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Aforbe

Aforbe is an inhaler that contains two active substances; a corticosteroid to reduce inflammation and a bronchodilator to make breathing easier, and is used to treat asthma and COPD.

Form
inhalaatiosumute, liuos
Strength
100 / 6 mikrog / annos
Active Ingredient
Beclometasone dipropionate
Manufacturer
Viatris Limited

How to Use

Dosage

For daily asthma treatment with a separate rescue inhaler: 1-2 puffs twice daily. For daily asthma treatment and as a rescue inhaler: 1 puff in the morning and 1 puff in the evening, plus 1 puff as needed for sudden asthma symptoms. For COPD: 2 puffs in the morning and 2 puffs in the evening.

Method

Aforbe is an inhaler. Inhale it through your mouth into your lungs. Always follow your doctor's or pharmacist's instructions.

Important

The maximum daily dose is 8 puffs if Aforbe is your only asthma inhaler, or 4 puffs for COPD or if you use a separate rescue inhaler for asthma.

Possible Side Effects

COMMON
  • •Fungal infections in the mouth and throat.
  • •Headache.
  • •Hoarseness.
  • •Sore throat.
  • •Pneumonia in COPD patients (symptoms: fever or chills, more or changed mucus, more cough or breathing difficulties).
RARE
  • •Unusually fast or irregular heartbeats.
  • •Certain changes in heart tracing (ECG).
  • •Asthma attack.
  • •Tremor.
  • •Restlessness.
  • •Dizziness.
  • •Palpitations (fast or pounding heartbeat).
  • •Flu-like symptoms.
  • •Vaginal yeast infections.
  • •Sinusitis (inflammation of sinuses).
  • •Ear infection.
  • •Throat irritation.
  • •Productive cough (coughing up mucus).
  • •Nausea.
  • •Taste disturbance or loss.
  • •Burning sensation in lips.
  • •Dry mouth.
  • •Difficulty swallowing.
  • •Indigestion.
  • •Abdominal pain.
  • •Diarrhea.
  • •Muscle pain and cramps.
  • •Facial flushing.
  • •Excessive sweating.
  • •Changes in blood composition (e.g., decreased white blood cells, increased platelets).
  • •Decreased blood potassium levels.
  • •Increased blood sugar levels.
  • •Increased levels of insulin, free fatty acids, and ketones in the blood.
  • •Hives.
  • •Runny nose.
  • •Decreased cortisol in blood (in COPD patients).
  • •Heart rhythm disorders (in COPD patients).
  • •Chest tightness.
  • •Sensation of a skipped heartbeat.
  • •Increased or decreased blood pressure.
  • •Kidney inflammation.
  • •Swelling of skin and mucous membranes lasting several days.
  • •Worsening of asthma.
  • •Shortness of breath.
  • •Decreased platelet count.
  • •Swelling of hands and feet.
  • •Adrenal gland problems.
  • •Cataract (clouding of the eye lens).
  • •Slowed growth in children and adolescents.
  • •Increased eye pressure (glaucoma).
  • •Weakening of bones (decreased bone density).
  • •Sleep problems, depression, anxiety, restlessness, nervousness, over-excitement, or irritability (more common in children).
  • •Blurred vision.

Important Warnings

  • Do not use if allergic to Aforbe, its ingredients, or other asthma medications or inhalers. Contact your doctor if unsure.
  • Tell your doctor if you have heart problems (like chest pain, recent heart attack, heart failure, narrow heart arteries, valve disease, abnormal heart muscle), high blood pressure, or unusual heart rhythms.
  • Tell your doctor if you have narrowed arteries, an aneurysm (bulging artery wall), an overactive thyroid, low potassium levels in your blood, liver or kidney disease, or diabetes.
  • Tell your doctor if you have an adrenal gland tumor (pheochromocytoma) or if you are scheduled for anesthesia (you might need to stop Aforbe at least 12 hours before).
  • Tell your doctor if you have or have had tuberculosis (TB), a viral or fungal lung infection, or if you need to avoid alcohol for any reason.
Show 7 more warnings
  • If you have severe asthma, your doctor might need to check your blood potassium levels regularly.
  • If you use high doses of inhaled corticosteroids for a long time, you might need extra steroids during stressful times (e.g., hospital stay after an accident, severe injury, or before surgery).
  • Contact your doctor if you experience blurred vision or other vision problems.
  • Aforbe is not for children or adolescents under 18 years old.
  • Do not use beta-blockers (including eye drops) with Aforbe without consulting your doctor, as they can reduce Aforbe's effect.
  • Rinse your mouth with water or brush your teeth after each use to prevent fungal infections in the mouth and throat.
  • If your breathing worsens or you start wheezing right after using Aforbe (called paradoxical bronchospasm), stop using it immediately and use your rescue inhaler. Contact your doctor right away.

Use in Elderly Patients

Category A

Suitable for older adults. Consider possible systemic adverse effects with high doses. (updated 15.5.2023)

Additional Information

ATC Code: R03AK08
→ View Professional Information (PDF)→ View Patient Leaflet (PDF)