Symbicort Turbohaler

Buy Symbicort online - combination inhaler to relieve and prevent asthma symptoms

  • Preventer inhaler used to treat asthma and COPD
  • Combines budesonide, which reduces lung inflammation and formoterol, which relaxes and widen blood vessels
  • Available from £56.25 + prescription fees and delivery costs

Our prices

Strength Quantity Price Stock
100/61 inhaler£56.25In Stock
200/61 inhaler£59.25In Stock
400/121 inhaler£59.25In Stock
Prices exclude a prescription fee. This treatment requires a quick online consultation,
which a doctor will review to determine if a prescription is appropriate.

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Information

Dr Samantha Miller

Reviewed by Dr Samantha Miller MB ChB
(2017, University of Glasgow)
GMC number: 7561464

Information last reviewed 25/08/2021

About

What is Symbicort?

Symbicort is a type of preventer inhaler used to treat asthma in adults and children over the age of six.

How does Symbicort work?

Symbicort contains two medications, Budesonide and Formoterol. Budesonide works by reducing lung inflammation while formoterol works by relaxing and widening the airways.

Why do I need to use Symbicort regularly?

Symbicort needs to be used regularly to keep your symptoms at bay and prevent an asthma attack from occurring. The medicine works to control your asthma and ease inflammation which is why it's essential to keep taking it, even if you no longer have symptoms. This means that it is working. 

Symbicort Turbohaler summary

Dose

1 or 2 inhalations, twice a day with a separate reliever inhaler, or 2 inhalations, morning and evening/2 inhalations in the morning/2 inhalations in the evening if using on its own

Type of Medicine Combination inhaler with corticosteroid and long-acting bronchodilator (LABA)
Mechanism

Budesonide acts as a bronchodilator, relaxing the bronchioles and reducing swelling by triggering corticosteroid receptors.

Formoterol activates beta-2 receptors, preventing the airways from tightening and allowing air to pass more freely.

Available Size

1 inhaler

Available Strengths

100/6, 200/6, 400/12 (budesonide/formoterol fumarate dihydrate)

Active Ingredient

Budesonide, formoterol fumarate dihydrate

Price

From £56.25 per inhaler

Side Effects

Can include thrush in the mouth and throat, palpitations, sore throat, headache, nausea, distrubed sleep, feeling dizzy

Ingredients

Active ingredients

The active ingredients contained in Symbicort are Budesonide and Formoterol fumarate dihydrate.

Inactive ingredients

The inactive ingredient is lactose.

Dosage

Symbicort dosage

The standard dose of Symbicort is 1–2 puffs twice a day. Your doctor may increase this to a maximum of 8–12 puffs per day, but you should not increase the dose yourself. Your prescribed dose will depend on the severity of your symptoms. If you find that your prescribed dose does not sufficiently control your symptoms, you should speak to your doctor, who may be able to adjust your dose or offer you a different medication.

How to take Symbicort

Before taking Symbicort, read the instructions thoroughly and always follows your doctor’s instructions about how and when to take your inhaler. 

The first time you use your inhaler, you will need to prime this. Do this by unscrewing the cap and holding the inhaler upright. Next, turn the red grip around to the other side as far as you can until it clicks and then turn it back the other way. 

When you're ready, hold the inhaler so that the base is at the bottom. Each time you use it, you'll need to load it with a dose. To do this, turn the red base as far as it will go in one direction and then again in the opposite direction. Next, breathe out slowly before placing the mouthpiece between your lips. Inhale as deeply as you can before removing the inhaler from your mouth and exhaling slowly.

What should I do if I forget to use Symbicort?

If you forget a dose of Symbicort, take the missed dose as soon as you remember. However, if it's nearly time for your next dose (i.e. within a few hours), wait until then, don't double up the dose.

What should I do if I find I’ve used Symbicort more regularly than I should have?

If you've taken more Symbicort than you were supposed to, it’s unlikely to cause you harm; however, you may be more likely to experience side effects like oral thrush. Therefore, you should inform your doctor if you think you have taken too much.

Side Effects

Symbicort side effects

Common (may affect up to 1 in 10 people):

  • Palpitations
  • Tremor
  • Thrush in the mouth
  • Mild sore throat
  • Cough
  • Hoarse voice
  • Headache

Uncommon (may affect up to 1 in 100 people):

  • Feeling restless, nervous or agitated
  • Disturbed sleep
  • Feeling dizzy
  • Nause
  • Fast heartbeat
  • Bruising 
  • Muscle cramps
  • Blurred vision

Rare (may affect up to 1 in 1,000 people):

  • Itchy rash
  • Wheeze
  • Low levels of potassium in your blood (may cause an irregular heartbeat)

Very rare (may affect up to 1 in 10,000 people):

  • Depression
  • Changes in behaviour, especially in children
  • Chest pain
  • Changes in your sugar level
  • Taste changes
  • Changes in your blood pressure
  • Changes in bone mineral density
  • Cataracts 
  • Glaucoma
  • Slow growth in children

Contraindications

Do not use Symbicort if you are allergic to any of the ingredients.

Extra care should be taken if you have:

  • Diabetes 
  • A lung infection 
  • High blood pressure
  • A history of heart problems 
  • Issues with your thyroid or adrenal glands 
  • Low potassium levels in your blood
  • Liver problems

Drug interactions

Always tell your doctor if you are taking any other medications to ensure that they won't interfere with each other. In particular, the following drugs may interact with Symbicort: 

  • Beta-blockers 
  • Medicines to regulate the heartbeat 
  • Diuretics 
  • Oral steroids
  • Xanthine medicines 
  • Other types of bronchodilators
  • Tricyclic antidepressants 
  • Phenothiazine medicines 
  • Treatments for HIV
  • Anti-bacterial treatments 
  • Treatments for Parkinson's disease 
  • Treatments for thyroid issues

Coping with Symbicort side effects

Always rinse out your mouth after each time you use your inhaler. This will help to avoid oral thrush. Brushing your teeth or using mouthwash can help get rid of an unpleasant taste. Making sure you use your inhaler correctly is the best way to avoid side effects like a sore throat, unpleasant taste or oral thrush.

Treatment Options

Seretide vs Symbicort Inhalers

Seretide and Symbicort are both combination inhalers that work to prevent asthma attacks and manage symptoms. These inhalers work by releasing corticosteroids to reduce inflammation. The bronchodilator medication in these inhalers relaxes the blood vessels and allow them to widen.

Symbicort vs other asthma inhalers

Symbicort differs from other asthma inhalers as it is a combined inhaler containing two different medicines. It may be prescribed for people with more severe asthma or if their symptoms worsen over time. The main two types of asthma inhalers are reliever or preventer inhalers. Reliever inhalers are prescribed to everyone diagnosed with asthma to relieve symptoms as they occur. If you need to use your reliever inhaler more than twice a week, then you'll be prescribed a preventer inhaler to use every day to manage your asthma. Symbicort is a stronger type of preventer inhaler.

Q&A

Will Symbicort treat an asthma attack?

Symbicort cannot be used to treat an asthma attack. Only your reliever inhaler can be used to treat an asthma attack. Symbicort is a preventer inhaler which means it only works at preventing symptoms and asthma attacks.

What does Symbicort taste like?

Symbicort may leave an unpleasant taste in your mouth. This is usually caused by inhaling the medicine incorrectly so that it hits the back of the throat instead of going straight down into the lungs.

Can I take Symbicort if I'm lactose intolerant?

Symbicort does not usually cause problems for people who are lactose intolerant. However, you should still mention this to the prescribing doctor. Symbicort contains only a small amount of lactose, which is not usually enough to initiate a reaction.

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