Manufacturer: Lupin Ltd
Salt Composition : Levosalbutamol(50mcg), Ipratropium(20mcg)
Your doctor will tell you how often you need to use your inhaler. The effect of this medicine may be noticeable after a few days but will only reach its maximum after a few weeks. This medicine must be used regularly to be effective, so go on taking it even if you don't have any symptoms. That means it’s doing its job. If you stop taking it your COPD may get worse. This medicine should not be used to relieve sudden shortness of breath. If sudden shortness of breath occurs, use your rescue inhaler. To get the benefit from this medicine you need to make sure you get your inhaler technique right, otherwise, it Does not work as well.
The most common side effects are dryness in mouth, shortness of breath, cough, tremor, headache, palpitations, and muscle cramp. If you get there, don’t stop taking it but do talk to your doctor. You can prevent some of these symptoms by rinsing your mouth and throat with water or brushing your teeth after using your inhaler. There are other, rarer side effects which can be serious. Talk to your doctor if you're worried about them.
Before taking it, you should tell your doctor if you have any kidney or liver diseases so that your doctor can prescribe a suitable dose for you. Also tell your doctor if you are pregnant, planning pregnancy or breastfeeding.
Salbair-I Transhaler is a combination of medicines that helps the airways in your lungs stay open. They work by relaxing the muscles of these airways. This makes it easier for air to get in and out.
Levosalbutamol elicits an equal or slightly larger response than an equivalent dose of the racemic mixture. This is probably due to competitive inhibition between the enantiomers at beta-adrenoceptors. Pharmacokinetic-pharmacodynamic relationships for levosalbutamol show relatively large interindividual variations.Ipratropium is metabolized in the gastrointestinal tract by the activity of the cytochrome P-450 isoenzymes. From the orally administered dose, about 90% of the dose is excreted unchanged. The absorbed portion is partially metabolized by ester hydrolysis to inactive metabolites, tropic acid and tropane.
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Salbair-I
Dryness in mouth
Breathlessness
Cough
Tremors
Headache
Palpitations
Muscle cramp
Glaucoma
Gastritis
Drug Allergy
Liver Disease
Tachycardia
Urinary Retention
Kidney Disease
Heart Disease
Hyperthyroidism
Thyroid
Diabetes
Drug Allergy
Potassium Deficiency
Salbair-I Transhaler may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Salbair-I Transhaler may cause excessive drowsiness with alcohol.
Salbair-I Transhaler is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Use with caution
Below 9years: Contraindicated
Levosalbutamol+Ipratropium is used in the treatment of chronic obstructive pulmonary disease.Levosalbutamol is a bronchodilator while Ipratropium is an anticholinergic. They work by relaxing the muscles in the airways and widen the airways. Together, they make breathing easier.
IPRATROPIUM+LEVOSALBUTAMOL may interact with bronchodilators (e.g. salmeterol, albuterol, and formoterol), steroid medicines (e.g. budesonide, prednisone), water pills or diuretic medicines (e.g. furosemide), anti-sickness medicines (e.g. ondansetron), heart-related medicines (e.g. atropine).
Check the label for directions before use. Shake the inhaler. While you are breathing in from mouth, press down on the inhaler one time to release the medication and hold your breath for 10 seconds.
Store below 30°C
If you miss a dose of Salbair-I Transhaler, use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Consult a doctor before taking any medicines.
Salbair-I Transhaler is a combination of two medicines that makes breathing easier for patients with chronic obstructive pulmonary disease (COPD).
This medicine is for inhalation only. The tablet should not be swallowed.
It should be taken at the same time each day.
It does not work right away and should not be used to relieve sudden breathing problems. Use your rescue inhaler to control sudden difficulty in breathing.
Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help.
Gargle with warm water after each inhalation to avoid any fungal infections in your mouth and throat.
Take the first dose of this medicine under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.
Your doctor may regularly monitor your blood potassium level as low oxygen level in the blood (hypoxia) and medicines such as Salbair-I Transhaler can lower blood potassium level.
Only miniscule amounts of Salbair-I Transhaler may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.
Check the label for directions before use. Shake the inhaler. While you are breathing in from mouth, press down on the inhaler one time to release the medication and hold your breath for 10 seconds. Repeat until you have inhaled the number of puffs as suggested by the doctor.Afterwards, rinse your mouth thoroughly with water and spit it out.
Q. Are there any medicines which I should avoid while taking Salbair-I Transhaler?
It is not recommended to use Salbair-I Transhaler along with other medicines, such as anticholinergic, beta-adrenergic agents, beta-blockers, diuretics, digoxin, MAO inhibitors or anti-depressants.
Q. Will Salbair-I Transhaler be more effective if taken in higher doses?
No, taking a higher than the recommended dose of this medicine will not make it more effective, rather can lead to increased side effects. If the symptoms do not get relieved by the recommended doses, please consult the doctor for re-evaluation.
Q. Can the use of Salbair-I Transhaler cause sleepiness or drowsiness?
Yes, Salbair-I Transhaler may make you feel drowsy or sleepy. Avoid driving, operating machinery, working at heights, or participating in potentially dangerous activities at the beginning of your treatment until you know how the medicine affects you. Inform your doctor if you experience such episodes while you are taking this medicine.
Q. Can the use of Salbair-I Transhaler cause dry mouth?
Yes, the use of Salbair-I Transhaler can cause dry mouth. If you experience dry mouth, drink plenty of water. Take regular sips during the day and keep some water by your bed at night.
Q. What are the instructions for storage and disposal of Salbair-I Transhaler?
Keep this medicine in the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
