lactose (a form of sugar) or have lactose intolerance, Triohale Inhaler, or any other ingredients, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Triohale Inhaler. If you have high blood pressure, diabetes, hypokalaemia (low potassium levels in the blood), glaucoma, cataracts, osteoporosis (weak bones), fits, immune system problems, chickenpox, measles, thyroid, lung, heart, liver, or adrenal gland problems, tuberculosis inform your doctor before taking Triohale Inhaler.

Uses of Triohale Inhaler

Triohale Inhaler is used in the treatment of Asthma, Chronic obstructive pulmonary disease (COPD). The detailed uses of Triohale Inhaler are as follows:
• Asthma management: Triohale Inhaler is widely prescribed for asthma patients to reduce inflammation and prevent asthma attacks. It works by relaxing airway muscles, eases breathing and provides effective relief.
• COPD treatment: Triohale Inhaler is highly effective in managing chronic obstructive pulmonary disease (COPD), a progressive lung condition. It helps alleviate symptoms such as breathlessness and wheezing, thereby ensuring better respiratory function.
• Inflammation control: Triohale Inhaler is effective in reducing swelling in the airways, which makes it easier for individuals with respiratory conditions to breathe.

Directions for Use

  • Recommended to take Triohale Inhaler twice a day or as advised by your doctor.
  • Shake the inhaler well and check the label for directions before using.. Hold it upright and place the mouthpiece between your teeth without biting it. Breathe in slowly through your mouth and press the top of the inhaler at the same time to release the medicine.
  • Remove the inhaler and hold your breath for a few seconds, then breathe out slowly.
  • Rinse your mouth with water and spit it out after using it to avoid fungal infections in the mouth and throat.

Medicinal Benefits

Triohale Inhaler is a combination of three drugs: Tiotropium (anti-cholinergic), Formoterol (LABA - long-acting beta-agonist or bronchodilator), and ciclesonide (corticosteroid). Tiotropium is an anticholinergic, and formoterol is a bronchodilator. Both medicines work by relaxing the airway muscles and widening the airways. These medicines together make it easier for asthma and COPD patients to breathe. Whereas ciclesonide is a corticosteroid, it acts by stopping the release of certain natural substances in the body that are responsible for inflammation of the airways.

How Triohale Inhaler Works

Triohale Inhaler is a combination of three drugs: Tiotropium (anti-cholinergic), Formoterol (LABA - long-acting beta-agonists or bronchodilator), and ciclesonide (corticosteroid). Tiotropium is an anti-cholinergic, and formoterol is a bronchodilator. Both medicines work by relaxing the airway muscles and widen the airways. These medicines together making it easier for asthma and COPD patients to breathe. Whereas ciclesonide is a corticosteroid, it acts by stopping the release of certain natural substances in the body that are responsible for inflammation of the airways.

Storage

Store in a cool and dry place away from sunlight

What if I have taken an overdose of Triohale Inhaler

Do not use Triohale Inhaler in more doses or more often than prescribed. If you have any unusual signs or symptoms, please consult a doctor immediately.

Drug Warnings

If you are allergic to lactose (a form of sugar) or have lactose intolerance, Triohale Inhaler, or any other ingredients, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Triohale Inhaler. Triohale Inhaler is not recommended for children below 6 years of age. If your breathing worsens or you often wake up at night with asthma, experience chest tightness in the morning, or last longer than usual, please consult a doctor immediately. These might be signs indicating that your asthma is not controlled properly and requires an alternate or additional treatment. Regular monitoring of potassium levels is recommended while taking Triohale Inhaler as it may cause low potassium levels in the blood. If you have high blood pressure, diabetes, hypokalaemia (low potassium levels in the blood), glaucoma, cataracts, osteoporosis (weak bones), epilepsy, immune system problems, chickenpox, measles, thyroid, lung, heart, liver, or adrenal gland problems, tuberculosis inform your doctor before taking Triohale Inhaler. Triohale Inhaler should be used with caution in patients with narrow-angle glaucoma, prostatic hyperplasia, or bladder neck obstruction.

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Triohale Inhaler:
Co-administration of Bumetanide and Desmopressin may increase the risk of hyponatremia (low levels of salt in the blood).

How to manage the interaction:
If you have to use Desmopressin and Triohale Inhaler together, a doctor may adjust the dose or monitor you more frequently to safely use both medications. However, if you experience loss of appetite, headache, nausea, vomiting, lethargy (very tired), irritability, difficulty concentrating, weakness, unsteadiness, memory impairment, confusion, muscle spasm, decreased urination, and/or sudden weight gain, contact your doctor immediately as these may be symptoms of water intoxication (water poisoning) and hyponatremia (low levels of salt in the blood). Do not discontinue the medication without consulting a doctor.
How does the drug interact with Triohale Inhaler:
Taking sotalol with Triohale Inhaler 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 Triohale Inhaler, 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.
How does the drug interact with Triohale Inhaler:
Taking timolol with Triohale Inhaler could reduce the benefits of both medications because they have opposite effects on the body.

How to manage the interaction:
Although taking Triohale Inhaler and timolol together can possibly result in an interaction, 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 talking to your doctor.
FormoterolNadolol
Severe
How does the drug interact with Triohale Inhaler:
Taking nadolol with Triohale Inhaler together could decrease the effects of both medications.

How to manage the interaction:
There may be a possibility of interaction between Triohale Inhaler and Nadolol, 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.
How does the drug interact with Triohale Inhaler:
Using Triohale Inhaler and Carvedilol together may reduce the effects of both medications.

How to manage the interaction:
Although there is an interaction between Triohale Inhaler and Carvedilol, they can be taken together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Triohale Inhaler:
Co-administration of labetalol and Triohale Inhaler together could decrease the effects of both medications.

How to manage the interaction:
Although taking Labetalol and Triohale Inhaler together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
FormoterolCarteolol
Severe
How does the drug interact with Triohale Inhaler:
Taking carteolol with Triohale Inhaler can reduce the effects of both drugs.

How to manage the interaction:
Although there is an interaction between Carteolol and Triohale Inhaler, they can be taken together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
FormoterolPenbutolol
Severe
How does the drug interact with Triohale Inhaler:
Using Triohale Inhaler 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 Triohale Inhaler, 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.
How does the drug interact with Triohale Inhaler:
Taking ribociclib together with Triohale Inhaler can increase the risk of an irregular heart rhythm

How to manage the interaction:
Co-administration of Triohale Inhaler 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.
How does the drug interact with Triohale Inhaler:
Using epinephrine together with Triohale Inhaler may increase the risk of irregular heart rhythm.

How to manage the interaction:
Although taking Triohale Inhaler 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.

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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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, bottled lemon, and lime juice, as they may worsen asthma symptoms.
  • Do meditation, deep breathing, regular exercise, and try progressive muscle relaxation techniques to get relief from stress and reduce the risk of an asthma attack.
  • Quit smoking as it may reduce the effectiveness of the Triohale Inhaler and irritate the lungs, worsening breathing problems.
  • Learning breathing exercises will help you move more air in and out of your lungs.
  • Limit alcohol intake.

Habit Forming

No

Therapeutic Class

RESPIRATORY STIMULANTS

Triohale Inhaler Substitute

Substitutes safety advice
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Alcohol

Consult your doctor

The interaction of Triohale Inhaler with alcohol is unknown. Please consult a doctor before consuming alcohol with Triohale Inhaler.

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Pregnancy

Consult your doctor

The safety of Triohale Inhaler 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 Triohale Inhaler is excreted in human milk. It is given to breastfeeding mothers only if the doctor believes the benefits outweigh the risks.

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Driving

Safe if prescribed

Triohale Inhaler usually does not affect your ability to drive or operate machinery.

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Liver

Caution

Use Triohale Inhaler 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 Triohale Inhaler in patients with Kidney problems, please consult your doctor.

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Children

Caution

Triohale Inhaler is not recommended for children below 6 years as the safety and effectiveness have not been established. However, please consult a doctor before giving Triohale Inhaler to children.

Have a query?

FAQs

Triohale Inhaler is used to treat asthma symptoms and chronic obstructive pulmonary disease (COPD).

Triohale Inhaler is a combination of three drugs: Tiotropium (anti-cholinergic), Formoterol (LABA - long-acting beta-agonists or bronchodilator), and ciclesonide (corticosteroid). Tiotropium is an anti-cholinergic, and formoterol is a bronchodilator. Both medicines work by relaxing the airway muscles and widen the airways. These medicines together making it easier for asthma and COPD patients to breathe. Whereas ciclesonide is a corticosteroid it acts by stopping the release of certain natural substances in the body that are responsible for inflammation of the airways.

Yes, Triohale Inhaler may cause fungal infection in the mouth (oral thrush) is a common side effect. It is not necessary for everyone taking Triohale Inhaler to experience this side effect. However, to avoid such side effects, brush your teeth or rinse your mouth with water after using Triohale Inhaler every time.

You are not recommended to stop taking Triohale Inhaler without consulting your doctor as it may worsen the condition or cause recurring symptoms. Therefore, take Triohale Inhaler for as long as your doctor has prescribed it.

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 Triohale Inhaler.

Yes, Triohale Inhaler causes dry mouth/ dry throat as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake, and sugarless candy can help relieve dry mouth and dry throat.

Country of origin

India

Manufacturer/Marketer address

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Other Info - TRI0864

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