Installment Available Symbicort 160/4.5mcg Turbuhaler
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Prescription Required
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.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
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
Frequently Asked Questions
Is Symbicort 160/4.5mcg Turbuhaler a prescription medicine?
Yes. Symbicort 160/4.5mcg Turbuhaler is a prescription-only medicine (POM). It can only be supplied against a valid prescription written by a registered doctor, and it should be used only by the person named on the prescription label.
What does Symbicort 160/4.5mcg Turbuhaler contain?
Symbicort 160/4.5mcg Turbuhaler is supplied as a medicine and contains Budesonide 160mcg and Formoterol fumarate dihydrate 4.5mcg. The full composition is listed in the Composition section on this page and on the product packaging.
Why is there no information here about what Symbicort 160/4.5mcg Turbuhaler is for?
Malaysian rules for prescription medicines limit public product pages to product, safety and handling information. Your doctor decides whether this medicine is appropriate for you and will explain it during your consultation, and your pharmacist can answer further questions when the medicine is dispensed.
How should I take Symbicort 160/4.5mcg Turbuhaler?
Follow your doctor’s instructions and the directions on the dispensing label without changing them. If anything on the label is unclear, check with your pharmacist before taking the first dose, and read the Directions for Use section on this page.
What should I do if I miss a dose?
Take it as soon as you remember, unless your next dose is nearly due. In that case skip the missed dose and carry on with your usual schedule. Never take two doses together to make up for a missed one. If you miss doses often, tell your doctor or pharmacist.
How should I store Symbicort 160/4.5mcg Turbuhaler?
Store below 30°C in a dry place, away from direct sunlight and out of reach of children. Keep it in the original pack until use, and do not use it after the expiry date printed on the packaging.
What should I do if I notice side effects?
Tell your doctor or pharmacist about any reaction that concerns you, and seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.
Can I stop taking Symbicort 160/4.5mcg Turbuhaler on my own?
No. Speak to your doctor before stopping, pausing or changing the dose, even if you feel well or think you no longer need the medicine.
How do I get a prescription for Symbicort 160/4.5mcg Turbuhaler?
Customers in Malaysia can complete an online consultation with a DoctorOnCall doctor, who decides whether a prescription is appropriate, or upload a valid prescription already issued by their own doctor.
Orders going to Singapore are dispatched from Malaysia as an international delivery, so you need to hold a valid prescription or doctor’s letter for the medicine. Check the consultation and prescription upload options shown at checkout for your delivery address before placing the order.
How long will delivery take?
Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.
Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.
What payment methods can I use?
Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.
FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.
Can Symbicort 160/4.5mcg Turbuhaler be delivered to Singapore?
Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.
Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.
Is Symbicort 160/4.5mcg Turbuhaler registered with the authorities?
Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.
An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.
Who do I contact if there is a problem with my order?
DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.
For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.
Ingredients / Active Ingredients
- Budesonide 160mcg
- Formoterol fumarate dihydrate 4.5mcg
Safety Advice
Pregnancy
This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.
Breastfeeding
Use during breastfeeding should only be done if prescribed and monitored by a doctor.
Kidney
Generally safe, but caution may be required in some patients.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
Caution is advised when consuming alcohol with this medicine.
Driving
Use caution while driving until you know how this medicine affects you.
