• Combination anti-inflammatory & bronchodilator
  Budesonide reduces airway inflammation; formoterol provides fast (within 2–3 min) and sustained (≈12 h) bronchodilation for improved lung function and symptom control.

• Single maintenance & reliever option
  Suitable for both regular maintenance and as-needed rescue dosing for eligible asthma patients (≥12 years). Up to 6 capsules may be used per exacerbation under medical oversight.

• Dry powder inhalation (DPI)
  Easy-to-use capsule format avoids coordination required with metered-dose inhalers—ensures accurate dosing and consistent delivery.

• Cost-effective accessibility
  Priced approximately ৳ 1.10 per capsule (~৳ 11 per 10‑capsule strip), making it one of the most affordable ICS/LABA therapies in Bangladesh.

ℹ️ Usage Guidelines & Safety Notes

Indications & Regimen

• Asthma (≥ 12 years): 1 capsule twice daily, may increase to 2 capsules twice daily if needed.

• COPD (maintenance): Generally 2 capsules twice daily (total 400 mcg budesonide + 12 mcg formoterol).

Contraindications & Cautions

• Not for acute asthma attacks or status asthmaticus.

• Avoid in patients allergic to budesonide, formoterol, lactose, or similar.

• Use caution in cardiac disease, hypertension, diabetes, hypokalemia, thyroid disease, glaucoma, and osteoporosis.

Common Side Effects

• Formoterol-related: Tremor, palpitations, headache.

• Budesonide-related: Throat irritation, hoarseness, risk of oral candidiasis (rinse mouth after use). Rare: reduced growth rate with long-term use in children.

Drug Interactions

• Strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) can potentiate corticosteroid effects.

• Caution with beta-blockers, diuretics, antidepressants; monitor potassium in at-risk patients.

• Use only if benefits outweigh risks. Budesonide has low systemic absorption; limited data in pregnancy

🧾 Quick Reference