Triohale Metered-Dose Inhaler

• Asthma: Inflamed and narrowed airways can cause wheezing, chest tightness and breathlessness; ciclesonide reduces swelling while formoterol and tiotropium bromide help keep airflow open.
• Chronic obstructive pulmonary disease: Damaged or narrowed airways can limit activity and cause breathlessness; this inhaler helps maintain airflow so routine movement is easier.

• Dry mouth and difficulty passing urine: Tiotropium reduces saliva and can make urination difficult; drink water for mouth dryness and get urgent medical help if you cannot urinate.
• Cough and upper-airway irritation: Inhalation may trigger cough, nasopharyngitis, an inflammation of the nose and throat, or sinus inflammation. Rinse your mouth after use and seek advice if symptoms persist.
• Headache, constipation or stomach discomfort: These effects may occur during treatment, and dizziness, insomnia or difficulty sleeping, voice change or taste change can also appear. Ask your doctor if they interfere with daily activities.
• Fast heartbeat or tremor: Formoterol can cause shaking, increased heart rate or palpitations. Get urgent care for chest pain, fainting or a sustained irregular heartbeat.
• Oral fungal infection or blurred vision: Ciclesonide can allow a fungal infection in the mouth or throat, while tiotropium may blur vision. Seek prompt advice for white patches or persistent visual change.

• Use Triohale inhaler regularly as prescribed, even when breathing feels better.
• Keep a separate rescue inhaler available if your doctor has prescribed one.
• Rinse your mouth and spit after each use to reduce the risk of mouth or throat fungal infection.
• Check your inhaler technique with a healthcare professional.
• Do not rely on Triohale inhaler for sudden breathlessness; use the rescue inhaler prescribed to you.
• Seek urgent care if breathing suddenly worsens or the rescue inhaler does not help.

Overdose

Missed a Dose

Interactions with other medicines