Formonide Forte Inhaler 120Md

INTRODUCTION ABOUT FORMONIDE FORTE 120MD

FORMONIDE FORTE 120MD 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 FORMONIDE FORTE 120MD. 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.

FORMONIDE FORTE 120MD 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.

FORMONIDE FORTE 120MD 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 FORMONIDE FORTE 120MD

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 FORMONIDE FORTE 120MD WORKS

FORMONIDE FORTE 120MD 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.

DIRECTIONS FOR USE

• Use FORMONIDE FORTE 120MD 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 FORMONIDE FORTE 120MD

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 FORMONIDE FORTE 120MD and contact your doctor if you experience any of the following:

• depression
• changes in behaviour (mainly in children)

WARNING & PRECAUTIONS

PREGNANCY

Contraindicated

FORMONIDE FORTE 120MD 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 FORMONIDE FORTE 120MD before discontinuing the medicine.

BREASTFEEDING

Contraindicated

FORMONIDE FORTE 120MD 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 FORMONIDE FORTE 120MD.

DRIVING AND USING MACHINES

Safe

FORMONIDE FORTE 120MD has no or negligible effect on your efficiency to drive and operate machines. Consult your doctor before using FORMONIDE FORTE 120MD.

KIDNEY

Contraindicated

FORMONIDE FORTE 120MD is not recommended to be used in patients with kidney diseases due to a lack of safety data. 

LIVER

Use with Caution

FORMONIDE FORTE 120MD should be used with caution in patients diagnosed with liver diseases. 

ALLERGY

Contraindicated

Do not use FORMONIDE FORTE 120MD if you are allergic to budesonide, formoterol, or any other ingredients in this medicine. 

LUNGS

Contraindicated

FORMONIDE FORTE 120MD 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 Caution

FORMONIDE FORTE 120MD 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 doctor

FORMONIDE FORTE 120MD 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 FORMONIDE FORTE 120MD. FORMONIDE FORTE 120MD should be used with caution in children above 6 years of age. Your doctor will monitor the height and growth of children while using FORMONIDE FORTE 120MD. 

USE IN GERIATRICS

Use with Caution

FORMONIDE FORTE 120MD is used with caution in elderly people with heart diseases. Consult a doctor before using FORMONIDE FORTE 120MD.

INTERACTIONS

A. Drug-Drug Interactions:

Before using FORMONIDE FORTE 120MD, 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. bumetanide, furosemide) thiazide diuretics (Ex. chlorothiazide, chlorthalidone, hydrochlorothiazide) (medicines used to manage high blood pressure)
• 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 FORMONIDE FORTE 120MD, 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

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 FORMONIDE FORTE 120MD

Q: What is FORMONIDE FORTE 120MD used for?

A: FORMONIDE FORTE 120MD 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 FORMONIDE FORTE 120MD.

Q: How does FORMONIDE FORTE 120MD work?

A: FORMONIDE FORTE 120MD 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 FORMONIDE FORTE 120MD?

A: The most common side effects of using FORMONIDE FORTE 120MD 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 FORMONIDE FORTE 120MD during pregnancy?

A: FORMONIDE FORTE 120MD is not recommended to use in pregnancy due to the lack of safety data. Consult a doctor before using FORMONIDE FORTE 120MD.

Q: Is it safe to use FORMONIDE FORTE 120MD for the management of asthma in children?

A: FORMONIDE FORTE 120MD is not recommended to use in children under 6 years of age due to a lack of safety data. Consult your doctor before receiving FORMONIDE FORTE 120MD. 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 FORMONIDE FORTE 120MD. Consult your doctor for advice.

Q: How to manage getting a fungal infection (thrush) in the mouth and throat while using FORMONIDE FORTE 120MD?

A: Use FORMONIDE FORTE 120MD only when advised by your doctor. Do not self-medicate. Rinse your mouth with water and spit the water out after each dose of FORMONIDE FORTE 120MD. Do not swallow the water. Gargle regularly and maintain good oral hygiene.

Q: Can FORMONIDE FORTE 120MD be used for acute asthma attacks?

A: FORMONIDE FORTE 120MD 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 FORMONIDE FORTE 120MD be used as a rescue inhaler?

A: FORMONIDE FORTE 120MD 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 FORMONIDE FORTE 120MD take to start working?

A: FORMONIDE FORTE 120MD 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 FORMONIDE FORTE 120MD be used for exercise-induced asthma?

A: FORMONIDE FORTE 120MD 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.

REFERENCES

1. KD Tripathi. Drugs for bronchial asthma and cough. Essentials of Medical Pharmacology.  Seventh Edition. Pages 224, 230, and 231.

2. O’Byrne, Paul M., J. Mark F., Eric D. Bateman, Peter J. Barnes, Nanshan Zhong, Christina Keen, Carin Jorup, Rosa Lamarca, Stefan I, and Helen K. R. Inhaled combined budesonide-formoterol as needed in mild asthma. The New England Journal of Medicine. [Published on 17th May 2018] [Accessed on 10th October 2024]. click here

3. Budesonide+ Formoterol. Cipla Med. [Revised in July 2022] [Accessed on 10th October 2024] click here

4. Budesonide+ Formoterol. Cipla Med. [Revised in October 2019] [Accessed on 10th October 2024] click here

5. Budesonide+ Formoterol. Cipla Med. [Revised in July 2022] [Accessed on 10th October 2024] click here

6. Budesonide+ Formoterol. Cipla Med. [Revised in February 2022] [Accessed on 10th October 2024] click here

7. Budesonide+ Formoterol. Leeford pharma. [Accessed on 10th October 2024] click here

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USEFUL DIAGNOSTIC TESTS

• Complete Blood Count (CBC)/ Hemogram
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• Basic Allergy Package
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AUTHOR DETAILS

Written By Dr. N. Sai Swaroop - Pharm.D

Reviewed By Dr. Sankara Babu Gorle - MBBS, MD(Pharmacology) View profile

Last updated on 11 Oct 2024 | 03:10 PM(IST)