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Antiasthmatic Inhalers

Aerocort Forte Rotacaps (Beclomethasone / Salbutamol)

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Brand Name:Aerocort Rotacaps
Generic Name:

Beclomethasone/Levosalbutamol 200mcg/200mcg
Contents:

Beclomethasone/Levosalbutamol  200mcg/200mcg
Form:Rotacaps
ManufacturerCipla
PackingPack of 30 Rotacaps
 Rotacaps can only be used with Rotahaler, Rotacap dispenser (a dry powder inhaler)


Each capsule contains:

  • Beclomethasone Dipropionate IP : 200 mcg
  • Levosalbutamol Sul­phate equivalent to Levosalbutamol :  200 mcg
  • Excipients : Q.S Indications


Aerocort Forte Rotacaps is indicated in the treatment of asthma, once the need for inhaled and bronchodilator therapy has been established.

 

Dosage & Administration for Aerocort Forte Rotacaps

 

  • Aerocort Forte Rotacaps are for inhalation use, only through the Cipla Rotahaler/ Revolizer


Adults:

  • One Aerocort Forte rotacaps, three or four times daily
Contraindication:
  • Hypersensitivity to any of the components
Packaging Information:

  • Aerocort Forte Rotacaps : 30 Rotacaps

Beclate Inhaler (Beclomethasone 100 Mcg)

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Brand Name: Beclate Inhaler 100
Generic Name: Beclomethasone 100 mcg
Contents: Beclomethasone 100 mcg
Form: Inhaler
Manufacturer Cipla
Packing Pack of 200 metered doses
US Brand: 
Qvair, Clenil
Indications

Prophylactic management of mild, moderate or severe asthma.

Dosage and AdministrationAdults:Starting and maintenance dose:

It is important to gain control of asthma symptoms and optimise pulmonary function as soon as possible. When patients' symptoms remain under satisfactory control, the dose should be titrated to the lowest dose at which effective control of asthma is maintained.To be effective, inhaled Beclate Inhaler must be used on a regular basis even when patients are asymptomatic.

Therapy in new patients should be initiated at the following dosages

Mild asthma : 100 to 200 micrograms per day in two divided doses.
Moderate asthma : 200 to 400 micrograms per day in two divided doses.
Severe asthma : 400 to 800 micrograms per day in two divided doses.

Children:

There are no data to date on Beclate Inhaler in children under 12 years of age, hence no definitive dosage recommendation can be made.

Special patient group:

No special dosage recommendations are made for elderly patients

Contraindications

Hypersensitivity to beclometasone dipropionate or to any of the excipients.

Packaging Information

Beclate 100 Inhaler Canister containing 200 metered doses
Beclate 200 Inhaler Canister containing 200 metered doses

Duolin Inhaler (Generic Combivent)

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Brand Name: Duolin Inhaler
Generic Name: Levosalbutamol + Ipratropium Bromide 50 mcg/ 20 mcg
Contents: Levosalbutamol + Ipratropium Bromide 50 mcg/ 20 mcg
Form: Inhaler
Manufacturer Cipla
Packing Pack of 200 metered doses
US Brand Name: Combivent

 

Duolin Inhaler is indicated for use in patients with COPD on a regular aerosol bronchodilator, who continue to have evidence of bronchospasm and require a second bronchodilator.

Duolin Rotacaps (Generic Combivent)

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Brand Name: Duolin Rotacaps
Generic Name:

Levosalbutamol + Ipratropium Bromide 100 mcg/ 40 mcg
Contents:

Levosalbutamol + Ipratropium Bromide 100 mcg/ 40 mcg
Form: Rotacaps
Manufacturer Cipla
Packing Pack of 30 Rotacaps
  Rotacaps can only be used with Rotahaler, Rotacap dispenser (a dry powder inhaler)

Duolin Rotacaps are indicated for use in patients with COPD, who are on a regular bronchodilator, or who continue to have evidence of bronchospasm and require a second bronchodilator.

Flohale Inhaler 125Mcg (Generic Flovent)

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Brand Name:Flohale Inhaler 125mcg
Generic Name:
Contents:
Form:Inhaler
ManufacturerCipla
PackingPack of 200 metered doses
Other Brand namesFlovent, Flixotide, flonase,Flixonase

Flohale Inhaler is indicated in patients with mild to severe, persistent bronchial asthma. It is also indicated for patients requiring oral therapy for asthma. Many of these patients may be able to reduce or eliminate their requirement for oral over time. Flohale Inhaler is not indicated for the relief of acute bronchospasm.

Fullform 200 Rotacaps

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Brand Name:Fullform 200 Rotacaps
Generic Name:

Beclomethasone dipropionate 200 mcg
Formoterol fumarate 6 mcg
Contents:

Beclomethasone dipropionate 200 mcg
Formoterol fumarate 6 mcg
Form:Rotacaps
ManufacturerCipla
PackingPack of 30 Rotacaps
 Rotacaps can only be used with Rotahaler, Rotacap dispenser (a dry powder inhaler)
Indications

FULLFORM ROTACAPS is indicated in the regular treatment of asthma, where use of a combination (long acting beta2-agonist and inhaled ) has been found to be appropriate.

Dosage and Administration

FULLFORM ROTACAPS are for inhalation use, only through the Cipla Rotahaler/Revolizer.

Contraindications

FULLFORM ROTACAPS is contraindicated in patients with a history of hypersensitivity to any of the components of the drug product.

Ipravent - Rotacaps (Generic Atrovent)

Ipravent+-+Rotacaps+%28Generic+Atrovent%29
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Brand Name:Ipravent Rotacaps
Generic Name:Ipratropium Bromide 40 mcg
Contents:Ipratropium Bromide 40 mcg
Form:Rotacaps
ManufacturerCipla
PackingPack of 30 Rotacaps
Rotacaps can only be used with Rotahaler, Rotacap dispenser (a dry powder inhaler)
Indications

For the treatment of chronic reversible airways obstruction, particularly in chronic bronchitis and asthma.

Dosage and AdministrationAdults (>12 years)

1 or 2 rotacaps, three or four times daily.

Children (<12 years)

Not recommended.

The recommended dose should not be exceeded.

Ipravent - Rotacaps are for inhalation use, only through the Cipla Rotahaler/ Revolizer. Ipravent - Rotacaps must not be swallowed.

Contraindications

Hypersensitivity to or its derivatives, or to any component of the product. Hypersensitivity to soya lecithin or related food products such as soya beans or peanuts.

Ipravent -20 Inhaler (Generic Atrovent)

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Brand Name:Ipravent -20 Inhaler
Generic Name:Ipratropium Bromide ….. 20 mcg
Contents:Ipratropium Bromide ….. 20 mcg
Form:Inhaler
ManufacturerCipla
PackingPack of 200 metered doses
Other Brand namesAtrovent

Ipravent Inhaler is indicated for the regular treatment of reversible bronchospasm associated with chronic obstructive pulmonary disease (COPD) and chronic asthma.

Dosage and AdministrationAdults (Including the Elderly)

Usually 1 or 2 puffs, three or four times daily, although some patients may need up to 4 puffs at a time to obtain maximum benefit during early treatment.

Children (6–12 years)

1 or 2 puffs (20 or 40 micrograms) two times daily

Below 6 Years 
1 puff (20 micrograms) three times daily.

The recommended dose should not be exceeded.

Contraindications

Ipravent Inhaler should not be taken by patients with known hypersensitivity to atropine or its derivatives, or to ipratropium bromide or to any other component of the product.

Maxiflo 125mcg Inhaler

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Brand Name:Maxiflo 125mcg Inhaler
Generic Name:Formoterol Fumarate 6 mcg
 BP 125 mcg
Contents:Formoterol Fumarate 6 mcg
BP 125 mcg
Suspended in propellant HFA 227 q.s.
Form:Inhaler
ManufacturerCipla
PackingPack of 120 metered doses

Maxiflo Inhaler is indicated in the regular treatment of asthma, where use of a combination (long-acting beta2-agonist and inhaled ) has been found to be appropriate, and in patients with severe COPD.

Dosage and Administration Asthma

Adults and Adolescents (12 years and older): 
Maxiflo-125 Inhaler: 1-2 inhalations twice daily
Maxiflo-250 Inhaler: 1-2 inhalations twice daily

COPD

Maxiflo-125 Inhaler: Two inhalations twice daily 
Maxiflo-250 Inhaler: Two inhalations twice daily

Maxiflo Inhaler may be used with a Zerostat VT Spacer device in patients who find it difficult to synchronize aerosol actuation with inspiration of breath.

Contraindications

Maxiflo Inhaler is contraindicated in patients with a history of hypersensitivity to formoterol or any other component of the drug product.

Revolizer - Dry Powder Inhaler

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Revolizer TM is a novel DPI device, which is the result of a design and development programme to address the critical requirements of an ideal inhalation device. It provides accurate dosing and greater lung deposition even at low inspiratory flow rates combined with ease of use. It provides an improved respirable fraction while adding style and modern design to give patients a revolution in inhalation therapy. 

Revolizer TM is an extremely simple device. The user has to open the device, insert the rotacap, shut the device and then inhale. Revolizer is used to open capsules containing powder. Revolizer can be used only with Cipla Rotacaps.

Features of the Revolizer TM : 

* Does not require co-ordination between actuation and inhalation 
* Easy and convenient to use 
* Easy to teach, learn and remember how to use correctly 
* Accurate, consistent, and effective at delivering medications to the lung even at low inspiratory flow rates 
* Ready to use - it needs no priming or shaking 
* Portable 
* Gives patient feedback due to the taste of lactose in the mouth 
* Robust 
* Visually appealing to the patient

Rotahaler ( Rotacaps Dispenser )

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Brand Name Rotahaler ( Rotacaps Dispenser )

Description:
The world`s first transparent Rotahaler TM is a dry powder inhaler (DPI). Rotahaler TM is used with Rotacaps, which is premetered single dose medication for inhalation. DPI`s are breath-actuated devices and eliminate the need for co-ordination of actuation and inspiration. DPI`s are emerging as cost-effective, simple-to-use and environmentally preferred devices for pulmonary drug delivery. 

The unique and highly efficient design of Rotahaler TM offers many benefits not found in other DPI devices: 

* High performance: optimum drug delivery 
* Ease of use: just 3 simple steps i.e. insert, rotate and inhale 
* Avoids coordination problems 
* Confirmation of dosing: due to transparency, audio and visual feedback 
* High emitted dose: upto 90% 
* Fine particle deposition: drug delivered is as high as 40% 
* Versatile: Single device for multiple therapies 
* Consistency: high level of dose uniformity 
* Low resistance: low inspiratory effort required 
* Safe: Accidental double dosing avoided 
* Convenience: Portable, easy to clean and reassemble after use 

Three simple steps to use the Rotahaler 

Step 1: Insert a rotacap, transparent end first, into the raised square hole of the rotahaler. 

Step 2: Rotate the base of the Rotahaler in order to separate the two halves of the rotacap. 

Step 3: Breathe in as deeply as you can*. Hold your breath for 10 seconds. Breathe out slowly. 

*Note: If you are breathing correctly, you will hear the soft rattling sound of the rotacap.
  

Simply One Rotacaps 200mcg

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Brand Name:SimplyOne Rotacaps 200mcg
Generic Name:

Formoterol fumarate/ Ciclesonide 6 mcg/ 200 mcg
Contents:

Formoterol fumarate/ Ciclesonide 6 mcg/ 200 mcg
Form:Rotacaps
ManufacturerCipla
PackingPack of 30 Rotacaps
 Rotacaps can only be used with Rotahaler, Rotacap dispenser (a dry powder inhaler)
Indications

Simply One Rotacaps are indicated in the regular treatment of asthma, where use of a combination (long acting beta2-agonist and inhaled ) has been found to be appropriate.

Dosage and AdministrationAsthma

Adults and Adolescents (12 years and older) 
Simply One200 Rotacaps
1 to 2 Rotacaps twice daily

Simply One 400 Rotacaps
1 Rotacap twice daily

The dose of Simply One Rotacaps is individual and adjusted according to disease severity. The maximum recommended dose for ciclesonide is 640 mcg. When control has been achieved, the dose should be titrated to the lowest effective dose, which could include Simply One Rotacaps given once daily.

Contraindications

SIMPLYONE Rotacaps are contraindicated in patients with a history of hypersensitivity to any of the components of the drug product.

TIOVA Inhaler (Generic Spiriva)

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Brand Name:TIOVA
Generic Name:Tiotropium (as Tiotropium Bromide Monohydrate) …...... 9 mcg
Contents:Tiotropium (as Tiotropium Bromide Monohydrate) …...... 9 mcg
Form:Inhaler
ManufacturerCipla
PackingPack of 120 metered doses
US Brand: 
Sprivia
ndications

TIOVA Inhaler is indicated in the maintenance treatment of COPD.

Dosage and Administration

The recommended dosage of tiotropium bromide is 2 puffs of TIOVA Inhaler once daily.

TIOVA Inhaler may be used with a Zerostat VT Spacer device in patients who find it difficult to synchronize aerosol actuation with inspiration of breath.

The recommended dose should not be exceeded.

Contraindications

TIOVA Inhaler is contraindicated in patients with hypersensitivity to tiotropium bromide, atropine or its derivatives.

Packaging Information

TIOVA Inhaler Each canister contains 120 metered doses.

Tiova Rotacaps Generic Spiriva Inhalers

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Brand Name:TIOVA Rotacaps
Generic Name:Tiotropium (as Tiotropium Bromide Monohydrate) …… 18 mcg
Contents:Tiotropium (as Tiotropium Bromide Monohydrate) …… 18 mcg
Form:Rotacaps
ManufacturerCipla
PackingPack of 15 Rotacaps

Rotacaps can only be used with Rotahaler, Rotacap dispenser (a dry powder inhaler)
Indications

TIOVA Rotacaps are indicated for the long-term, once-daily maintenance treatment of bronchospasm associated with COPD, including chronic bronchitis and emphysema.

Dosage and Administration

The recommended dosage of TIOVA Rotacaps is one Rotacap inhaled once daily, using the Cipla Rotahaler/ Revolizer.

No dosage adjustment is required for geriatric, hepatically-impaired, or renally-impaired patients. However, patients with moderate to severe renal impairment, who are being treated with TIOVA Rotacaps should be monitored closely.

TIOVA Rotacaps are for inhalation only and must not be swallowed.

Contraindications

TIOVA Rotacaps are contraindicated in patients with a history of hypersensitivity to atropine or its derivatives, including ipratropium, or to any component of this product.

Triohale Rotacaps

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Brand Name:Triohale Rotacaps
Generic Name:

Tiotropium 18 mcg + Formoterol Fumarate Dihydrate IP 12 mcg
Ciclesonide IP 400 mcg Excipient..q.s.
Contents:

Tiotropium 18 mcg + Formoterol Fumarate Dihydrate IP 12 mcg
Ciclesonide IP 400 mcg Excipient..q.s.
Form:Rotacaps
ManufacturerCipla
PackingPack of 30 Rotacaps
 Rotacaps can only be used with Rotahaler, Rotacap dispenser (a dry powder inhaler)

A major cause of morbidity and mortality, Chronic Obstructive Respiratory Disease (COPD) has now been identified as a multi-component disease with airway structural changes, mucociliary dysfunction, and airway inflammation with systemic effects in addition to airflow limitation, which suggests the need for a multi-targeted treatment approach.

Triohale rotacaps contain 18 mcg of tiotropium, 12 mcg of formoterol and 400 mcg of ciclesonide. With the combination of an anticholinergic, long acting beta2 agonist and , Triohale rotacaps target the multiple components of COPD. Triohale is already available as a pressurized metered dose inhaler (pMDI).

Evidence from clinical studies suggests that triple drug therapy is associated with improvements in lung function and the quality of life, reduction in the number of exacerbations and use of reliever medications.

The availability of a triple drug combination of tiotropium, formoterol with ciclesonide would be an advance over the currently available range of products for COPD, especially for patients with severe COPD who currently have to use multiple devices. This would be coupled with the added benefit of increased compliance with treatment as a combination would ensure all the three drugs would be taken and a possible reduction in cost of therapy.

The recommended dosage of Triohale rotacaps is one rotacap inhaled once daily, using the Cipla Rotahaler/ Revolizer.

Zerostat-V Spacer

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Brand NameZerostat-V Spacer

Description:

Spacers (sometimes also called holding chambers) are devices that hold the medication for a few seconds after it has been released from the MDI. They serve two main purposes: 

1. Overcome the need for synchronization between firing the aerosol and inhalation. This allows full benefit of the pMDI 
2. Slow down the aerosol spray before it reaches the mouth, thus allowing the propellants to evaporate and larger particles to settle in the spacer. This leads to less deposition in the oropharynx and greater deposition in the lungs. Decreased oropharyngeal deposition is particularly important for inhaled steroid since this reduces the incidence of oral thrush and also the amount of drug that is swallowed. This may reduce any systemic side effect that may occur. 

The Zerostat Spacer has been designed to help you obtain full benefit from the medicine released by your inhaler. 

The Zerostat Spacer is a holding chamber into which the dose of the medication from your inhaler is released for inhalation. It helps to hold the aerosol for a few seconds to make it easier for you to inhale the medication. 

The Zerostat Spacer also allows the medication to reach the lung with minimal deposition in the mouth or throat.

Zerostat-VT Spacer

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Brand Name Zerostat-VT Spacer

Description:

ZerostatVT TM spacer 

ZerostatVT TM spacer is a unique static free transparent spacer with a valve mechanism which increases the drug fraction reaching the lungs. It is both a spacer (extends the space between the inhaler and the mouth) as well as a holding chamber (acts as a reservoir where the actuated aerosol cloud can be held prior to inhalation). It has all the features which a spacer should ideally have i.e. static free, transparent, flow gate valve, shape of an aerosol plume and volume 250-300ml. 

Transparent ZerostatVT TM spacer is designed to provide visual confirmation that the dose is delivered. ZerostatVT TMspacer ensures that patient receives a high and consistent quantity of medication dose after dose. The time available for inhalation is prolonged by using polyamide, which is a static free material. Unidirectional flow from the holding chamber is achieved by using a one-way valve. 

Added Features of ZerostatVT TM : 

* Reduces ‘cold freon` effect 
(A cold feeling in the throat as the propellant spray hits the back of the throat) 
* Small, portable, easy to carry and child friendly 
* Prevents the risk of dilution of dose 
* Robust and durable 
* Functional even at low insipriatory or expiratory flow rates

Doxofylline Tablets

Brand Name: Synasma
Generic Name: Doxofylline 400mg Tablets
Contents: Doxofylline 400mg Tablets
Form: Tablets
Manufacturer Ranbaxy
Other Brand Name: Ansimar

(Doxofylline) is indicated in the treatment of bronchial asthma and chronic obstructive pulmonary disease (COPD).

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