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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 11, 2024 | 2:34 PM IST
Pulmosmart 400 Inhaler is used to treat asthma symptoms and chronic obstructive pulmonary diseases (COPD). It contains Budesonide and Formoterol, which works by reducing the irritation and swelling by acting inside the nasal passage and airways lining cells and stopping the release of certain chemicals responsible for causing inflammatory reactions and allergies. Thereby, it provides relief from sneezing, runny or blocked nose and sinus discomfort. Also, it relaxes and widens respiratory airway muscles, making it easier for asthma and COPD patients to breathe. Some people may experience side effects such as fungal infection in the mouth, headache, sore throat, hoarse voice, upper respiratory tract infection, flu, cough, back pain, increased heart rate, and trembling. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Manufacturer/Marketer :

Alkem Laboratories Ltd

Consume Type :

INHALATION

Return Policy :

Not Returnable

Expires on or after :

Jan-27

About Pulmosmart 400 Inhaler

Pulmosmart 400 Inhaler is used to treat asthma symptoms and chronic obstructive pulmonary diseases (COPD). Asthma is a chronic (long-term) respiratory condition in which airways narrow, swell, and produce extra mucus, leading to difficulty breathing. COPD is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the lining of bronchial tubes).

Pulmosmart 400 Inhaler is a combination of two drugs: Budesonide (corticosteroid) and Formoterol (LABA - long-acting beta-agonists or bronchodilator). Budesonide belongs to the corticosteroids class that works by reducing the irritation and swelling by acting inside the nasal passage and airways lining cells and stopping the release of certain chemicals responsible for causing inflammatory reactions and allergies. Thereby, it provides relief from sneezing, runny or blocked nose and sinus discomfort. On the other hand, Formoterol belongs to LABA - long-acting beta-agonists or bronchodilators that relax and widen respiratory airway muscles, making it easier for asthma and COPD patients to breathe. 

Use Pulmosmart 400 Inhaler as prescribed. Your doctor will recommend how often you use Pulmosmart 400 Inhaler based on your medical condition. Some people may experience fungal infection in the mouth, headache, sore throat, hoarse voice, upper respiratory tract infection, flu, cough, back pain, increased heart rate, and trembling. Most of these side effects of Pulmosmart 400 Inhaler 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 lactose (a form of sugar) or have lactose intolerance, Pulmosmart 400 Inhaler or any other ingredients, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Pulmosmart 400 Inhaler . Pulmosmart 400 Inhaler is not recommended for children below 6 years of age. If your breathing worsens or you often wake up at night with asthma, experience chest tightness in the morning or last longer than usual, please consult a doctor immediately. These might be signs indicating that your asthma is not controlled properly and requires an alternate or additional treatment. Regular monitoring of potassium levels is recommended while taking Pulmosmart 400 Inhaler as it may cause low potassium levels in the blood. If you have high blood pressure, diabetes, hypokalaemia (low potassium levels in the blood), glaucoma, cataracts, osteoporosis (weak bones), fits, immune system problems, chickenpox, measles, thyroid, lung, heart, liver or adrenal gland problems, inform your doctor before taking Pulmosmart 400 Inhaler . Prolonged use of LABA (long-acting beta-agonists) or vasodilator drugs may cause symptoms like chest pain (angina), increased blood pressure (hypertension), a fast and irregular heart rate (palpitation), headache, tremors, and nervousness.

Uses of Pulmosmart 400 Inhaler

Treatment of Asthma, Chronic obstructive pulmonary disease (COPD).

Medicinal Benefits

Pulmosmart 400 Inhaler is a combination of two drugs, Budesonide and Formoterol, that are used to treat symptoms of asthma and chronic obstructive pulmonary disease (COPD). Budesonide belongs to the class of corticosteroids that work by reducing irritation and swelling by acting inside cells of the nasal lining and stopping the release of certain chemicals in the body that cause inflammatory reactions. Thus, it provides relief from sneezing, runny or blocked nose and sinus discomfort. Formoterol belongs to the class of bronchodilators that works by relaxing muscles and widening the airways of the lungs. Thus, it makes breathing easier.

Side Effects of Pulmosmart 400 Inhaler

  • Fungal infection in the mouth

  • Headache

  • Sore throat, hoarse voice

  • Upper respiratory tract infection

  • Flu, cough

  • Back pain

  • Increased heart rate

  • Shaking or trembling

Directions for Use

Inhaler/Transhaler/Turbuhaler: Shake the inhaler/Transhaler/Turbuhaler well and check the label for directions before using it. Hold the inhaler/Transhaler/turbuhaler with the mouthpiece downwards. Put the mouthpiece between your teeth and seal the lips around it. Then, press down the inhaler once to release the medication. Breathe in slowly and hold your breath for 5 to 10 seconds. Breathe out slowly. Repeat the process until you have inhaled the number of puffs prescribed by the doctor. Rinse your mouth with water and spit it out after using an inhaler/Transhaler/turbuhaler to avoid fungal infections in the mouth and throat. Rotacaps/Transcaps/Instacaps/Redicaps: The capsule should be placed at the base of the rotahaler/transhaler/instahaler/redihaler and completely twist the mouthpiece until you hear a click sound. Then, breathe in through the mouthpiece deeply and hold your breath for 10 seconds. It is for inhalation only. Do not swallow the capsule. Respules/Smartules: Check the label for directions before using it. Twist the respule/smartule top, squeeze all the liquid into the nebulizer and use immediately after opening.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

If you are allergic to lactose, Pulmosmart 400 Inhaler or any other ingredients, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Pulmosmart 400 Inhaler . Pulmosmart 400 Inhaler is not recommended for children below 6 years of age. If your breathing worsens or you often wake up at night with asthma, experience chest tightness in the morning or lasts longer than usual, please consult a doctor immediately as these might be signs indicating that your asthma is not controlled properly and requires an alternate or additional treatment. Regular monitoring of potassium levels is recommended while taking Pulmosmart 400 Inhaler as it may cause low potassium levels in the blood. Avoid contact with people who have infections or who are sick as Pulmosmart 400 Inhaler may weaken the immune system causing infections easily. If you have high blood pressure, diabetes, hypokalaemia (low potassium levels in the blood), glaucoma, cataracts, osteoporosis (weak bones), fits, immune system problems, chickenpox, measles, thyroid, lung, heart, liver or adrenal gland problems, inform your doctor before taking Pulmosmart 400 Inhaler .

Therapeutic Class

RESPIRATORY STIMULANTS

Drug-Drug Interactions

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BudesonideRibociclib
Critical
BudesonideMifepristone
Critical

Drug-Food Interactions

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BUDESONIDE-400MCG+FORMOTEROL-6MCGFruit juices, Fruits
Moderate

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 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 Pulmosmart 400 Inhaler and irritate the lungs worsening breathing problem.

  • Learning breathing exercises will help you move more air in and out of your lungs.

Habit Forming

No

What if I have taken an overdose of Pulmosmart 400 Inhaler

Do not use Pulmosmart 400 Inhaler in more doses or more often than prescribed. If you have any unusual signs or symptoms, please consult a doctor immediately.
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Alcohol

Caution

The interaction of Pulmosmart 400 Inhaler with alcohol is unknown. Please consult a doctor before consuming alcohol with Pulmosmart 400 Inhaler .

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Pregnancy

Caution

The safety of Pulmosmart 400 Inhaler in pregnant women is unknown. Therefore, it is given to pregnant women only if the doctor thinks benefits outweigh risks.

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Breast Feeding

Caution

It is unknown whether Pulmosmart 400 Inhaler is excreted in human milk. It is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.

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Driving

Safe if prescribed

Pulmosmart 400 Inhaler usually does not affect your ability to drive or operate machinery.

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Liver

Caution

Use Pulmosmart 400 Inhaler with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

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Kidney

Safe if prescribed

If you have any concerns regarding the use of Pulmosmart 400 Inhaler in patients with Kidney problems, please consult a doctor.

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Children

Caution

Pulmosmart 400 Inhaler is not recommended for children below 6 years as the safety and effectiveness were not established. However, please consult a doctor before giving Pulmosmart 400 Inhaler to children.

Country of origin

India

Manufacturer/Marketer address

Alkem Laboratories Limited, Devashish Building, Alkem House, Senapati Bapat Road, Lower Parel, Mumbai - 400 013.
Other Info - PUL0189

Author Details

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FAQs

Pulmosmart 400 Inhaler is used to treat asthma symptoms and chronic obstructive pulmonary diseases (COPD).
Yes, Pulmosmart 400 Inhaler may cause fungal infection in the mouth (oral thrush) as a common side effect. It is not necessary for everyone taking Pulmosmart 400 Inhaler to experience this side effect. However, to avoid such side effects, brush your teeth or rinse your mouth with water after using Pulmosmart 400 Inhaler every time.
Pulmosmart 400 Inhaler should be used with caution in osteoporosis (low bone density resulting in weak and brittle bones) patients as it may worsen the condition. Therefore, inform your doctor if you have osteoporosis before taking Pulmosmart 400 Inhaler so that the dose may be adjusted or an alternate medicine may be prescribed.
No, you are not recommended to take ketoconazole or other antifungal drugs such as itraconazole, posaconazole and voriconazole with Pulmosmart 400 Inhaler as co-administration of these medicines may increase the absorption of Pulmosmart 400 Inhaler into the bloodstream and increase the risk of adverse effects such as high blood pressure, weight gain, depression, muscle weakness, swelling, acne, skin thinning, cataracts, excessive growth of facial or body hair, stretch marks, high blood glucose levels, menstrual irregularities, loss of bone density, easy bruising and abnormal distribution of body fat, especially in the waist, back, neck and face, neck. However, please consult a doctor before using other medicines with Pulmosmart 400 Inhaler .
You are not recommended to take more than the prescribed dose of Pulmosmart 400 Inhaler as it may cause adverse effects such as fast heartbeat, trembling or headache. However, if you experience any of these symptoms while taking Pulmosmart 400 Inhaler , please consult a doctor immediately.
You are not recommended to stop taking Pulmosmart 400 Inhaler without consulting your doctor as it may worsen the condition or cause recurring symptoms. Therefore, take Pulmosmart 400 Inhaler for as long as your doctor has prescribed it, and if you experience any difficulty while taking Pulmosmart 400 Inhaler , please consult your doctor.
Pulmosmart 400 Inhaler does not relieve a sudden asthma attack. Therefore, it is advised to carry a rescue inhaler always to treat sudden asthma symptoms.
Throat irritation or pain, oral thrush (fungal infection), respiratory tract infections, low potassium level and sinusitis (sinus inflammation) are some of the common side effects of Pulmosmart 400 Inhaler , which might occur in some patients.
In rare cases, Pulmosmart 400 Inhaler may cause low potassium level. So if you experience tiredness, muscle cramps, weakness, abnormal heart rhythms (arrhythmias) and constipation contact doctor for the advice.
People with heart problems (including high blood pressure, chest pain, fast heartbeat, fits (seizures), thyroid problems, diabetes, immune system problem, weak bones or osteoporosis, eye problems (glaucoma, cataracts) and liver problems should consult a doctor before using Pulmosmart 400 Inhaler .
Yes, Pulmosmart 400 Inhaler is a combination of two drugs: Budesonide (a corticosteroid) and Formoterol (LABA—long-acting beta-agonists or bronchodilators).
No, taking more than the prescribed dose may not be more effective; it may raise the possibility of experiencing severe adverse reactions.
Rinse your mouth with water after each dose to help prevent infection. Do not swallow the water after rinsing.
Before taking the Pulmosmart 400 Inhaler , let your doctor know about all your medical conditions, sensitivities, and all the medications you are using. And inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
It depends on why you're taking Pulmosmart 400 Inhaler . You may start to feel better after a couple of weeks. But it can take a month or more to work fully.
It's possible that your immune system is not strong enough to receive a live vaccine while you're taking Pulmosmart 400 Inhaler . If you need vaccinations, inform the healthcare professional that you're taking Pulmosmart 400 Inhaler .
It depends on your health condition. As directed by your physician, you will need to use it for longer to keep symptoms under control.
The safety of Pulmosmart 400 Inhaler in pregnant women is unknown. Therefore, it is given to pregnant women only if the doctor thinks the benefits outweigh the risks.
Store it at room temperature and away from sunlight, excess heat and moisture (not in the bathroom). Please dispose of the inhaler three months after you remove it from the foil overwrap or when the dose indicator reads 0), whichever comes first.
Asthma is a chronic (long-term) respiratory condition in which airways narrow, swell, and produce extra mucus, leading to difficulty breathing. Symptoms include wheezing (a whistling sound while breathing), shortness of breath, chest tightness, and cough, especially at night.

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