Product Overview

How To Use Symbicort 160/4.5mcg Turbuhaler 60 doses

Unscrew to remove cover and check dose counter to make sure there are still doses left inside. Hold turbuhaler upright while twisting grip. Load a dose by twisting the coloured base of the turbuhaler as far to the right as it can go and then back until a click is heard. Breathe out gently away from the turbuhaler and place mouthpiece between teeth without biting and form a good seal with your lips. Be sure not to cover the air vents. Breathe in strongly and deeply and hold your breath for 5-10 seconds or as long as comfortable. Remove inhaler from mouth. Breathe out gently away from the turbuhaler. If you need to repeat your dose, repeat the above steps. Replace cover once complete.

Administration Route

Oral

Brands

AstraZeneca

Active Ingredient

Formoterol+Budesonide

Manufactured by

AstraZeneca Pharmaceuticals LP

Shelf Life

Check packaging for an expiry date

Side Effects

As with all medications, you may experience some side effects. Not everyone experiences it. This is not a cause for concern. However, it is so that you are aware of it.

Some of the side effects do not require any medical attention and resolve as the body responds to the medication. Consult your doctor if they continue or if you are worried about them.

The most common side effects include nausea, vomiting, respiratory infection, voice hoarseness, fungal infections in the mouth, coughing, headache, sore throat, musculoskeletal (bone, muscle or joint) pain, and increased heart rate.

You can prevent all of these symptoms by rinsing your mouth and throat with water or by brushing your teeth with your inhaler. There are other, more rare, side effects that may be severe. If you are unsure about them, speak to your doctor.

Blurred Vision, Sudden Coughing, Difficulty Breathing

Warning Precautions

Precautionary Steps of Symbicort 160/4.5mcg Turbuhaler 60 doses

Please consult a doctor if you have the following contraindications & conditions before using Symbicort :

Allergy to symbicort or any of its components
Status asthmaticus
It is not recommended for children & Neonates. Please keep it out of reach from them
Hypersensitivity
Acute asthma
Acute COPD
adrenal suppression
reduced bone mineral density/osteoporosis
Glaucoma
cataract
Thyrotoxicosis
Phaeochromocytoma
Diabetes mellitus
untreated hypokalaemia
hypertrophic obstructive cardiomyopathy
idiopathic subvalvular aortic stenosis
severe HTN
Aneurysm

Please stop using this medication if you are experiencing these symptoms and conditions.

Symbicort Drug Interactions

Drug to drug interaction reaction of symbicort varies from a person to another person. It is advisable to check with your doctor about all the possible drug interactions before starting the medication.

Itraconazole
Ritonavir
CYP3A4 inhibitors
β-blockers (including eye drops)
potent CYP3A4 inhibitors
Quinidine
Disopyramide
Procainamide
Phenothiazines
antihistamines (terfenadine)
MAOIs (furazolidone & procarbazine) & TCAs
Digitalis
L-dopa
L-thyroxine
oxytocin & alcohol
Furazolidone
Rocarbazine
anaesthesia w/ halogenated hydrocarbons.

This is a non-exhaustive list of drug interactions and conditions that might interfere with Symbicort. Before taking this drug, inform your doctor about all your present medications.

Keep the following precautions in mind as well:-

Avoid excess exposure to sunlight
Avoid this medicine for a longer use
Tell your doctor if you have any other diseases or if you are taking any other medication
Do not discontinue the prescribed course
Do not puncture or throw the canister into the fire.
Do not use your inhaler near a heat or open flame.
Keep symbicort and medications out of reach from children.

Alcohol Warning (Not Advisable)

Alcohol markedly increases heart rate especially when it is taken together with Symbicort 160/4.5mcg Turbuhaler 60 doses.

Pregnancy Warning (Not Safe)

There have been animal studies where there was an effect on the foetus especially in the early stages. There are limited or no human studies done yet. Symbicort 160/4.5mcg Turbuhaler 60 doses can still be taken if the benefits outweigh the risks so please consult your doctor.

Breastfeeding Warning (Limited Data)

In the limited animal studies done, it is found that Symbicort 160/4.5mcg Turbuhaler 60 doses is excreted in small amounts in breast milk. There are no human studies done yet. Therefore, please consult your doctor to discuss the benefits versus risks before using Symbicort 160/4.5mcg Turbuhaler 60 doses.

Driving Warning (Generally Safe)

Symbicort 160/4.5mcg Turbuhaler 60 doses should not affect alertness or driving ability.

Kidney Warning (Use With Care)

Symbicort 160/4.5mcg Turbuhaler 60 doses should be used with caution in patients with kidney disease, even though there is limited data on the effects.

Liver Warning (Limited Data)

Use with caution as hepatic impairment may lead to accumulation of formoterol. Hence, close monitoring is required.

Warning Precautions

Read the information leaflet carefully
Tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.
Before using this medication, tell your doctor or pharmacist your medical history and any medication that you are taking
Keep away from children's reach

Quick Tips

It contains two drugs for long-term treatment in a single inhaler.
It does not alleviate unexpected symptoms. Always, use a rescue inhaler to relieve unwanted symptoms.
Tell your doctor immediately if you have trouble breathing or if the inhaler does not alleviate symptoms.
Do not stop until told by your doctor. After each use, rinse your mouth with water to prevent infections in your mouth and throat.
Get your emergency inhaler everywhere you go.

References

1. Budesonide/formoterol fumarate dihydrate. AstraZeneca; 2018. [Accessed 19 Apr. 2019 (online)

2. Budesonide + Formoterol fumarate dihydrate. Capability Green: AstraZeneca UK Limited,; 15 May 2001 [revised 6 Dec. 2018]. [Accessed 19 Apr. 2019] (online)

3. Budesonide + Formoterol fumarate dihydrate. Capability Green: AstraZeneca UK Limited; 20 Mar. 2003 [revised 6 Dec. 2018]. [Accessed 19 Apr. 2019] (online)

4. BNF 73

5. Salmeterol xinafoate/Fluticasone propionate, Consumer medication information leaflet, Quest3 BPFK

6. Steroids, National Health Services

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Disclaimer

Information last updated on: Fri Nov 01 2024 15:15:04 GMT+0800 (Malaysia Time) The product images shown are for illustration purposes only and may not be an exact representation of the product.

The content provided on this webpage is to provide information only, to be fully-interpreted by a medical professional, and not intended as a guide to make purchase decisions, or a substitute to advice of a medical professional. Effectiveness and side effects of medication may differ from individual to individual. We do not encourage any customer to self-diagnose and/or self-medicate. Patients should always consult a medical professional before taking or using any medication. The content provided here is non-exhaustive and may not cover all aspects of the medication. Our service should only be used to support the doctor-patient dynamic, not replace it.

The fulfilment of prescription medication is subject to our review of a prescription issued by a Malaysian Medical Council (MMC) registered doctor. If required, we will provide a tele-consult service with one of our registered panel doctors. This is not an advertisement of a medicine as such an advertisement would require prior approval from the Medicines Advertisement Board of Malaysia. Symbicort 160/4.5mcg Turbuhaler 60 doses is available in many areas in Malaysia. Kuala Lumpur, Bukit Bintang, Titiwangsa, Setiawangsa, Wangsa Maju, Kepong, Segambut, Bandar Tun Razak, Cheras, Subang Jaya, Petaling Jaya, Mont Kiara, Puchong, Bandar Sunway, TTDI, Seri Kembangan, Klang, Bukit Tinggi, Damansara, Sentul, Penang, George Town, Jelutong, Gelugor, Bayan Baru, Bandar Baru Air Itam, Sungai Ara, Bukit Mertajam, Butterworth, Perai, Johor Bahru, Skudai, Bukit Indah, Gelang Patah, Senai, Pasir Gudang, Taman Daya, Taman Molek, Taman Perling, Tebrau, Danga Bay, Larkin, Nusajaya, Pontian, Masai, Setia Tropika, Desaru, Tampoi.

Symbicort 160/4.5mcg Turbuhaler 60 doses is available at many places in Singapore. Ang Mo Kio, Alexandra, Admiralty, Bedok, Bishan, Bukit Batok, Bukit Merah, Bukit Panjang, Bukit Timah, Boat Quay, Buona Vista, Beach Road, Bugis, Balestier, Boon Lay, Central Area, Choa Chu Kang, Clementi, Chinatown, Commonwealt, City Hall, Clarke Quay, Changi Airport, Changi Village, Clementi Park, Dairy Farm, Eunos, East Coast, Farrer Park, Geylang, Hougang, Harbourfront, Holland, Jurong, Jurong East, Jurong West, Kallang/ Whampoa, Lim Chu Kang, Marine Parade, Marina, Macpherson, Mandai, Newton, Novena, Orchard, Pasir Ris, Punggol, Potong Pasir, Paya Lebar, Queenstown, Raffles Place, Rochor, River Valley, Sembawang, Sengkang, Serangoon, Serangoon Rd, Seletar, Tampines, Toa Payoh, Tanjong Pagar, Telok Blangah, Tanglin, Thomson, Tuas, Tengah, Upper East Coast, Upper Bukit Timah, Upper Thomson, Woodlands, West Coast, Yishun, Yio Chu Kang.

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