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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Sureshvarma D , MPharma
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Manufacturer/Marketer :

Cipla Ltd

Consume Type :

INHALATION

Return Policy :

Not Returnable

Expires on or after :

About Nistami Ecopack Capsule

Nistami Ecopack Capsule belongs to the group of medicines called bronchodilators indicated for long-term, maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD). COPD is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the bronchial tube lining). In COPD, the muscles around the airways tighten, making it difficult to breathe.
 
Nistami Ecopack Capsule is a combination of two medicines, namely: Indacaterol and Glycopyrrolate. Indacaterol relaxes and widens the openings in the airways, making it easier for the air to get in and out of the lungs. Glycopyrrolate decreases the secretions in the airways. Together, Nistami Ecopack Capsule provides relief from COPD.
 
In some cases, you may experience certain common side-effects such as upper respiratory tract infection, inflammation of the sinuses, runny/stuffy nose, headache, dizziness, and stomach upset. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Do not stop using Nistami Ecopack Capsule on your own as it might cause worsening of symptoms. Consult your doctor if you are pregnant or breastfeeding. Nistami Ecopack Capsule may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Nistami Ecopack Capsule is not recommended for children below 18 years as safety and effectiveness have not been established.

Uses of Nistami Ecopack Capsule

Chronic Obstructive Pulmonary Disease (COPD).

Directions for Use

Capsule: It is meant for inhalation only; do not swallow the capsule. Place it at the base of the rotahaler/inhaler and twist the mouthpiece until you hear a click sound. Breathe in deeply through the mouthpiece and hold up your breath for 10 seconds.Inhaler: Hold the inhaler with the mouthpiece downwards. Place your lips on the mouthpiece and press down on the inhaler once to release the medication. Breathe in slowly and repeat the process until you have inhaled the number of puffs prescribed by the doctor.

Medicinal Benefits

Nistami Ecopack Capsule is a combination of two medicines, namely: Indacaterol and Glycopyrrolate. Nistami Ecopack Capsule belongs to the group of medicines called bronchodilators used to treat Chronic Obstructive Pulmonary Disease (COPD). Indacaterol is a long-acting beta-agonist that relaxes and widens the openings in the airways, making it easier for the air to get in and out of the lungs. Glycopyrrolate is an anticholinergic that decreases the secretions in the airways. Together, Nistami Ecopack Capsule provides relief from COPD.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Do not take Nistami Ecopack Capsule if you are allergic to any of its contents. Inform your doctor if you have asthma, heart problems, seizures/epilepsy, thyroid gland problems, diabetes, narrow-angle glaucoma, kidney problems, severe liver problems, if you have any difficulty in passing urine or if you are taking any medicines for lung diseases. Consult your doctor if you are pregnant or breastfeeding. Nistami Ecopack Capsule may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Nistami Ecopack Capsule is not recommended for children below 18 years as safety and effectiveness have not been established. 

Drug-Drug Interactions

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Severe

Drug-Drug Interactions

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How does the drug interact with Nistami Ecopack Capsule:
Co-administration of Digoxin and Nistami Ecopack Capsule may increase the serum concentration of Digoxin and increase the risk or severity of adverse effects.

How to manage the interaction:
Although there is a possible interaction between Digoxin and Nistami Ecopack Capsule, you can take these medicines together if prescribed by a doctor. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, confusion, loss of appetite, nausea, vomiting, diarrhea, change in vision such as blurry or yellow vision, fatigue, and fast or irregular heartbeat, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
Severe
How does the drug interact with Nistami Ecopack Capsule:
Taking Pramlintide with Nistami Ecopack Capsule can cause slow stomach emptying or slow the intestinal absorption of nutrients.

How to manage the interaction:
Although using Pramlintide and Nistami Ecopack Capsule together can lead to an interaction, it can be taken if advised by your doctor.
How does the drug interact with Nistami Ecopack Capsule:
The use of Potassium chloride and Nistami Ecopack Capsule can increase the irritant effects of potassium on your stomach and upper intestine.

How to manage the interaction:
Using Potassium chloride and Nistami Ecopack Capsule together can lead to an interaction, however, it can be taken if advised by a doctor. However, if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, or dark, tarry stools, consult the doctor immediately. Do not discontinue any medications without a doctor's advice.
How does the drug interact with Nistami Ecopack Capsule:
Coadministration of levodopa with Nistami Ecopack Capsule can significantly decrease the blood levels of levodopa.

How to manage the interaction:
Although using Nistami Ecopack Capsule and levodopa together can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any unusual symptoms contact the doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Nistami Ecopack Capsule:
The combined use of secretin and Nistami Ecopack Capsule can inhibit gastric acid secretion.

How to manage the interaction:
Although using secretin and Nistami Ecopack Capsule together can lead to an interaction, it can be taken if advised by your doctor.
IndacaterolPropranolol
Severe
How does the drug interact with Nistami Ecopack Capsule:
Using propranolol together with Nistami Ecopack Capsule may reduce the benefits of both medications, since they have opposing effects in the body. In addition, propranolol can cause breathing problems.

How to manage the interaction:
Although taking Propranolol together with Nistami Ecopack Capsule can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
IndacaterolLabetalol
Severe
How does the drug interact with Nistami Ecopack Capsule:
Combining Labetalol and Nistami Ecopack Capsule could decrease the medical benefits of both medications.

How to manage the interaction:
Although taking Labetalol and Nistami Ecopack Capsule together can result in an interaction, it can be taken if a doctor has prescribed it. Do not forget to inform a doctor, if you have severe chronic obstructive pulmonary disease (COPD) or a history of asthma, as Labetalol is often not advised in these patients. Do not discontinue any medications without a doctor's advice.
IndacaterolCarvedilol
Severe
How does the drug interact with Nistami Ecopack Capsule:
Taking Carvedilol and Nistami Ecopack Capsule may reduce the treatment outcomes.

How to manage the interaction:
There may be a possibility of interaction between Nistami Ecopack Capsule and Carvedilol, but it can be taken if prescribed by a doctor. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • 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 symptoms.
  • Do meditation, deep breathing, regular exercise and try progressive muscle relaxation techniques to get relief from stress and reduce the risk of an attack.
  • Quit smoking as it may irritate the lungs and worsen breathing problems.
  • Learn breathing exercises like pursed-lip breathing. It helps provide relief from COPD.

Habit Forming

No

Therapeutic Class

BRONCHODILATOR

Nistami Ecopack Capsule Substitute

Substitutes safety advice
  • Loftair 110/50mcg Capsule 10's

    by AYUR

    28.50per tablet

Author Details

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Nistami Ecopack Capsule contains Indacaterol and Glycopyrrolate. Indacaterol relaxes and widens the openings in the airways, making it easier for the air to get in and out of the lungs. Glycopyrrolate decreases the secretions in the airways. Together, Nistami Ecopack Capsule provides relief from COPD.

Nistami Ecopack Capsule is indicated for the maintenance treatment for COPD. It does not treat a sudden attack of wheezing or breathlessness. Use a rescue inhaler to treat sudden breathing problems.

Dry mouth could be a side-effect of Nistami Ecopack Capsule . Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly and chewing sugar-free gum/candy might help in stimulating saliva and thereby prevents drying of the mouth.

Do not stop taking Nistami Ecopack Capsule on your own as it might cause worsening of symptoms. To treat your condition effectually, continue taking Nistami Ecopack Capsule for as long as your doctor has prescribed it. Talk to your doctor if your breathing problems, wheezing, or cough do not improve or worsen.

No, Nistami Ecopack Capsule is not indicated for the treatment of asthma as the safety and effectiveness of Nistami Ecopack Capsule in patients with asthma have not been established. Consult your doctor if you have asthma.

Drug-Drug Interactions Checker List

  • TIMOLOL
  • PROPRANOLOL
  • PREDNISOLONE
  • HYDROCHLOROTHIAZIDE
  • THEOPHYLLINE

Disease/Condition Glossary

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).

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