治療氣喘、COPD Asthma (controller/maintenance): Treatment of asthma in patients ≥6 years of age Chronic obstructive pulmonary disease: Maintenance treatment of airflow obstruction in patients with COPD, including chronic bronchitis and/or emphysema; to reduce COPD exacerbations
藥理
Long-Acting Beta2-Adrenergic Agonist / Inhalant Corticosteroid 1. Formoterol: Relaxes bronchial smooth muscle by selective action on beta2 receptors with little effect on heart rate; formoterol has a long-acting effect. 2. Budesonide: A corticosteroid which controls the rate of protein synthesis, depresses the migration of polymorphonuclear leukocytes/fibroblasts, and reverses capillary permeability and lysosomal stabilization at the cellular level to prevent or control inflammation.
藥動學
Both agents are metabolized in the liver; urinary excretion is about 25% for formoterol (unchanged) and 60% for budesonide (as metabolites). Budesonide has an elimination half-life of 2 to 3 hours.
禁忌症
Prior hypersensitivity to budesonide or formoterol
懷孕分類
C; Adverse events were observed in animal reproduction studies using this combination
哺乳分類
According to the manufacturer, the decision to continue or discontinue breastfeeding during therapy should take into account the risk and the benefits.
For asthma maintenance (>5y/o): 2 inhalations twice daily
腎功能調整劑量
There are no dosage adjustments provided in the manufacturer's labeling (has not been studied).
肝功能調整劑量
There are no dosage adjustments provided in the manufacturer's labeling (has not been studied); use with caution and monitor closely; may lead to accumulation of budesonide and formoterol.