Catium ES 110 mcg+50 mcg (Inhalation Capsule)

Unit Price: ৳ 50.00 (5 x 6: ৳ 1,500.00)
Strip Price: ৳ 300.00

Medicine Details

Indications

  • Long-term once-daily maintenance bronchodilator treatment
  • Airflow obstruction in COPD patients
  • Chronic bronchitis treatment
  • Emphysema treatment

Composition

  • Each dry powder inhaler capsule contains Indacaterol 110 mcg
  • Indacaterol Maleate INN
  • Glycopyrronium 50 mcg
  • Glycopyrronium Bromide BP

Pharmacology

  • Combination of Glycopyrronium (an anticholinergic) and Indacaterol (a LABA)
  • Stimulation of intracellular adenyl cyclase
  • Relaxation of bronchial smooth muscle
  • Inhibition of release of mediators of immediate hypersensitivity

Dosage & Administration

  • For oral inhalation only
  • Maintenance treatment of COPD: 1 inhalation once daily
  • Limitations: Not for acute bronchospasm relief or asthma treatment
  • Geriatric use
  • Use in Children & Adolescents
  • Renal impairment
  • Hepatic impairment

Interaction

  • No specific interaction studies conducted for Glycopyrronium and Indacaterol combination
  • Contraindications for concomitant use with β-adrenergic blockers or anticholinergics
  • Caution with hypokalemic treatment

Contraindications

  • Hypersensitivity to Glycopyrronium or Indacaterol
  • Severe hypersensitivity to milk proteins
  • Contraindicated in asthma without long-term control medication

Side Effects

  • Cardiovascular effects
  • Ocular disorders
  • Urinary retention
  • Gastrointestinal disorders
  • Dry mouth
  • Cough
  • Hypersensitivity reactions
  • Headache
  • Nervousness
  • Insomnia
  • Muscle spasms
  • Fatigue
  • Malaise

Pregnancy & Lactation

  • Pregnancy category C
  • Limited data on use during pregnancy
  • Unknown excretion in human milk

Precautions & Warnings

  • Increased risk of serious asthma-related events with LABA monotherapy
  • Use with caution in cardiovascular disorders
  • Worsening of narrow-angle glaucoma
  • Worsening of urinary retention
  • Alert to hypokalemia and hyperglycemia

Overdose Effects

  • No information on clinically relevant overdosing with medication
  • Potential effects: tachycardia, tremor, palpitations, nausea, vomiting, drowsiness, ventricular arrhythmias
  • Anticholinergic effects: increased intraocular pressure, obstipation, difficulties in voiding
  • Supportive and symptomatic treatment indicated

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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