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BUDESONIDE; GLYCOPYRROLATE; FORMOTEROL (byoo DES oh nide; glye koe PYE roe late; for MOH te rol) treats asthma and chronic obstructive pulmonary disease (COPD). It works by opening the airways of the lungs, making it easier to breathe. It is a combination of an inhaled steroid, an anticholinergic, and a bronchodilator. It is often called a controller inhaler. Do not use it to treat a sudden asthma attack or COPD flare-up.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
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This medication is inhaled through the mouth. Take it as directed on the prescription label at the same time every day. Rinse your mouth with water after use. Make sure not to swallow the water. Do not use this medication more often than directed.
This medication comes with INSTRUCTIONS FOR USE. Ask your pharmacist for directions on how to use this medication. Read the information carefully. Talk to your pharmacist or care team if you have questions.
Talk to your care team about the use of this medication in children. While it may be prescribed for children as young as 12 years for selected conditions, precautions do apply.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
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Do not take this medication with any of the following:
-Cisapride
-Desmopressin
-Live virus vaccines
-Metyrapone
This medication may also interact with the following:
-Atropine
-Beta-blockers, such as atenolol or metoprolol
-Diuretics
-Grapefruit and foods or drinks that contain grapefruit
-Other anticholinergic medications, such as aclidinium, ipratropium, tiotropium, umeclidinium
-Other long-acting beta agonists (LABAs), such as salmeterol, formoterol, vilanterol, olodaterol, indacaterol
-Some antibiotics, such as clarithromycin
-Some antivirals for HIV or hepatitis
-Some medications for allergy, cough, and cold
-Some medications for depression, anxiety, or other mental health conditions
-Some medications for fungal infections, such as ketoconazole or itraconazole
-Steroid medications, such as prednisone or cortisone
-Stimulant medications for attention disorders, weight loss, or staying awake
-Theophylline
Other medications may affect the way this medication works. Talk with your care team about all the medications you take. They may suggest changes to your treatment plan to lower the risk of side effects and to make sure your medications work as intended.
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
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Visit your care team for regular checks on your progress. Tell your care team if your symptoms do not start to get better or if they get worse.
Do not use this medication to treat a sudden asthma attack or COPD flare-up. Keep your rescue or quick-relief inhaler with you at all times for sudden breathing problems. If you do not have a rescue inhaler, talk to your care team.
This medication can sometimes make breathing worse after you use it. If that happens, use your rescue inhaler right away. Stop using this medication and call your care team right away.
If you have asthma, you and your care team should create an Asthma Action Plan that is just for you. Keep the plan with you and review it with your care team so you know exactly what to do. Green means stay on your regular treatment. Yellow means asthma is getting worse, so follow the extra steps in your plan and use your rescue or medication as directed. Red means get help right away.
If you are going to need surgery or a procedure, tell your care team that you are taking this medication.
This medication may increase your risk of getting an infection. Call your care team for advice if you get a fever, chills, sore throat, or other symptoms of a cold or flu. Do not treat yourself. Try to avoid being around people who are sick.
This medication may increase blood sugar. The risk may be higher in patients who already have diabetes. If you have diabetes, it is important to check your blood sugar often while you are taking this medication.
Using this medication for a long time may weaken your bones. The risk of bone fractures may be increased. Talk to your care team about your bone health.
This medication may slow your child's growth if it is taken for a long time. Your child's care team will monitor their growth.
If you get this medication in your eyes, rinse them well with water. If irritation or redness gets worse, call your care team.
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If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.
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Side effects that you should report to your care team as soon as possible:
-Allergic reactions or angioedema—skin rash, itching or hives, swelling of the face, eyes, lips, tongue, arms, or legs, trouble swallowing or breathing
-Heart rhythm changes—fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing
-Increase in blood pressure
-Low adrenal gland function—nausea, vomiting, loss of appetite, unusual weakness or fatigue, dizziness
-Muscle pain or cramps
-Sudden eye pain or change in vision such as blurry vision, seeing halos around lights, vision loss
-Thrush—white patches in the mouth
-Trouble passing urine
-Wheezing or trouble breathing that is worse after use
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
-Change in taste
-Constipation
-Cough
-Dry mouth
-Headache
-Hoarseness
-Runny or stuffy nose
-Sore throat
-Tremors or shaking
-Trouble sleeping
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
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Keep out of the reach of children and pets.
Store in a dry place at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from heat. Do not freeze. Do not use or store near heat or flame, as the canister may burst. Throw away the inhaler 3 months after you open the foil pouch (for the 120-inhalation canister), or 3 weeks after you open the foil pouch (for the 28-inhalation canister), or when the dose indicator reaches zero "0", whichever comes first.
To get rid of medication that are no longer needed or have expired:
-Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medication, ask your pharmacist or care team how to get rid of this medication safely.
NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.
DISCLAIMER: This drug information content is provided for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Patients should always consult their physician with any questions regarding a medical condition and to obtain medical advice and treatment. Drug information is sourced from GSDD (Gold Standard Drug Database ) provided by Elsevier.
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