Indica-G 110 mcg+50 mcg (Inhalation Capsule)

Unit Price: ৳ 50.00 (3 x 10: ৳ 1,500.00)
Strip Price: ৳ 500.00

Medicine Details

Indications

  • Long-term maintenance bronchodilator treatment
  • Chronic obstructive pulmonary disease (COPD)
  • Chronic bronchitis
  • Emphysema
  • Once-daily usage
  • Not for acute episodes of bronchospasm
  • Not for asthma

Composition

  • Indacaterol 110 mcg as Indacaterol Maleate INN (Micronized)
  • Glycopyrronium 50 mcg as Glycopyrronium Bromide BP (Micronized)

Pharmacology

  • Delivery through oral inhalation
  • Combined action of Glycopyrronium and Indacaterol
  • Stimulation of intracellular adenyl cyclase
  • Relaxation of bronchial smooth muscle
  • Inhibition of release of mediators of immediate hypersensitivity
  • Long-acting muscarinic antagonist
  • Inhibition of M3 receptor at the smooth muscle
  • Bronchodilation

Dosage & Administration

  • For adults (18 years or older)
  • Maintenance treatment of COPD: 1 inhalation once daily
  • Not for relief of acute bronchospasm
  • Not for children and adolescents
  • Use in patients with renal impairment
  • Use in patients with hepatic impairment

Interaction

  • No specific interaction studies
  • Caution with concomitant use of hypokalemic treatment
  • Not recommended with β-adrenergic blockers, anticholinergics, or sympathomimetic agents

Contraindications

  • Hypersensitivity to Glycopyrronium or Indacaterol
  • Severe hypersensitivity to milk proteins
  • LABA use in patients with asthma without long-term asthma control medication

Side Effects

  • Cardiovascular effects
  • Ocular disorders
  • Urinary retention
  • Gastrointestinal disorders
  • Dry mouth
  • Cough
  • Immediate hypersensitivity reactions
  • Hypokalemia
  • Hyperglycemia
  • Headache
  • Nervousness
  • Insomnia
  • Muscle spasms
  • Fatigue
  • Malaise
  • Tremor

Pregnancy & Lactation

  • Pregnancy category C
  • Use during pregnancy if expected benefit justifies potential risk to the foetus
  • Consideration for breast-feeding women if expected benefit to the woman is greater than any possible risk to the infant

Precautions & Warnings

  • Increased risk of serious asthma-related events with LABA monotherapy
  • Avoid initiation in acutely deteriorating COPD or asthma
  • Caution with cardiovascular disorders
  • Caution with convulsive disorders, thyrotoxicosis, diabetes mellitus, and ketoacidosis
  • Potential worsening of narrow-angle glaucoma
  • Potential worsening of urinary retention
  • Alert for hypokalemia and hyperglycemia

Overdose Effects

  • Exaggerated effects typical of β2-adrenergic stimulants
  • Tachycardia
  • Tremor
  • Palpitations
  • Headache
  • Nausea
  • Vomiting
  • Drowsiness
  • Ventricular arrhythmias
  • Metabolic acidosis
  • Hypokalemia
  • Hyperglycaemia
  • Anticholinergic effects
  • Increased intraocular pressure
  • Obstipation
  • Difficulties in voiding
  • Supportive and symptomatic treatment

Therapeutic Class

  • Combined bronchodilators

Storage Conditions

  • Avoid storage in direct sunlight or heat
  • Store in a cool & dry place
  • Keep away from eyes
  • Keep out of reach of children

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