Symbicort 160/4.5mcg Rapihaler

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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. Chong Zhan Pong
Written byDr. Chong Zhan PongDoctor of Medicine (MD), International Medical University (IMU)

Overview

Symbicort 160/4.5mcg Rapihaler contains Budesonide 160mcg per actuation and Formoterol Fumarate Dihydrate 4.5mcg per actuation and is available as a medicine. It is classified as a prescription medicine and may only be obtained with a valid prescription from a registered medical practitioner.

Only product, safety and handling information is published here. Anything beyond that is explained to you directly by your doctor or pharmacist as part of your consultation.

DoctorOnCall is a licensed online pharmacy. Orders for Symbicort 160/4.5mcg Rapihaler are processed only after a doctor has assessed your suitability and issued a prescription, and every order is checked by a registered pharmacist before it is sent out.

Directions for Use

Shake Symbicort 160/4.5mcg Rapihaler well before each use. Breathe out gently, place the mouthpiece between your teeth and close your lips around it, then breathe in slowly and deeply while pressing down on the canister, holding your breath for about 10 seconds afterwards. Rinse your mouth with water after use and spit it out, without swallowing, to reduce the risk of oral thrush and hoarseness. Do not use this inhaler for sudden breathlessness unless your doctor has specifically prescribed it for that purpose.

Dosage

The usual dose is 1-2 inhalations twice daily, or as specifically directed by your doctor, who will determine the appropriate strength and regimen (including whether it is used only for maintenance or also as a reliever) based on the severity of your asthma or COPD.

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 component of this product
  • Should not be used as a rescue inhaler for acute bronchospasm unless specifically prescribed for that purpose
  • Use with caution in patients with active pulmonary tuberculosis or untreated fungal, bacterial, or viral respiratory infections
  • Use with caution in patients with cardiovascular disease, including arrhythmias, due to the beta-agonist component

Drug / Food Interactions

  • Other beta-agonist medicines (e.g. salbutamol) may have an additive effect and increase the risk of palpitations or tremor
  • Beta-blockers may reduce the effectiveness of the formoterol component and should generally be avoided
  • Strong CYP3A4 inhibitors (e.g. ketoconazole, ritonavir) may increase budesonide levels and the risk of systemic corticosteroid side effects
  • Diuretics may increase the risk of low blood potassium when combined with beta-agonists

Quick Tips

  • Rinse your mouth with water and spit it out after every use to help prevent oral thrush
  • Use this inhaler regularly as prescribed, even when you feel well, for it to control your condition effectively
  • Carry a separate fast-acting reliever inhaler as advised by your doctor for sudden symptoms, unless your doctor has specifically prescribed this inhaler for that purpose
  • Seek medical advice if you need to use your reliever inhaler more often than usual, as this may mean your asthma or COPD is not well controlled

Ingredients / Active Ingredients

  • Budesonide 160mcg per actuation
  • Formoterol Fumarate Dihydrate 4.5mcg per actuation

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
ClassificationPrescription medicine
Ingredients / Active IngredientsFormoterol + Budesonide
Form120 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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