Formiget (200/6mcg) 30 Capsules

Formiget (200/6mcg) 30 Capsules

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  • Manufacturer GETZ PHARMACEUTICALS (PVT.) LTD.
  • Generic Name

    Formoterol 6mcg, Budesonide 200mcg

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Product Information

  • Description
  • Ingredients
  • Drug Class
  • Dosage Form
  • Uses
  • Dosage
  • In case of Overdose
  • Missed Dose
  • How To Use
  • When Not to Use
  • Side Effects
  • Precautions & Warnings
  • Drug Interactions
  • Food Interactions
  • Storage/Disposal
  • Quick Tips, if any
  • Laboratory Screening
  • Description

    Formoterol, a component in the combination, is a long-acting beta-agonist (LABA). It works by stimulating beta-2 receptors in the lungs, leading to smooth muscle relaxation and bronchodilation. This action helps to open up the airways, making breathing easier. On the other hand, Budesonide is a potent corticosteroid with anti-inflammatory properties. It acts by inhibiting the production of various inflammatory mediators, such as leukotrienes and prostaglandins, which are responsible for airway inflammation and bronchoconstriction. Budesonide reduces inflammation in the airways, preventing the onset of asthma symptoms and decreasing airway hyperresponsiveness.

  • Ingredients

    Formoterol 6mcg, Budesonide 200mcg

  • Drug Class

    Long-acting beta-agonist/Corticosteroid

  • Dosage Form

    Capsule

  • Uses

    The following are the uses of Formoterol 6mcg, Budesonide 200mcg Capsule:

    • Used for preventing asthma attacks and managing chronic obstructive pulmonary disease (COPD).
    • Used for reducing inflammation and swelling in the airways.
    • Used to quickly relax and open the airways, providing rapid relief during sudden asthma symptoms.
    • Used for long-term control and management of asthma symptoms.
    • Used to prevent exercise-induced asthma by taking it before physical activity.
    • Used for improving overall lung function and reducing the frequency of asthma episodes.
    • Used as a maintenance medication to keep asthma under control over an extended period.
  • Dosage

    Tailoring Treatment for Optimal Health, Prescribed Medication Dosage is:

    • Asthma (for prevention of symptoms)- Formoterol Fumarate Dihydrate - 6mcg to 12 mcg (or 1 to 2 inhalations, 2 times a day)
    • Asthma (for relief of symptoms)- Budesonide - 200mcg to 400mcg (or 2 to 4 inhalations)
    • Emphysema and chronic bronchitis (maintenance)- Budesonide - 200mcg (or 1 inhalation) daily
    • Emphysema and chronic bronchitis (bronchospasm)- Formoterol Fumarate Dihydrate - 6mcg (or 1 inhalation) every 6 hours as needed
    • Status asthmaticus- Formoterol Fumarate Dihydrate - 6mcg (or 1 inhalation) every 20 minutes for 3 doses
    • Status asthmaticus- Budesonide - 200mcg (or 2 inhalations) every 4 hours for 3 doses
  • In case of Overdose

    In the case of an overdose of Formoterol 6mcg and Budesonide 200mcg capsules, it is important to remain calm and seek medical advice promptly. Symptoms of an overdose may include rapid heartbeat, tremors, headache, and muscle cramps. Contact your healthcare provider or go to the nearest emergency room if you suspect an overdose. Prompt medical attention can help manage symptoms and ensure appropriate treatment.

  • Missed Dose

    In the case of a missed dose of Formoterol 6mcg and Budesonide 200mcg Capsule, it is generally recommended to take the missed dose as soon as you remember. However, if it is almost time for your next scheduled dose, it is best to skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one, as this may increase the risk of side effects. If you frequently miss doses, consider setting reminders or using a pill organizer to help you stay on track with your medication routine.

  • How To Use

    To use the Formoterol 6mcg, Budesonide 200mcg Capsule, insert the capsule into the inhaler device as instructed, breathe out gently, and then inhale deeply and slowly through the mouthpiece, holding your breath for a few seconds to ensure the medication reaches your lungs effectively.

  • When Not to Use

    Following are the conditions/situations when Formoterol 6mcg and Budesonide 200mcg Capsule should not be used:

    • Should not be used in patients with a known allergy to either Formoterol or Budesonide or any of the excipients in the capsule.
    • Contraindicated in patients with a history of paradoxical bronchospasm after using Formoterol or other similar medications.
    • Not recommended for patients with severe and uncontrolled asthma, as it is not a rescue medication.
    • Should be avoided in patients with a history of severe cardiovascular problems, including heart attacks, severe irregular heart rhythms, or severe heart disease.
    • Not suitable for patients with untreated or unstable seizures.
    • Should not be used in patients with an allergy to milk proteins, as some formulations may contain lactose.
    • Contraindicated during the acute treatment of asthma attacks, as it is a long-term maintenance medication.
    • Not recommended for patients with a history of severe allergic reactions or anaphylaxis.
  • Side Effects

    The side effects of Formoterol 6mcg, Budesonide 200mcg Capsule may include:

    • Tremors or shaking
    • Headache
    • Dry mouth or throat irritation
    • Cough or hoarseness
    • Muscle cramps or pain
    • Rapid heartbeat or palpitations
    • Nervousness or restlessness
    • Throat infection (pharyngitis)
  • Precautions & Warnings

    Following are the precautions and warnings for Formoterol 6mcg, Budesonide 200mcg Capsule:

    • This medication is intended for inhalation only and should not be swallowed. Do not use if you are allergic to any of its ingredients.
    • Patients with a history of heart problems, high blood pressure, seizures, thyroid issues, or diabetes should use with caution and under medical supervision.
    • Formoterol may cause paradoxical bronchospasm; seek medical help if breathing difficulties worsen after inhalation.
    • Long-term use of budesonide may lead to systemic corticosteroid effects. Regular medical check-ups are necessary.
    • Avoid using this medication during an asthma attack or if you have a severe asthma episode.
    • Children should use this medication under adult supervision.
    • Inform your doctor about all medications you are taking to avoid potential drug interactions.
    • Do not exceed the prescribed dosage, as it may lead to serious side effects.
  • Drug Interactions

    Following are the drug interactions for Formoterol 6mcg, Budesonide 200mcg Capsule:

    • Beta-blockers (e.g., propranolol) can reduce the effects of formoterol, and their concurrent use should be avoided.
    • Ketoconazole and other strong CYP3A4 inhibitors may increase the exposure to budesonide, leading to potential adverse effects.
    • Theophylline, a CYP1A2 substrate, can have increased levels when used with budesonide, requiring close monitoring.
    • Concomitant use of other inhaled corticosteroids may increase the risk of adverse effects related to corticosteroids.
    • Macrolide antibiotics (e.g., erythromycin) can potentially inhibit CYP3A4, leading to increased budesonide levels.
    • Formoterol may interact with other sympathomimetic drugs, causing increased cardiovascular effects.
    • Caution is advised when using potassium-depleting drugs with budesonide, as it may lead to hypokalemia.
  • Food Interactions

    Following are the food interactions for Formoterol 6mcg, Budesonide 200mcg Capsule:

    • Avoid consuming grapefruit or grapefruit juice as it can interfere with the metabolism of the medication, potentially leading to increased drug levels in the body.
    • Alcohol intake should be limited as it may cause additional respiratory system depression and increased sedation.
    • Caffeine and other stimulants should be used cautiously as they may exacerbate the stimulant effects of Formoterol.
    • High-fat meals may increase the absorption of Budesonide, potentially affecting its effectiveness.
    • Avoid consuming large amounts of licorice as it can decrease the effectiveness of Budesonide due to its effect on the body's cortisol levels.
    • Maintain a balanced diet to support overall health and ensure the medication's effectiveness.
    • Avoid excessive salt intake as it may counteract the benefits of Budesonide in managing respiratory conditions.
    • Follow any dietary recommendations provided by your healthcare professional for optimal results.
  • Storage/Disposal

    Formoterol 6mcg, Budesonide 200mcg capsules should be stored in a cool, dry place, preferably at room temperature (68°F to 77°F). Protect the capsules from excessive heat, moisture, and direct sunlight. Keep the medication in its original packaging or container, ensuring it is tightly sealed. It is crucial not to store the capsules in the bathroom or near the kitchen sink, as humidity and temperature fluctuations can impact their potency. Always check the expiration date, and never use the medication if it is past its expiry. When disposing of unused or expired capsules, do not flush them down the toilet or pour them into any water source. Consult your pharmacist or local waste disposal company for specific guidelines on medication disposal to ensure environmental safety. Keep the capsules out of children's reach to prevent accidental consumption.

  • Quick Tips, if any

    Following are the quick tips for Formoterol 6mcg, Budesonide 200mcg Capsule:

    • Ensure you understand the prescribed dosage from your healthcare provider.
    • Swallow the capsule whole with water, avoiding crushing or chewing.
    • Maintain consistency by taking your dose at the same time daily.
    • If you have trouble swallowing, explore alternative administration methods with your doctor.
    • Store the capsules in a cool, dry place, away from direct sunlight.
    • Regularly monitor your symptoms and inform your doctor of any changes.
    • Do not share your medication with others, even if they have similar symptoms.
  • Laboratory Screening

    Budesonide and Formoterol Fumarate Dihydrate are inhaled medications typically used to treat respiratory conditions like asthma and chronic obstructive pulmonary disease (COPD). These medications are usually prescribed together to help prevent exacerbations of asthma or COPD symptoms. While these medications are effective in treating respiratory conditions, it is crucial to undergo regular laboratory tests to monitor safety and effectiveness. Certain medications can place stress on the liver and kidneys, and these labs help ensure that stress is not undue or harmful. Your doctor will likely want to conduct labs periodically to monitor complete blood cell counts, potassium levels, liver function, and kidney function while you are taking these medications. Other common lab tests include complete blood count (CBC), which checks for issues related to inflammation and infection, and serum potassium levels, as these medications can cause symptoms of hypokalemia (low potassium levels). Your healthcare provider will determine the frequency and adequacy of the tests based on your individual health status, age, and other variables. It is important to disclose all medications you take to your healthcare provider, including over-the-counter medications and supplements, as they may affect the dosage or recommendation for Budesonide and Formoterol Fumarate Dihydrate. It is advisable to discuss the requisite laboratory tests with your healthcare provider, understand the rationale for each one, and determine how often they need to be performed while you are taking these medications.

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