Indakaterol för KOL
Onbrez Breezhaler
Granskad av Sid DajaniSenast uppdaterad av Michael Stewart, MRPharmSSenast uppdaterad 5 Nov 2024
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Use the inhaler every day.
Make sure you know how to use the device properly. If you are not sure, ask your nurse, pharmacist or doctor to show you.
Do not smoke. Smoking causes irritation to the lungs and will make your condition worse.
Överblick
Indacaterol is a bronchodilator medicine used daily for chronic obstructive pulmonary disease (COPD).
It widens your airways, easing symptoms like coughing, wheezing, and breathlessness.
Use it once a day, at the same time, as a long-term treatment, not for sudden breathlessness.
It is available as capsules used with a special inhaler device, not to be swallowed.
Common side-effects include headache, respiratory infections, and muscle aches.
If your symptoms worsen or you have concerns, speak to your doctor or pharmacist.
About indacaterol
Typ av medicin | A long-acting beta2 agonist bronchodilator |
Används för | Kronisk obstruktiv lungsjukdom (KOL) |
Även kallad | Onbrez® Breezhaler; |
Tillgänglig som | Capsules with an inhaler device |
Indacaterol is called a bronchodilator, as it widens (dilates) your airways. It is intended to be used regularly to relieve airways-related problems in people who have kroniskt obstruktiv lungsjukdom (KOL). It works by opening up the air passages in your lungs so that air can flow into your lungs more freely. This helps to ease symptoms such as coughing, wheezing and feeling breathless.
Use indacaterol every day. It is a long-acting bronchodilator, which means that it works throughout the day. It is prescribed to reduce your symptoms over the long term - it is not a rescue treatment for sudden breathlessness.
One brand of indacaterol inhaler (called Ultibro®) also contains another bronchodilator medicine called glycopyrronium. Indacaterol is also available with a corticosteroid called mometasone in the brand Atectura®. You could be prescribed one of these combination brands to help reduce the number of inhalers you need to use.
Before using indacaterol
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start using indacaterol it is important that your doctor knows:
If you have heart or blood vessel problems, or if you have an irregular heartbeat.
Om du har högt blodtryck.
If you have an overactive thyroid gland.
If you have diabetes (diabetes mellitus).
If you have been told by a doctor that you have low levels of potassium in your blood.
If you have fits, or epilepsy.
If you have any problems with the way your liver works.
If you are pregnant, trying for a baby or breastfeeding. This is because it is particularly important that your breathing is well controlled if you are pregnant.
Om du tar några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.
Om du någonsin har haft en allergisk reaktion mot en medicin.
How to use indacaterol
Before using the inhaler device, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about indacaterol, a diagram to remind you how to use and clean your inhaler device and a full list of side-effects which you could experience from using it.
Follow your doctor's instructions carefully and make sure that you know how to use your inhaler properly. If you are not sure, ask your nurse, doctor or pharmacist to show you.
Use the inhaler regularly, once every day. There are two strengths of Onbrez® capsules - 150 mg and 300 mg. Your doctor will tell you which dose is right for you. Just as a reminder - the capsules must not be swallowed. They are to be used with the inhaler device only.
Try to use your inhaler at the same time each day, as this will help you to remember to use it regularly. If you ever forget to use the inhaler at your usual time, use it as soon as you remember. However, if you do not remember until the following day, do inte 'double up' your next dose to make up for the forgotten one.
Instructions for using the inhaler device
Remove the cap. Hold the base of the inhaler device and tilt the mouthpiece. This opens the inhaler.
Take a capsule from the blister packaging and put it into the capsule chamber of the inhaler. Close the inhaler - you will hear it click.
Hold the inhaler upright and press both side buttons at the same time. You should hear a click as the capsule is pierced. Then release the side buttons.
Breathe out and then put the mouthpiece in your mouth and close your lips firmly around it.
Breathe in deeply and hold your breath for around 5-10 seconds. Then breathe out.
Remove the empty capsule, close the inhaler and then replace the cap.
Få ut det mesta av din behandling
Try to keep your regular appointments with your doctor. This is so your doctor can review your condition on a regular basis.
Do not smoke. Smoking causes irritation and damage to the lungs and will make your condition worse. Speak with your doctor or practice nurse for further advice if you are having difficulty in stopping smoking.
If you find that your symptoms are getting worse, continue to use your inhaler but also contact your doctor or nurse for further advice.
If you have diabetes you may need to check your blood glucose more frequently, as the inhaler could affect the levels of sugar in your blood. Your doctor will advise you about this.
Can indacaterol cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with indacaterol. You will find a full list in the manufacturer's information leaflet supplied with your inhaler device. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common indacaterol side-effects (these affect fewer than 1 in 10 people) | Vad kan jag göra om jag upplever detta? |
Huvudvärk | Drick mycket vatten och be din apotekare rekommendera en lämplig smärtstillande. Om huvudvärken fortsätter, informera din läkare |
Respiratory infections, cough, sore throat and cold-like symptoms | Ask your pharmacist to recommend a suitable remedy |
Muscle aches | Ask your pharmacist to recommend a suitable painkiller |
Känner dig yr | Kör inte och använd inte verktyg eller maskiner när du är påverkad |
Swollen feet and ankles (fluid retention), chest pain | Please speak with your doctor for advice |
If you experience any other symptoms which you think may be due to the inhaler, please speak with your doctor or pharmacist for further advice.
How to store indacaterol
Förvara alla läkemedel utom räckhåll och synhåll för barn.
Förvara på en sval, torr plats, borta från direkt värme och ljus.
Viktig information om alla läkemedel
Viktig information om alla läkemedel
Om du köper några mediciner, kontrollera med en apotekare att de är säkra att ta tillsammans med dina andra mediciner.
Ta aldrig mer än den föreskrivna dosen. Om du misstänker att du eller någon annan kan ha tagit en överdos av denna medicin, gå till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.
Om du ska genomgå en operation eller tandbehandling, informera den som utför behandlingen om vilka mediciner du tar.
Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.
Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.
Om du har några frågor om denna medicin, fråga din apotekare.
Rapportera biverkningar av ett läkemedel eller vaccin
Om du upplever biverkningar kan du rapportera dem online via Yellow Card webbplats.

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Kontrollera möjliga interaktioner mellan läkemedel, kosttillskott och livsmedel innan du tar dem tillsammans.
Vanliga frågor
What should I do if I find my COPD symptoms are getting worse while using indacaterol?
If you notice your symptoms getting worse, it's important to continue using your indacaterol inhaler as prescribed. However, you should also contact your doctor or nurse for further advice as soon as possible.
Can indacaterol affect my blood sugar levels if I have diabetes?
Yes, if you have diabetes, indacaterol could affect the levels of sugar in your blood. Your doctor will provide you with advice on how often you may need to check your blood glucose.
Are there any specific instructions for cleaning the indacaterol inhaler device?
The manufacturer's printed information leaflet inside the pack will provide specific diagrams and instructions on how to properly clean your inhaler device. It's important to read this leaflet for full details.
How should I dispose of indacaterol capsules once they are empty or if I have any unwanted medicine?
After using a capsule, you should remove the empty capsule from the inhaler. For any out-of-date or unwanted medicines, including unused capsules, take them to your local pharmacy for safe disposal.
What is the difference between Onbrez® and the combination brands like Atectura® or Ultibro® Breezhaler?
Onbrez® contains only indacaterol. However, there are combination brands available: Atectura® contains indacaterol with mometasone (a corticosteroid), and Ultibro® Breezhaler contains indacaterol with glycopyrronium (another bronchodilator medicine). These combination brands can help reduce the number of inhalers you need to use.
Vidare läsning och referenser
- Manufacturer's PIL, Onbrez® Breezhaler 150 and 300 microgram inhalation powder hard capsules; Novartis Pharmaceuticals UK Ltd, The electronic Medicines Compendium. Dated April 2023.
- Mediciner Komplett BNF 89:e Utgåvan; Brittiska Läkarföreningen och Kungliga Farmaceutiska Sällskapet i Storbritannien, London.
Om författarenVisa fullständig biografi

Michael Stewart, MRPharmS
Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare
BPharm (Hons), MRPharmS
Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.
Om recensenten

Sid Dajani
Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.
Artikelhistorik
Informationen på denna sida är skriven och granskad av kvalificerade kliniker.
Artikeln finns också på Engelska, Tyska, Spanska, Franska, Italienska, Portugisiska, Hindi, Hebreiska, Arabiska, och Svenska.
Next review due: 11 Nov 2027
5 Nov 2024 | Senaste versionen

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