SYMBICORT for your asthma patients ≥12 years of age uncontrolled on an ICS or whose disease severity clearly warrants an ICS/LABA

Dosed in the familiar pMDI device1,2

SYMBICORT for your asthma patients ≥12 years of age uncontrolled on an ICS or whose disease severity clearly warrants an ICS/LABA

Dosed in the familiar pMDI device1,2

SYMBICORT Inhaler with Actuation Counter
pMDIs are the most commonly used inhaler in the US, have a lower inspiratory flow requirement than a DPI, and can be used with or without a spacer.
FOR PATIENTS 12 YEARS OF AGE AND OLDER1
Previous ICS dose Recommended starting dosage
Medium to high 160/4.5 mcg 2 inhalations BID
Low to medium 80/4.5 mcg 2 inhalations BID
None 160/4.5 mcg or 80/4.5 mcg (depending on asthma severity) 2 inhalations BID
FOR PATIENTS 12 YEARS OF AGE AND OLDER1
Previous ICS dose Recommended starting dosage
Medium to high 160/4.5 mcg 2 inhalations BID
Low to medium 80/4.5 mcg 2 inhalations BID
None 160/4.5 mcg or 80/4.5 mcg (depending on asthma severity) 2 inhalations BID
  • Excessive beta-adrenergic stimulation has been associated with central nervous system and cardiovascular effects. SYMBICORT should be used with caution in patients with cardiovascular disorders, especially coronary insufficiency, cardiac arrhythmias, and hypertension. Beta-adrenergic agonist medications may produce hypokalemia and hyperglycemia in some patients. As with other inhaled medications, paradoxical bronchospasm may occur with SYMBICORT. Use with caution in patients with diabetes mellitus
  • Do not use any additional long-acting beta2-agonists with SYMBICORT for any reason
  • The maximum daily recommended dose is 640/18 mcg budesonide/formoterol (given as two inhalations of SYMBICORT 160/4.5 twice daily) for patients 12 years and older. Do not use more than twice daily or use a higher number of inhalations (more than two inhalations twice daily) of the prescribed strength of SYMBICORT as this will result in a daily dose of formoterol in excess of the dose determined to be safe
  • Do not use SYMBICORT for patients whose asthma is adequately controlled on low or medium dose inhaled corticosteroids
  • Once asthma control is achieved and maintained, assess the patient at regular intervals and step down therapy (for example, discontinue SYMBICORT) if possible without loss of asthma control, and maintain the patient on a long-term asthma control medication, such as an ICS
  • SYMBICORT is NOT a rescue medication and does NOT replace fast-acting inhalers to treat acute symptoms

pMDI=Pressurized metered-dose inhaler.

ICS=Inhaled corticosteroid.

DPI=Dry-powder inhaler.

The actual amount of drug delivered to the lung may depend on patient factors, such as the coordination between actuation of the device and inspiration through the delivery system.

Administered in the morning and the evening.

§More than three-quarters of patients with asthma in the United States filled a prescription for a pMDI medication (September 2015-August 2016).

*Subject to eligibility rules; restrictions apply.