
8X Cream
Cipla Limited - Cream - 30 G
Prescription required
Indacaterol (110mcg) + Glycopyrrolate (50mcg)
Nistami Inhaler is used for nistami Inhaler is used in the treatment of chronic obstructive pulmonary disease.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Nistami Inhaler contains Indacaterol (110mcg) + Glycopyrrolate (50mcg). It belongs to the Inhaled bronchodilator / corticosteroid and Prescription-only medicine class of medicines.
Nistami Inhaler is used in the treatment of chronic obstructive pulmonary disease.
Nistami Inhaler is a combination of two medicines: Indacaterol and Glycopyrrolate which treat chronic obstructive pulmonary disease (COPD). Indacaterol is a bronchodilator which works by relaxing the muscles in the airways and widens the airways. Glycopyrrolate is an anticholinergic which works by decreasing the secretions in the airways. Together, they make breathing easier.
Take this medicine in the dose and duration as advised by your doctor. Check the label before use.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Apply it as soon as you remember. If it is nearly time for the next application, skip the missed one — applying extra does not make up for it.
An overdose of this medicine can cause a racing heart, marked tremor, headache and a fall in blood potassium. It may be harmful — seek medical advice immediately. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Nistami are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Nistami Inhaler may be unsafe to use during pregnancy.<br/>Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor. |
|---|---|
| Breastfeeding | Nistami Inhaler is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby.<br/>Long-term use of Nistami Inhaler might reduce milk production. |
| Alcohol | Nistami Inhaler may cause excessive drowsiness and calmness with alcohol. |
| Driving | May cause drowsiness or affect your concentration. Do not drive until you know how it affects you. |
| Kidney | No interaction found/established |
| Liver | No interaction found/established |
| Habit forming | No |
Know which of your inhalers is the reliever and which is the preventer. A preventer must be used every day even when you feel well; a reliever is for symptoms. Seek emergency care if your reliever is not working, if you cannot speak a full sentence, or if you are using the reliever far more often than usual. Rinse your mouth with water and spit it out after every steroid inhaler dose to prevent thrush and hoarseness. Ask your doctor or pharmacist to watch your technique — poor technique is the commonest reason an inhaler seems not to work. Use a spacer if one has been advised, particularly for children. This is a prescription-only medicine. Take it exactly as your doctor has directed, for the period directed. Do not share it with anyone else, even if their symptoms seem the same. Tell your doctor about every other medicine, supplement and herbal product you take. Report any unexpected or severe symptom to your doctor rather than stopping on your own.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for anyone with a known allergy to the propellant used in the inhaler. Your doctor will confirm this medicine is suitable for you.
Beta blockers, including eye drops for glaucoma, can tighten the airways and reduce the effect of your reliever. Give your doctor and pharmacist a full list of everything you take.
Store below 30°C, away from direct sunlight and heat. Do not puncture or burn the canister, even when empty. Keep out of the reach of children.
<div class="style__desktop-container___1hcBT"><div class="style__desktop-video___2GTR9"><div class="styles__video-img___1rCzR"><div class=""/><div class=""/></div></div><div><div><div><div><div class="ExpertAdviceItem__content___1Djk2"><ul><li>Nistami Inhaler is a combination of two medicines that makes breathing easier for patients with chronic obstructive pulmonary disease (COPD).</li> <li>This medicine is for inhalation only. The tablet should not be swallowed.</li> <li>It should be taken at the same time each day.</li> <li>It does not work right away and should not be used to relieve sudden breathing problems.</li> <li>Take the first dose of this medicine under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.</li> <li>Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help.</li> <li>our doctor may regularly monitor your blood potassium levels as low oxygen levels in the blood (hypoxia) and COPD medicines such as Nistami Inhaler can lower potassium levels in blood.</li></ul></div></div></div></div></div></div>
Medicines with the same active ingredient (Indacaterol (110mcg) + Glycopyrrolate (50mcg)). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Nistami Inhaler |
|---|---|---|---|
| Glycobreez-I CapsuleMANKIND (PHARMA) | capsule · 10`S | ₹300 | 61% cheaper |
| Indaglyn RespicapsZYDUS HEALTHCARE PHARMA | 30`S | ₹422 | 45% cheaper |

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The information on Nistami Inhaler is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.