Salbair I Transcaps (30 Cap)

SALBAIR I TRANSCAPS (30 CAP) by LUPIN LTD.

SALBAIR I TRANSCAPS is a combination medication manufactured by Lupin Ltd., primarily used for the management of respiratory conditions.

Composition

Each Transcap contains:

• Levosalbutamol sulfate: 100 mcg
• Ipratropium: 40 mcg (as Ipratropium bromide)

Uses

SALBAIR I TRANSCAPS is prescribed for the following medical conditions:

• Bronchospasm associated with Chronic Obstructive Pulmonary Disease (COPD): This includes conditions like chronic bronchitis and emphysema, where it helps open airways and relieve symptoms.
• Asthma: It is used for the long-term control of respiratory symptoms in adults, such as wheezing, coughing, chest tightness, and shortness of breath.
• Prevention of Exercise-Induced Bronchospasm: It can help prevent breathing difficulties during physical activity.
• Aids Mucus Clearance: The medication helps to thin mucus, facilitating its clearance from the airways.

Dosage and Administration

SALBAIR I TRANSCAPS is for inhalation purposes only and the capsule should not be swallowed. It is typically administered using an inhaler device, where the rotacap is placed, punctured, and the medicine is inhaled deeply. It is generally recommended to take the medication at the same time each day as advised by your physician. This medication is not intended for immediate relief of sudden breathing problems; a rescue inhaler should be used for acute asthma attacks or sudden episodes of breathlessness. After each use, rinse your mouth with water to prevent dryness and reduce the risk of oral infections. The exact dosage and frequency will be determined by a doctor based on the patient's condition.

Side Effects

Common side effects include:

• Dry mouth, throat irritation, cough
• Headache, dizziness, nausea, vomiting
• Shakiness (tremor), nervousness, muscle pain or cramps
• Nasal congestion (stuffy nose), runny nose, sore throat

Serious side effects, though rare, can include:

• Paradoxical bronchospasm (worsening of breathing immediately after use)
• Urinary retention, acute angle-closure glaucoma
• Significant rise in blood glucose levels or decrease in blood potassium levels (hypokalemia)
• Chest pain, severe dizziness, pounding/fast/irregular heartbeat, seizures, blurred vision. Seek immediate medical attention if any severe side effects occur.

Precautions

• Allergies: Do not use if allergic to ipratropium, levosalbutamol, atropine, or any other ingredients in the formulation.
• Pre-existing Conditions: Use with caution if you have heart problems (e.g., high blood pressure, coronary insufficiency, cardiac arrhythmias), liver or kidney problems, diabetes, glaucoma (especially narrow-angle glaucoma), prostate issues (e.g., enlarged prostate), urinary retention, seizure disorders, or an overactive thyroid gland.
• Pregnancy and Breastfeeding: Consult your doctor before using if pregnant or breastfeeding, as there is limited information on its effects during pregnancy and it is unknown if components pass into breast milk.
• Alcohol: Avoid alcohol consumption as it may increase drowsiness and dizziness.
• Driving and Operating Machinery: This medicine may cause dizziness or blurred vision, so exercise caution when driving or operating heavy machinery.
• Drug Interactions: Inform your doctor about all other medications, supplements, or herbal products you are taking. Interactions can occur with other anticholinergics, beta-blockers, monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, and certain diuretics.
• Children and Elderly: Not recommended for use in children under 12 years of age. Elderly patients should use with caution due to an increased risk of side effects.

Storage

Store SALBAIR I TRANSCAPS below 30°C (or below 25°C) in a clean, dry place, protected from moisture, sunlight, and heat. Keep out of sight and reach of children.

What is Salbair I Transcaps used for?

Salbair I Transcaps is primarily used to manage bronchospasm associated with chronic obstructive pulmonary disease (COPD) and asthma in adults. It helps relieve symptoms such as wheezing, coughing, chest tightness, and shortness of breath, providing both quick relief and long-term control of respiratory conditions. It is also used in the treatment and prevention of bronchitis.

How does Salbair I Transcaps work?

Salbair I Transcaps contains two active ingredients: Levosalbutamol sulfate (100 MCG) and Ipratropium (40 MCG). Levosalbutamol is a selective beta-2 adrenergic agonist that relaxes the bronchial smooth muscles in your lungs, increasing airflow. Ipratropium is an anticholinergic agent that blocks acetylcholine at muscarinic receptors in the bronchial smooth muscle, causing these muscles to relax and widen the airways (bronchodilation). This combination provides more effective relief by working together to open the airways and make breathing easier.

How should I take Salbair I Transcaps?

Salbair I Transcaps is for inhalation purposes only and should not be swallowed. To use it correctly, place the rotacap in the inhaler device as instructed by your doctor, puncture the capsule carefully, and inhale deeply to ensure maximum delivery of the medication to your lungs. It is essential to rinse your mouth with water after each use to prevent dryness and reduce the risk of oral infections. Your doctor will advise on the specific dosage and frequency.

What are the possible side effects of Salbair I Transcaps?

Common side effects may include dry mouth, throat irritation, cough, headache, nausea, dizziness, and tremors. Some less common but potentially serious side effects can include paradoxical bronchospasm (where airways tighten instead of relax), urinary retention, and acute angle-closure glaucoma. If you experience severe or persistent side effects, or symptoms like chest pain, a very bad headache, or very bad dizziness, seek immediate medical attention.

Is Salbair I Transcaps safe during pregnancy or breastfeeding?

Salbair I Transcaps is generally not recommended for use during pregnancy unless clearly necessary, as there is limited information on its effects in human pregnancy, and animal studies have shown harmful effects on the developing baby. For breastfeeding women, caution is recommended, and it is generally not advised unless clearly necessary, as it is unknown if the components pass into breast milk. Always consult your doctor before using this medicine if you are pregnant or breastfeeding.

Can Salbair I Transcaps be taken with other medications?

Salbair I Transcaps can interact with several medications. Concomitant use with other anticholinergic medications (like tiotropium or glycopyrrolate) may increase side effects such as dry mouth, constipation, and urinary retention. Beta-blockers (like propranolol or atenolol) can counteract the effects of levosalbutamol. It should also be used with caution with monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants, diuretics, and digoxin, as these can enhance or alter the effects of Salbair I Transcaps, potentially leading to cardiovascular side effects or decreased potassium levels.

What precautions should be taken?

Caution should be exercised if you have pre-existing conditions such as high blood pressure, heart problems (e.g., coronary insufficiency, cardiac arrhythmias), diabetes, narrow-angle glaucoma, prostatic hyperplasia, bladder neck obstruction, kidney problems, liver problems, or seizure disorders. It is important to inform your doctor about all your medical conditions and current medications before starting Salbair I Transcaps. Avoid alcohol consumption as it may cause excessive drowsiness or have severe effects.

What happens if a dose is missed?

If you forget to take a dose of Salbair I Transcaps, 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 make up for a forgotten dose without consulting your doctor.

How should it be stored?

Salbair I Transcaps should be stored in a cool and dry place, below 25°C or below 30°C, protected from moisture, sunlight, and heat. Keep the medicine out of sight and reach of children.