Distributor inventory

Maintenance treatment of asthma and chronic obstructive pulmonary disease (COPD) to prevent symptoms like wheezing, breathlessness and chest tightness; not for relief of sudden acute attacks.

Fluticasone is an inhaled corticosteroid that reduces airway inflammation, swelling and mucus production. Formoterol is a long-acting beta2-agonist (LABA) that relaxes airway smooth muscles to keep the airways open for longer. Together they improve breathing and reduce exacerbations when used regularly.

For inhalation use only. Use exactly as prescribed, usually at the same times each day; not meant for quick relief. Shake well before use, exhale fully, place mouthpiece, inhale deeply while pressing the canister (MDI), hold breath for ~10 seconds, then exhale. Rinse/gargle mouth with water after each use to reduce risk of oral thrush. Use a spacer if advised.

Throat irritation, hoarseness/voice change, cough, headache, oral thrush (fungal infection in mouth), nausea, tremor, palpitations, muscle cramps, dry mouth

Not for acute bronchospasm—keep a rescue inhaler (e.g., salbutamol) available. Do not stop abruptly; use regularly for best control. Rinse mouth after use to prevent oral candidiasis. Use with caution in patients with heart disease/arrhythmias, hypertension, diabetes, hyperthyroidism, seizures, glaucoma, osteoporosis, active or latent infections (including TB). Seek medical help if breathing worsens after use (paradoxical bronchospasm). Monitor for pneumonia risk in COPD and for adrenal suppression with high doses/long-term use.

Other beta-agonists, beta-blockers (may reduce effect/trigger bronchospasm), strong CYP3A4 inhibitors (e.g., ritonavir, cobicistat, ketoconazole, itraconazole) increasing steroid exposure, diuretics/xanthines/corticosteroids (risk of hypokalemia), MAO inhibitors/tricyclic antidepressants (may increase cardiovascular effects)

Store below 25°C, protected from direct sunlight and heat. Do not freeze. Keep canister away from flames/heat sources; do not puncture or incinerate. Keep dry and out of reach of children.

Foracort Inhaler (Budesonide/Formoterol), Symbicort Inhaler (Budesonide/Formoterol), FFB Inhaler (Fluticasone/Formoterol), Seroflo Inhaler (Fluticasone/Salmeterol), Budamate Inhaler (Budesonide/Formoterol)