Triohale 120 mdi

Triohale Inhaler

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Description

SKU 1127
US Brand Name Triohale
Strength 120 mdi
Generic Name Tiotropium Bromide Formoterol Fumarate + Ciclesonide
Manufacturer Cipla

Triohale inhaler

Triple drug combination that is Tiotropium Bromide, Formoterol Fumarate and Ciclesonide are indicated for the treatment of severe chronic obstructive pulmonary disease (COPD), reduces asthma symptoms and decreases the number of times patients are hospitalized. This combination of anti muscarinic, long acting beta agonist and inhalable corticosteroid is one of the most recommended drugs given in chronic obstructive pulmonary disease.

COPD is a multi component disease. Each drug acts on their specific target sites and improves the functioning of lungs and helps in clearing the airway passages that ultimately helps in hassle free breathing process. The drug elements present in this dilate the constricted bronchioles. This triple combination is available in a metered dose inhalers dosage forms. Inhalers are one of the most preferred dosage forms for delivering medicine to the asthma patients. This dosage form renders targeted delivery of the drug at the site of action. It is also known as “Puffers”. It is a small handy device having canister and curved mouth piece. In this drug is mixed with a propellant. Inhaler dosage form renders following benefits:

  • More drug reaches to your lungs
  • Avoid drug wastage
  • User friendly and can be taken by patients of all age group

The ailments it is used for:

Tiotropium Bromide, Formoterol Fumarate and Ciclosenide is used in severe COPD, chronic bronchitis and emphysema. It also improves the lung function, reduces the number of times patients are hospitalized and enhances the quality of life

Understanding the drug Tiotropium Bromide, Formoterol Fumarate and Ciclosenide:

How it works?

This triple combination effectively produces hassle free breathing process. They collectively relax the muscles and increase the airflow to the lungs.

Tiotropium Bromide

It blocks the release of acetylcholine at the junctions of lungs. This all causes relaxation of the smooth muscles and clear the airways.           Tiotropium Bromide prevents asthma attack and is not effective in emergency asthma conditions

Formoterol Fumarate

It is a rapid acting beta -2 receptor agonists as it stimulates them and causes smooth muscle relaxation. Its main goal is to stop the production of inflammatory chemicals that constantly blocks the airways and hinders smooth breathing activities. This ingredient helps in relaxing the constricted bronchioles and prevents unwanted symptoms like wheezing, coughing and choking.

Ciclosenide

It is a glucocorticoid that treats asthma and allergic rhinitis. This medicine directly goes into the airways and lungs and produces its effect. It prevents the signs and symptoms of Asthma. It has anti-inflammatory action and acts on the inflamed airways. It restricts the elements such as Phospholipase A2, lipocortins and arachidonic acid that are responsible for the biosynthesis of inflammatory mediators. This way, it reduces the inflammation by scavenging harmful mediators of inflammation and facilitates smooth breathing and avoids constriction of airways. 

When should you avoid it?

You should not take Tiotropium Bromide, Formoterol Fumarate and Ciclosenide if:

  • You are allergic to Tiotropium Bromide, Formoterol Fumarate and Ciclosenide
  • You have narrow angle glaucoma
  • Have diabetes
  • Are heart patient
  • Have hyperthyroidism
  •  Have liver problems
  • Are urinating less than usual or not at all
  • Have tongue swelling or redness
  • You have sores or white patches of your mouth, lips or tongue
  • You have prostate related problems
  • You are planning to become pregnant or breast feeding

How much to take?

The best dose intake is prescribed by the Doctor depending upon the severity and demand of the disease condition. Always follow doctor’s instructions. Dose can vary widely and is required to be taken on regular basis.

What are the strengths available?

Tiotropium Bromide, Formoterol Fumarate and Ciclosenide is available in one strength combination having an active ingredient in it:

  • Triohale inhaler 9 mcg + 6 mcg

Who is the manufacturer?

Triohale Inhaler is manufactured by Cipla Pharmaceuticals ltd, a pharmaceutical giant. It is available on our website in the pack of 120 metered dose inhalers.

How to take?

Doctor is the one who is going to decide the proper dose scheduling. Always follow the instructions mentioned on the leaflet. Discuss with your Doctor or Pharmacist if any doubt arises. Taking medicine in an apt manner is a very crucial step.

  • Always check the mouthpiece before using, it should always be clean and dirt free
  • Shake the inhaler by holding it in a upright position
  • Breathe out the air and completely empty your lungs
  • Put the mouthpiece in your mouth and close your lips
  • Take a deep breath through your mouth and press the canister to get puff of the medicine
  • Remove the inhaler and continue to hold your breath for 10 seconds
  • Breathe out through nose
  • Replace the cap and after the gap of two seconds , take the next dose and repeat the steps as mentioned above

Always keep the record of the total number of sprays you have taken. After the consumption of 200 sprays, discard the inhaler spray.

When to take?

Take the medicine as prescribed by the Doctor. Always try to take the dose at the same time each day; this reduces the chances of missing a dose.

 For how long should it be taken?

Take the medicine as per Doctor’s instructions. Abrupt discontinuation can produce unwanted reactions. This drug is meant to be taken on regular basis, so keep on taking the drug as long as recommended by the Doctor.

What if you take too much (overdose)?

If overdose, talk to Doctor or Poisons information centre for advice. Take medical help as early as possible.

What if you miss the dose?

Consult your Doctor if you miss the Dose. Don’t double up the dose in order to catch up.

What are the side effects?

Every drug has some side effects associated with it. Tiotropium Bromide, Formoterol Fumarate and Ciclosenide also has some unwanted effects, but it is not necessary that everyone will experience them. Some common side effects are as following: 

  • Dizziness
  • Anxiety
  • Stuffy nose
  • Skin rash and itching
  • Change in your voice
  • Blurred vision
  • Troubled swallowing
  • Nausea
  • Insomnia
  • Constipation

Some rare and serious side effects that need immediate medical attention are mentioned below:

  • Chest pain
  • Wheezing
  • Increased thirst or urination
  • Worsening asthma symptoms

Are there any possible drug interactions?

Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. You doctor will provide you the list of drugs to be avoided while taking Tiotropium Bromide, Formoterol Fumarate and Ciclosenide.

What are the things to be taken care of?

  • Always take the medicine as per  prescription
  • Don’t use the expired drug
  • Keep a complete record of all the medicines you are taking along with this medicine
  • This drug doesn’t produce immediate relief so is not given in acute asthma attack
  • If this medicine gets in your eyes, rinse with water immediately as it may cause vision related problems
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