Combihale FB 400 Inhaler 120 mdi belongs to the respiratory combination medication primarily used to treat asthma symptoms and chronic obstructive pulmonary diseases (COPD). Asthma is a chronic (long-term) respiratory condition in which airways narrow, swell, and produce extra mucus, leading to difficulty breathing. COPD is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the lining of bronchial tubes).

Combihale FB 400 Inhaler 120 mdi is a combination of two drugs: Budesonide (corticosteroid) and Formoterol (LABA - long-acting beta-agonists or bronchodilator). Budesonide belongs to the corticosteroids class that works by reducing the irritation and swelling by acting inside the nasal passage and airways lining cells and stops the release of certain chemicals responsible for causing inflammatory reactions and allergies. Thereby, it provides relief from sneezing, runny or blocked nose and sinus discomfort. On the other hand, Formoterol belongs to LABA - long-acting beta-agonists or bronchodilators that relaxes and widens respiratory airways muscles, making it easier for asthma and COPD patient to breathe. 

Use Combihale FB 400 Inhaler 120 mdi as prescribed. Your doctor will recommend how often you use Combihale FB 400 Inhaler 120 mdi based on your medical condition. Some people may experience fungal infection in the mouth, headache, sore throat, hoarse voice, upper respiratory tract infection, flu, cough, back pain, increased heart rate, and trembling. Most of these side effects of Combihale FB 400 Inhaler 120 mdi do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to lactose (a form of sugar) or have lactose intolerance, Combihale FB 400 Inhaler 120 mdi or any other ingredients, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Combihale FB 400 Inhaler 120 mdi. Combihale FB 400 Inhaler 120 mdi is not recommended for children below 6 years of age. If your breathing worsens or you often wake up at night with asthma, experience chest tightness in the morning or last longer than usual, please consult a doctor immediately. These might be signs indicating that your asthma is not controlled properly and requires an alternate or additional treatment. Regular monitoring of potassium levels is recommended while taking Combihale FB 400 Inhaler 120 mdi as it may cause low potassium levels in the blood. If you have high blood pressure, diabetes, hypokalaemia (low potassium levels in the blood), glaucoma, cataracts, osteoporosis (weak bones), fits, immune system problems, chickenpox, measles, thyroid, lung, heart, liver or adrenal gland problems, inform your doctor before taking Combihale FB 400 Inhaler 120 mdi. Prolonged use of LABA (long-acting beta-agonists) or vasodilators drugs may cause symptoms like chest pain (angina), increased blood pressure (hypertension), a fast and irregular heart rate (palpitation), headache, tremor, and nervousness.

Combihale FB 400 Inhaler 120 mdi is a combination of two drugs, namely: Budesonide and Formoterol that is used to treat symptoms of asthma and chronic obstructive pulmonary diseases (COPD). Budesonide belongs to the class of corticosteroids that works by reducing the irritation and swelling by acting inside cells of the nasal lining and stops the release of certain chemicals in the body that cause inflammatory reactions. Thereby, provides relief from sneezing, runny or blocked nose and sinus discomfort. Formoterol belongs to the class of bronchodilators that works by relaxing muscles and widening the airways of the lungs. Thus, it makes breathing easier.

• Fungal infection in the mouth
• Headache
• Sore throat, hoarse voice
• Upper respiratory tract infection
• Flu, cough
• Back pain
• Increased heart rate
• Shaking or trembling

If you are allergic to lactose, Combihale FB 400 Inhaler 120 mdi or any other ingredients, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Combihale FB 400 Inhaler 120 mdi. Combihale FB 400 Inhaler 120 mdi is not recommended for children below 6 years of age. If your breathing worsens or you often wake up at night with asthma, experience chest tightness in the morning or lasts longer than usual, please consult a doctor immediately as these might be signs indicating that your asthma is not controlled properly and requires an alternate or additional treatment. Regular monitoring of potassium levels is recommended while taking Combihale FB 400 Inhaler 120 mdi as it may cause low potassium levels in the blood. Avoid contact with people who have infections or who are sick as Combihale FB 400 Inhaler 120 mdi may weaken the immune system causing infections easily. If you have high blood pressure, diabetes, hypokalaemia (low potassium levels in the blood), glaucoma, cataracts, osteoporosis (weak bones), fits, immune system problems, chickenpox, measles, thyroid, lung, heart, liver or adrenal gland problems, inform your doctor before taking Combihale FB 400 Inhaler 120 mdi.

Drug-Drug Interaction: Combihale FB 400 Inhaler 120 mdi may interact with bronchodilators (albuterol), steroids (prednisone), water pills (furosemide), pain killers (aspirin), antibiotic (azithromycin), antidepressant (duloxetine), heart-related medicines (metoprolol), antifungals (itraconazole, voriconazole, posaconazole, ketoconazole), HIV/AIDS drugs (ritonavir).

Drug-Food Interaction: Combihale FB 400 Inhaler 120 mdi may interact with grapefruit and grapefruit juice. Therefore, avoid intake of grapefruit or its juice with Combihale FB 400 Inhaler 120 mdi as it may lead to severe adverse effects.

Drug-Disease Interaction: If you have high blood pressure, diabetes, hypokalaemia (low potassium levels in the blood), glaucoma, cataracts, osteoporosis (weak bones), fits, immune system problems, chickenpox, measles, thyroid, lung, heart, liver or adrenal gland problems, inform your doctor before taking Combihale FB 400 Inhaler 120 mdi.

• ALBUTEROL
• PREDNISONE
• FUROSEMIDE
• ASPIRIN
• AZITHROMYCIN
• DULOXETINE
• METOPROLOL
• ITRACONAZOLE
• KETOCONAZOLE
• VORICONAZOLE
• POSACONAZOLE
• RITONAVIR

• Eat a healthy diet and exercise regularly to strengthen your breathing muscles and boost your immune system.
• Avoid foods such as cabbage, beans, garlic, onions, shrimp, pickled food, dried fruits, fried foods, carbonated drinks, wine, bottled lemon and lime juice as it may worsen asthma symptoms.
• Do meditation, deep breathing, regular exercise and try progressive muscle relaxation techniques to get relief from stress and reduce the risk of an asthma attack.
• Quit smoking as it may reduce the effectiveness of the Combihale FB 400 Inhaler 120 mdi and irritate the lungs worsening breathing problem.
• Learning breathing exercises will help you move more air in and out of your lungs.

• You are advised to rinse your mouth with water after each dose of Combihale FB 400 Inhaler 120 mdi because it not only removes the taste of medicine inhaled but also helps to avoid fungal infections (oral thrush) in the mouth and throat. After rinsing your mouth thoroughly, you may drink water, milk or any liquids.
• Avoid using more than 12 inhalations in a day and more than 6 inhalations at once.

Asthma: It is a chronic (long-term) respiratory condition in which airways narrow, swell, and produce extra mucus leading to difficulty in breathing. The symptoms of asthma include wheezing (whistling sound while breathing), shortness of breath, chest tightness and cough especially at night. The symptoms of mild persistent asthma may occur more than 2 times in a week and up to 4 nights in a month whereas, in case of severe persistent asthma, the symptoms occur several times every day and most nights. The treatment for asthma includes medication, breathing exercises and self-care.

Chronic obstructive pulmonary disease (COPD): It is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the lining of bronchial tubes). The major cause of COPD is smoking tobacco. Also, long-term exposure to fumes and chemicals may lead to COPD. The symptoms include chronic cough, shortness of breath or wheezing (whistle sound while breathing).