Budesonide and Formoterol Dosing

For those who are first beginning asthma treatment with budesonide and formoterol, dosing recommendations will be made based on the severity of your asthma and whether you are taking other medications. The general recommended dosage ranges from two inhalations of the 80/4.5 strength twice a day to two inhalations of the 160/4.5 strength twice a day.

Budesonide and Formoterol Dosage: An Introduction

The dose of budesonide and formoterol (Symbicort®) that your healthcare provider recommends will vary depending on a number of factors, including:
  • The medical condition being treated
  • The severity of your breathing problems
  • Other medications (including asthma or COPD medications) you may be taking.
As is always the case, do not adjust your budesonide and formoterol dose unless your healthcare provider specifically instructs you to do so.

Budesonide and Formoterol Dosing for Asthma

The recommended budesonide and formoterol dose for asthma depends on the type and dose of other asthma medications you may have taken in the past, varying from two inhalations of budesonide and formoterol 80/4.5 twice daily to two inhalations of budesonide and formoterol 160/4.5 twice daily.

Budesonide and Formoterol Dosing for COPD

The recommended budesonide and formoterol dose for chronic obstructive pulmonary disease (COPD) treatment is two inhalations (of the 160/4.5 strength) twice daily.

General Information on Dosing With Budesonide and Formoterol

Some general considerations for when and how to use the budesonide and formoterol inhaler include the following:
  • Budesonide and formoterol comes in a metered-dose inhaler (called an "MDI").
  • The medicine is inhaled into the lungs, usually twice daily, with about 12 hours between doses.
  • You should "test spray" each budesonide and formoterol inhaler before your first use of it, or if you have not used it for more than a week. To test spray the inhaler, shake the inhaler, then spray it into the air twice by pressing on the top of the canister.
  • Shake your budesonide and formoterol asthma inhaler gently before each use.
  • Wait at least one minute in between inhalations.
  • Rinse out your mouth (without swallowing) after each dose, in order to prevent thrush.
  • It is important to learn exactly how to use your budesonide and formoterol inhaler. It may be difficult at first and may require practice.
  • The spray should be inhaled into the lungs, not sprayed onto the back of the throat and swallowed. To accomplish this, you will need to breathe in while spraying the inhaler.
  • Most people put the mouthpiece of the inhaler directly into their mouths. However, many healthcare professionals now recommend placing the inhaler an inch or two away from the mouth. Talk to your healthcare provider about the best way for you to use the inhaler.
  • Each inhaler contains 120 sprays. Try to keep track of approximately how many sprays you have used in order to know when to replace the inhaler. Do not place the inhaler in water to see if it is empty (although it was recommended to do so in the past).
  • For budesonide and formoterol to work properly, it must be taken as prescribed. The combination medication will not work if you stop taking it.
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Budesonide and Formoterol (Symbicort)

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