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Introduction About NIVEOLI INHALER
NIVEOLI INHALER is a fixed-dose combination of beclomethasone and formoterol which belongs to the group of medicines called anti-asthmatic drugs. It is used in the management of It is used management of asthma and COPD (Chronic Obstructive Pulmonary Disease) and its symptoms in patients who do not respond to other medicines.
Asthma is a condition which causes swelling and narrowing of the airways resulting in breathing difficulty, extra mucus secretion, breathing difficulty, whistling sound (wheezing) when you breathe out and shortness of breath.
Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that obstructs the regular airflow from the lungs causing breathing difficulty. Emphysema and chronic bronchitis are the two most common conditions of COPD.
NIVEOLI INHALER is not recommended for use in patients allergic to beclomethasone or formoterol. NIVEOLI INHALER should be used with caution in patients with heart disease, high blood pressure(hypertension), kidney disease, thyroid disorder, and diabetes. Avoid concomitant use of other antimicrobials and anti-depressants along with NIVEOLI INHALER.
NIVEOLI INHALER is not recommended for use in pregnant women and breast milk. Consult your doctor before taking NIVEOLI INHALER. NIVEOLI INHALER is not recommended for use in children and adolescents (below 18 years of age). The common side effects of NIVEOLI INHALER are sore throat, abnormal voice, oral infections, lung infection (pneumonia) and headache.
Uses Of NIVEOLI INHALER
- Management and management of asthma and COPD (Chronic Obstructive Pulmonary Disease) and its symptoms
How NIVEOLI INHALER Works
NIVEOLI INHALER is an anti-asthmatic medicine that works by managing breathing difficulty. It has two medicines namely beclomethasone and formoterol. Beclomethasone a corticosteroid works by blocking the action of cells responsible for causing inflammation in the airways (such as mast cells, eosinophils, basophils, lymphocytes, macrophages, and neutrophils).
Formoterol actively produces relaxation to the smooth muscles in the airway managing constriction of smooth muscles and breathing difficulty. Thus, beclomethasone and formoterol act by reducing the inflammation and dilating the airway smooth muscle facilitating normal breathing.
How to use NIVEOLI INHALER
Take NIVEOLI INHALER as advised by your physician. It is for inhalation use only. Do not miss any dose of NIVEOLI INHALER. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition. Rinse your mouth with water after using NIVEOLI INHALER.
Side Effects Of NIVEOLI INHALER
Common
- sore throat, abnormal voice
- oral infections, lung infection (pneumonia)
- headache
Uncommon
- viral infections, fungal infections
- stomach infections, stomach pain
- nasal congestion, runny nose
- skin inflammation
- decreased white blood cell
- low levels of potassium
- high levels of blood sugar
- restlessness, tremor
- dizziness, palpitations
- ear infections
- uneven heartbeat, increased blood flow to tissues
- flushing, cough, throat irritation
- asthmatic attack, diarrhoea
- dry mouth, breathing difficulty
- burning sensation in lips
- nausea, taste disorder
- itching, rash
- excessive sweating, irritation
- muscle spasms, weakness
Rare
- chest pain, abnormal blood pressure
- worsening of asthma
Stop taking NIVEOLI INHALER and contact your doctor immediately if you experience any of the following side effects:
- weakened immune system (immunosuppression) which causes frequent infections such as ear infections, bronchitis, and skin infections symptoms include fever, pain, body pain, chills tiredness, nausea, and vomiting
- reduced adrenal function (adrenal insufficiency), symptoms include
tiredness, nausea, vomiting, lack of energy, low blood pressure, weakness - sudden breathing difficulty immediately after inhaling NIVEOLI INHALER
- serious allergic reactions such as rash, swelling of your face, mouth, and tongue, hives, breathing problems
- serious reactions in the heart such as increased blood pressure, chest pain, irregular heartbeat
- osteoporosis causing bone thinning or weakness
- growth impairment in children and adolescents
- decreased potassium levels (hypokalaemia) symptoms include less oxygen supply to tissues
- eye problems including glaucoma, increased ocular pressure in eyes, cataracts, vision changes
How To Manage Side Effects
Headache
Take some rest, in a quiet place avoid using user mobile phones and other electronic devices for a while. Drink enough amount of Water, dehydration may lead you to develop a headache. If the symptom does not improve, contact your doctor.
Sore Throat
Hot water gargling will help relieve sore throat and manage bacterial infections. Drinking tea will give you relief. Adding food substances like peppermint oil, liquorice root, marshmallow root, fenugreek, and apple cyder vinegar to your daily diet will help you manage sore throat. Avoid contact with sick people. Wash your hands frequently to avoid further infections.
Warning & Precautions
Pregnancy
ContraindicatedNIVEOLI INHALER is not recommended for use in pregnant women. Consult your doctor before taking it.
Breastfeeding
ContraindicatedNIVEOLI INHALER is not recommended for use in breastfeeding women. Consult your doctor before taking it.
Alcohol
ContraindicatedConsumption of alcohol is not recommended during management with NIVEOLI INHALER.
Kidney
Use with CautionNIVEOLI INHALER should be used with caution in patients with kidney disease. Consult your doctor before taking it.
Liver
Use with CautionNIVEOLI INHALER should be used with caution in patients with liver diseases. Consult your doctor before taking it.
Allergy
ContraindicatedDo not take NIVEOLI INHALER if you are allergic to formoterol or beclomethasone.
Lungs
Use with CautionNIVEOLI INHALER should be used with caution in patients with or history of tuberculosis, or other fungal or viral infections in the lungs. Consult your doctor before taking it.
Heart Disease
Use with CautionNIVEOLI INHALER should be used with caution in patients with heart diseases such as angina (chest pain), heart attack (myocardial infarction), heart failure, coronary heart disease), arteriosclerosis, high blood pressure, irregular heart rate, rapid pulse rate or other heart diseases. Consult your doctor before taking it.
Use In Pediatrics
ContraindicatedNIVEOLI INHALER is not recommended for use in children and adolescents (below 18 years of age). Consult your doctor before taking it.
Others
Before taking NIVEOLI INHALER inform your doctor if you:
- have hyperthyroidism (excess production of thyroid hormone)
- have low levels of potassium
- have diabetes
- have a tumour in the adrenal gland (phaeochromocytoma)
Interactions
A. Drug-Drug interactions:
Before taking NIVEOLI INHALER, inform your doctor if you are taking any of the following medicine:
- medicines used to manage viral infections Ex. ritonavir, atazanavir, indinavir, nelfinavir, saquinavir
- medicines used to manage high blood pressure also known as beta-blockers Ex. propranolol, metoprolol, atenolol
- eye drops used to manage glaucoma (eye disorder) Ex. timolol
- other medicines used to manage breathing difficulty Ex. theophylline
- medicines used to manage uneven heartbeat Ex. quinidine, disopyramide, procainamide,
- medicine used to manage mental illness Ex. phenothiazines, disulfiram
- medicines used to manage depression Ex. nefazodone, selegiline, phenelzine, amitriptyline, imipramine
- medicine used to manage bacterial and protozoal infections Ex. furazolidone, metronidazole
- medicine used to manage blood cancer Ex. procarbazine
- hormones used as medicine to induce labour Ex. oxytocin
- inhaled medicines used as anaesthesia before surgeries Ex. nitrous oxide
Overdosage:
If you or anyone else accidentally took more of NIVEOLI INHALER, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose include headache, tremors, rapid heartbeat, nausea, vomiting, drowsiness, palpitations, excess acid in the body, low potassium levels, high blood glucose and risk of adrenal suppression.
Synopsis
| Drug | : | Beclomethasone, Formoterol |
| Pharmacological Category | : | Anti-asthmatic drugs |
| Therapeutic Indication | : | Asthma |
| Dosage Forms | : | Inhaler, transhaler |
More Information
- Keep NIVEOLI INHALER out of reach from children
- Store at room temperature
FAQs About NIVEOLI INHALER
Q: How and when should I take NIVEOLI INHALER?
A: Take NIVEOLI INHALER as advised by your physician. It is for inhalation use only. Do not miss any dose of NIVEOLI INHALER. Your doctor will decide the correct dose and duration for you depending on your age, body weight and disease condition.
Q: Can I take more of NIVEOLI INHALER to manage my breathing difficulty immediately?
A: No, do not take additional doses of NIVEOLI INHALER than recommended doses it may cause serious side effects. If you or anyone else accidentally took more of NIVEOLI INHALER, consult your doctor immediately or visit the nearby hospital.
Q: Can I use NIVEOLI INHALER along with my other heart medicines?
A: NIVEOLI INHALER should be used with caution in patients with heart diseases such as coronary insufficiency, cardiac arrhythmias, and high blood pressure (hypertension). Do not use NIVEOLI INHALER without consulting your doctor. NIVEOLI INHALER should not be used along with heart medicines such as atenolol and propranolol.
Q: Is it safe to use NIVEOLI INHALER on my eyes?
A: No, NIVEOLI INHALER is not safe on the eyes. When brought in contact with the eyes it produces complications such as dilation of the pupil, increased ocular pressure, glaucoma, and other eye disorders. NIVEOLI INHALER is intended for inhalation purposes only and should be used with caution in patients with narrow-angle glaucoma.
Patients should be informed about the symptoms of acute narrow-angle glaucoma such as eye pain, discomfort, blurred vision, coloured images with red eyes and corneal oedema. You should consult a physician immediately if any of these signs or symptoms develop.
Q: How long will NIVEOLI INHALER take to manage my breathing difficulty?
A: NIVEOLI INHALER produces bronchodilation within 5 minutes of inhalation which lasts for up to a maximum period of 4 hours. NIVEOLI INHALER works fast in managing breathing difficulty.
Q: What is NIVEOLI INHALER used for?
A: NIVEOLI INHALER is a fixed-dose combination of beclomethasone and formoterol which belongs to the group of medicines called anti-asthmatic drugs. It is used in the management of It is used management of asthma and COPD (Chronic Obstructive Pulmonary disease) and its symptoms in patients who do not respond to other medicines.
Q: How does NIVEOLI INHALER work?
A: NIVEOLI INHALER is an anti-asthmatic medicine that works by managing breathing difficulty. It has two medicines namely beclomethasone and formoterol. Beclomethasone a corticosteroid works by blocking the action of cells responsible for causing inflammation in the airways (such as mast cells, eosinophils, basophils, lymphocytes, macrophages, and neutrophils).
Formoterol actively produces relaxation to the smooth muscles in the airway managing constriction of smooth muscles and breathing difficulty. Thus, beclomethasone and formoterol act by reducing inflammation and dilating the airway smooth muscle facilitating normal breathing.
Q: Will NIVEOLI INHALER cause dependence?
A: No, NIVEOLI INHALER will not cause dependence. The condition of asthma or COPD itself requires long-term management. Patients suffering from asthma will develop breathing difficulty more easily than normal adults so it’s always advised to use NIVEOLI INHALER irrespective of breathing issues.
Q: What are the side effects of NIVEOLI INHALER?
A: The common side effects of NIVEOLI INHALER are sore throat, abnormal voice, oral infections, lung infection (pneumonia) and headache. Take some rest, in a quiet place avoid using user mobile phones and other electronic devices for a while. Drink enough amount of Water, dehydration may lead you to develop a headache.
Hot water gargling will help relieve sore throat and manage bacterial infections. Drinking tea will give you relief. Adding food substances like peppermint oil, liquorice root, marshmallow root, fenugreek, and apple cyder vinegar to your daily diet will help you manage sore throat. Avoid contact with sick people. Wash your hands frequently to avoid further infections. If the symptom does not improve, contact your doctor.
Q: How should I store NIVEOLI INHALER?
A: Keep NIVEOLI INHALER out of reach of children. Store at room temperature. Do not use NIVEOLI INHALER without consulting your doctor.
References
1. KD Tripathi Drugs for Cough and Bronchial Asthma, Essentials of Pharmacology seventh edition Page no: 224, 231.
2. Gabriele Nicolini, Nicola Scichilone Beclomethasone/formoterol fixed combination for the management of asthma: patient considerations. October 2008. NCBI, PMC US National Library of Medicine, National Institute of Health. [Accessed on 2nd July 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2621423/
3. Cipla med Formoterol fumarate + Beclomethasone dipropionate (6/100mcg). [Revised in September 2021] [Accessed on 2nd July 2022] https://ciplamed.com/print-product-pdf/38892
4. Chiesi Farmaceutici S.p.A Health Products Regulatory Authority. [Revised in April 2020] [Accessed on 2nd July 2022] https://www.hpra.ie/img/uploaded/swedocuments/Licence_PA0584-008-005_27042020124313.pdf
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