Symbicort 160/4.5 Inhaler

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Symbicort 160/4.5 is a prescription inhaler used twice daily to control asthma and COPD symptoms.
It combines budesonide (a steroid) and formoterol (a bronchodilator) to reduce inflammation and open airways.
Not a rescue inhaler, it helps prevent symptoms but should be used with medical supervision.

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Generic Name: Budesonide 160 mcg + Formoterol fumarate 4.5 mcg per actuation
Form: Metered-dose inhaler (MDI)
Drug Class: Inhaled corticosteroid (ICS) + Long-acting beta-agonist (LABA)
Brand: Symbicort (by AstraZeneca)

Uses / Indications

Maintenance treatment of asthma in patients aged 12 years and older
Chronic Obstructive Pulmonary Disease (COPD) management to reduce flare-ups and improve breathing
Not a rescue inhaler — used daily, not for sudden asthma attacks

Mechanism of Action

Budesonide: Reduces inflammation and swelling in the airways
Formoterol: Relaxes airway muscles, making breathing easier and improving airflow
Together, they provide long-term control of asthma and COPD symptoms

Dosage & Administration

Asthma (12 years and older): 2 inhalations twice daily
COPD: 2 inhalations twice daily
Maximum: Do not exceed 4 puffs in 24 hours
Always rinse mouth after each use to prevent oral thrush
Shake inhaler well before use and inhale deeply

Precautions & Side Effects

Common side effects: Sore throat, cough, hoarseness, oral thrush (fungal infection), headache
Serious but rare: Worsening asthma, adrenal suppression, increased heart rate, low potassium, vision changes
Use caution in patients with heart problems, diabetes, glaucoma, or infections
Not for use in acute asthma attacks (use a reliever like salbutamol instead)