Ciclesonide 400mcg + Formoterol 12mcg + Tiotropium 18mcg

Ciclesonide 400mcg + Formoterol 12mcg + Tiotropium 18mcg — Uses and Benefits

This medicine is used for the long-term maintenance treatment of asthma and chronic obstructive pulmonary disease (COPD), helping people breathe more easily on a regular basis.

WHAT THIS MEDICINE IS USED FOR

• Long-term control of asthma symptoms
• Maintenance treatment of COPD
• Reducing frequency of breathing flare-ups
• Improving overall lung function over time

HOW IT WORKS

• Ciclesonide is a corticosteroid that reduces inflammation in the airways
• Formoterol is a long-acting bronchodilator that relaxes airway muscles quickly and for a long duration
• Tiotropium is a long-acting anticholinergic that keeps airways open by blocking muscle-tightening signals
• Together they help open airways and reduce swelling for easier breathing

WHAT IT IS NOT USED FOR

• Not for treating a sudden asthma or breathlessness attack
• Not a rescue inhaler for immediate relief
• Not used for chest infections without airway obstruction
• Not suitable for children unless specifically prescribed

How to Use Ciclesonide 400mcg + Formoterol 12mcg + Tiotropium 18mcg

HOW TO TAKE IT

• Use only through the inhaler device provided, as prescribed by your doctor
• Take at the same time each day for best results
• Rinse mouth with water after use to reduce risk of throat irritation and oral thrush
• Do not swallow the medicine; it is for inhalation only
• Do not stop suddenly without consulting your doctor, even if you feel better
• Do not use more than the prescribed amount

IF YOU MISS A DOSE

• Take it as soon as you remember
• If it is almost time for your next dose, skip the missed one
• Do not take a double dose to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep away from heat sources and open flame
• Keep out of reach of children
• Do not puncture, break, or burn the inhaler canister
• Discard as per the printed expiry date or label instructions

Ciclesonide 400mcg + Formoterol 12mcg + Tiotropium 18mcg — Side Effects

COMMON SIDE EFFECTS

• Dry mouth
• Throat irritation
• Headache
• Hoarseness of voice
• Mild cough

LESS COMMON SIDE EFFECTS

• Oral thrush (white patches in mouth)
• Nausea
• Muscle cramps
• Fast heartbeat
• Nervousness or tremors

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Difficulty breathing or wheezing that worsens after use
• Chest pain or irregular heartbeat
• Swelling of face, lips, tongue, or throat (allergic reaction)
• Blurred vision or eye pain (possible glaucoma)
• Difficulty passing urine
• Severe dizziness or fainting

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

Ciclesonide 400mcg + Formoterol 12mcg + Tiotropium 18mcg — Safety Information and Precautions

This medicine is available only with a doctor's prescription in India.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to Ciclesonide, Formoterol, Tiotropium, or any inhaler component
• Are having an acute asthma attack or sudden breathlessness
• Have untreated narrow-angle glaucoma
• Have severe urinary retention or prostate enlargement without medical advice

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have heart disease, irregular heartbeat, or high blood pressure
• Have diabetes
• Have glaucoma or eye problems
• Have kidney or liver disease
• Have difficulty urinating due to enlarged prostate
• Are pregnant, planning pregnancy, or breastfeeding

MEDICINES THAT CAN INTERACT

• Other bronchodilators or beta-agonist inhalers
• Beta-blockers used for blood pressure or heart conditions
• Diuretics (water pills)
• Other anticholinergic medicines
• Medicines for irregular heart rhythm

FREQUENTLY ASKED QUESTIONS

Can I use this inhaler for sudden breathlessness?

No, this is a maintenance medicine and not meant for quick relief; keep a rescue inhaler as advised by your doctor.

How long does it take to work?

It may take a few days to weeks of regular use to see full benefit, so continue as prescribed even if you feel well.

Can I use this with other inhalers?

• Only if your doctor has approved it, since combining similar medicines can increase side effects.
• Doctor ya pharmacist se salah lein.