Glycohale F Rotacaps (30 Cap)

GLYCOHALE F ROTACAPS (30 CAP) by CIPLA LTD.

GLYCOHALE F ROTACAPS is a combination medication designed to help patients with chronic obstructive pulmonary disease (COPD) breathe more easily. It is manufactured by Cipla Ltd..

Composition

GLYCOHALE F ROTACAPS contains two active ingredients:

• Formoterol Fumarate (12 mcg): A long-acting beta2-adrenergic agonist (LABA) that works by relaxing the smooth muscles in the airways, preventing them from tightening and making it easier for air to move in and out of the lungs.
• Glycopyrronium (25 mcg): An anti-cholinergic (long-acting muscarinic antagonist or LAMA) that reduces secretions in the airways and helps to keep them open by blocking the action of acetylcholine, a neurotransmitter that can cause airway muscles to constrict. The capsules also contain lactose, so caution is advised for individuals with lactose intolerance or milk protein allergy.

Uses

GLYCOHALE F ROTACAPS is primarily used for the long-term maintenance treatment of chronic obstructive pulmonary disease (COPD). This includes conditions such as emphysema and chronic bronchitis, which cause airflow obstruction and make breathing difficult. It helps to relieve symptoms like shortness of breath, coughing, and wheezing, and improves overall lung function and physical exercise tolerance. It is not recommended for immediate relief of sudden breathing problems or for the treatment of asthma.

Dosage and Administration

GLYCOHALE F ROTACAPS are for oral inhalation only and should never be swallowed. The medication should be taken as instructed by a doctor, typically at the same time each day for better results. It is administered using a special dry powder inhaler device (such as a Revolizer or Rotahaler).

Directions for Use:

• Place the capsule at the base of the inhaler device, not in the mouthpiece.
• Twist the mouthpiece until a click is heard.
• Breathe deeply through the mouthpiece.
• Hold your breath for up to 10 seconds before exhaling.
• If powder remains, repeat the process.
• Rinse your mouth with water and spit it out after each use to prevent fungal infections in the mouth and throat.

The dose and frequency are determined by the doctor based on the patient's clinical condition. Do not discontinue the medication without consulting a healthcare provider.

Side Effects

Common Side Effects may include:

• Indigestion
• Nasal and throat inflammation (nasopharyngitis)
• Chest pain
• Fever, sore throat, cough
• Headache, dizziness
• Sinus inflammation
• Urinary tract infections, frequent and painful urination, urinary retention
• Dry mouth, increased thirst
• High blood pressure, increased heart rate, abnormal heartbeat
• Nausea
• Muscle cramps, tremors, restlessness
• Increased blood glucose levels
• Allergic reactions, rash, itching, swelling of face/throat/tongue

Serious Side Effects (seek immediate medical attention if experienced):

• Sudden constriction of airways leading to difficulty breathing (paradoxical bronchospasm)
• Worsening asthma symptoms (though not indicated for asthma)
• Severe allergic reactions
• Worsening urinary retention symptoms
• Symptoms of narrow-angle glaucoma (blurred vision, eye pain, redness)

Precautions

• Allergies: Do not use if allergic to formoterol, glycopyrronium, or any other components.
• Existing Conditions: Inform your doctor about existing health conditions such as asthma, heart issues, seizures/epilepsy, thyroid problems (hyperthyroidism), diabetes, glaucoma, kidney disorders, severe liver problems, or difficulty urinating (prostate problems, bladder obstructions).
• Pregnancy and Breastfeeding: Consult a doctor if pregnant or breastfeeding. While limited data suggests no significant risk to the baby during breastfeeding, long-term usage may decrease milk production.
• Age Restrictions: Not recommended for individuals below 18 years of age. Use with caution in elderly patients (above 75 years).
• Alcohol: Avoid alcohol consumption as it may increase dizziness.
• Driving/Operating Machinery: May cause dizziness, so exercise caution when driving or operating machinery.
• Drug Interactions: Inform your doctor about all medications and supplements being taken. Glycohale F Rotacaps may interact with beta-blockers, other anticholinergic medicines, and diuretics.
• Oral Hygiene: Rinse mouth after use to prevent fungal infections and manage dry mouth.

Storage

Store GLYCOHALE F ROTACAPS in a cool, dry place away from direct sunlight and moisture, below 25°C. Keep the medicine in its original packaging and out of reach of children and pets. Do not use after the expiry date.

What is Glycohale-F Rotacaps used for?

Glycohale-F Rotacaps is used for the long-term maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD), which includes conditions like chronic bronchitis and emphysema. It helps to improve airflow and reduce symptoms such as shortness of breath, wheezing, and coughing. This medication is not intended for the immediate relief of sudden breathing problems or acute asthma attacks.

How does Glycohale-F Rotacaps work?

Glycohale-F Rotacaps contains two active ingredients: Formoterol fumarate and Glycopyrronium. Formoterol is a long-acting beta2-adrenergic agonist that relaxes the muscles in the airways, making it easier for air to move in and out of the lungs. Glycopyrronium is an anti-cholinergic that works by decreasing secretions in the airways and preventing muscles from tightening. Together, these actions help to open up the airways and provide relief from COPD symptoms.

What is the usual dosage for Glycohale-F Rotacaps?

The usual dosage is one Rotacap as prescribed by your doctor, typically once or twice a day. This medication is for oral inhalation only, using a special dry powder inhaler device (such as a rotahaler, inhaler, or respihaler). It should not be swallowed. After inhaling, it is recommended to rinse your mouth with water and spit it out to help prevent fungal infections in the mouth and throat.

What are the possible side effects of Glycohale-F Rotacaps?

Common side effects may include headache, nausea, dry mouth, dizziness, frequent urination, chest pain, muscle cramps, indigestion, sore throat, cough, inflammation of the nasal passages and throat (nasopharyngitis), sinus inflammation, increased heart rate, and elevated blood pressure. If any side effects persist or worsen, it is advisable to consult your doctor. Serious but less common side effects can include paradoxical bronchospasm (sudden worsening of breathing), severe allergic reactions, or complications related to existing conditions like urinary retention or narrow-angle glaucoma.

Is Glycohale-F Rotacaps safe during pregnancy or breastfeeding?

There is limited information available regarding the safe use of Glycohale-F Rotacaps during pregnancy. If you are pregnant, your doctor will prescribe it only if the potential benefits outweigh the risks. For breastfeeding mothers, it is advisable to consult your doctor, as it is unknown whether the medication passes into breast milk.

Can Glycohale-F Rotacaps be taken with other medications?

It is crucial to inform your doctor about all other medications, herbal preparations, and supplements you are currently taking to avoid potential interactions. Glycohale-F Rotacaps may interact with certain medicines, including beta-blockers (e.g., propranolol), diuretics (e.g., furosemide), some antidepressants (e.g., selegiline, amitriptyline), steroids (e.g., prednisolone), certain antibiotics (e.g., erythromycin), anti-allergy medications (e.g., cetirizine), and other bronchodilators.

What precautions should be taken while using Glycohale-F Rotacaps?

Glycohale-F Rotacaps is not recommended for individuals under 18 years of age. Use with caution if you have heart problems, high blood pressure, diabetes, thyroid disorders, epilepsy/seizures, narrow-angle glaucoma, kidney or severe liver problems, or difficulty passing urine/prostate issues. Avoid alcohol consumption as it may increase dizziness. It's important to rinse your mouth with water after each use to help prevent fungal infections. Do not stop taking this medication suddenly without consulting your doctor, as it may worsen your symptoms.

What happens if a dose of Glycohale-F Rotacaps 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 a missed one.

How should Glycohale-F Rotacaps be stored?

Glycohale-F Rotacaps should be stored in a cool, dry place, away from direct sunlight and moisture. Keep the medicine in its original packaging and out of reach and sight of children and pets.