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    You are here: Home > Pharmacy > T > Tiotropium–Formoterol–Ciclesonide
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    What is Tiotropium–Formoterol–Ciclesonide used for?

    Tiotropium–Formoterol–Ciclesonide is a triple combination, inhalation medicine used in the long-term (maintenance) treatment of severe COPD (chronic obstructive pulmonary disease). Prescribed as a symptomatic treatment for COPD, the three-in-one combination of Tiotropium, Formoterol and Ciclesonide helps make breathing easier for COPD patients.

    Tiotropium–Formoterol–Ciclesonide is available in the form of metered dose inhaler. The components contained in this medication help clear the airway passages, thus providing relief from breathing difficulty in COPD patients.

    A multi-component progressive disease, COPD is a group of long-term lung diseases with symptoms such as chronic productive cough, shortness of breath and wheezing. However, COPD often includes a combination of 2 main diseases: emphysema (lung tissue damage) and chronic bronchitis (inflammation of the bronchi). Tiotropium–Formoterol–Ciclesonide helps improve lung function, thereby enhancing the quality of life.

    Tiotropium belongs to a class of medicines called "anticholinergic bronchodilators". By opening up the air passages to the lungs, Tiotropium works to treat breathing discomfort. Formoterol, on the other hand, is a "long-acting beta agonist" that works by dilating the airways, thus allowing air to pass more freely into the lungs; this action helps relieve breathlessness, wheezing and cough. Ciclesonide is a "corticosteroid" that works by decreasing inflammation in the lungs.

    The Tiotropium–Formoterol–Ciclesonide inhaler 'reduces' the risk of flare-ups of COPD symptoms, and it is not used for treating acute exacerbation of COPD symptoms. This triple combination drug therapy is indicated as a third-line treatment in COPD patients who have not responded to one or a combination of two medicines. Tiotropium–Formoterol–Ciclesonide inhaler drug may also be used to treat other conditions as determined by your doctor.

    What is the recommended dosage of Tiotropium–Formoterol–Ciclesonide?

    The dosage of Tiotropium–Formoterol–Ciclesonide may vary based on the patient's age, gender, body weight, medical condition and response to treatment. Always follow your physician's instructions and/or the directions on the prescription drug label.

    How should you use Tiotropium–Formoterol–Ciclesonide?

    Tiotropium–Formoterol–Ciclesonide medicine is intended to be used for inhalation purpose only.

    To use Tiotropium–Formoterol–Ciclesonide inhaler at its best, follow the simple steps below:

    • Before you use the Tiotropium–Formoterol–Ciclesonide inhalation medicine, wash your hands thoroughly with soap and water.
    • Remove the cap and check that the mouthpiece is clean.
    • Hold the inhaler in an upright position and shake it well for a few seconds.
    • Breathe out completely and place the inhaler in your mouth between your teeth.
    • Press down on the canister while you begin to breathe in slowly and deeply for about 3 to 5 seconds.
    • Then hold your breath for 5 to 10 seconds.
    • Remove the inhaler and breathe out.
    • Gargle and rinse your mouth with water after your last puff of using the Tiotropium–Formoterol–Ciclesonide medicine.
    • If you have been prescribed more than 1 puff, wait for about 1 minute and then repeat steps as above.

    What if you miss a dose of Tiotropium–Formoterol–Ciclesonide?

    If your physician has instructed or directed you to use Tiotropium–Formoterol–Ciclesonide medication in a regular schedule and you have missed a dose of this medicine, administer it as soon as you remember. However, if it is almost time for your next dose, then skip the missed dose and go back to your regular dosing schedule. Do not double the doses to catch up for the missed dose.

    What if you overdose on Tiotropium–Formoterol–Ciclesonide?

    Any medication used in excess can have serious consequences. If you suspect an overdose of Tiotropium–Formoterol–Ciclesonide, seek medical attention immediately.

    Overdose symptoms of Tiotropium–Formoterol–Ciclesonide may include

    • dry mouth
    • blurred vision
    • irregular heartbeat
    • dizziness
    • nervousness

    What other drug(s) could interact with Tiotropium–Formoterol–Ciclesonide?

    It may be noted that drugs other than those listed above may also interact with Tiotropium–Formoterol–Ciclesonide. Make sure to inform your doctor if you are taking any of the above-mentioned drugs.

    Tiotropium–Formoterol–Ciclesonide can interact with the following 'types' of medicines/products:
    - beta-adrenergic stimulants;
    - beta-blockers;
    - sympathomimetic amines;
    - anti-arrhythmics;
    - antifungal medications;
    - monoamine oxidase inhibitors;
    - tricyclic antidepressants;
    - antihistamines;
    - diuretics;
    - certain antibiotics;
    - oral corticosteroids;
    - eye drops (for glaucoma).

    Usually drug interactions may occur when certain drugs are taken together. Before you administer a medication for a particular ailment, you should inform the health expert about the use of any prescription medications, over-the-counter products (non-prescription medications) and dietary supplements like vitamins, minerals and herbals, which may increase the effect of Tiotropium–Formoterol–Ciclesonide. This information can help your doctor to warn you of any possible drug interactions.

    Do let your doctor know if you smoke, consume alcohol or caffeinated drinks, or use illegal drugs as these may interfere with the action of your medication. It is also important to tell your healthcare professional if you have any medical conditions or a family history of any medical problems. Do not start or stop using any medicine without consulting your doctor.

    What are the possible side effects of Tiotropium–Formoterol–Ciclesonide?

    Like other medicines, Tiotropium–Formoterol–Ciclesonide can cause some side effects. If they do occur, the side effects of Tiotropium–Formoterol–Ciclesonide are most likely to be minor and temporary. However, some may be serious and may require the individual to inform the doctor or visit the nearest hospital immediately.

    It is pertinent to note that side effects of Tiotropium–Formoterol–Ciclesonide cannot be anticipated. If any side effects of Tiotropium–Formoterol–Ciclesonide develop or change in intensity, the doctor should be informed as soon as possible.

    Tiotropium–Formoterol–Ciclesonide can cause the following side effects:

    • dry mouth
    • bad taste in your mouth
    • headache
    • sore throat
    • stuffy or runny nose
    • cough
    • hoarse voice
    • nausea
    • dizziness
    • upset stomach
    • constipation
    • blurred vision
    • shortness of breath
    • back pain

    This may not be a complete list of all side effects of Tiotropium–Formoterol–Ciclesonide. Do concur with your doctor and follow his directions completely when you are using Tiotropium–Formoterol–Ciclesonide.

    What are the questions to ask your doctor before using Tiotropium–Formoterol–Ciclesonide?

    Is it possible for me to use Tiotropium–Formoterol–Ciclesonide with other drugs?
    Should certain beverages, foods and other products be avoided when I use Tiotropium–Formoterol–Ciclesonide?
    What are the possible drug interactions of Tiotropium–Formoterol–Ciclesonide?
    How will Tiotropium–Formoterol–Ciclesonide work in my body?
    How should Tiotropium–Formoterol–Ciclesonide be administered?
    How to reduce the risk of Tiotropium–Formoterol–Ciclesonide drug interactions and side effects?

    What other important information should you know about Tiotropium–Formoterol–Ciclesonide?

    Before using Tiotropium–Formoterol–Ciclesonide, make sure to tell your doctor if you

    • have prostate or kidney problems;
    • have liver disease;
    • have irregular heartbeat;
    • have blood vessel disease (aneurysm);
    • have glaucoma;
    • have diabetes;
    • have low potassium levels in the blood;
    • have lactose intolerance;
    • have seizures;
    • have thyroid problems;
    • have osteoporosis (bone loss);
    • have or have ever had pulmonary tuberculosis (TB);
    • are pregnant, plan to become pregnant, or are breast-feeding.

    Also, let your doctor know if you are allergic to Tiotropium–Formoterol–Ciclesonide, or if you have ever had hypersensitivity to any other medicines such as ipratropium or oxitropium.

    • Avoid close contact with people who are sick, while on treatment with the Tiotropium–Formoterol–Ciclesonide inhalation medicine.
    • Tiotropium–Formoterol–Ciclesonide inhalation medicine may cause dizziness/drowsiness. Do not drive, operate machinery, or do any activities that require alertness until you are certain you can perform such tasks safely.


    The health and medical information provided here is intended to supplement and not substitute for the expertise and judgment of your physician, pharmacists or other health care professional. It should not be understood to indicate that the use of Tiotropium–Formoterol–Ciclesonide is safe, appropriate or effective for you. Always consult your health care professional before using this, or any other, drug.


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