application areas

Symbicort is used for respiratory diseases.

The drug Symbicort is available in the form of the "Symbicort Turbohaler". This is an inhaler that contains two different active substances: formoterol fumarate monohydrate and budenoside.

Formoterol fumarate monohydrate is a long-acting beta agonist, also called a bronchodilator. The active ingredient makes breathing easier because it relaxes the muscles of the bronchi.
Budesonide, on the other hand, belongs to the group of corticosteroids. So budesonide can reduce and even prevent swelling and inflammation of the lungs.

Symbicort is therefore prescribed as a drug for treating asthma or chronic obstructive pulmonary disease (COPD).

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Use in asthma:

If the patient has asthma, Symbicort can be used according to two different concepts.

1. With this principle, Symbicort is used regularly every day as basic medication and a second inhaler is used as reliever medication in the event of acute asthma attacks in order to make breathing easier.
2. In the other application, Symbicort is used as the sole asthma inhaler. The patients use it every day and also as an on-demand medication in the event of an asthma attack.

Use in COPD:

Symbicort can also be used to treat severe COPD if it is present in adults.
COPD usually results from excessive cigarette smoking.

You can find more information on the subject here Asthma attack

How to use

Symbicort must be used exactly as your doctor has told you. If you are unsure, you should definitely check with your doctor. That is important regular, daily use from Symbicort even if there are no acute ones asthma- or COPD-Symptoms are present.
In addition, the doctor should monitor the treatment at regular intervals.

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Fundamental Guide values are the following application notes:

1. If Symbicort is used as a regular medication with an additional inhaler when needed in an acute asthma attack, then Symbicort is Every day to use.
Adults (from 18 years) usually take Symbicort twice daily (1-2 inhalations each), if necessary the doctor can increase the daily frequency of use to up to four inhalations per twice a day. If the symptoms are well under control, the doctor may decide to reduce the dose to once a day.
At Teenagers is the dose usually once or twice a day (1-2 inhalations each). Here, too, the attending physician can reduce the frequency of use to once a day if necessary, if the symptoms can then be controlled appropriately.
children (6-11 years) should use the drug in the lower strengths.
The medication should never be increased or decreased independently without consultation, but rather be consulted with the doctor beforehand.
If necessary, the separate inhaler can also be used for asthma symptoms. The separate inhaler must always be carried with you on these occasions so that it can be used directly for asthma symptoms.

2. If Symbicort is used without another additional inhaler (only from 18 years and only prescribed by a doctor), it must be used urgently every day to prevent asthma symptoms from occurring.
An inhalation with Symbicort in the morning and an inhalation with Symbicort in the evening is ideal. Alternatively, two inhalations in the morning or in the evening are also possible.
It should no more than 6 inhalations successively can be used before, however, until you feel better. More than 12 inhalations within 24 hours is not indicated! For this purpose, Symbicort should always be carried with you so that it can be used directly if acute asthma symptoms occur.
In special cases, the doctor may have to order 12 applications per day, but these should only be carried out for a limited time.
Asthma symptoms may occur when exercising and the use of Symbicort can help relieve them. However, shortly before physical exertion, Symbicort should not be used in order not to provoke the appearance of asthma symptoms.

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3. At chronic obstructive pulmonary disease (COPD) is only used at Adults over 18 years of age allowed. Here the usual dosage is Twice a day two inhalations.

Using the Symbicort inhaler

The inhaler is only helpful if used correctly.

Commissioning a new inhaler:

Before a new inhaler can be used, it must be prepared as follows:

  • The transparent one Protective film is removed (at the marked tear point)
  • Unscrew and remove the protective flap. A rattling noise can be heard.
  • Now the inhaler is held upright and that Dosing wheel Has downward to show.
  • The metering wheel is turned as far as it will go in one direction and then as far as it will go in the opposite direction.
  • It sounds a Clicking sound.
  • The process is repeated, i.e. the metering wheel is turned in both directions.
  • The inhaler is then ready for use.

Using the inhaler:

If Symbicort is used, the following sequence of steps must be maintained for each application:

  • Unscrew and remove protective flap (rattling noise can be heard)
  • Inhaler hold in an upright position, with the dosing wheel down.
  • The mouthpiece should not be held while the inhaler is being loaded with a dose.
  • To do this, first turn the metering wheel as far as it will go in one direction and then as far as it will go in the other direction until it clicks. The inhaler should only be prepared for use, if actually an application performed immediately afterwards shall be.
  • The inhaler is held away from the mouth and it becomes gentle exhaled.
  • Then the mouthpiece is carefully placed between the teeth and closed with the lips.
  • Then so strong and deep as possible by mouth breathe inbut do not chew or bite on the mouthpiece.
  • Put the inhaler off and breathe out gently.
  • Depending on the doctor's prescription, repeat the above steps for another inhalation.
  • Then screw the protective cap back on.
  • Use your mouth after using Rinse with water and the water afterwards spit.
  • Once a week, clean the outside of the inhaler with a dry cloth (do not use liquids to clean it!).

The dose display can be used to see how many of the 120 initial doses are still in the device, but the display is graded in steps of 10 so that not every single dose can be read. If a red mark appears at the edge of the display, there are approximately 20 doses left. The last 10 doses are then displayed on a red background so that a follow-up inhaler can be obtained in good time. If the "0" appears on the display, it is necessary to switch to a new inhaler.

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What to do in the event of an overdose or forgotten applications

If more frequent applications have taken place than prescribed, the treating person must doctor be contacted. Common symptoms of Symbicort overdose include a faster heartbeat, a headache or Tremble.

If an application is forgotten, it is to be used immediately if it is noticed. However, if the next regular application is imminent anyway, this will be applied and the forgotten application easy left out. Should compensate for a forgotten application no double application respectively!

Side effects

As with all drugs, it is also possible with Symbicort that there may be undesirable effects that deviate from the originally planned effect.

If one of the following side effects occurs, the person concerned must contact the attending physician immediately.

  • Swelling of the face (including around the mouth)
  • difficulties swallowing
  • Rash
  • Difficulty breathing
  • Sudden wheezing after using Symbicort
  • Palpitations
  • light or severe tremors
  • Fungal infection in the mouth (thrush)
  • slight irritation of the throat
  • to cough
  • hoarseness
  • a headache
  • Restlessness, restlessness, nervousness
  • sleep disorders
  • dizziness
  • nausea
  • changed blood pressure
  • Bruising
  • Muscle spasms
  • Rash, itching
  • Spasms of the muscles of the airways (bronchospasm)
  • Low level of potassium in the blood
  • depressions
  • Changes in behavior (especially in children)
  • Chest pain / tightness in the chest (angina pectoris)
  • Increase in the sugar content in the blood (risk of diabetes)
  • Changes in taste
  • Decrease in bone density (risk of osteoporosis)
  • Opacity of the lens of the eye (cataracts, cataracts)
  • increased pressure in the eye (glaucoma, glaucoma)
  • Slowed growth in children
  • Influence on the adrenal gland (gland on the kidney)

If a side effect occurs that is not listed here, the attending physician must be informed immediately!

Drug interactions

If Symbicort is used in parallel with other drugs, various interactions can occur. If you notice that one of the following medications is being taken, the doctor should be informed, as otherwise risky interactions between the medications may occur

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  • Beta blockers (against high blood pressure)
  • Active ingredients to treat an irregular / fast heartbeat (e.g. quinidine)
  • Active ingredients for the treatment of
  • Heart failure ("Weak heart", e.g. digoxin)
  • DiureticsDiuretics (water tablets such as furosemide)
  • Corticosteroids / "cortisone"
  • Medicines with an active ingredient in xanthines (e.g. theophylline, aminophylline)
  • Bronchodilators (e.g. salbutamol)
  • Tricyclic Antidepressants (e.g. amitriptyline)
  • Monoamine oxidase inhibitors (MAOIs, e.g. phenelzine)
  • Phenothiazines (e.g. chlorpromazine, prochlorperazine)
  • Protease inhibitors HIV (e.g. ritonavir)
  • Anti-fungal agents (e.g. itraconazole, ketoconazole)
  • Parkinson's disease agentsParkinson's (e.g. L-Dopa)
  • Anti-thyroid agents (e.g. L-thyroxine)

Further information on using Symbicort

General information:

The use of Symbicort must be viewed and monitored particularly carefully if one of the following comorbidities is present:

  • diabetesDiabetes (Type I & Type II)
  • Lung infection
  • high blood pressure
  • Thyroid disease
  • Adrenal disease
  • low blood potassium levels
  • severe liver disease

It should also be pointed out that the use of Symbicort in doping tests can sometimes lead to false positive results. Will it be called Doping agents applied so it can become severe Cardiac arrhythmias come.

Limitations in everyday life or road traffic due to Symbicort:

In contrast to some other drugs, Symbicort no Impairment known for driving or operating devices or machines.

Pregnancy / lactation:

Is there a course of pregnancy?pregnancy or if this is planned, the need to continue using Symbicort should be discussed with a doctor urgently.

If the patient being treated wants to breastfeed, the doctor should also be asked about possible impairment caused by the drug before using Symbicort.

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