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Symbicort® Inhaler for Asthma and COPD
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Symbicort is a prescription maintenance inhaler for asthma and chronic obstructive pulmonary disease. It combines an inhaled corticosteroid and a long-acting bronchodilator to help control symptoms. This page explains how it works, who it’s for, and how to use and store it safely.
What Symbicort Is and How It Works
Symbicort® contains budesonide and formoterol. It is an inhaled corticosteroid/long-acting beta2-agonist combination used for long-term control of airway inflammation and bronchoconstriction. YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing. We offer US shipping from Canada, and many people compare potential savings, even without insurance.
The budesonide component reduces airway swelling and mucus production. The formoterol component relaxes airway smooth muscle to improve airflow. As a budesonide formoterol inhaler, this maintenance therapy is not a rescue medicine and should not be used for sudden breathing problems. Keep a rapid-acting reliever inhaler for acute symptoms as directed by your prescriber.
Who It’s For
This treatment is indicated for the maintenance management of asthma in appropriate patients and for the long-term maintenance treatment of airflow obstruction in COPD, including chronic bronchitis and emphysema. Some age limits apply for pediatric asthma use; COPD indications are for adults. It should not be used to relieve acute bronchospasm or as the first treatment for sudden asthma attacks.
Patients with a history of severe milk protein allergy to certain inhalers, known hypersensitivity to the ingredients, or those who cannot use inhalers properly should discuss alternatives. When used correctly, Symbicort for asthma may help reduce day-to-day symptoms and exacerbations, but individual responses vary.
Learn more about related conditions on our category pages: Asthma and COPD. For a broader view of respiratory options, explore Respiratory.
Dosage and Usage
Use this inhaler exactly as prescribed. Typical labeled directions involve two inhalations twice daily, spaced approximately 12 hours apart. If your prescriber gives different instructions, follow their guidance. Do not use for sudden symptoms. Always carry a fast-acting reliever inhaler for acute breathing issues.
Before first use, prime the inhaler per the official instructions. Shake well before each inhalation. Exhale fully, seal lips around the mouthpiece, inhale slowly and deeply while actuating, then hold your breath for about 10 seconds if possible. Wait briefly and repeat for the second puff. Rinse your mouth with water after use and spit it out to help reduce the risk of oral thrush.
Do not exceed the prescribed number of inhalations. If you feel your control is worsening, consult your prescriber rather than increasing use on your own. Do not stop the medicine suddenly without medical advice. Refer to the official product label for complete directions and device-specific instructions.
Strengths and Forms
This medicine is supplied as a pressurized metered-dose inhaler with a dose counter. Canisters commonly contain 120 actuations. Strengths typically include 80/4.5 mcg and a budesonide formoterol 160/4.5 inhaler per actuation option. Availability may vary by market and stock. Your prescriber will select a strength based on your condition and response.
Missed Dose and Timing
If you miss a dose, take it when you remember unless it is near the time for your next scheduled dose. If it is close to your next dose, skip the missed dose and resume your regular schedule. Do not double up to make up for a missed dose. Aim for consistent morning and evening use. If frequent missed doses occur, consider setting reminders or using a schedule that fits your routine.
Storage and Travel Basics
Store the inhaler at room temperature away from heat, open flame, and direct sunlight. Do not freeze. Keep the mouthpiece cap closed when not in use and keep out of reach of children and pets. Do not puncture or incinerate the canister. Track remaining doses with the counter and replace the device when it reaches zero.
For travel, carry your inhaler in your hand luggage with the original labeled packaging. Bring your prescription or a copy of your medication list. Avoid leaving the inhaler in hot cars or cold environments. If crossing borders or taking long trips, plan refills in advance and check airline rules for aerosols to reduce delays.
Benefits
This maintenance therapy combines two complementary mechanisms in a single device, which may simplify daily routines. The corticosteroid component helps control airway inflammation. The long-acting bronchodilator supports sustained bronchodilation throughout the dosing interval. The dose counter aids tracking, and the metered-dose format can suit patients who prefer an aerosol over dry powder devices.
With consistent use, some patients notice fewer symptoms during activity and overnight. Reduced exacerbations may occur when part of an overall asthma or COPD plan, which can include trigger management, vaccinations, and technique checks. Always confirm your inhaler technique with a healthcare professional to get the most from each dose.
Side Effects and Safety
- Throat irritation or hoarseness
- Oral thrush (yeast infection)
- Headache
- Cough
- Palpitations or tremor
- Nausea
- Upper respiratory tract infections
Serious effects can include paradoxical bronchospasm, pneumonia risk in COPD patients, adrenal suppression, decreased bone mineral density, hypercorticism, glaucoma or cataracts, changes in heart rhythm, and allergic reactions. Rinse your mouth after each use to lower thrush risk. Use caution if you have heart disease, high blood pressure, thyroid disorders, seizures, diabetes, osteoporosis, or infections. Seek medical help immediately for signs of severe reaction, worsening breathing, or chest pain. Report side effects to your prescriber.
Drug Interactions and Cautions
Tell your prescriber about all medicines, vitamins, and herbs. Strong CYP3A4 inhibitors (such as ketoconazole or certain antivirals) can increase corticosteroid exposure. Non-selective beta-blockers may reduce bronchodilator effectiveness. Diuretics and xanthines can affect potassium levels when used with beta2-agonists. Monoamine oxidase inhibitors or tricyclic antidepressants may potentiate cardiovascular effects. Use caution with other long-acting bronchodilators or inhaled steroids. Do not start, stop, or change doses without professional guidance.
What to Expect Over Time
Consistent twice-daily use is key. You may notice steadier breathing control over days to weeks as part of a broader plan. This medicine does not replace your rescue inhaler. Keep monitoring symptoms, activity tolerance, and nighttime awakenings. If you require your reliever more often, or if your peak flows decline, contact your prescriber. Regular check-ins allow adjustments that keep your plan safe and effective.
Technique matters. Ask for a device demonstration and practice under supervision. Spacers are not typically used with this specific device, but proper timing of actuation and inhalation helps. Keep an up-to-date asthma or COPD action plan and bring your inhalers to visits for technique review.
Compare With Alternatives
Other inhaled corticosteroid/long-acting bronchodilator combinations may be appropriate. Two common options include Advair Diskus and Breo Ellipta. Some patients may also be candidates for mometasone-formoterol combinations or triple-therapy inhalers. Your prescriber will match device type, dosing schedule, and ingredient profile to your needs.
Pricing and Access
We list the Symbicort inhaler price transparently on each product page. You can also review typical cash-pay options, including the Symbicort cash price, and compare with your plan’s copay if you have coverage. Ships from Canada to US for eligible orders with a valid prescription. For occasional offers, see Promotions. For broader therapy comparisons, some people also check the budesonide formoterol inhaler price across strengths when planning refills.
Taxes, prescriber fees, and dispensing fees vary by jurisdiction. Final totals depend on your specific prescription and selected quantity. We use encrypted checkout to protect your information.
Availability and Substitutions
Stock can vary. If your strength is unavailable, your prescriber may recommend an alternative inhaler in the same class or a different device. A generic Symbicort inhaler, when available in your market, may be an option if your prescriber approves substitution. Always follow the exact product and strength written on your prescription unless your prescriber directs a change.
Patient Suitability and Cost-Saving Tips
Good candidates include people needing ongoing control of asthma or COPD symptoms who can use a metered-dose inhaler correctly. Those with uncontrolled cardiovascular disease, serious arrhythmias, active infections not yet treated, or a history of severe hypersensitivity should review risks in detail with a prescriber. Children using inhaled steroids require growth monitoring. Smokers with COPD benefit from cessation support alongside pharmacotherapy.
To manage overall costs, consider multi-month refills if appropriate, align refill dates for household medicines, and set reminders so you do not miss doses. Reviewing technique can prevent waste from poor inhalation timing. If pricing is a concern, ask your prescriber whether a lower strength, alternative device, or a different class could meet your goals safely. Educational reads: What Is Asthma and Bronchitis And COPD.
Questions to Ask Your Clinician
- Is this the right maintenance inhaler for my diagnosis and severity?
- Which strength should I use, and how many puffs twice daily?
- How should I adjust my action plan if symptoms worsen?
- What technique tips will help me get full benefit from each dose?
- Which reliever inhaler should I carry, and how often is too often?
- Do any of my medicines raise interaction risks with this therapy?
- How often should we review my control and inhaler technique?
Authoritative Sources
AstraZeneca Prescribing InformationFDA DailyMedHealth Canada Drug Product Database
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Is this inhaler a rescue medication?
No. This maintenance inhaler is not meant for sudden breathing problems. It works over time to control airway inflammation and improve airflow. Keep a fast‑acting reliever inhaler for acute symptoms as directed by your prescriber. If you are using your reliever more often than usual, or symptoms are worsening, seek medical advice to reassess your plan and inhaler technique.
How long should I use this therapy?
Use it for as long as your prescriber recommends. Asthma and COPD are chronic conditions, and controller inhalers are often used long term to maintain stability. Do not stop suddenly without guidance. Schedule periodic reviews to confirm the dose, assess side effects, and check technique. If control changes, your prescriber may adjust your plan based on the official label and your response.
What if my throat becomes sore or I get hoarseness?
Throat irritation and hoarseness can occur with inhaled corticosteroids. Rinse your mouth after each dose and spit out the water. Using correct technique may help reduce local side effects. If symptoms persist or you notice signs of oral thrush, contact your prescriber. They may recommend further evaluation, technique coaching, or treatment for thrush if diagnosed.
Can this be used with a spacer?
This product is a pressurized metered‑dose inhaler. Some metered‑dose inhalers are used with spacers, but device‑specific guidance varies. Follow the official instructions for this inhaler and review technique with a healthcare professional. If you have trouble coordinating actuation and inhalation, ask for a demonstration and discuss whether a spacer or a different device type might improve delivery for you.
What interactions should I be aware of?
Tell your prescriber about all medicines and supplements. Strong CYP3A4 inhibitors may increase steroid exposure. Non‑selective beta‑blockers can reduce bronchodilator effect. Diuretics and xanthines may affect potassium levels. MAO inhibitors or tricyclics can potentiate cardiovascular effects. Avoid starting or stopping related therapies without professional guidance, and report any new symptoms promptly.
How should I store the inhaler at home and during travel?
Keep it at room temperature away from heat, flame, and sunlight. Do not freeze or puncture the canister. Close the cap when not in use and keep out of reach of children. For travel, carry it in hand luggage with the labeled box or a copy of your prescription. Avoid leaving it in hot cars or very cold environments, and check your dose counter before long trips.
What side effects should prompt medical attention?
Seek care for signs of severe allergic reaction, paradoxical bronchospasm, chest pain, fast or irregular heartbeat, worsening shortness of breath, or vision changes. Report persistent thrush, hoarseness, or infections. If you notice decreased symptom control that does not improve with your reliever, contact your prescriber. They will reassess your therapy and review the official safety information.

