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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Difizma Capsule (Inhalation Powder) is indicated as a maintenance treatment for asthma in adults. It combines three drugs: Glycopyrronium Bromide and Indacaterol (bronchodilators), and mometasone furoate (corticosteroids). Glycopyrronium Bromide and Indacaterol relax the muscles of the small airways in the lungs, which helps open the airways and makes it easier for air to get in and out. Mometasone Furoate reduces the inflammation (swelling and irritation) in the small airways in the lungs. This gradually eases breathing problems and also helps to prevent asthma attacks.

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Manufacturer/Marketer :

Lupin Ltd

Consume Type :

INHALATION

Return Policy :

3 Days Returnable

Expires on or after :

Jan-27

About Difizma Capsule (Inhalation Powder)

Difizma Capsule (Inhalation Powder) is indicated as a maintenance treatment of asthma in adults. Asthma is a long-term lung disease where the muscles around the smaller airways become tight (bronchoconstriction) and inflamed, leading to difficulty in breathing.

Difizma Capsule (Inhalation Powder) is a combination of three drugs: Glycopyrronium Bromide and Indacaterol (bronchodilators), and Mometasone Furoate (corticosteroids). Glycopyrronium Bromide and Indacaterol relax the muscles of the small airways in the lungs, which helps open the airways and makes it easier for air to get in and out. Mometasone Furoate reduces the inflammation (swelling and irritation) in the small airways in the lungs. This gradually eases breathing problems and also helps to prevent asthma attacks.

Difizma Capsule (Inhalation Powder) is for inhalation only. Do not swallow Difizma Capsule (Inhalation Powder) . Use Difizma Capsule (Inhalation Powder) as prescribed by your doctor. You are advised to use Difizma Capsule (Inhalation Powder) for as long as your doctor has advised it based on your medical condition. Difizma Capsule (Inhalation Powder) may cause common side effects such as runny nose, sore throat, sudden difficulty breathing and chest tightness with coughing or wheezing, oral thrush (a fungal infection in the mouth), headache or fast heartbeat. Most of these side effects of Difizma Capsule (Inhalation Powder) do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to mometasone furoate, indacaterol, glycopyrronium bromide, or any other ingredients of Difizma Capsule (Inhalation Powder) , please tell your doctor. Difizma Capsule (Inhalation Powder) is not recommended for children below 18 years. If you are pregnant or breastfeeding, take your doctor’s advice before using Difizma Capsule (Inhalation Powder) . If you have chest tightness, wheezing, coughing or breathlessness immediately after using Difizma Capsule (Inhalation Powder) , stop using it and consult a doctor right away as these may be signs of unexpected airways tightening.

Uses of Difizma Capsule (Inhalation Powder)

Treatment of Asthma

Directions for Use

Check the label for directions before using. Difizma Capsule (Inhalation Powder) is for inhalation only. Do not swallow Difizma Capsule (Inhalation Powder) . Use Difizma Capsule (Inhalation Powder) in dose and duration as advised by your doctor. Rinse your mouth with water and spit it out after using Difizma Capsule (Inhalation Powder) to avoid fungal infections in the mouth and throat.

Medicinal Benefits

Difizma Capsule (Inhalation Powder) belongs to the class of respiratory stimulants. It contains Glycopyrronium Bromide, Indacaterol and Mometasone Furoate. Difizma Capsule (Inhalation Powder) is used as a maintenance treatment of asthma in adults not adequately controlled with a maintenance combination of a long-acting beta2-agonist and a high dose of an inhaled corticosteroid who experienced one or more asthma flare-ups in the previous year. Difizma Capsule (Inhalation Powder) relaxes the muscles of the small airways in the lungs and reduces inflammation (swelling and irritation). This gradually eases breathing problems and also helps to prevent asthma attacks.

How Difizma Capsule (Inhalation Powder) Works

Difizma Capsule (Inhalation Powder) is a combination of three drugs: Glycopyrronium Bromide and Indacaterol (bronchodilators), and Mometasone Furoate (corticosteroids). Glycopyrronium Bromide and Indacaterol relax the muscles of the small airways in the lungs, which helps open the airways and makes it easier for air to get in and out. Mometasone Furoate reduces the inflammation (swelling and irritation) in the small airways in the lungs. This gradually eases breathing problems and also helps to prevent asthma attacks.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Difizma Capsule (Inhalation Powder)

  • Runny nose
  • Sore throat
  • Sudden difficulty breathing and chest tightness with coughing or wheezing
  • Oral thrush (fungal infection in the mouth)
  • Headache
  • Fast heartbeat

What if I have taken an overdose of Difizma Capsule (Inhalation Powder)

An overdose of Difizma Capsule (Inhalation Powder) can cause tachycardia, tremor, palpitations, headache, nausea, vomiting, drowsiness, ventricular arrhythmias, metabolic acidosis, hypokalaemia, hyperglycaemia, increased intraocular pressure (causing pain, vision disturbances or reddening of the eye), constipation or difficulties in voiding, suppression of hypothalamic pituitary adrenal axis function. If you encounter these symptoms or think you might have taken too much, get medical help immediately.

Drug Warnings

If you are allergic to mometasone furoate, indacaterol, glycopyrronium bromide, or any other ingredients of Difizma Capsule (Inhalation Powder) , please tell your doctor. Difizma Capsule (Inhalation Powder) is not recommended for children below 18 years. If you are pregnant or breastfeeding, take your doctor’s advice before using Difizma Capsule (Inhalation Powder) . If you have chest tightness, wheezing, coughing or breathlessness immediately after using Difizma Capsule (Inhalation Powder) , stop using it and consult a doctor right away as these may be signs of unexpected airways tightening. If you have eye pain or discomfort, visual haloes (seeing bright circles around lights), temporary blurring of vision, or coloured images in association with red eyes, contact your doctor, as these may be signs of an attack of angle-closure glaucoma. If your asthma is not getting better or if it worsens after you have started using Difizma Capsule (Inhalation Powder) , talk to your doctor.

Drug-Drug Interactions

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MometasoneMifepristone
Critical
Glycopyrronium bromideDigoxin
Severe

Drug-Drug Interactions

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MometasoneMifepristone
Critical
How does the drug interact with Difizma Capsule (Inhalation Powder) 10's:
Co-administration of Difizma Capsule (Inhalation Powder) 10's with Mifepristone may make Difizma Capsule (Inhalation Powder) 10's less effective as a therapy.

How to manage the interaction:
Taking Difizma Capsule (Inhalation Powder) 10's with Mifepristone is generally avoided as it can result in an interaction, it can be taken only when a doctor has advised it. Do not stop using any medications without talking to a doctor.
Glycopyrronium bromideDigoxin
Severe
How does the drug interact with Difizma Capsule (Inhalation Powder) 10's:
Co-administration of Digoxin and Difizma Capsule (Inhalation Powder) 10's may increase the serum concentration of Digoxin and increase the risk or severity of adverse effects.

How to manage the interaction:
Although there is a possible interaction between Digoxin and Difizma Capsule (Inhalation Powder) 10's, you can take these medicines together if prescribed by a doctor. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, confusion, loss of appetite, nausea, vomiting, diarrhea, change in vision such as blurry or yellow vision, fatigue, and fast or irregular heartbeat, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
Glycopyrronium bromideLevodopa
Severe
How does the drug interact with Difizma Capsule (Inhalation Powder) 10's:
Coadministration of levodopa with Difizma Capsule (Inhalation Powder) 10's can significantly decrease the blood levels of levodopa.

How to manage the interaction:
Although using Difizma Capsule (Inhalation Powder) 10's and levodopa together can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any unusual symptoms contact the doctor immediately. Do not stop using any medications without a doctor's advice.
Glycopyrronium bromidePramlintide
Severe
How does the drug interact with Difizma Capsule (Inhalation Powder) 10's:
Taking Pramlintide with Difizma Capsule (Inhalation Powder) 10's can cause slow stomach emptying or slow the intestinal absorption of nutrients.

How to manage the interaction:
Although using Pramlintide and Difizma Capsule (Inhalation Powder) 10's together can lead to an interaction, it can be taken if advised by your doctor.
Glycopyrronium bromideSecretin
Severe
How does the drug interact with Difizma Capsule (Inhalation Powder) 10's:
The combined use of secretin and Difizma Capsule (Inhalation Powder) 10's can inhibit gastric acid secretion.

How to manage the interaction:
Although using secretin and Difizma Capsule (Inhalation Powder) 10's together can lead to an interaction, it can be taken if advised by your doctor.
Glycopyrronium bromidePotassium chloride
Severe
How does the drug interact with Difizma Capsule (Inhalation Powder) 10's:
The use of Potassium chloride and Difizma Capsule (Inhalation Powder) 10's can increase the irritant effects of potassium on your stomach and upper intestine.

How to manage the interaction:
Using Potassium chloride and Difizma Capsule (Inhalation Powder) 10's together can lead to an interaction, however, it can be taken if advised by a doctor. However, if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, or dark, tarry stools, consult the doctor immediately. Do not discontinue any medications without a doctor's advice.
IndacaterolPropranolol
Severe
How does the drug interact with Difizma Capsule (Inhalation Powder) 10's:
Using propranolol together with Difizma Capsule (Inhalation Powder) 10's may reduce the benefits of both medications, since they have opposing effects in the body. In addition, propranolol can cause breathing problems.

How to manage the interaction:
Although taking Propranolol together with Difizma Capsule (Inhalation Powder) 10's can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
IndacaterolLabetalol
Severe
How does the drug interact with Difizma Capsule (Inhalation Powder) 10's:
Combining Labetalol and Difizma Capsule (Inhalation Powder) 10's could decrease the medical benefits of both medications.

How to manage the interaction:
Although taking Labetalol and Difizma Capsule (Inhalation Powder) 10's together can result in an interaction, it can be taken if a doctor has prescribed it. Do not forget to inform a doctor, if you have severe chronic obstructive pulmonary disease (COPD) or a history of asthma, as Labetalol is often not advised in these patients. Do not discontinue any medications without a doctor's advice.
IndacaterolCarvedilol
Severe
How does the drug interact with Difizma Capsule (Inhalation Powder) 10's:
Taking Carvedilol and Difizma Capsule (Inhalation Powder) 10's may reduce the treatment outcomes.

How to manage the interaction:
There may be a possibility of interaction between Difizma Capsule (Inhalation Powder) 10's and Carvedilol, but it can be taken if prescribed by a doctor. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Eat a healthy diet and exercise regularly to strengthen your breathing muscles and boost your immune system.
  • Avoid foods such as cabbage, beans, garlic, onions, shrimp, pickled food, dried fruits, fried foods, carbonated drinks, wine, bottled lemon, and lime juice, as they may worsen asthma symptoms.
  • Do meditation, deep breathing, regular exercise, and try progressive muscle relaxation techniques to get relief from stress and reduce the risk of an asthma attack.
  • Quit smoking as it may reduce the effectiveness of the Difizma Capsule (Inhalation Powder) and irritate the lungs, worsening breathing problems.
  • Learning breathing exercises will help you move more air in and out of your lungs.

Habit Forming

No

Therapeutic Class

RESPIRATORY STIMULANTS
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Alcohol

Consult your doctor

The interaction of Difizma Capsule (Inhalation Powder) with alcohol is unknown. If you have any concerns, discuss them with your doctor.

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Pregnancy

Consult your doctor

Difizma Capsule (Inhalation Powder) is given to pregnant women only if the doctor thinks the benefits outweigh the risks. Therefore, inform your doctor if you are pregnant before using Difizma Capsule (Inhalation Powder) .

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Breast Feeding

Consult your doctor

It is unknown whether Difizma Capsule (Inhalation Powder) is excreted in human milk. Your doctor decides whether to discontinue breastfeeding or to discontinue Difizma Capsule (Inhalation Powder) , taking into account the benefit of breastfeeding for the child and the benefit of therapy for the mother. Therefore, inform your doctor if you are breastfeeding before using Difizma Capsule (Inhalation Powder) .

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Driving

Safe

Difizma Capsule (Inhalation Powder) usually does not affect your ability to drive or operate machinery.

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Liver

Consult your doctor

Consult your doctor before using Difizma Capsule (Inhalation Powder) if you have severe liver problems.

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Kidney

Consult your doctor

Consult your doctor before using Difizma Capsule (Inhalation Powder) if you have severe kidney problems.

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Children

Unsafe

Difizma Capsule (Inhalation Powder) is not recommended for children and adolescents below 18 years of age.

FAQs

Difizma Capsule (Inhalation Powder) is indicated as a maintenance treatment of asthma in adults. Asthma is a long-term lung disease where the muscles around the smaller airways become tight (bronchoconstriction) and inflamed, leading to difficulty in breathing.
Difizma Capsule (Inhalation Powder) works by relaxing the muscles of the small airways in the lungs and reducing inflammation (swelling and irritation). Thus, it helps ease breathing problems gradually and prevent asthma attacks.
Do not stop using Difizma Capsule (Inhalation Powder) if you feel well. You are advised to use Difizma Capsule (Inhalation Powder) every day and not only when you have breathing problems or other asthma symptoms to ensure it controls your asthma properly.
Difizma Capsule (Inhalation Powder) does not relieve a sudden asthma attack. Therefore, it is advised always to carry a rescue inhaler to treat sudden asthma symptoms.

Country of origin

India

Manufacturer/Marketer address

Lupin Ltd, 3Rd Floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India Country Of Origin: India
Other Info - DIF0057

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