Ciclesonide + Formoterol Fumarate

Dosage Forms Available

• Ciclesonide + Formoterol Fumarate is available for use via inhalation in the form of a metered dose inhaler.

Age and Dose Restrictions

• This combination medicine is meant for adults.

Contraindications

• This medicine is contraindicated in patients with a severe allergy to milk proteins or any component of the medicine.

• It should be used cautiously in patients with active lung infections, such as tuberculosis, or untreated fungal, bacterial, or viral infections.

• It is also contraindicated in patients with cardiovascular disorders such as coronary insufficiency, arrhythmias, hypertension, convulsive disorders, thyrotoxicosis, diabetes mellitus, ketoacidosis, and hypokalemia.

Other Medications to Avoid

• Ciclesonide + Formoterol Fumarate may interact with antifungals (such as ketoconazole), beta-blockers (like propranolol and metoprolol), diuretics (such as furosemide and hydrochlorothiazide), monoamine oxidase inhibitors and tricyclic antidepressants (like phenelzine and imipramine).

Overdose and Missed Dose

• An overdose of this medication may cause reversible adrenal suppression, or excessive doses may cause symptoms such as angina, hypertension, hypokalemia, tachycardia, nausea, dizziness, and tremor. If you observe any of these symptoms, inform your doctor immediately.

• If you forget to take this medicine at its scheduled time, take it as soon as you remember. However, do not double the dose to make up for a missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• Drinking plenty of fluids can help manage side effects such as dry mouth or throat.

• Rest and relaxation techniques can help manage possible headaches.

• Regular mouth rinses with warm saline water may help prevent oral fungal infections.

Use in Driving and Operating Machinery

• This medication may affect your ability to drive or operate heavy machinery due to potential side effects such as dizziness or nausea. Therefore, avoid these activities if you experience these symptoms after taking this medicine.

Use in Pregnancy and Lactation

• Ciclesonide + Formoterol Fumarate falls under pregnancy category C. It is advised to consult your doctor before using this medicine during pregnancy and breastfeeding

Caution in Other Conditions

• Patients with adrenal insufficiency should exercise caution when taking this medicine as it may cause adrenal suppression with prolonged use.

• Caution should also be exercised in patients with untreated infections, convulsive disorders, thyrotoxicosis, diabetes mellitus, and hypokalemia.

Special Dietary and Lifestyle Recommendations

• Engaging in regular breathing exercises can improve lung function and help manage the symptoms of asthma and COPD.

• Quitting smoking is essential as smoke can aggravate the conditions this medicine is meant to manage.

• Reducing exposure to air pollutants and allergens can help reduce the frequency of asthma attacks or COPD exacerbations.