Manufactured by AstraZeneca Inc. Symbicort is a new asthma treatment in a red inhaler. It is a different colour from other inhalers because it is a completely different kind of treatment, combining two different medicines in a single inhaler. When you use Symbicort, you can expect fast relief from asthma symptoms (within 1-3 minutes after inhaling the medicine5), as well as long-lasting control. You should have fewer asthma symptoms during the day and at night, and be able to do more activities without getting breathless.

 

Why is Symbicort prescribed?

Symbicort, the active ingredient in Symbicort Turbuhaler, is an anti-inflammatory steroid medication. Inhaled on a regular basis, Symbicort helps prevent asthma attacks. It is sometimes prescribed in addition to oral steroids, and may reduce or eliminate the need for them.

Symbicort Turbuhaler is used to treat asthma in adults and children over age 6. Children 12 months to 8 years of age can be treated with another form of Symbicort, Symbicort Respules, which is given by nebulizer. Both types of Symbicort are preventive medicines. They will not relieve an acute or life-threatening episode of asthma.

Where can I order Symbicort from? Can I buy Symbicort at Canadian Prices?

Yes, if you are from the U.S. then you can buy Symbicort at Canadian prices. Currently we will only accept an order for Symbicort from U.S. and Canadian residents. Both U.S. and Canadian residents require a prescription to purchase Symbicort and when you order Symbicort it will be delivered with express shipping.

Most important fact about Symbicort

Because steroids can suppress the immune system, people taking Symbicort may become more susceptible to infections, and their infections could be more severe. If you are taking Symbicort, avoid exposure to infectious diseases such as chickenpox and measles. If you are exposed, contact your doctor immediately.

How should you take Symbicort?

Use Symbicort Turbuhaler exactly as directed. The effectiveness of this medication depends on its regular use. Your doctor will prescribe the lowest effective dose. Do not take more or less medication than the amount prescribed. When starting therapy, carefully read the instructions that come with the inhaler. Your asthma symptoms may begin to improve in 24 hours, although you may not see the maximum benefit for 1 to 2 weeks or longer. If your symptoms do not improve or get worse, contact your doctor. Symbicort Turbuhaler delivers a dose of medication in dry powder form. To assure the correct dose, the inhaler must be held in an upright position, with the mouthpiece on top, during priming and loading. Before its first use, each new inhaler must be primed. To prime the inhaler, hold it upright and turn the brown grip fully to the right, then fully to the left until it clicks. Repeat this procedure a second time. The unit is now primed. The inhaler must be loaded with medication immediately prior to each use. As you did when priming the unit, turn the brown grip fully to the right, then fully to the left until it clicks. During inhalation, the inhaler must be held in an upright (mouthpiece up) or horizontal position. Do not shake the inhaler. Place the mouthpiece between your lips and inhale forcefully and deeply. The Symbicort powder is then delivered to the lungs. Do not exhale through the inhaler. You may not taste or sense any medication entering the lungs when inhaling from the Turbuhaler. This lack of sensation is not a cause for concern, and does not mean that you'll fail to receive the medication's benefits. To decrease the risk of developing a fungus infection in the mouth, rinse it with water, without swallowing, after each dose. Do not use the inhaler with a spacer. Do not bite or chew the mouthpiece. --If you miss a dose...Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once. --Storage instructions...

Keep the Symbicort Turbuhaler clean at all times. Replace the cover securely after each opening. Store with the cover tightened in a dry place at room temperature. Discard the unit when a red mark appears in the indicator window.

What side effects may occur with Symbicort?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Symbicort.

More common side effects may include:
Aching joints, back pain, cough, fever, flu-like symptoms, fungal infection in mouth, headache, indigestion, nasal and sinus inflammation, pain, respiratory infection, sore throat, weakness

Less common side effects may include:
Abdominal pain, abnormal taste, bleeding under the skin, dry mouth, fainting, fracture, infection, insomnia, migraine, muscle contractions, muscle pain, nausea, neck pain, stomach or intestinal inflammation, voice alteration, vomiting, weight gain

Rare side effects may include:
Abnormal thinking, aggressiveness, anxiety, depression, difficulty breathing, hives, irritability, rash or dermatitis

Why should Symbicort not be prescribed?

If you are allergic to Symbicort, you cannot use Symbicort. In addition, Symbicort cannot be used to treat severe asthma attacks.

Special information if you are pregnant or breastfeeding when taking Symbicort

Symbicort does not appear to harm the developing infant during pregnancy. Nevertheless, the possibility for harm cannot be ruled out. This medication should be used during pregnancy only if it is clearly needed.

Steroids make their way into breast milk. Because they could affect the nursing infant, you'll need to either discontinue breastfeeding or stop taking this medication.

Recommended Symbicort dosage

ADULTS The usual dosage depends on your previous treatments for asthma.

If you have previously been using only fast-acting bronchodilators, the usual starting dose is 200 to 400 milligrams twice a day. The maximum long-term dosage is 400 milligrams twice daily. If you have previously been using inhaled steroids, the usual starting dose is 200 to 400 milligrams twice a day (or once daily in the morning or evening if your asthma has been well controlled). The maximum long-term dosage is 800 milligrams twice daily. If you have previously been taking oral steroids, the usual starting dose is 400 to 800 milligrams twice a day. The maximum long-term dosage is 800 milligrams twice daily. If you are taking oral steroids, you will continue to do so while starting Symbicort Turbuhaler. After one week, the doctor will lower your dose of oral steroids, then gradually lower it further at one- or two-week intervals.

CHILDREN AGE 6 AND OLDER As with adults, the child's usual dosage depends on previous treatments.

If the child has previously been using only a fast-acting bronchodilator the usual starting dose is 200 milligrams twice a day. The maximum long-term dosage is 400 milligrams twice daily. If the child has previously been using inhaled steroids, the usual starting dose is 200 milligrams twice daily. (A once-a-day dose of 200 or 400 milligrams may be prescribed instead.) The maximum long-term dosage is 400 milligrams twice daily.

If the child has previously been taking oral steroids, the highest recommended dose is 400 milligrams taken twice a day. As with adults, the dosage of oral steroids will be gradually reduced while the child continues to take Symbicort.

Symbicort Overdosage

Excessive doses of steroid medications taken for long periods can stunt growth or cause a condition called Cushing's syndrome. Symptoms of this condition include weight gain, a "moon face," muscle wasting, weakness, and poor wound healing. If you think a problem is developing, check with your doctor immediately.

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