Symbicort 160/4.5mcg Turbuhaler
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- FDA Approved
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Prescription Required
Overview
Symbicort 160/4.5mcg Turbuhaler is an inhaled fixed-dose combination of budesonide 160mcg, a corticosteroid, and formoterol 4.5mcg, a long-acting beta-2 agonist (LABA), used for the regular treatment of asthma and chronic obstructive pulmonary disease (COPD) in adults, helping to reduce airway inflammation and keep the airways open.
Budesonide reduces inflammation and swelling in the airways, while formoterol relaxes the muscles around the airways to keep them open for an extended period. Together, they reduce the frequency of symptoms and flare-ups and improve breathing when used regularly as prescribed.
How it Works
Budesonide acts locally on the airway lining to suppress inflammatory cells and mediators, reducing swelling, mucus production, and airway hyper-responsiveness. Formoterol stimulates beta-2 adrenergic receptors on airway smooth muscle, causing sustained bronchodilation (widening of the airways) that lasts up to 12 hours per dose.
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
What is Symbicort 160/4.5mcg Turbuhaler used for?
Symbicort 160/4.5mcg Turbuhaler is used for the regular, ongoing treatment of asthma and chronic obstructive pulmonary disease (COPD) to reduce airway inflammation and keep the airways open.
Can I use this inhaler for a sudden asthma attack?
This depends on your prescribed regimen – some patients are specifically prescribed this inhaler for both maintenance and relief, while others need a separate fast-acting reliever inhaler for sudden symptoms. Follow your doctor’s specific instructions.
Why do I need to rinse my mouth after using this inhaler?
Rinsing your mouth with water and spitting it out helps remove residual corticosteroid from the mouth and throat, reducing the risk of oral thrush and hoarseness.
How do I know if my Turbuhaler is empty?
The Turbuhaler has a dose indicator window showing the approximate number of doses left; when a red mark appears at the bottom of the window, it is time to get a replacement.
What should I do if I miss a dose of Symbicort 160/4.5mcg Turbuhaler?
Take the missed dose as soon as you remember, unless it is almost time for your next dose – in that case, skip the missed dose and continue your regular schedule. Do not double the dose.
Can I buy Symbicort 160/4.5mcg Turbuhaler from DoctorOnCall?
Yes, Symbicort 160/4.5mcg Turbuhaler is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Symbicort 160/4.5mcg Turbuhaler according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Symbicort 160/4.5mcg Turbuhaler?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Symbicort 160/4.5mcg Turbuhaler cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Symbicort 160/4.5mcg Turbuhaler?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Symbicort 160/4.5mcg Turbuhaler?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
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.
Medical Review
