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Trimium Transhaler

Prescription Required

Overview

Introduction

Trimium Transhaler is used for the treatment of chronic obstructive pulmonary disorder (a lung disorder in which the flow of air to the lungs is blocked). 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. That means it’s doing its job. If you stop taking it your COPD may get worse. 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.

Side effects of Trimium Transhaler

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

  • Nausea
  • Vomiting
  • Dryness in mouth
  • Fungal infection of mouth
  • Respiratory tract infection
  • Sore throat
  • Bronchitis (inflammation of the airways)
  • Cough
  • Hoarseness of voice
  • Headache
  • Musculoskeletal (bone, muscle or joint) pain

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Vomiting
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Dryness in mouth
    Keep a drink available that you can sip through the day. Rinse your mouth with warm salted water and chew sugarless gum or hard candy. Try breathing through your nose more often than your mouth. Avoid caffeinated beverages, smoking and alcohol because they can make your condition worse. Use lip balm if your lips are also dry. Try to avoid foods that are acidic (like lemons), spicy, salty or sugary. If this side effect bothers you or does not go away, talk to your doctor about artificial saliva products or other suitable treatments.
  • Coping with Fungal infection of mouth
    You can help prevent this side effect by looking after your mouth and throat. Rinse your mouth after meals (you could try using warm, salty water). Take care of your teeth and brush them twice a day. Brush your gums and tongue with a soft toothbrush as well. Do not wear dentures at night and do not smoke. Talk to your doctor if your condition does not improve, they may be able to prescribe you an alternate medicine.
  • Coping with Sore throat
    Try gargling with warm salt water as it can help soothe a scratchy throat and relieve the discomfort. Stay hydrated by drinking plenty of water. Consider lozenges or hard candy. Avoid caffeine and alcohol, as they can dry out your throat and aggravate the symptoms. Also, avoid smoking or smoky places. Warm tea that is sweetened with honey can also soothe your irritated throat. Get plenty of rest and consider using a humidifier if the air in your home is dry. If it does not get better or get worse, talk to your doctor for advice.
  • Coping with Cough
    Get plenty of rest as exhausting or stressing out yourself could aggravate your condition. You should drink plenty of fluids as it will keep your throat moist and comfortable. Try taking steam inhalation. The moisture can ease your breathing and loosen mucus. You can consider sipping warm water or tea with honey and lemon. This will keep your nose and throat from being too dry. Using an air humidifier may also help. You can also gargle with salt water several times a day. See your doctor if your symptoms last longer than 3 weeks or get worse quickly. Avoid alcohol and do not smoke as they can aggravate your conditions.
  • Coping with Hoarseness of voice
    Try resting your voice and avoid talking too loudly or for too long. Drinking plenty of fluids, gargling with salt water and sucking on lozenges help to keep your throat moist and comfortable. Steam inhalation and using an air humidifier may also help. Avoid alcohol and smoking, as they dry your throat and irritate your vocal chord, aggravating your condition.
  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Musculoskeletal (bone, muscle or joint) pain
    Tell your doctor straight away because sometimes the muscle pain may be a sign of something more serious. A lower dosage or a different medication might be needed. Try to relax the cramping muscle by stretching it and holding the stretch. You might massage the muscle or apply a heat pad to the area after stretching. Avoid exercising too much. Stay well-hydrated. Do not take over-the-counter pain relievers unless the doctor prescribes it. Your doctor may also suggest taking supplements, such as calcium, magnesium oxide or potassium oxide depending on your needs.

How to use Trimium Transhaler

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 Trimium Transhaler works

Trimium Transhaler is a combination of three medicines: 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
UNSAFE
It is unsafe to consume alcohol with Trimium Transhaler.
Pregnancy
CONSULT YOUR DOCTOR
Trimium Transhaler 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.
Breastfeeding
SAFE IF PRESCRIBED
Trimium Transhaler 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

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
No alternate brands found for this medicine

Quick Tips

  • Trimium Transhaler 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 Transhaler 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

Patient Concerns

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i m suffering from breathing problem cough chest infame . Do tell chronic obstructive pulmonary disease .So tell which medicines should i take to treat this problem.
Dr. Anshum Aneja Arora
Pulmonology
It is less likely you have copd at this age You need detailed check up and spirometry test for same
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
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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 all possible side effects, drug interactions or warnings or alerts. 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

  1. 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:External Link

Manufacturer/Marketer Address

Lupin Ltd, 3rd floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India
A licensed vendor partner from your nearest location will deliver Trimium Transhaler. 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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