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MedsAcross

Fixed-dose combination

Budesonide and Formoterol

Also known as budesonide, formoterol fumarate
Available on requestRespiratory
Presentations
6
Brands
2
Manufacturers
2
Available from stock
0

Budesonide and Formoterol is a fixed-dose combination of a corticosteroid and a beta2-adrenergic agonist indicated for treatment of asthma in patients 6 years of age and older, among other approved uses. MedsAcross supplies Budesonide and Formoterol for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Beta2-Adrenergic Agonist, Corticosteroid, Adrenergic beta2-Agonists, Corticosteroid Hormone Receptor Agonists
ATC classification
R03AK07 Budesonide and Formoterol · Asthma and COPD medicines, subgroup R03A, subgroup R03AK
US FDA first approval
21 July 2006
EU status
Authorised
Orphan designation
No
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Inhalation
Dosage forms
Inhaler
Fixed-dose combination of
Budesonide, Formoterol
Identifiers
RxCUI 389132CAS 150693-37-1Q863389

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

SYMBICORT is a combination product containing a corticosteroid and a long-acting beta 2 -adrenergic agonist indicated for: • Treatment of asthma in patients 6 years of age and older. • Maintenance treatment of airflow obstruction and reducing exacerbations in patients with chronic obstructive pulmonary disease (COPD) including chronic bronchitis and/or emphysema. Important limitations: • Not indicated for the relief of acute bronchospasm.

Source: US FDA prescribing information

How it works

SYMBICORT SYMBICORT contains both budesonide and formoterol, therefore, the mechanisms of action described below for the individual components apply to SYMBICORT. These drugs represent two classes of medications (a synthetic corticosteroid and a long-acting selective beta 2 -adrenoceptor agonist) that have different effects on clinical, physiological, and inflammatory indices of COPD and asthma. Budesonide Budesonide is an anti-inflammatory corticosteroid that exhibits potent glucocorticoid activity and weak mineralocorticoid activity. In standard in vitro and animal models, budesonide has approximately a 200-fold higher affinity for the glucocorticoid receptor and a 1000-fold higher topical anti-inflammatory potency than cortisol (rat croton oil ear edema assay).

Source: US FDA prescribing information

Dosing overview

For oral inhalation only. • Treatment of asthma in patients 12 years and older: 2 inhalations of SYMBICORT 80/4.5 or 160/4.5 twice daily. Starting dosage is based on asthma severity. • Treatment of asthma in patients aged 6 to less than 12 years: 2 inhalations of SYMBICORT 80/4.5 twice daily. • Maintenance treatment in COPD: 2 inhalations of SYMBICORT 160/4.5 twice daily.

Source: US FDA prescribing information

Contraindications

The use of SYMBICORT is contraindicated in the following conditions: • Primary treatment of status asthmaticus or other acute episodes of asthma or COPD where intensive measures are required. • Hypersensitivity to any of the ingredients in SYMBICORT. • Primary treatment of status asthmaticus or acute episodes of asthma or COPD requiring intensive measures. • Hypersensitivity to any of the ingredients in SYMBICORT.

Source: US FDA prescribing information

Warnings and precautions

• Serious asthma-related events: Long-acting beta2-adrenergic agonists as monotherapy increase the risk. • Deterioration of disease and acute episodes: Do not initiate in acutely deteriorating asthma or COPD or to treat acute symptoms. • Use with additional long-acting beta 2 -agonist: Do not use in combination because of risk of overdose. • Localized infections: Candida albicans infection of the mouth and throat may occur. Monitor patients periodically for signs of adverse effects on the oral cavity. Advise the patient to rinse his/her mouth with water without swallowing after inhalation to help reduce the risk. • Pneumonia: Increased risk in patients with COPD. Monitor patients for signs and symptoms of pneumonia and other potential lung infections.

Source: US FDA prescribing information

Side effects

LABA use may result in the following: • Serious asthma-related events – hospitalizations, intubations, death. • Cardiovascular and central nervous system effects. Systemic and inhaled corticosteroid use may result in the following: • Candida albicans infection • Pneumonia or lower respiratory tract infections in patients with COPD • Immunosuppression • Hypercorticism and adrenal suppression • Growth effects in pediatric patients • Glaucoma and cataracts Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.

Source: US FDA prescribing information

Interactions

In clinical studies, concurrent administration of SYMBICORT and other drugs, such as short-acting beta 2 -agonists, intranasal corticosteroids, and antihistamines/decongestants has not resulted in an increased frequency of adverse reactions. No formal drug interaction studies have been performed with SYMBICORT. • Strong cytochrome P450 3A4 inhibitors (e.g., ritonavir): Use with caution. May cause increased systemic corticosteroid effects. • Monoamine oxidase inhibitors and tricyclic antidepressants: Use with extreme caution. May potentiate effect of formoterol on vascular system. • Beta-blockers: Use with caution. May block bronchodilatory effects of beta-agonists and produce severe bronchospasm. • Diuretics: Use with caution. Electrocardiographic changes and/or hypokalemia associated with non-potassium-sparing diuretics may worsen with concomitant beta-agonists.

Source: US FDA prescribing information

Storage

Store at controlled room temperature 20°C to 25°C (68°F to 77°F). For best results, the canister should be at room temperature before use. Store the inhaler with the mouthpiece down. Do not store near heat or open flame.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

6 presentations of Budesonide and Formoterol, sorted by availability.

MedicineActive ingredientManufacturerRegisterAvailability
Budesonide and Formoterol 160 mcg/4.5 mcg inhalerInhalationGeneric nameBudesonide and Formoterol—US FDAAvailable on request
Budesonide and Formoterol 80 mcg/4.5 mcg inhalerInhalationGeneric nameBudesonide and Formoterol—US FDAAvailable on request
Symbicort 160 mcg/4.5 mcg inhalerInhalationBudesonide and FormoterolAstraZeneca PharmaceuticalsUS FDAAvailable on request
Symbicort 80 mcg/4.5 mcg inhalerInhalationBudesonide and FormoterolAstraZeneca PharmaceuticalsUS FDAAvailable on request
Breyna 160 mcg/4.5 mcg inhalerInhalationBudesonide and FormoterolMylan PharmaceuticalsUS FDAAvailable on request
Breyna 80 mcg/4.5 mcg inhalerInhalationBudesonide and FormoterolMylan PharmaceuticalsUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 21 July 2006Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Budesonide and Formoterol in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Budesonide and Formoterol available for export from India?

Yes, on request. MedsAcross lists 6 presentations of Budesonide and Formoterol and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Budesonide and Formoterol have?

The catalogue lists 2 brand names for Budesonide and Formoterol, including Breyna, Symbicort.

Is Budesonide and Formoterol approved by the US FDA?

Yes. The US FDA first approved Budesonide and Formoterol on 21 July 2006, according to Drugs@FDA.

Is Budesonide and Formoterol authorised in the European Union?

Yes. Budesonide and Formoterol has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Budesonide and Formoterol need cold chain shipping?

No listed presentation of Budesonide and Formoterol is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Budesonide and Formoterol in?

Budesonide and Formoterol is classified under ATC code R03AK07 (Budesonide and Formoterol).

References

  1. SYMBICORT prescribing information (AstraZeneca Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 24 July 2019
  2. BiResp Spiromax: European public assessment report (EPAR). European Medicines Agency. Retrieved 24 July 2024
  3. DuoResp Spiromax: European public assessment report (EPAR). European Medicines Agency. Retrieved 24 July 2024

Request Budesonide and Formoterol for export supply

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