Trimium Transcaps 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. Trimium Transcaps 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. Trimium Transcaps 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 Trimium Transcaps
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 Trimium
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 Trimium Transcaps
Trancaps must not be swallowed. Check the label for directions before use. Place the capsule at the base of transhaler, not in the mouthpiece. Twist the mouthpiece completely until your hear a click and breathe in deeply through the mouthpiece. Hold your breath for up to 10 seconds. If some powder remains in the transhaler repeat the process.
How Trimium Transcaps 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 Trimium Transcaps. Please consult your doctor.
Pregnancy
CONSULT YOUR DOCTOR
The safety of Trimium Transcaps during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.
Breast feeding
SAFE IF PRESCRIBED
Trimium Transcaps may be safe to use during breastfeeding. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies. 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 Trimium Transcaps?
If you miss a dose of Trimium Transcaps, 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
Trimium Transcaps 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 Trimium Transcaps 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.
Trimium Transcaps 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 Trimium Transcaps 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
Hello Dr. My Dad is facing High Pulmonary Hypertension of 63 and average is 32. He has liver cirrhosis as well, he is advised for liver transplant. As the PAH is high cannot proceed with the surgery. Can you please advise if there is any way out. Age : 49yrs. Medicines for heart taken at present is : Ambrisentan 5mg Assurance 20mg Trimium Inhaler.
Dr. Nabajit Talukdar
Cardiology
Currently no other treatment apart from ambrisantan n assurance will have to wait n see response to medicines if pulmonary pressure comes down only then surgery possible
Trimium Transcaps 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 Trimium Transcaps be used as a rescue inhaler during sudden breathing attacks?
No, Trimium Transcaps 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 Trimium Transcaps?
Individuals should not use Trimium Transcaps if they are allergic to ciclesonide, formoterol, tiotropium, or other ingredients present in it.
What warnings should I know before starting Trimium Transcaps?
Trimium Transcaps 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 Trimium Transcaps cause eye problems?
Yes, if Trimium Transcaps 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 Trimium Transcaps?
Serious side effects of Trimium Transcaps 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 Trimium Transcaps affect my heart?
Yes, formoterol, one of the medicines in Trimium Transcaps, 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 Trimium Transcaps cause oral infections?
Yes, like other steroid inhalers, Trimium Transcaps can sometimes cause oral fungal infections (oral thrush). Rinsing your mouth with water after using the inhaler can reduce this risk.
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
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:
Address: 3rd floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India
Country of origin: India Expires on or after: March, 2026
A licensed vendor partner from your nearest location will deliver Trimium Transcaps. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
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