Ciclesonide 400mg + Formoterol 12mcg + Tiotropium 18mcg

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

This medicine combination is used for long-term maintenance treatment of asthma and chronic obstructive pulmonary disease (COPD), conditions that cause breathlessness, wheezing, and cough due to narrowed airways.

WHAT THIS MEDICINE IS USED FOR

• Long-term control and prevention of asthma symptoms
• Maintenance treatment of COPD, including chronic bronchitis and emphysema
• Reducing frequency of flare-ups (exacerbations) of breathing difficulty
• Improving day-to-day lung function and breathing capacity

HOW IT WORKS

• Ciclesonide is a steroid that reduces inflammation and swelling in the airways
• Formoterol relaxes airway muscles quickly and for a long duration, easing breathing
• Tiotropium blocks certain nerve signals that cause airway muscles to tighten, keeping airways open longer
• Together, they help open airways and prevent inflammation-related narrowing

WHAT IT IS NOT USED FOR

• Not for sudden asthma attacks or acute breathlessness needing immediate relief
• Not a cure for asthma or COPD, only controls symptoms
• Not meant for children unless specifically advised by a specialist
• Not for common cold, cough due to infection, or allergies unrelated to airway disease

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

HOW TO TAKE IT

• Use only through the inhaler device provided, as prescribed by your doctor
• Take it at the same time every day to build a routine
• Rinse your mouth with water and spit it out after each use to prevent throat irritation and thrush
• Do not exceed the number of inhalations advised by your doctor
• Learn the correct inhaler technique from your pharmacist or doctor for full benefit
• Do not use this for sudden breathlessness; keep a fast-acting reliever inhaler as advised for emergencies

IF YOU MISS A DOSE

• Take it as soon as you remember on the same day
• If it is almost time for your next dose, skip the missed one and continue as usual
• Do not double the 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 flames
• Keep out of reach of children
• Do not puncture, break, or burn the inhaler canister even when empty

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

COMMON SIDE EFFECTS

• Dry mouth
• Throat irritation or hoarseness
• Headache
• Cough

LESS COMMON SIDE EFFECTS

• Oral thrush (fungal infection in mouth)
• Nausea or upset stomach
• Fast or irregular heartbeat
• Muscle cramps
• Nasal congestion

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Sudden worsening of breathing after using the inhaler
• Chest pain or severe palpitations
• Blurred vision, eye pain, or halos around lights (possible glaucoma)
• Difficulty passing urine
• Severe allergic reaction with swelling of face, lips, tongue, or throat, and difficulty breathing
• Signs of low potassium such as severe weakness or irregular heartbeat

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

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

This is a prescription-only medicine in India and should be used only under a doctor's guidance.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to Ciclesonide, Formoterol, Tiotropium, or any other ingredient in this inhaler
• Have a known allergy to atropine or similar medicines
• Are having a sudden, severe asthma attack (this is not a rescue inhaler)

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have glaucoma or eye pressure problems
• Have prostate enlargement or difficulty passing urine
• Have heart disease, irregular heartbeat, or high blood pressure
• Have diabetes, thyroid problems, or low potassium levels
• Have active tuberculosis, chest infection, or any untreated fungal infection
• Are pregnant, planning pregnancy, or breastfeeding
• Have kidney or liver problems

MEDICINES THAT CAN INTERACT

• Other beta-agonist bronchodilators or anticholinergic medicines
• Beta-blockers used for heart or blood pressure conditions
• Diuretics (water pills), as they may worsen low potassium
• Certain antifungal or antibiotic medicines that increase steroid levels in the body
• Antidepressants (MAO inhibitors, tricyclics) which may increase heart-related side effects

FREQUENTLY ASKED QUESTIONS

Can I use this inhaler for immediate relief during an asthma attack?

No, this is a maintenance inhaler; keep a separate fast-acting reliever inhaler for emergencies as advised by your doctor.

How long does it take to work?

It works gradually over days to weeks to control symptoms; it is not meant for instant relief.

Can I stop using it once I feel better?

• No, stopping suddenly can cause symptoms to return; continue as prescribed and consult your doctor before making changes.
• Doctor ya pharmacist se salah lein.