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About FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE

FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE belongs to the class of respiratory stimulants used as a maintenance treatment in patients with chronic obstructive pulmonary disease (COPD). COPD is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the lining of bronchial tubes).

FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE contains Formoterol fumarate dihydrate (bronchodilator), glycopyrrolate (anticholinergic), and budesonide (corticosteroid). Formoterol fumarate dihydrate works by relaxing muscles and widening the lungs' airways. Glycopyrrolate reduces secretions in the airways. Budesonide is a corticosteroid that acts on nasal lining cells and prevents the release of certain chemicals that cause inflammation. 

FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE may cause certain side effects such as oral thrush, cough, difficulty breathing, chills, back pain, muscle spasms, low blood pressure, nausea, and vomiting. Inform your doctor if these side effects persist or worsen. This medicine is for inhalation only. Before using, check the labelled instructions carefully.

Inform your doctor if you are allergic to FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE. let your doctor know if you have any history of liver/kidney disease, glaucoma, asthma, heart disease, seizures, weak immune system, osteoporosis, diabetes, or medication history of anticholinergics, atropine, other LABA drugs, antifungal or anti-HIV medicines before taking FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE. If you are pregnant or breastfeeding, please inform your doctor before using FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE. This medicine is contraindicated for use in asthma patients.

Uses of FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE

Chronic obstructive pulmonary disease (COPD)

Medicinal Benefits

FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE is a combination medicine containing Formoterol fumarate dihydrate, Glycopyrrolate, and Budesonide. Formoterol fumarate dihydrate works by relaxing muscles and widening the airways of the lungs. Glycopyrrolate reduces secretions in the airways. Budesonide is a corticosteroid that acts on nasal lining cells and prevents the release of certain chemicals that cause inflammatory reactions. Thus, all together it provides relief from COPD.

Directions for Use

It is for inhalation only. Use it in dose and duration as advised by your doctor. Inhaler: Your doctor will explain how to use the inhaler if you are using it for the first time. Rinse your mouth with water and spit it out after using it to avoid fungal infections in the mouth and throat. Always shake the container for 5 seconds before each use. Then, open the mouthpiece of the container and hold it facing the mouthpiece downwards. Now, push as much air out of your lungs as possible. Place the mouthpiece in your mouth and close your lips. Push the metal container for each puff, holding your breath, and then slowly breathe out. Repeat the same for the next puff. Capsules: Check the label for directions before using these capsules. These are for inhalation only. Do not swallow capsules. Use it in dose and duration as advised by your doctor. Rinse your mouth with water and spit it out after using it to avoid fungal infections in the mouth and throat.

Storage

Store in a cool and dry place away from sunlight

Side Effects of FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE

  • Headache

  • Oral thrush

  • Nausea

  • Vomiting

  • Upper respiratory tract infections

  • Cough

  • Difficulty breathing

  • Hypotension

  • Feeling tired

  • Diarrhoea

  • Back pain

  • Muscle spasms

In-Depth Precautions and Warning

Drug Warnings

Discontinue the medicine and inform your doctor if you observe any allergic reactions or are known allergic to any ingredients. This medicine is contraindicated for use in asthma patients, acute episodes of COPD, and use of other LABA drugs, as it can cause serious side effects. FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE may cause glaucoma, oropharyngeal candidiasis, adrenal suppression, cardiovascular effects, paradoxical bronchospasm, serious anaphylactic reactions, hypokalaemia, hyperglycaemia, pneumonia and deterioration of disease. Therefore, inform your doctor if you have any conditions like liver/kidney disease, glaucoma, asthma, heart disease, seizures, weak immune system, osteoporosis, diabetes, thyroid disorders, prostate/bladder problems, a serious infection, or medication history of anticholinergics, atropine, other LABA drugs, antifungal or anti-HIV medicines if you are pregnant or breastfeeding, please inform your doctor before using FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE. FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE is not recommended for children as the safety is not established. This medicine may cause harm to the developing baby. Hence, it is advised to inform your doctor if you are pregnant or breastfeeding before starting the treatment.

Drug Interactions

Drug-Drug Interactions: FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE may interact with other long-acting bronchodilators (salbutamol, vilanterol, olodaterol, indacaterol), anticholinergic drugs (ipratropium, tiotropium, aclidinium), medicines to induce labour (oxytocin), antithyroid agent (levothyroxine), antidepressants (imipramine, amitriptyline, isocarboxazid, phenelzine), antifungals (itraconazole, ketoconazole), HIV medicines (atazanavir, ritonavir, nelfinavir, indinavir, cobicistat, saquinavir), etc.

Drug-Food Interactions: FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE may interact with grapefruit and grapefruit juice. Therefore, avoid consuming grapefruit or its juice with FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE as it may lead to severe adverse effects. Also, it is safe to limit alcohol and caffeine intake.

Drug-Disease Interactions: Inform your doctor if you have low blood pressure, diabetes, hypokalaemia, glaucoma, osteoporosis, heart, liver, or adrenal gland problems before taking FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE.

Drug-Drug Interactions Checker List:

  • SALBUTAMOL
  • VILANTEROL
  • INDACATEROL
  • IPRATROPIUM
  • ACLIDINIUM
  • TIOTROPIUM
  • LEVOTHYROXINE
  • IMIPRAMINE
  • ITRACONAZOLE
  • KETOCONAZOLE
  • ATAZANAVIR
  • RITONAVIR
  • SAQUINAVIR
  • Safety Advice

    • Safety Warning

      Alcohol

      consult your doctor

      The interaction of FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE with alcohol is unknown. Discuss with your doctor if you have any concerns.

    • Safety Warning

      Pregnancy

      unsafe

      FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE is not recommended for use in pregnancy as it may harm your foetus. Hence, if you are pregnant or planning pregnancy, inform your doctor before taking FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE. Your doctor may prescribe this medicine if the benefits outweigh the risks.

    • Safety Warning

      Breast Feeding

      consult your doctor

      Limited data is available on the effect of FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE in breastfeeding. Hence, if you are a nursing mother, inform your doctor before receiving FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE. Your doctor may prescribe this medicine if the benefits outweigh the risks.

    • Safety Warning

      Driving

      safe if prescribed

      FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE usually does not affect your ability to drive or operate machinery.

    • Safety Warning

      Liver

      caution

      Since the liver is the primary organ responsible for the elimination of budesonide and formoterol, patients with severe liver impairment may be more exposed. Hence, use FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE with caution if you have liver disease.

    • Safety Warning

      Kidney

      consult your doctor

      Limited data is available. Please consult your doctor for more information.

    • Safety Warning

      Children

      unsafe

      FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE is not recommended for use in children as the safety and efficacy have not been established.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Eat a healthy diet and exercise regularly to strengthen your breathing muscles and boost your immune system.

    • Learning breathing exercises will help you move more air in and out of your lungs.

    • 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 FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE and irritate the lungs, worsening breathing problems.

    Special Advise

    • Regular blood sugar levels and blood pressure monitoring is recommended while taking FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE.

    • Your doctor may also suggest a blood test of the liver/kidney and CBC to check for any abnormalities in the results.

    Patients Concern

    Disease/Condition Glossary

    Chronic obstructive pulmonary disease (COPD): It is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the lining of bronchial tubes). The primary cause of COPD is smoking tobacco. Also, long-term exposure to fumes and chemicals may lead to COPD. The symptoms include chronic cough, shortness of breath, or wheezing (whistle sound while breathing).

    FAQs

    How does FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE work?

    FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE works by relaxing muscles and widening the airways of the lungs. Also, it stops the release of certain chemicals in the body that cause inflammatory reactions.

    What happens if I take more than the prescribed dose of FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE?

    You are not recommended to take more than the prescribed dose of FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE as it may cause adverse effects such as muscle cramps, headache, high or low blood pressure, fits, severe chest pain, dry mouth, difficulty in sleeping, or light-headedness. However, if you experience these symptoms while taking FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE, please consult a doctor immediately.

    Can I stop taking FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE if my condition gets better?

    No, it is always advised not to stop taking the medicine even if your condition gets better as it may worsen the condition or cause recurring symptoms. If you feel better, inform your doctor before you stop taking FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE. Your doctor will decide whether to stop or not based on your symptoms.

    Available Medicines for

    FORMOTEROL FUMARATE DIHYDRATE+GLYCOPYRROLATE+BUDESONIDE