Niveoli Inhaler

The Niveoli Inhaler, manufactured by Cipla Ltd, is a combination medication designed for the long-term management of respiratory conditions.

Name

• Brand Name: Niveoli Inhaler
• Manufacturer: Cipla Ltd

Composition

Niveoli Inhaler contains two active ingredients:

• Beclometasone (100 mcg): A corticosteroid that reduces inflammation in the airways.
• Formoterol (6 mcg): A long-acting bronchodilator that relaxes the muscles in the airways, widening them to make breathing easier.

Uses

Niveoli Inhaler is primarily used to prevent and treat symptoms of chronic obstructive pulmonary disease (COPD) and asthma. It helps alleviate symptoms such as:

• Wheezing and shortness of breath
• Chest tightness
• Coughing
• Prevention of exercise-induced asthma

It works by reducing airway inflammation and preventing bronchospasm, thereby improving overall respiratory function and quality of life.

Dosage and Administration

Niveoli Inhaler is for inhalation only and should be used as directed by a healthcare professional.

• General Guidance: Your doctor will determine how often you need to use the inhaler, aiming for the lowest effective dose to control your condition.
• Usage Instructions:
  • Shake the inhaler before use.
  • While breathing in from your mouth, press down on the inhaler to release the medication and hold your breath for up to 10 seconds.
  • Repeat as advised by your doctor for the prescribed number of puffs.
  • After each use, rinse your mouth thoroughly with water and spit it out to help prevent fungal infections and throat irritation.
• Important Note: Niveoli Inhaler is a maintenance treatment and should not be used as a rescue inhaler for sudden breathing difficulties or acute asthma attacks. Always carry a separate rescue inhaler for immediate relief.

Side Effects

Common side effects may include:

• Sore throat, throat irritation, hoarseness, cough
• Headache
• Fungal infections in the mouth (oral thrush)
• Nausea, vomiting
• Muscle cramps, tremor, nervousness, dizziness, sleep disturbances
• Increased heart rate

Serious but less common side effects can include:

• Palpitations (fast or irregular heartbeat)
• Paradoxical bronchospasm (sudden worsening of wheezing or difficulty breathing immediately after using the inhaler)
• Severe allergic reactions
• Sudden worsening of asthma symptoms
• Irregular heartbeat, chest pain

If any side effects persist or worsen, consult your doctor.

Precautions

• Allergies: Do not use if you are allergic to beclometasone, formoterol, or any other ingredients.
• Not for Acute Attacks: This medication is not for immediate relief of sudden asthma attacks.
• Children: Not recommended for children under 18 years of age, unless under strict medical supervision and with dosage determined by a doctor.
• Medical Conditions: Use with caution and inform your doctor if you have:
  • Heart conditions (e.g., irregular heartbeat, high blood pressure, heart failure)
  • Diabetes (may increase blood sugar levels)
  • Thyroid disorders (hyperthyroidism)
  • Liver or kidney diseases
  • Eye problems (e.g., glaucoma, cataract)
  • Osteoporosis (weak bones)
  • Tuberculosis
• Potassium Levels: Regular monitoring of blood potassium levels is recommended as Niveoli Inhaler can lower them.
• Pregnancy and Breastfeeding: Consult your doctor before use if pregnant or breastfeeding.
• Anesthesia: Inform your doctor if you are using Niveoli Inhaler before any surgery requiring anesthesia, as you might need to stop using it 12 hours prior.

Storage

• Store in a refrigerator between 2°C and 8°C. Do not freeze.
• Protect from direct sunlight and heat.
• Keep out of sight and reach of children.

Here are frequently asked questions about NIVEOLI Inhaler by Cipla Ltd, along with concise answers:

What is NIVEOLI Inhaler used for?

NIVEOLI Inhaler is primarily used to prevent and treat symptoms of asthma and chronic obstructive pulmonary disease (COPD). It helps relieve symptoms such as shortness of breath, wheezing, chest tightness, and coughing by keeping the airways in the lungs open.

How does NIVEOLI Inhaler work?

NIVEOLI Inhaler is a combination medication containing Beclometasone and Formoterol. Beclometasone is a steroid that reduces inflammation in the airways by blocking the production of certain chemical messengers that cause swelling and allergies. Formoterol is a long-acting bronchodilator that relaxes the muscles in the airways, widening them and making breathing easier.

What is the usual dosage?

The dosage of NIVEOLI Inhaler should be as advised by your doctor, who will determine it based on your medical condition. It's important to take the lowest effective dose needed to control your asthma or COPD. Generally, it's inhaled orally, and for maintenance therapy, a regular schedule of one or two inhalations two to four times daily might be recommended. Do not exceed the prescribed dose.

What are the possible side effects?

Common side effects of NIVEOLI Inhaler can include nausea, vomiting, respiratory tract infections, fungal infections in the mouth, headache, dry mouth, hoarseness of voice, sore throat, cough, musculoskeletal pain, and an increased heart rate. Rinsing your mouth and throat with water or brushing your teeth after using the inhaler can help prevent some of these symptoms, especially fungal infections. Serious but rare side effects include sudden worsening of asthma, severe allergic reactions, irregular heartbeat, chest pain, or worsening shortness of breath, which require immediate medical attention.

Is NIVEOLI Inhaler safe during pregnancy or breastfeeding?

NIVEOLI Inhaler may be unsafe to use during pregnancy, as animal studies have shown harmful effects on the developing baby. You should consult your doctor to weigh the benefits against any potential risks before using it if you are pregnant. It is probably safe to use during breastfeeding, as limited human data suggests it does not pose a significant risk to the baby, but consultation with your doctor is still advised.

Can it be taken with other medications?

You should inform your doctor about all other medications you are taking to ensure there are no potential interactions. NIVEOLI Inhaler should be used with caution in patients with cardiovascular diseases, high blood pressure, and diabetes.

What precautions should be taken?

NIVEOLI Inhaler is a maintenance medication and should not be used as a rescue inhaler for sudden asthma attacks; a separate fast-acting rescue inhaler should be kept handy for such situations. It is important to rinse your mouth with water and spit it out after each inhalation to prevent fungal infections and throat irritation. Individuals with heart conditions, high blood pressure, diabetes, kidney or liver diseases, or thyroid disorders should use NIVEOLI Inhaler with caution and inform their doctor about these conditions. It is not recommended for children under 18 years of age without strict medical supervision.

What happens if a dose is missed?

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

How should it be stored?

NIVEOLI Inhaler should be stored in a refrigerator, typically between 2°C and 8°C, and should not be frozen. It should also be protected from direct light and kept out of reach of children. Some sources also state storage below 30°C or at room temperature (20-25°C) away from direct sunlight and heat.