Formoterol 20 mcg + Budesonide 1000 mcg is a combination inhaler used for the long-term management of asthma and chronic obstructive pulmonary disease (COPD). It combines Formoterol, a long-acting bronchodilator that relaxes airway muscles to improve breathing, and Budesonide, an inhaled corticosteroid that reduces inflammation in the lungs. This combination helps prevent symptoms such as wheezing, breathlessness, and chest tightness.  

It is typically used twice daily and is not meant for immediate relief during sudden asthma attacks. Common side effects may include throat irritation, hoarseness, cough, headache, nausea, and oral thrush. It is contraindicated in individuals who are allergic to budesonide, formoterol, or any of the inhaler components.  

Caution is advised in people with conditions like heart disease, high blood pressure, diabetes, thyroid problems, glaucoma, osteoporosis, or seizures. In case of overdose, symptoms may include chest pain, tremors, fast or irregular heartbeat, dizziness, nervousness, and muscle cramps. Always use this medicine as prescribed and consult your doctor if you experience any unusual symptoms. 

Formoterol 20 mcg + Budesonide 1000 mcg is an inhaler medicine belonging to the class of inhaled corticosteroid. Used to prevent and treat symptoms conditions like:  

1. Bronchial asthma 
2. Wet cough in conditions like COPD 
3. Inflammation in lungs resulting in wet cough 
4. Emphysema (damaged lung air sacs) 

1. Wash your hands before handling the respule. 
2. Open the respule and pour the contents into the nebulizer cup. 
3. Assemble the nebulizer according to the instructions. 
4. Sit upright in a comfortable position. 
5. Place the mouthpiece in your mouth or use a mask over your nose and mouth. 
6. Turn on the nebulizer and breathe in the mist slowly and deeply until the medicine is finished (usually 5–10 minutes). 
7. Rinse your mouth with water after the session to reduce throat irritation. 
8. Clean the nebulizer after each use as per instructions. 

More Common  

1. Infection in the nose or throat, flu, or common cold symptoms 
2. Sore throat or mouth pain 
3. Headache 
4. Back pain 
5. Infection or swelling in the lungs or sinuses 
6. Stomach pain 
7. Vomiting 
8. Oral thrush 

Less Common

1. Swelling of the face, lips, mouth, tongue, or throat 
2. Trouble swallowing or throat tightness 
3. Itching, skin rash, or pale red bumps on the skin called hives 
4. Nausea or vomiting 
5. Dizziness, feeling lightheaded, or fainting 
6. Stomach cramps 
7. Joint pain 

People with asthma or COPD often experience long-term breathing difficulties due to restricted airflow in the lungs. Budesonide/formoterol is a combination of two medications: Budesonide, which helps reduce inflammation and swelling in the lungs, and formoterol, which relaxes the muscles around the airways. Together, they help improve airflow and make breathing easier.

Allergy Warning

Avoid if you have ever had an allergic reaction to formoterol or budesonide as it can increase the medication’s levels in the blood and potentially cause side effects.  

Pregnancy

It is not clear if budesonide/formoterol is safe during pregnancy. Inform your doctor if you are pregnant or planning to become pregnant. 

Breastfeeding

Budesonide can pass into breast milk. If you are breastfeeding or planning to, consult your doctor. They will guide you on whether it is safe to continue this medication. 

Liver

Liver impairment may affect how the medicine is processed in the body. If you have history of liver problems should use this medicine with caution 

Seizures

Formoterol may lower the seizure threshold in some individuals. If you have a history of seizures, consult your doctor before starting this medication. 

Thyroid Problems

Formoterol may worsen symptoms in people with hyperthyroidism. Inform your doctor if you have an overactive thyroid, as it may require careful monitoring or dose adjustments. 

Diabetes or High Blood Sugar

Budesonide can increase blood sugar levels. People with diabetes should monitor their blood glucose regularly and consult their doctor, as this medicine may worsen blood sugar control. 

Eye Problems

Long-term use of inhaled corticosteroids like budesonide may increase the risk of eye problems such as glaucoma or cataracts. Regular eye check-ups are advised if you have a history of these conditions. 

Heart Problems

Formoterol can increase heart rate and blood pressure. If you have  heart conditions such as irregular heart beat, heart failure, or a history of heart attacks use this medication cautiously and only under medical supervision. 

History of Bone Conditions

Inhaled corticosteroids may reduce bone mineral density over time. If you have or are at risk for bone conditions, inform your doctor before using this medicine. 

Avoid grapefruit and grapefruit juice when taking budesonide as it can increase the medication levels in the blood and potentially cause side effects. Additionally, caffeine intake should be avoided, as it can enhance the effects of formoterol on heart rate and blood pressure.   

Avoid taking Formoterol 20 mcg + Budesonide 1000 mcg with the following medicines, as it may increase or decrease the desired effect, or in worse cases, it could be fatal: 

IUPAC (International Union of Pure and Applied Chemistry)/ Chemical name

Formoterol: N-[2-hydroxy-5-[1-hydroxy-2-[1-(4-methoxyphenyl)propan-2-ylamino]ethyl]phenyl]formamide 

Budesonide:  11β,21-Dihydroxy-16α,17α-[butane-1,1-diylbis(oxy)]pregna-1,4-diene-3,20-dione 

Daily dose

Take Formoterol 20 mcg + Budesonide 1000 mcg exactly as your doctor recommends. The dose may change based on your condition and how well you respond. Do not take more than prescribed without consulting your doctor. 

Missed Dose

If you forget to take your medicine, take the medication as soon as you remember. If it’s nearly time for your next dose, skip the missed one and continue with your regular schedule. Always consult the doctor before making any changes to your dosage. 

Overdose

Do not take Formoterol 20 mcg + Budesonide 1000 mcg more than 8 inhalations a day. Overdosing may cause tremors, chest pain, fast or irregular heartbeat, nervousness, dizziness, headache, muscle cramps, and high blood pressure. Seek immediate medical attention if any of these occur. 

1. Store the medicine at room temperature 
2. Keep away from sunlight and moisture 
3. Keep out of reach of children 

What are the uses of Formoterol 20 mcg + Budesonide 1000 mcg inhaler? 

Budesonide and formoterol inhaler is used for the long-term management of asthma and chronic obstructive pulmonary disease (COPD). It helps reduce airway inflammation and keeps the airways open, making breathing easier. 

How to Use Formoterol 20 mcg + Budesonide 1000 mcg Inhaler? 

To use an inhaler, first shake it well and remove the cap while holding it upright. Breathe out fully, then place the mouthpiece in your mouth and close your lips around it. Press the inhaler while breathing in slowly and deeply. Hold your breath for about 10 seconds, then breathe out slowly. If you need a second puff, repeat the process. Afterwards, rinse your mouth with water and spit it out, then replace the cap and store the inhaler in a dry place. 

Is Formoterol 20 mcg + Budesonide 1000 mcg inhaler used for asthma?  

Yes, budesonide/formoterol inhaler is used for the long-term control of asthma. It helps reduce airway inflammation and keeps the airways open, making breathing easier and preventing asthma symptoms. 

What is Formoterol 20 mcg + Budesonide 1000 mcg Dose in Children? 

Age 6 to 11 years: 1 puff twice a day (100 mcg budesonide + 6 mcg formoterol), Age 12 and above: 1 puff twice a day (200 mcg budesonide + 6 mcg formoterol), or as the doctor advises. 

How many puffs of Formoterol 20 mcg + Budesonide 1000 mcg inhaler should be taken? 

Usually, 1 puff twice a day is prescribed, but the exact number of puffs depends on the patient’s age and condition. Always follow your doctor’s instructions. 

Can Formoterol 20 mcg + Budesonide 1000 mcg inhaler be used during pregnancy? 

As its safety in pregnancy is not fully known, use of budesonide/formoterol during pregnancy should only be done if clearly needed and prescribed by a doctor. 

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