BUDESONIDE 80mcg/FORMOTEROL 4.5 mcg/p, 120 puffs, aer.
Valid Article
BUDESONIDE / FORMOTEROL aerosol
- In the WHO list of Essential Medicines 2023 (Dry powder inhaler: 100 or 200 mcg + 6 mcg per dose)
Therapeutic Action
Combination of inhaled corticosteroid (ICS) and long-acting beta2-agonist (LABA) inhaled bronchodilator:
- Budesonide: a glucocorticoid with anti-inflammatory effects in the lungs, resulting in reduced asthma symptoms and exacerbations, with less adverse effects compared to systemic corticosteroids.
- Formoterol: a selective beta2-adrenergic agonist that produces relaxation of bronchial smooth muscle in patients with reversible airways obstruction. Its bronchodilation effect begins rapidly, within 1-3 minutes after inhalation, and lasts for up 12 hours after a single dose.
Indications
Treatment of moderate to severe persistent asthma in children
Instructions for use
The combination of budesonide and formoterol is available in two forms for inhalation:
- Pressurised Metered-Dose Inhaler (MDI): a small canister containing a mixture of the medicine and pressurised propellant. The pressure from the propellant delivers the medicine when the canister is pushed down into the boot/actuator.
- Dry-Powder Inhaler (DPI): a breath-actuated device that delivers the medicine as a fine, dry powder contained in a capsule or blister, which is punctured by the device before use.
Manufacturers may express the content per puff as a "metered dose" (the quantity of the drug in the device metering chamber, excluding the valve) or as a "delivered dose" (the quantity of drug delivered to the user, excluding the mouthpiece). Always refer to the product leaflet.
The inhalers generally supplied by MSF are pressurised metered-dose inhalers (MDI). Refer to the information leaflet for appropriate instructions for use according to the inhaler model.
The pressurised metered-dose inhalers are CFC free. Chlorofluorocarbons (CFCs) are harmful to the ozone layer, and HFA (hydrofluoroalkane) propellants are a more effective, environmentally friendly alternative.
Precautions for Use
Do not use for the treatment of an acute asthma attack.
In children, use an inhalation chamber/spacer with or without a mask (depending on the age of the child) with every administration of pressurised metered-dose inhalers.
Do not use any mouthpiece other than the one supplied with the inhaler.
Transport Dangerous Goods
UN transport code:
- UN 1950 - Aerosols, non-flammable (each not exceeding 1 L capacity)
- Transport Class 2.2 - Non-flammable, non-toxic gases
Transport is only regulated for large quantities of aerosols.
Storage
- Below 25ºC
- Used pressurised aerosols: do not pierce or incinerate. Empty any residual gas, then dispose of by burying.