Trimium Transhaler (Ciclesonide 200mcg / Formoterol 6mcg / Tiotropium 9mcg)

Trimium Transhaler

Trimium Transhaler is a combination medicine used to relieve symptoms such as wheezing, shortness of breath, chest tightness, breathing difficulties, coughing, etc. associated with chronic obstructive pulmonary disease (COPD). This medicine is used in severe cases of COPD when treatment with a single medicine and second-line treatment with a combination of two medicines is not able to control the patient’s symptoms. This medicine is not recommended for use in patients less than 18 years of age.

Side effects

Major & minor side effects for Trimium Transhaler
Dry mouth
Constipation
Upper respiratory tract infection
Difficult or painful urination
Chest pain or discomfort
Nausea
Mouth ulcers
Dizziness
Difficulty with swallowing
Skin rash, hives, or itching
Fainting
Body pain
Chills
Cough or hoarseness
Headache
Runny Nose
Sore throat
Unusual tiredness or weakness

Uses of Trimium Transhaler

What is it prescribed for?
Chronic obstructive pulmonary disease
This medicine is used to prevent and treat symptoms such as difficulty breathing, wheezing, shortness of breath, etc. associated with chronic obstructive pulmonary disease.

When not to use?

Allergy
This medicine is not recommended for use in patients with a known allergy to ciclesonide, formoterol, tiotropium, ipratropium, atropine or its derivatives, or any other inactive ingredients present along with these medicines.

Warnings

Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before using this medicine. If the medicine is used, the infant should be monitored closely for any undesired side effects.
General warnings
Driving vehicles and operating machinery
This medicine may cause symptoms such as dizziness, fainting, changes in vision, etc. in some patients. It is advised that you do not perform any activities such as driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.
Glaucoma
This medicine should be used with caution in patients suffering from pre-existing glaucoma due to the increased risk of worsening of the patient’s condition. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Urinary retention
This medicine should be used with caution in patients suffering from benign prostatic hyperplasia due to the increased risk of urinary retention. Close monitoring of renal function, appropriate dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition.
Use in children
This medicine is not recommended for use in patients less than 18 years of age.
Tachycardia
This medicine should be used with caution due to the increased risk of tachycardia (increased heart rate) and atrial fibrillation. Report any unusual symptoms such as changes in heart rate, palpitations, shortness of breath, dizziness, etc. to the doctor immediately. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Angioedema
This medicine should be used with caution due to the increased risk of angioedema. Report any symptoms such as swelling, rashes, hives, etc. immediately to the doctor. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Thyrotoxicosis or hyperthyroidism
This medicine should be used with caution in patients with a known history of thyrotoxicosis or hyperthyroidism due to the increased risk of worsening of the patient’s condition. You may require a dose adjustment and more frequent clinical monitoring to safely use this medicine. Replacement with a suitable alternative may be necessary based on the clinical condition.
Hypokalemia
This medicine should be used with caution in patients with a known history of hypokalemia due to the increased risk of worsening of the patient’s condition. Close monitoring of potassium levels, appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be necessary in some cases based on the clinical condition.
Seizure disorders
This medicine should be used with caution in patients with a known history of seizures due to the increased risk of worsening of the patient’s condition. Report any unusual symptoms to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Visual disturbance
This medicine may cause blurred vision or other visual disturbances in some patients. Report any such symptoms to the doctor immediately. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition of the patient.
Tuberculosis
This medicine should be used with extreme caution in patients suffering from tuberculosis due to the increased risk of worsening of the patient’s condition. Close monitoring of clinical condition, appropriate dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition.
Infections
This medicine should be used with caution in patients who are at risk of developing infections since it suppresses the immune system and further increases the risk of infections. Any symptoms such as a sore throat, fever, chills, etc. should be reported to the doctor immediately. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition of the patient.

Dosage

Missed Dose
The missed dose should be taken as soon as possible. It is advisable to skip the missed dose if it is already time for your next scheduled dose. Do not use extra medicine to make up for the missed dose.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.

Interactions

General Instructions
Use this medicine exactly as prescribed. Do not use it in larger or smaller quantities or for longer than recommended. Consult the doctor if you experience any undesirable side effects. Do not stop the use of this medicine without consulting your doctor.