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Symbicort 160/4.5mcg Turbuhaler 30 doses
RM 62.30
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.
Oral
Check packaging for an expiry date
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.
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
