Foracort 400MCG Multihaler 30Md

Introduction About FORACORT 400MCG MULTIHALER

FORACORT 400MCG MULTIHALER is used in adults and children over 6 years for the
regular management of asthma and moderate to severe Chronic Obstructive
Pulmonary Disease (COPD) with frequent symptoms and a history of recurrent
exacerbations.

It contains a combination of medicines called Budesonide and Formoterol, which
belong to the group of medicines called Inhaled corticosteroids, Long-acting
beta-adrenergic agonists. Budesonide is a corticosteroid that reduces
inflammation in the airways, helping to manage asthma attacks and improve
breathing. Formoterol is a long-acting bronchodilator that relaxes the muscles
around the airways, making it easier to breathe by widening the air passages.

Asthma is a respiratory disease in which airways get narrower, swell, and
produce extra mucus. COPD is a chronic inflammatory disease of the lung that
causes obstructed airflow from the lungs. Symptoms of these diseases include
difficulty breathing, coughing, wheezing, sputum production, etc.

Your doctor will regularly monitor the growth pattern of your child using
FORACORT 400MCG MULTIHALER. Before using this medicine, your doctor might advise
you to perform certain respiratory tests to assess the severity of the
respiratory disorder and flow in the lungs.

FORACORT 400MCG MULTIHALER is not recommended to use if you are allergic to any
of its ingredients. It is generally not recommended to use during pregnancy or
breastfeeding unless it is clearly necessary.

Before using this medicine, inform your doctor if you have heart problems,
increased blood pressure, fits, diabetes, thyroid problems, liver problems,
osteoporosis (bone disease), immune system diseases, eye problems such as
glaucoma (increased pressure inside eyes), cataracts (cloudy lens), and viral,
bacterial, fungal, parasitic infections, exposed to measles or chicken pox, etc.

FORACORT 400MCG MULTIHALER is not recommended for use by children under 6 years
of age. The most common side effects of using this medicine in adults include
muscle pain, difficulty sleeping, palpitations, increased heart rate, increased
levels of blood sugar, decreased levels of potassium, etc. Consult your doctor
if any of your symptoms get worse or persist.

Uses Of FORACORT 400MCG MULTIHALER

It is used in adults and children above 6 years for the regular management of:

• asthma
• moderate to severe Chronic Obstructive Pulmonary Disease (COPD)

How FORACORT 400MCG MULTIHALER Works

FORACORT 400MCG MULTIHALER contains budesonide and formoterol. Budesonide helps
to decrease inflammation in the lungs, whereas formoterol acts as a
bronchodilator that helps the muscles around the airways in the lungs to relax.
Together they help to ease breathing problems as well as manage symptoms such as
wheezing, cough, chest tightness, and shortness of breath due to asthma and
chronic obstructive pulmonary diseases.

How to use FORACORT 400MCG MULTIHALER

• Use FORACORT 400MCG MULTIHALER exactly as advised by your doctor.
• It is for inhalational use only.
• Check the label carefully for directions before use.
• Your doctor will decide the correct dose and duration for you depending upon your age, body weight, and severity of condition.

Side Effects Of FORACORT 400MCG MULTIHALER

COMMON

• muscle pain and cramps
• difficulty to sleep
• palpitations
• increased heartrate
• increased levels of blood sugar
• decrease in plasma levels of potassium
• rhinitis
• cough
• ear infection
• nausea, vomiting
• headache
• backpain
• nasopharyngitis
• sinusitis
• upper respiratory tract infections (sneezing, cold, nasal stiffness, etc.)
• dizziness
• dry mouth
• loose stools
• throat irritation
• hoarseness of voice
• stomach pain
• candidiasis (fungal infection)
• viral infections
• bleeding from the nose
• gastroenteritis (inflammation of the stomach and intestine)
• rashes
• conjunctivitis

Stop using FORACORT 400MCG MULTIHALER and contact your doctor if you experience
any of the following:

• depression
• changes in behaviour (mainly in children)

Warning & Precautions

!### Pregnancy

ContraindicatedFORACORT 400MCG MULTIHALER is generally not recommended for use during pregnancy
or for those who are planning pregnancy due to a lack of safety data. Inform
your doctor if you get pregnant in between the course of management with
FORACORT 400MCG MULTIHALER before discontinuing the medicine.

!### Breastfeeding

ContraindicatedFORACORT 400MCG MULTIHALER is not recommended to use in breastfeeding mothers
unless the expected benefit to the mother is greater than any possible risk to
the child. Consult your doctor before using FORACORT 400MCG MULTIHALER.

!### Driving and Using Machines

SafeFORACORT 400MCG MULTIHALER has no or negligible effect on your efficiency to
drive and operate machines. Consult your doctor before using FORACORT 400MCG
MULTIHALER.

!### Kidney

ContraindicatedFORACORT 400MCG MULTIHALER is not recommended to be used in patients with kidney
diseasesdue to a lack of safety data.

!### Liver

Use with CautionFORACORT 400MCG MULTIHALER should be used with caution in patients diagnosed
with liver diseases.

!### Allergy

ContraindicatedDo not use FORACORT 400MCG MULTIHALER if you are allergic to budesonide,
formoterol, or any other ingredients in this medicine.

!### Lungs

ContraindicatedFORACORT 400MCG MULTIHALER is not recommended to be used for managing asthma,
bronchospasm, and COPD induced by exercise, as well as for acute episodes of
asthma or COPD where intensive measures are required.

!### Heart Disease

Use with CautionFORACORT 400MCG MULTIHALER should be used with caution in patients with heart
diseases such as coronary insufficiency (coronary artery fails to pump enough
blood), irregular heartbeat, increased blood pressure, hypertrophic obstructive
cardiomyopathy (thickened heart muscles), heart valve disease, the low blood
supply to the heart, and heart failure.

!### Use In Pediatrics

Consult your doctorFORACORT 400MCG MULTIHALER is not recommended to be used in children below 6
years of age due to a lack of safety data. Consult your doctor before receiving
FORACORT 400MCG MULTIHALER. FORACORT 400MCG MULTIHALER should be used with
caution in children above 6 years of age. Your doctor will monitor the height
and growth of children while using FORACORT 400MCG MULTIHALER.

!### Use In Geriatrics

Use with CautionFORACORT 400MCG MULTIHALER is used with caution in elderly people with heart
diseases. Consult a doctor before using FORACORT 400MCG MULTIHALER.

Others

Before using FORACORT 400MCG MULTIHALER, inform your doctor if you have:

• fits
• diabetes
• thyroid problems
• pheochromocytoma (adrenal gland tumour)
• osteoporosis (bone disease)
• immune system diseases
• eye problems such as glaucoma (increased pressure inside eyes) and cataracts (cloudy lenses).
• viral, bacterial, fungal, parasitic infections
• exposed to measles or chicken pox, etc.
• decreased potassium levels and unmanaged
• aneurism (bulge in blood vessel)

Interactions

A. Drug-Drug Interactions:

Before using FORACORT 400MCG MULTIHALER, inform your doctor if you are taking
any of the following medicines:

• ketoconazole, itraconazole, voriconazole, and posaconazole (medicines used to manage fungal infection)
• clarithromycin, telithromycin (medicines used to manage bacterial infection)
• nefazodone (medicine used to manage depression)
• HIV protease inhibitors such as indinavir and ritonavir (medicines used to manage HIV)
• monoamine oxidase inhibitors such as isocarboxazid, phenelzine, and tricyclic antidepressants such as amitriptyline and desipramine (medicines used to manage depression)
• beta blockers (Ex. atenolol, labetalol, propranolol), loop diuretics (Ex. bumet
• terfenadine (medicine used to manage allergies)
• quinidine, disopyramide, and procainamide (medicines used to manage heart diseases)
• phenothiazines (EX. chlorpromazine) (medicine used to manage mental disorders)
• salmeterol, formoterol fumarate, and arformoterol tartrate (medicines used to manage asthma and chronic obstructive pulmonary disease)
• any other vitamin supplements, herbal medicines, or over-the-counter medicines

Overdosage: If you or anyone else accidentally use more FORACORT 400MCG
MULTIHALER, consult your doctor immediately or visit the nearby hospital.
Symptoms of overdosage are fits, pain in the chest, variation in blood pressure,
increased heart rate, nervousness, headache, tremor, palpitations, muscle pain,
nausea, dizziness, sleep disturbances, metabolic acidosis, increased blood
sugar, and decreased potassium levels. In extreme, rare conditions, it may cause
cardiac arrest and even death.

Synopsis

Drug	:	Budesonide, Formoterol
Pharmacological Category	:	Inhaled corticosteroids, long-acting beta-adrenergic agonists
Therapeutic Indication	:	Used to manage Asthma and COPD (Chronic Obstructive Pulmonary Disease)
Dosage Forms	:	Capsules, Inhaler, Rota Cap, Respicaps, Octacap, Nexhaler, Respules, Smartules, Pulmules, Turboinhaler

More Information

Asthma is a chronic condition that causes inflammation and narrowing of the
airways, leading to difficulty breathing. Symptoms include wheezing, coughing,
chest tightness, and shortness of breath, often triggered by allergens or
exercise.

COPD is a progressive lung disease characterized by persistent airflow
limitation, making it hard to breathe. Symptoms include a chronic cough,
excessive mucus, and shortness of breath, primarily caused by long-term exposure
to irritants like cigarette smoke and air pollution.

To know more about this medication:Some lifestyle changes that will help with breathing difficulties:

FAQs About FORACORT 400MCG MULTIHALER

Q: What is FORACORT 400MCG MULTIHALER used for?

A: FORACORT 400MCG MULTIHALER is used in adults and children above 6 years for
the regular management of asthma (narrowing of airways with coughing, wheezing,
and difficulty breathing) and moderate to severe chronic obstructive pulmonary
disease (COPD—inflammation of the lungs) with frequent symptoms and a history of
recurrent exacerbations. Consult your doctor before using FORACORT 400MCG
MULTIHALER.

Q: How does FORACORT 400MCG MULTIHALER work?

A: FORACORT 400MCG MULTIHALER contains budesonide and formoterol. Budesonide
helps to decrease inflammation in the lungs, whereas formoterol acts as a
bronchodilator that helps the muscles around the airways in the lungs to relax.
Together they help to ease breathing problems as well as manage symptoms such as
wheezing, cough, chest tightness, and shortness of breath due to asthma and
chronic obstructive pulmonary diseases.

Q: What are the most common side effects of using FORACORT 400MCG MULTIHALER?

A: The most common side effects of using FORACORT 400MCG MULTIHALER in adults
include muscle pain, difficulty sleeping, palpitations, increased heart rate,
increased levels of blood sugar, and decreased levels of potassium. Consult your
doctor if any of your side effects get worse or persist.

Q: Is it safe to use FORACORT 400MCG MULTIHALER during pregnancy?

A: FORACORT 400MCG MULTIHALER is not recommended to use in pregnancy due to the
lack of safety data. Consult a doctor before using FORACORT 400MCG MULTIHALER.

Q: Is it safe to use FORACORT 400MCG MULTIHALER for the management of asthma in children?

A: FORACORT 400MCG MULTIHALER is not recommended to use in children under 6
years of age due to a lack of safety data. Consult your doctor before receiving
FORACORT 400MCG MULTIHALER. It should be used with caution in children above 6
years of age. Your doctor will monitor the height and growth of children while
using FORACORT 400MCG MULTIHALER. Consult your doctor for advice.

Q: How to manage getting a fungal infection (thrush) in the mouth and throat while using FORACORT 400MCG MULTIHALER?

A: Use FORACORT 400MCG MULTIHALER only when advised by your doctor. Do not
self-medicate. Rinse your mouth with water and spit the water out after each
dose of FORACORT 400MCG MULTIHALER. Do not swallow the water. Gargle regularly
and maintain good oral hygiene.

Q: Can FORACORT 400MCG MULTIHALER be used for acute asthma attacks?

A: FORACORT 400MCG MULTIHALER is not intended for the management of acute asthma
attacks or sudden worsening of COPD symptoms. It is a maintenance medication
used to control symptoms and manage exacerbations. Patients should have a
separate short-acting beta-agonist inhaler (e.g., albuterol) for use during
acute attacks.

Q: Can FORACORT 400MCG MULTIHALER be used as a rescue inhaler?

A: FORACORT 400MCG MULTIHALER is not intended to be used as a rescue inhaler for
the management of acute asthma attacks or sudden worsening of COPD symptoms. It
is a maintenance medication used to control symptoms and manage exacerbations.
Patients should have a separate short-acting beta-agonist inhaler (e.g.,
albuterol) for use during acute attacks.

Q: How long does FORACORT 400MCG MULTIHALER take to start working?

A: FORACORT 400MCG MULTIHALER may start to improve symptoms within 15 minutes of
the first dose, with maximum benefit typically achieved within 1 to 2 weeks of
starting management. However, individual responses to the medication may vary,
and it may take longer for some patients to experience full symptom relief.

Q: Can FORACORT 400MCG MULTIHALER be used for exercise-induced asthma?

A: FORACORT 400MCG MULTIHALER is not specifically indicated for the management
of exercise-induced asthma. However, it may be prescribed off-label for this
purpose in some cases. It is important to consult with a healthcare provider to
determine the most appropriate management for exercise-induced asthma.

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Useful Diagnostic Tests

• Complete Blood Count (CBC)/ Hemogram
• Total IGE
• Wheeze/Rhinitis Comprehensive Panel Adult
• Basic Allergy Package
• Absolute Eosinophil Count, Blood
• Allergy Comprehensive Profile
• Allergy Post Screening Profile
• Infection Checkup Profile