GLYCOPYRROLATE(25MCG) + FORMOTEROL(12MCG) + BUDESONIDE(400MCG)

This combination is prescribed for the maintenance treatment of chronic obstructive pulmonary disease (COPD) and severe asthma in adults. It helps prevent symptoms such as wheezing, shortness of breath, chest tightness, and chronic cough. It is used for long-term control and is not meant for immediate relief of sudden breathing problems.

This medicine works through three mechanisms: Glycopyrrolate is an anticholinergic that relaxes and opens the airways by blocking certain nerve signals. Formoterol is a long-acting bronchodilator that relaxes airway muscles for easier breathing. Budesonide is a corticosteroid that reduces inflammation and swelling in the airways. Together, they provide sustained relief and prevent breathing difficulties.

Common side effects include dry mouth, throat irritation, headache, hoarse voice, cough, and oral fungal infections (thrush). Some patients may experience muscle cramps, increased heart rate, tremors, or nausea. These effects are usually mild and temporary. Rinse your mouth with water after each use to prevent throat irritation and oral infections. Contact your doctor if side effects persist or worsen.

This medicine is for inhalation use only through an inhaler device. Follow your doctor's instructions carefully regarding dosage and frequency, typically once or twice daily. Shake the inhaler well before use if instructed. Breathe out completely, place the mouthpiece in your mouth, press the inhaler while breathing in deeply, and hold your breath for about 10 seconds. Always rinse your mouth with water after use and spit it out.

Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding. Avoid using this medicine if you have a known allergy to any of its components. Tell your doctor about heart problems, high blood pressure, diabetes, thyroid disorders, or bone problems. This medicine may cause dizziness or blurred vision; avoid driving if affected. Not for use in children unless specifically prescribed. Regular monitoring of lung function and bone density may be needed during long-term use. Not a rescue medication for sudden breathing problems.