What is Symbicort?
Symbicort is a combination inhaler of AstraZeneca, which contains two active ingredients: the inhalative corticoid Budesonid and the long-acting bronchodilatator Formoterol. It is one of the most commonly prescribed asthma controllers worldwide.
Like Foster, Symbicort can be used in the MART concept both as basic therapy and as required. The turbuhaler is a powder inhaler that does not require coordination between spray and inhalation.
Symbicort is approved for Asthma and COPD.
Active Ingredients & Mechanism of Action
Active ingredient: Budesonid, Formoterol
Symbicort has two complementary mechanisms:
Budesonide (corticoid):
- Strong local anti-inflammatory effect
- Reduces respiratory tract inflammation
- Reduces mucus swelling
- Reduces bronchial hyperreagiability
Formoterol (LABA):
- Fast action (1-3 minutes)
- Long-lasting bronchodilation (12 hours)
- Relax the bronchial muscle
- Improves lung function
Advantages of the combination:
- Better asthma control as single active substances
- Less asthmaexazerbations
- MART-capable due to rapid action of formoterol
Who is it suitable for?
Symbicort is suitable for:
- Adults and young people from 6 years old with asthma
- If inhalative corticoid alone is not sufficient
- As MART therapy
- COPD in adults
Especially suitable for:
- Moderate to heavy asthma
- Common asthma attacks under monotherapy
- Wish for an inhaler for everything (MART)
Not suitable:
- In acute asthma attack as the only treatment
- With mild, only occasional asthma
- As sole reliever without basic therapy
Available Dosages
Symbicort Turbuhaler:
- 80/4.5 μg (Budesonide/Formoterol)
- 320/9 μ g
Symbicort Rapihaler (Dosieraerosol):
- 80/4.5 μ g
Dosing at Asthma:
- Maintenance therapy: 1-2 inhalations 2x daily
- MART (only 160/4,5): 1 inhalation 2x daily + if required
- Maximum for MART: 8 inhalations/day
For COPD:
- 2 inhalations 2x daily
How to Take
Turbuhaler: 1. Protective cap off Two. Keep in mind 3. Turn handle first to the right, then turn left (click) 4. Breathe deep (not in the inhaler!) Five. Close the mouthpiece 6. Strong and deep breathing 7. Keep breath 10 seconds 8. rinse mouth after inhalation
Important notes:
- Do not shake (powder inhaler)
- Keep dry
- Apply regularly, even without complaints
- Always rinse your mouth (mouth soor prevention)
Contraindications
Do not apply at:
- hypersensitivity to budesonide, formoterol or lactose
Preview at:
- Active lung tuberculosis
- Mushroom, virus or bacterial infections
- Heavy cardiovascular diseases
- thyroid hyperfunction
- Diabetes mellitus
- Hypokaliemia
- osteoporosis
pregnant: Only with clear indication. Uncontrolled asthma is more dangerous for mother and child.
Possible Side Effects
Acid (1-10%):
- Mundsoor
- Heiserkeit
- Headaches
- Tremor
- Heart palp
Occasionally:
- Coughs
- Muscle cramps
- Unrest
- nausea
- Sleep disorders
Selten:
- Systemic corticoid effects (for long-term high dose)
- Paradox bronchospasmus
- Changes in behaviour
Prevention: rinse the mouth after each inhalation and sprinkle.
Interactions
Preview at:
- Beta blockers (also eye drops)
- QT-extending medications
- Strong CYP3A4 inhibitors (Ketoconazole, Ritonavir)
- Potassium sinking drugs
Not recommended:
- Simultaneous application of other LABA
- Non-selective beta blockers in asthma
Frequently Asked Questions
Similar Medications
Is Symbicort right for you?
A licensed doctor will review your information and issue a prescription if suitable. Discreet and secure.
Important Notice
This information does not replace medical advice. If you have questions about your health or the suitability of this medication, please consult a doctor. Read the package leaflet before use.