Nebzmart Fb 1mg 2ml Packet Of 7 Smartules

Nebzmart Fb Smartule is a combination medication containing formoterol and budesonide. It is prescribed for the management of symptoms associated with asthma and Chronic Obstructive Pulmonary Disease (COPD), such as wheezing, shortness of breath, and chest tightness. This medication should be used strictly as directed by a healthcare professional and should not be discontinued without medical advice, as abrupt cessation can lead to a worsening of the underlying condition.

Potential side effects include headache, nausea, vomiting, cough, throat irritation, and palpitations. Patients should seek medical consultation if they observe white patches in the mouth, experience any new discomfort, or develop new symptoms while using this medication. Prior to initiating treatment with Nebzmart Fb Smartule, it is important to inform the prescribing doctor about any existing pregnancies, plans for pregnancy, breastfeeding status, all current medications and supplements, and any pre-existing medical conditions or diseases.

Dosage

Overdose

The symptoms of overdose are headache, nausea, vomiting, palpitations, increased heartbeats, increased blood glucose, low potassium levels, and change in the heart's rhythm. Consult your doctor if you experience any symptoms or think may have taken too much of this medicine.

Missed a Dose

If you miss any dose of this medicine, take it as soon as you remember. However, if it is time for your next dose, skip the missed dose and continue with your regular dose schedule. Do not take a double dose of this medicine to compensate for the missed one.

Mode of Action

How Does It Work?

• Nebzmart Fb Smartule works by the combined action of Formoterol and Budesonide.
• Budesonide is a corticosteroid medicine, which on inhalation reduces inflammation in the airways in a dose-dependent manner, thus reduces the chances of worsening asthma.
• Formoterol acts on the muscles in the airway tract. In the presence of inflammation (like in asthma), these muscles lead to constriction of the airway and causing breathlessness.
• Formoterol relaxes these muscles, facilitating the opening of the airway and thus relieving breathlessness.

Directions for Use

• Use this medicine as recommended by your doctor.
• Consult your doctor or pharmacist if you are unsure about its use.
• Read the instructions provided on the label or leaflet before administration.

Precautions and Warnings

Pregnancy

Limited information exists regarding the effects of this medicine on human pregnancy. It is prescribed only when deemed essential by a doctor, with benefits outweighing potential risks.

Breast Feeding

This medicine passes into breast milk. Consult your doctor before using it while breastfeeding.

Driving

This medicine may induce dizziness. Avoid driving if you feel unwell or are unable to maintain alertness.

Alcohol

It is recommended to avoid alcohol consumption during treatment with this medicine, as it may exacerbate your condition.

Other General Warnings

Consult your doctor if:

• You have severe liver problems.
• You have diabetes or a lung infection.
• You have cardiac conditions such as high blood pressure or heart failure.
• Your asthma condition suddenly worsens.
• You have an overactive thyroid gland.
• You have a low blood potassium level.
• You perceive the treatment to be ineffective.
• You are taking medicines that suppress immunity; this increases the risk of developing infections. Necessary vaccinations and preventive measures should be taken.
• Orally inhaled steroidal medicines may cause growth retardation in children. Regular growth monitoring is advised.
• Continue taking this medicine as prescribed, even if symptoms resolve. Your doctor will adjust the dose as required.
• Abruptly stopping the medicine can be dangerous and must be strictly avoided.

Contraindications

• If you are known to be allergic to any components or excipients of Nebzmart Fb Smartule.
• If you are suffering from acute breathlessness as seen in a severe attack of asthma or COPD or cases of a collapsed airway.

Side effects

• Headache, dizziness
• Nausea, vomiting
• Stomach discomfort
• Body pain
• Coughing, sore throat
• Hoarseness of voice
• Respiratory tract infections
• Fungal infection in the mouth
• Palpitations

Interactions

Interactions with other medicines

• Concomitant use of Nebzmart Fb Smartule along with medicines such as Ketoconazole (anti-fungal medicine), Ritonavir (used in HIV infection) and Clarithromycin (antibiotic) should be avoided as it may alter the effects of this medicine.
• Effects of this medicine can be weakened by some medicines used to control blood pressure or treat heart-related illnesses like Propranolol, Atenolol and others belonging to the same class.
• Concomitant treatment with Quinidine, Disopyramide, Procainamide, Phenothiazines, Antihistamines (like Terfenadine), medicines used in psychiatric illness like Isocarboxazid, Doxepin can lead to increased chances of developing disorders related to the heart rhythm.
• You may be at an increased risk of experiencing cardiac side effects when taking L-Dopa (used in Parkinson’s diseases), L-thyroxine (thyroid hormone) along with this medicine.
• Medicines like Procarbazine (anti-cancer) can lead to a rise in blood pressure if used simultaneously with this medicine. It is important to inform your anaesthetist about your asthma medications to avoiding interactions of this medicine with some anaesthetic agents (like Diazepam, Amobarbital).
• Low potassium levels caused due to this medicine may lead to increased chances of heart disorders if you are taking Digitalis (used for heart failure). Also, water-pills except the potassium-sparing ones lead to lowering of potassium in body and caution is advised if you are taking these along with this medicine.

Storage and disposal

Store below 30°C in a cool and dry place, protected from direct sunlight, moisture, and heat. Keep it away from children and pets. Do not use expired or damaged medicines. Discard any unused medicine properly, do not flush in the toilet or throw it into the drain.

Frequently Asked Questions (FAQs)

What is the composition of Nebzmart Fb Smartule?

This medicine contains two medicines - Formoterol and Budesonide of which, Budesonide is a steroid.

Is it safe during pregnancy?

There is limited information about the safety of Nebzmart Fb Smartule during pregnancy. However, your doctor may give you this medicine only if it is needed and the advantage over-weighs the risk. You should always consult a doctor before taking any medication during pregnancy.

How long can I use Nebzmart Fb Smartule?

You should use a Nebzmart Fb Smartule for as long as your doctor recommends. The doctor will decide how often you need to use your inhaler on the basis of an underlying condition. It is usually prescribed for a long duration. It will show its full effect in a few weeks after using this inhaler.