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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are there any side effects of taking Formonide for asthma?

I have along history of asthma. Initially I used to take bronchodilator like asthalin. Gradually the frequency of inhaler kept increasing and in a span of 10 years I have come to a point where even asthalin is no longer effective. I consulted a doctor some 2 years back about this development and prescribed combitide inhaler, this inhaler gave me a lot of relief and after about 6 months he reduced the dose. Now recently he has prescribed Formonide 400 and has told me that he is reducing the dose. I am still skeptical whether this is reducing the dosage or increasing it, also suggest whether the inhaler can be completely stopped in a future date? I am a little concerned about the long term use of steroids. Kindly advise.
Thu, 10 Jul 2014
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Allergist and Immunologist 's  Response
Hello.

Thank you for asking at HCM.

I went through your history.

Formonide 400 contains the corticosteroid Budesonide (400 mcg) and Combitide contains the corticosteroid Fluticasone. Both are different corticosteroid molecules and hence their dosages cannot be compared exactly. However, in general, Budesonide is said have lesser side effects as compared to Fluticasone as Fluticasone is considered more potent than Budesonide.

If you are taking Formonide 400 once a day, it means you are taking Budesonide 400 mcg per day, which is not a high dose.

I want to emphasize on the fact that your technique of using inhaler is crucial to determine the quantity of drug that reaches your lungs. So please be very careful about it and make sure you are following all the necessary steps daily, i.e., shaking the inhaler, expiration, good coordination between pressing and inhalation, holding breath for sometime after inhalation and rinsing mouth afterwards. Following these steps correctly will ensure maximum drug delivery to your lungs and minimum drug entry in your stomach.

I would also suggest you to use spacer device with inhaler which will further increase drug delivery to lungs.

I would also suggest you regular breathing exercises which will help you in a long run.

Regarding your concern about future, asthma is a dynamic disease which tends to worsen and improve over years. So it is difficult to predict but I would suggest you to consult an Allergist-Immunologist who will suggest you allergy testing which will help you what to avoid for better control of your asthma.

Hope this will be helpful to you.

Wish you best of the health.

Regards.
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Are there any side effects of taking Formonide for asthma?

Hello. Thank you for asking at HCM. I went through your history. Formonide 400 contains the corticosteroid Budesonide (400 mcg) and Combitide contains the corticosteroid Fluticasone. Both are different corticosteroid molecules and hence their dosages cannot be compared exactly. However, in general, Budesonide is said have lesser side effects as compared to Fluticasone as Fluticasone is considered more potent than Budesonide. If you are taking Formonide 400 once a day, it means you are taking Budesonide 400 mcg per day, which is not a high dose. I want to emphasize on the fact that your technique of using inhaler is crucial to determine the quantity of drug that reaches your lungs. So please be very careful about it and make sure you are following all the necessary steps daily, i.e., shaking the inhaler, expiration, good coordination between pressing and inhalation, holding breath for sometime after inhalation and rinsing mouth afterwards. Following these steps correctly will ensure maximum drug delivery to your lungs and minimum drug entry in your stomach. I would also suggest you to use spacer device with inhaler which will further increase drug delivery to lungs. I would also suggest you regular breathing exercises which will help you in a long run. Regarding your concern about future, asthma is a dynamic disease which tends to worsen and improve over years. So it is difficult to predict but I would suggest you to consult an Allergist-Immunologist who will suggest you allergy testing which will help you what to avoid for better control of your asthma. Hope this will be helpful to you. Wish you best of the health. Regards.