Symbicort 160/4.5mcg Turbuhaler

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Manufacturer AstraZeneca
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

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Overview

Symbicort 160/4.5mcg Turbuhaler is a prescription-only medicine (POM) that contains Budesonide 160mcg and Formoterol fumarate dihydrate 4.5mcg. It is supplied as a medicine and is dispensed in Malaysia only against a valid prescription issued by a registered doctor.

Under Malaysian rules for prescription medicines, this page carries product, safety and handling information only. Your doctor or pharmacist will explain whether this medicine is suitable for you, the dose you should take, and how long you should take it.

On DoctorOnCall, Symbicort 160/4.5mcg Turbuhaler is reviewed by a licensed doctor through an online consultation and dispensed by a registered pharmacist before delivery. Always follow the instructions on your prescription label and the package insert supplied with the product, and do not share this medicine with anyone else.

Directions for Use

Load and inhale Symbicort 160/4.5mcg Turbuhaler using the Turbuhaler device exactly as demonstrated by your doctor or pharmacist – twist the base to load a dose, breathe out gently away from the device, then inhale forcefully and deeply through the mouthpiece, holding your breath briefly afterward. Rinse your mouth with water and spit it out after each use to reduce the risk of oral thrush and hoarseness.

Dosage

The usual dose of Symbicort 160/4.5mcg Turbuhaler is 1-2 inhalations once or twice daily depending on your doctor’s assessment of your asthma or COPD severity and control; some regimens also allow it to be used as an additional reliever dose when prescribed this way. Never exceed the maximum daily number of inhalations advised by your doctor.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Throat irritation
  • Hoarseness or voice changes
  • Headache
  • Nausea
  • Cough
  • Oral thrush (fungal infection in the mouth)
  • Increased heart rate
  • Dizziness

Contraindications

  • Known hypersensitivity to budesonide, formoterol, or any ingredient in this product
  • Should not be used as a rescue inhaler for acute, sudden breathlessness
  • Untreated fungal, bacterial, or viral infections of the airways requiring caution before starting inhaled steroids
  • Caution in people with cardiac arrhythmias, severe cardiovascular disease, or uncontrolled thyroid disorders

Drug / Food Interactions

  • Beta-blockers may reduce the bronchodilating effect of formoterol and should generally be avoided
  • Other medicines that prolong the QT interval may increase the risk of heart rhythm disturbances when combined with formoterol
  • Strong CYP3A4 inhibitors (e.g. ketoconazole, ritonavir) can increase budesonide levels and side effects
  • Diuretics may increase the risk of low blood potassium when combined with formoterol

Quick Tips

  • Rinse your mouth with water and spit it out after every use to prevent oral thrush
  • Use this inhaler regularly as prescribed, even when you feel well, as it is a preventer/controller medicine
  • Keep a separate reliever inhaler on hand if your doctor has prescribed one for sudden symptoms
  • Check the dose counter on your Turbuhaler and get a refill before it runs out

Ingredients / Active Ingredients

  • Budesonide 160mcg
  • Formoterol fumarate dihydrate 4.5mcg

Safety Advice

Pregnancy

Safe If Prescribed

This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.

Breastfeeding

Safe If Prescribed

Use during breastfeeding should only be done if prescribed and monitored by a doctor.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Frequently Asked Questions

Product Specifications

BrandAstraZeneca
ManufacturerAstraZeneca
ClassificationPrescription medicine
Ingredients / Active IngredientsFormoterol + Budesonide
Form120 doses, 30 doses, 60 doses
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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