Foracort 400 Ciphaler

FORACORT 400 CIPHALER

FORACORT 400 CIPHALER is a combination inhalation therapy manufactured by Cipla Ltd., designed for the long-term management of chronic respiratory conditions.

• Name:

  • Brand Name: FORACORT 400 CIPHALER, FORACORT 400 Inhaler.
  • Common Name: Budesonide and Formoterol Fumarate Dihydrate Inhaler.

• Composition: Each actuation delivers:

  • Budesonide IP: 400 mcg
  • Formoterol Fumarate Dihydrate IP: 6 mcg These active ingredients are suspended in propellant HFA 134a.

• Uses: FORACORT 400 CIPHALER is prescribed for the regular maintenance treatment of:

  • Asthma: When the condition is not adequately controlled by other medicines, or where the use of a combination of inhaled corticosteroids and long-acting beta-agonists (LABA) is appropriate. It helps prevent and treat difficulty breathing, wheezing, shortness of breath, coughing, and chest tightness.
  • Chronic Obstructive Pulmonary Disease (COPD): Including chronic bronchitis and emphysema, for patients with frequent symptoms and a history of exacerbations. It is not for immediate relief of sudden breathlessness or acute asthma attacks.

• Dosage and Administration:

  • Typically, the dosage is individual and adjusted based on disease severity.
  • A common maintenance dosage involves 2 inhalations twice daily.
  • Patients should not increase the dose or discontinue treatment without consulting a doctor.
  • Rinse your mouth with water and spit it out after each use to prevent oral fungal infections.

• Side Effects:

  • Common: Headache, dizziness, nausea, vomiting, stomach discomfort, sore throat, hoarseness of voice, cough, and fungal infection in the mouth (oral thrush).
  • Serious (rare): Increased heart rate, palpitations, tremors, and in some cases, paradoxical bronchospasm.

• Precautions:

  • Avoid if allergic to budesonide, formoterol, or any other components.
  • Use with caution in patients with heart problems (e.g., high blood pressure, heart failure), diabetes, severe liver problems, thyroid gland issues, or low blood potassium levels.
  • Inform your doctor about all medications you are taking, especially anti-fungals (e.g., Ketoconazole), HIV medications (e.g., Ritonavir), antibiotics (e.g., Clarithromycin), and certain blood pressure medications (beta-blockers).
  • Not recommended for children below 6 years of age; consult a doctor for children over 6.
  • Pregnancy and breastfeeding: Consult a doctor, as there is limited information, and it should only be used if the benefits outweigh the risks.

• Storage:

  • Store below 30°C in a cool, dry place.
  • Protect from direct sunlight, moisture, and heat.
  • Keep out of sight and reach of children and pets.
  • Discard any unused medicine properly.

FORACORT 400 CIPHALER is a medication primarily used for the long-term management of respiratory conditions. Below are some frequently asked questions and their answers.

What is FORACORT 400 CIPHALER used for?

FORACORT 400 CIPHALER is used for the regular long-term treatment of asthma and Chronic Obstructive Pulmonary Disease (COPD). It helps to prevent and control symptoms such as wheezing, shortness of breath, coughing, and chest tightness. It is important to note that it is not used for relieving sudden, acute breathing problems.

How does FORACORT 400 CIPHALER work?

This medicine contains two active ingredients: Budesonide and Formoterol. Budesonide is a corticosteroid that reduces inflammation and swelling in the airways. Formoterol is a long-acting bronchodilator that relaxes and widens the muscles in the airways, making it easier to breathe. Together, they work to improve airflow and manage respiratory symptoms.

What is the usual dosage for FORACORT 400 CIPHALER?

The usual dosage for adults and children aged 12 years and older is typically one inhalation twice daily (morning and evening) as maintenance therapy. Your doctor may adjust the dose based on your condition. Do not exceed 6 inhalations on any single occasion, and usually, a total daily dose of more than 8 inhalations is not needed, though your doctor might permit up to 12 inhalations for a limited period. It is crucial to follow your doctor's specific instructions.

What are the possible side effects of FORACORT 400 CIPHALER?

Common side effects may include headache, fungal infection in the mouth or throat (oral thrush), sore throat, hoarse voice, upper respiratory tract infection, flu-like symptoms, cough, back pain, increased heart rate, and trembling. Rinsing your mouth with water and spitting it out after each use can help reduce the risk of oral thrush. If any side effects persist or worsen, consult your doctor.

Is FORACORT 400 CIPHALER safe during pregnancy or breastfeeding?

• Pregnancy: FORACORT 400 CIPHALER is generally considered safe for use during pregnancy if prescribed by your doctor. Your doctor will weigh the benefits against potential risks, as uncontrolled asthma during pregnancy can pose risks to both mother and baby.
• Breastfeeding: The components of FORACORT 400 CIPHALER pass into breast milk; however, at therapeutic doses, no significant adverse effects on a breastfed infant are anticipated. It is generally considered probably safe if prescribed, but you should always consult your doctor if you are a nursing mother.

Can FORACORT 400 CIPHALER be taken with other medications?

FORACORT 400 CIPHALER can interact with certain medications. You should inform your doctor about all medicines, supplements, or herbal products you are taking. Avoid concomitant use with strong CYP3A4 inhibitors (e.g., Ketoconazole, Ritonavir, Clarithromycin) as they can increase the systemic exposure to budesonide. Beta-blockers (e.g., Propranolol) can reduce the effectiveness of Formoterol. Caution is also advised with certain diuretics and cardiac glycosides due to potential effects on potassium levels and heart rhythm.

What precautions should be taken while using FORACORT 400 CIPHALER?

• This medication is for maintenance treatment and should not be used for sudden, severe breathing difficulties or acute asthma attacks; a separate rescue inhaler should be used for such emergencies.
• Rinse your mouth thoroughly with water and spit it out after each dose to help prevent fungal infections in the mouth and throat.
• Do not stop or change your dose without consulting your doctor, even if you feel better, as this can worsen your condition.
• Inform your doctor if you have underlying conditions such as diabetes, high blood pressure, heart problems, liver disease, an overactive thyroid gland, low blood potassium levels, glaucoma, cataracts, osteoporosis, or seizure disorders.
• Avoid smoking, as it irritates the lungs and can worsen respiratory conditions.

What happens if a dose of FORACORT 400 CIPHALER is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to compensate for the missed one.

How should FORACORT 400 CIPHALER be stored?

Store FORACORT 400 CIPHALER below 30°C in a cool, dry place, away from direct sunlight, moisture, and heat. It should not be frozen. Keep the inhaler and all medicines out of reach of children and pets. Discard the inhaler when the dose counter shows 000.