Triohale Inhaler is used for the treatment of chronic obstructive pulmonary disorder (a lung disorder in which the flow of air to the lungs is blocked) and asthma. It helps in relaxing the muscles of the air passages and making it easier to breathe. It relieves coughing, wheezing and feeling short of breath.
Your doctor will tell you how often you need to use your inhaler. The effect of this medicine may be noticeable after a few days but will only reach its maximum after a few weeks. This medicine must be used regularly to be effective, so go on taking it even if you don't have any symptoms.
This medicine should not be used to relieve sudden shortness of breath. If sudden shortness of breath occurs, use your rescue inhaler. To get the benefit from this medicine you need to make sure you get your inhaler technique right, otherwise, it Does not work as well.
The most common side effects are nausea, vomiting, dryness in the mouth, fungal infection of mouth, respiratory tract infection, bronchitis (inflammation of the airways), cough, sore throat, hoarseness of voice, and headache. If you get there, don’t stop taking it but do talk to your doctor. You can prevent some of these symptoms by rinsing your mouth and throat with water or brushing your teeth after using your inhaler. There are other, rarer side effects which can be serious. Talk to your doctor if you're worried about them.
Chronic obstructive pulmonary disease (COPD) is a long-term lung condition that makes it difficult to breathe due to narrowing of the airways and damage to lung tissue. Triohale Inhaler helps relax and open the airways, reduce inflammation, and improve airflow, making breathing easier and reducing flare-ups.
In Asthma
Asthma is a condition where the airways become narrow and inflamed, making it hard to breathe. Triohale Inhaler helps by relaxing and opening up the airways, reducing swelling, and preventing sudden breathing difficulties. Together, they make breathing easier, reduce the frequency of asthma attacks, and improve overall lung function and quality of life.
Side effects of Triohale Inhaler
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Triohale
Headache
Dryness in mouth
Urinary retention
Cough
Constipation
Dry throat
Increased heart rate
Blurred vision
Nasopharyngitis (inflammation of the throat and nasal passages)
Sinus inflammation
Stomach discomfort
Fungal infection of oropharynx
Tremors
Palpitations
Voice change
Dizziness
Insomnia (difficulty in sleeping)
Taste change
How to use Triohale Inhaler
Check the label for directions before use. Shake the inhaler. While you are breathing in from mouth, press down on the inhaler one time to release the medication and hold your breath for 10 seconds. Repeat until you have inhaled the number of puffs as suggested by the doctor.Afterwards, rinse your mouth thoroughly with water and spit it out.
How Triohale Inhaler works
Ciclesonide, formoterol and tiotropium. Ciclesonide is a corticosteroid. It acts by stopping the release of certain natural substances in body that are responsible for inflammation of the airways. Formoterol is a bronchodilator, while tiotropium is an anticholinergic. They work by relaxing the muscles in the airways and widen the airways. Together, they make breathing easier.
Safety advice
Alcohol
CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Triohale Inhaler. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
Triohale Inhaler may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
SAFE IF PRESCRIBED
Triohale Inhaler is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby. Monitor the baby for dry mouth, constipation, and urinary problems.
Driving
No interaction found/established
Kidney
No interaction found/established
Liver
No interaction found/established
What if you forget to take Triohale Inhaler?
If you miss a dose of Triohale Inhaler, use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
No substitutes found for this medicine
Quick tips
Triohale Inhaler helps relieve symptoms of severe chronic obstructive pulmonary disease (COPD) such as cough, wheez and breathlessness.
This medicine is for inhalation only. The tablet should not be swallowed.
Take it at the same time each day.
It does not work right away and should not be used to relieve sudden breathing problems. Use your rescue inhaler to control sudden difficulty in breathing.
Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help.
Gargle with warm water after each inhalation to avoid any fungal infections in your mouth and throat.
Take the first dose of this medicine under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.
Very little amount of Triohale Inhaler may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.
Do not stop taking it suddenly even if you don’t currently have any symptoms as that may cause your breathing problems to come back.
Triohale Inhaler helps relieve symptoms of severe chronic obstructive pulmonary disease (COPD) such as cough, wheez and breathlessness.
This medicine is for inhalation only. The tablet should not be swallowed.
Take it at the same time each day.
It does not work right away and should not be used to relieve sudden breathing problems. Use your rescue inhaler to control sudden difficulty in breathing.
Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help.
Gargle with warm water after each inhalation to avoid any fungal infections in your mouth and throat.
Take the first dose of this medicine under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.
Very little amount of Triohale Inhaler may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.
Do not stop taking it suddenly even if you don’t currently have any symptoms as that may cause your breathing problems to come back.
Fact Box
Habit Forming
No
Therapeutic Class
RESPIRATORY
Patient concerns
Old cough at morning last 15 years
Dr. Vijay Verma
ENT
can be bronchial asthma or COPD consult chest physician
Triohale Inhaler is used for the long-term management of chronic obstructive pulmonary disease (COPD). This medicine helps to improve breathing, reduce flare-ups, and improve quality of life in people with severe COPD who still have symptoms despite regular treatment.
Can Triohale Inhaler be used as a rescue inhaler during sudden breathing attacks?
No, Triohale Inhaler should not be used as a rescue inhaler. It is a maintenance COPD inhaler meant for daily long-term treatment. For sudden attacks of breathlessness or wheezing, a fast-acting rescue inhaler should be used instead.
Who should not use Triohale Inhaler?
Individuals should not use Triohale Inhaler if they are allergic to ciclesonide, formoterol, tiotropium, or other ingredients present in it.
What warnings should I know before starting Triohale Inhaler?
Triohale Inhaler should be used with caution in patients with glaucoma, prostate problems, bladder blockage, heart rhythm disorders, and kidney disease. It should not be taken more than once daily and must not be started during acute worsening of COPD symptoms.
Can Triohale Inhaler cause eye problems?
Yes, if Triohale Inhaler accidentally gets into your eyes, it can cause blurred vision, eye pain, colored halos, or worsening of glaucoma. If you develop these symptoms, stop using the medicine and seek medical advice immediately.
What are the serious side effects of Triohale Inhaler?
Serious side effects of Triohale Inhaler may include sudden worsening of breathing (paradoxical bronchospasm), severe allergic reactions such as swelling of the face or throat (angioedema), irregular heartbeats, chest pain, and adrenal gland suppression after long-term use. If you notice these, seek urgent medical help.
Can Triohale Inhaler affect my heart?
Yes, formoterol, one of the medicines in Triohale Inhaler, may sometimes cause palpitations, chest pain, high or low blood pressure, or abnormal heart rhythms, especially if taken in higher doses or combined with certain other medicines. Patients with heart problems should use this medicine only under close medical supervision.
Can Triohale Inhaler cause oral infections?
Yes, like other steroid inhalers, Triohale Inhaler can sometimes cause oral fungal infections (oral thrush). Rinsing your mouth with water after using the inhaler can reduce this risk.
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References
Khan PA, Sujala A, Sarah Nousheen BB, et al. A comparative evaluation of the efficacy of tripple drug therapy with dual drug therapy COPD patients. International Journal of Pharmacy and Pharmaceutical Sciences. 2018;10(4):105-9. [Accessed 17 Apr. 2019] (online) Available from:
Primary Care Respiratory Society. Respiratory Inhalers. [Accessed 16 Sep. 2024] (online) Available from: