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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Dec 13, 2024 | 11:25 AM IST
Nistami Inhaler Kit is used to treat Chronic Obstructive Pulmonary Disease (COPD). It contains Indacaterol and Glycopyrrolate which work by relaxing and widening the openings in the airways, making it easier for the air to get in and out of the lungs. It also decreases the secretions in the airways. In some cases, this medicine may cause side effects such as inflammation of the sinuses, runny/stuffy nose, headache, dizziness, and stomach upset.
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Manufacturer/Marketer

Cipla Ltd

Consume Type

INHALATION

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About Nistami Inhaler Kit

Nistami Inhaler Kit is used for long-term, maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD). COPD is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the bronchial tube lining). In COPD, the muscles around the airways tighten, making it difficult to breathe.
 
Nistami Inhaler Kit is a combination of two medicines: Indacaterol and Glycopyrrolate. Indacaterol relaxes and widens the openings in the airways, making it easier for the air to get in and out of the lungs. Glycopyrrolate decreases the secretions in the airways. Together, Nistami Inhaler Kit provides relief from COPD.
 
In some cases, you may experience certain common side effects such as upper respiratory tract infection, inflammation of the sinuses, runny/stuffy nose, headache, dizziness, and stomach upset. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Do not stop using Nistami Inhaler Kit on your own as it might cause worsening of symptoms. Consult your doctor if you are pregnant or breastfeeding. Nistami Inhaler Kit may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Nistami Inhaler Kit is not recommended for children below 18 years as safety and effectiveness have not been established.

Uses of Nistami Inhaler Kit

Treatment of Chronic Obstructive Pulmonary Disease (COPD).

Medicinal Benefits

Nistami Inhaler Kit is a combination of two medicines: Indacaterol and Glycopyrrolate. Nistami Inhaler Kit belongs to the group of medicines called bronchodilators used to treat Chronic Obstructive Pulmonary Disease (COPD). Indacaterol is a long-acting beta-agonist that relaxes and widens the openings in the airways, making it easier for the air to get in and out of the lungs. Glycopyrrolate is an anticholinergic that decreases the secretions in the airways. Together, Nistami Inhaler Kit provides relief from COPD.

Directions for Use

Capsule: It is meant for inhalation only; do not swallow the capsule. Place it at the base of the rotahaler/inhaler and twist the mouthpiece until you hear a click sound. Breathe in deeply through the mouthpiece and hold up your breath for 10 seconds.Inhaler: Hold the inhaler with the mouthpiece downwards. Place your lips on the mouthpiece and press down on the inhaler once to release the medication. Breathe in slowly and repeat the process until you have inhaled the number of puffs prescribed by the doctor.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Nistami Inhaler Kit

  • Upper respiratory tract infection
  • Nasopharyngitis (sore throat and runny nose)
  • Runny or stuffy nose
  • Headache
  • Dizziness
  • Stomach upset

Drug Warnings

Do not take Nistami Inhaler Kit if you are allergic to any of its contents. Inform your doctor if you have asthma, heart problems, seizures/epilepsy, thyroid gland problems, diabetes, narrow-angle glaucoma, kidney problems, severe liver problems, if you have any difficulty in passing urine or if you are taking any medicines for lung diseases. Consult your doctor if you are pregnant or breastfeeding. Nistami Inhaler Kit may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Nistami Inhaler Kit is not recommended for children below 18 years as safety and effectiveness have not been established. 

Drug Interactions

Drug-Drug Interactions: Nistami Inhaler Kit may interact with beta-blocker (propranolol, timolol), steroid (prednisolone), diuretic (hydrochlorothiazide), anti-asthma (theophylline).

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interactions: Inform your doctor if you have narrow-angle glaucoma, difficulty in urination, heart problems, seizures, gastrointestinal obstruction, hypertension, myasthenia gravis, or infectious diarrhoea.

Drug-Drug Interactions Checker List

  • TIMOLOL
  • PROPRANOLOL
  • PREDNISOLONE
  • HYDROCHLOROTHIAZIDE
  • THEOPHYLLINE

Habit Forming

No

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 it may worsen symptoms.

  • Do meditation, deep breathing, regular exercise and try progressive muscle relaxation techniques to get relief from stress and reduce the risk of an attack.

  • Quit smoking as it may irritate the lungs and worsen breathing problems.

  • Learn breathing exercises like pursed-lip breathing. It helps provide relief from COPD.

Disease/Condition Glossary

Chronic Obstructive Pulmonary Disease (COPD): It is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the lining of bronchial tubes). The major cause of COPD is smoking tobacco. Also, long-term exposure to fumes and chemicals may lead to COPD. The symptoms include chronic cough, shortness of breath or wheezing (whistle sound while breathing).

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Alcohol

Caution

You are advised not to consume alcohol while taking Nistami Inhaler Kit as it might cause increased dizziness.

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Pregnancy

Caution

Nistami Inhaler Kit belongs to pregnancy category C. Please consult your doctor if you have any concerns regarding this; your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Caution

Consult your doctor if you are breastfeeding; your doctor will decide whether Nistami Inhaler Kit can be taken by breastfeeding mothers or not.

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Driving

Caution

Nistami Inhaler Kit may cause dizziness. Drive or operate machinery only if you are alert.

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Liver

Caution

Dose adjustment may be needed. Please consult your doctor if you have liver impairment/liver disease or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed. Please consult your doctor if you have kidney impairment/kidney disease or any concerns regarding this.

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Children

Unsafe

Nistami Inhaler Kit is not recommended for children below 18 years as safety and effectiveness have not been established.

Country of origin

India

Manufacturer/Marketer address

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Other Info - NIS0091

Author Details

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FAQs

Nistami Inhaler Kit is indicated for long-term, maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD).
Nistami Inhaler Kit contains Indacaterol and Glycopyrrolate. Indacaterol relaxes and widens the openings in the airways, making it easier for the air to get in and out of the lungs. Glycopyrrolate decreases the secretions in the airways. Together, Nistami Inhaler Kit provides relief from COPD.
Nistami Inhaler Kit is indicated for the maintenance treatment for COPD. It does not treat a sudden attack of wheezing or breathlessness. Use a rescue inhaler to treat sudden breathing problems.
Dry mouth could be a side-effect of Nistami Inhaler Kit. Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly and chewing sugar-free gum/candy might help in stimulating saliva and thereby prevents drying of the mouth.
Do not stop taking Nistami Inhaler Kit on your own as it might cause worsening of symptoms. To treat your condition effectually, continue taking Nistami Inhaler Kit for as long as your doctor has prescribed it. Talk to your doctor if your breathing problems, wheezing, or cough do not improve or worsen.
No, Nistami Inhaler Kit is not indicated for the treatment of asthma as the safety and effectiveness of Nistami Inhaler Kit in patients with asthma have not been established. Consult your doctor if you have asthma.
The safety of Nistami Inhaler Kit during pregnancy or breastfeeding is not well established. It should only be used if prescribed by a doctor. Your doctor will evaluate whether the benefits outweigh the risks in your specific case.
Nistami Inhaler Kit is not recommended for children under 18 years, as its safety and effectiveness have not been established for this age group.
If you are allergic to milk proteins, you should be cautious when taking Nistami Inhaler Kit, as it may contain milk proteins or lactose (milk sugar). Always make sure that your doctor is aware of your allergies so they can determine whether this medication is safe for you.
Some people may experience common side effects such as a sore throat, sinus inflammation, a runny or blocked nose, headache, dizziness, or an upset stomach. These are usually mild and go away on their own without requiring medical attention. If these side effects persist or become bothersome, contact your doctor for further advice and management.
Store Nistami Inhaler Kit at room temperature, away from heat, moisture, and direct sunlight. Keep it in a safe place, out of the reach of children. Do not freeze the medication.

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