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Symbicort 200/6 Turbohaler

Symbicort Turbohaler is an inhaler that is used to treat asthma in adults and adolescents aged 12 – 17 years

It contains two different medicines: budesonide and formoterol fumarate dihydrate.

23,000.00 21,250.00

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Symbicort Turbohaler 200/ 6 120 Doses is indicated in adults and adolescents (12 years and older) for the regular treatment of asthma

Asthma

Symbicort Turbohaler can be prescribed for asthma in two different ways.

a) Some people are prescribed two asthma inhalers: Symbicort Turbohaler and a separate ‘reliever inhaler’.

  • They use Symbicort Turbohaler every day. This helps to prevent asthma symptoms from happening.
  • They use their ‘reliever inhaler’ when they get asthma symptoms, to make it easier to breathe again.

b) Some people are prescribed Symbicort Turbohaler as their only asthma inhaler.

  • They use Symbicort Turbohaler every day. This helps to prevent asthma symptoms from happening.
  • They also use Symbicort Turbohaler when they need extra doses for relief of asthma symptoms, to make it easier to breathe again. They do not need a separate inhaler for this.

Chronic obstructive pulmonary disease (COPD)

Symbicort Turbohaler can also be used to treat the symptoms of COPD in adults. COPD is a long-term disease of the airways in the lungs, which is often caused by cigarette smoking.

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A prescription drug (also prescription medication or prescription medicine) is a pharmaceutical drug that legally requires a medical prescription from a physician, Doctor, Dentist or Vet to be dispensed.

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Using Symbicort Turbohaler as your only asthma inhaler

Only use Symbicort Turbohaler in this way if your doctor has told you to and if you are aged 12 or above.

Use your Symbicort Turbohaler every day. This helps to prevent asthma symptoms from happening. You can take:

  • 1 inhalation in the morning and 1 inhalation in the evening

or

  • 2 inhalations in the morning

or

  • 2 inhalations in the evening.

Your doctor may increase this to 2 inhalations twice a day.

Also use Symbicort Turbohaler as a ‘reliever inhaler’ to treat asthma symptoms when they happen.

  • If you get asthma symptoms, take 1 inhalation and wait a few minutes.
  • If you do not feel better, take another inhalation.
  • Do not take more than 6 inhalations at a single time.

Always keep your Symbicort Turbohaler with you, so you can use it when you need it.

A total daily dose of more than 8 inhalations is not normally needed. However, your doctor may allow you to take up to 12 inhalations a day for a limited period.

If you regularly need to use 8 or more inhalations a day, make an appointment to see your doctor or nurse. They may need to change your treatment.

Do not use more than 12 inhalations in total in 24 hours.

If you are doing exercise and you get asthma symptoms, use Symbicort Turbohaler as described here. However, do not use Symbicort Turbohaler just before exercise to stop asthma symptoms from happening.

Chronic Obstructive Pulmonary Disease (COPD)

  • Only to be used by adults (aged 18 years and above).
  • The usual dose is 2 inhalations twice a day.

Your doctor may also prescribe other bronchodilator drugs, for example anticholinergics (such as tiotropium or ipratropium bromide) for your COPD disease.

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Like all medicines, this medicine can cause side effects, although not everybody gets them.

If either of the following happen to you, stop using Symbicort Turbohaler and talk to your doctor immediately:

  • Swelling of your face, particularly around your mouth (tongue and/or throat and/or difficulty swallowing) or hives together with difficulty breathing (angioedema) and/or sudden feeling of faintness. This may mean that you are having an allergic reaction. This happens rarely, affecting less than 1 in 1,000 people.
  • Sudden acute wheezing or shortness of breath immediately after using your inhaler. If either of these symptoms occur, stop using your Symbicort Turbohaler straightaway and use your ‘reliever’ inhaler. Contact your doctor immediately as you may need to have your treatment changed. This happens very rarely, affecting less than 1 in 10,000 people.

Other possible side effects:

Common (may affect up to 1 in 10 people)

  • Palpitations (awareness of your heart beating), trembling or shaking. If these effects occur, they are usually mild and usually disappear as you continue to use Symbicort Turbohaler.
  • Thrush (a fungal infection) in the mouth. This is less likely if you rinse your mouth out with water after using your Symbicort Turbohaler.
  • Mild sore throat, coughing and a hoarse voice.
  • Headache.
  • Pneumonia (infection of the lung) in COPD patients.

Tell your doctor if you have any of the following while taking Symbicort Turbohaler, they could be symptoms of a lung infection:

  • Fever or chills.
  • Increased mucus production, change in mucus colour.
  • Increased cough or increased breathing difficulties.

Uncommon (may affect up to 1 in 100 people)

  • Feeling restless, nervous or agitated.
  • Disturbed sleep.
  • Feeling dizzy.
  • Nausea (feeling sick).
  • Fast heart beat.
  • Bruising of the skin.
  • Muscle cramps.

Rare (may affect up to 1 in 1,000 people)

  • Rash, itching.
  • Bronchospasm (tightening of the muscles in the airways which causes wheezing). If the wheezing comes on suddenly after using Symbicort Turbohaler stop using Symbicort Turbohaler and talk to your doctor immediately.
  • Low levels of potassium in your blood.
  • Uneven heart beat.

Very rare (may affect up to 1 in 10,000 people)

  • Depression.
  • Changes in behaviour, especially in children.
  • Chest pain or tightness in the chest (angina pectoris).
  • An increase in the amount of sugar (glucose) in your blood.
  • Taste changes, such as an unpleasant taste in the mouth.
  • Changes in your blood pressure.

Inhaled corticosteroids can affect the normal production of steroid hormones in your body, particularly if you use high doses for a long time. The effects include:

  • changes in bone mineral density (thinning of the bones).
  • cataract (clouding of the lens in the eye).
  • glaucoma (increased pressure in the eye).
  • a slowing of the rate of growth of children and adolescents.
  • an effect on the adrenal gland (a small gland next to the kidney).

These effects are much less likely to happen with inhaled corticosteroids than with corticosteroid tablets.

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What Symbicort Turbohaler 200/6 contains

The active substances are budesonide and formoterol fumarate dihydrate. Each inhaled dose contains 160 micrograms of budesonide and 4.5 micrograms of formoterol fumarate dihydrate, this corresponds to a metered dose of 200 micrograms of budesonide and 6 micrograms of formoterol fumarate dihydrate.

The other ingredient is lactose monohydrate (which contains milk proteins).

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