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  1. Home
  2. Medicine

  3. Triohale Rotacaps 15's

Prescription drug
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Written By ,
Reviewed By Sureshvarma D , MPharma

Composition :

CICLESONIDE-400MCG + FORMOTEROL-12MCG + TIOTROPIUM-18MCG

Manufacturer/Marketer :

Cipla Ltd

Consume Type :

INHALATION

Return Policy :

Not Returnable

Expires on or after :

Therapeutic Class

RESPIRATORY STIMULANTS

Country of origin

India

Manufacturer/Marketer address

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Other Info - TRI0615

FAQs

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.
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Alcohol

Caution

The interaction of Triohale Rotacap with alcohol is unknown. Please consult a doctor before consuming alcohol with Triohale Rotacap .

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Pregnancy

Caution

The safety of Triohale Rotacap in pregnant women is unknown. Therefore, it is given to pregnant women only if the doctor thinks the benefits outweigh the risks.

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Breast Feeding

Caution

It is unknown whether Triohale Rotacap is excreted in human milk. It is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.

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Driving

Safe if prescribed

Triohale Rotacap usually does not affect your ability to drive or operate machinery.

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Liver

Caution

Use Triohale Rotacap with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

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Kidney

Safe if prescribed

If you have any concerns regarding the use of Triohale Rotacap in patients with Kidney problems, please consult your doctor.

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Children

Caution

Safe for children below 12 years(Content)Triohale Rotacap is not recommended for children below 6 years as the safety and effectiveness were not established. However, please consult a doctor before giving Triohale Rotacap to children.

Product Substitutes

Reference

  1. https://www.ciplamed.com/content/triohale-rotacaps
  2. https://go.drugbank.com/drugs/DB00983
  3. https://www.webmd.com/drugs/2/drug-89061-1655/tiotropium-bromide-inhalation/tiotropium-inhalation/details

About Triohale Rotacap

Triohale Rotacap belongs to the class 'respiratory stimulants', which are primarily used to treat asthma symptoms and chronic obstructive pulmonary diseases (COPD). Asthma is a chronic (long-term) respiratory condition in which airways narrow, swell, and produce extra mucus, leading to difficulty breathing. COPD is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the lining of bronchial tubes).

Triohale Rotacap is a combination of three drugs: Tiotropium (anti-cholinergic), Formoterol (LABA - long-acting beta-agonists or bronchodilator), and ciclesonide (corticosteroid). Tiotropium is an anti-cholinergic, and formoterol is a bronchodilator. Both medicines work by relaxing the airway muscles and widen the airways. These medicines together making it easier for asthma and COPD patients to breathe. Whereas ciclesonide is a corticosteroid, it acts by stopping the release of certain natural substances in the body that are responsible for inflammation of the airways.

Your doctor will recommend how often you take Triohale Rotacap based on your medical condition. Some people may experience side effects like a fungal infection in the mouth, vomiting, nausea, headache, sore throat, hoarse voice, upper respiratory tract infection, flu, cough, Musculoskeletal (bone, muscle, or joint) pain, increased heart rate, and trembling. Most of these side effects of Triohale Rotacap do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, stop the medicine and consult your doctor.

If you are allergic to lactose (a form of sugar) or have lactose intolerance, Triohale Rotacap , or any other ingredients, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Triohale Rotacap . Triohale Rotacap is not recommended for children below 6 years of age. If your breathing worsens or you often wake up at night with asthma, experience chest tightness in the morning, or last longer than usual, please consult a doctor immediately. These might be signs indicating that your asthma is not controlled properly and requires an alternate or additional treatment. Regular monitoring of potassium levels is recommended while taking Triohale Rotacap as it may cause low potassium levels in the blood. If you have high blood pressure, diabetes, hypokalaemia (low potassium levels in the blood), glaucoma, cataracts, osteoporosis (weak bones), fits, immune system problems, chickenpox, measles, thyroid, lung, heart, liver, or adrenal gland problems, tuberculosis inform your doctor before taking Triohale Rotacap . Triohale Rotacap  should be used with caution in patients with narrow-angle glaucoma, prostatic hyperplasia, or bladder neck obstruction.

Uses of Triohale Rotacap

Asthma and Chronic obstructive pulmonary disease (COPD).

Medicinal Benefits Mweb

Medicinal Benefits

Triohale Rotacap is a combination of three drugs: Tiotropium (anti-cholinergic), Formoterol (LABA - long-acting beta-agonists or bronchodilator), and ciclesonide (corticosteroid). Tiotropium is an anti-cholinergic, and formoterol is a bronchodilator. Both medicines work by relaxing the airway muscles and widen the airways. These medicines together making it easier for asthma and COPD patients to breathe. Whereas ciclesonide is a corticosteroid, it acts by stopping the release of certain natural substances in the body that are responsible for inflammation of the airways.

Directions for Use

Inhaler/Transhaler: Shake the inhaler well and check the label for directions before using. While you breathe the medication from the mouth, press down the inhaler once to release the medicine and hold your breath for 10 seconds. Repeat until you have inhaled the number of puffs as advised by your doctor. Rinse your mouth with water and spit it out after using.Rotacaps/Transcaps: It is a capsule with powdered medication which is placed in rotahaler/transhaler, a plastic inhalation device that releases the medication when you breathe. It is for inhalation only. Do not swallow the capsule. The capsule should be placed at the base of the rotahaler/transhaler, and completely twist the mouthpiece until you hear a click sound. Then, breathe in through the mouthpiece deeply and hold your breath for 10 seconds. Remove the device and breathe out normally.Respules/Transpules: Respule/Transpule is a small plastic container that contains a solution. Twist off the top of the respule/transpule and squeeze the solution into the nebuliser. This solution is made into a fine mist to breathe in. Inhale the medicine through the nebuliser's mouthpiece.

Side Effects of Triohale Rotacap

  • Fungal infection in the mouth
  • Vomiting
  • Nausea
  • Headache
  • Sore throat, hoarse voice
  • Upper respiratory tract infection
  • Flu, cough
  • Musculoskeletal pain (bone, muscle or joint)
  • Increased heart rate
  • Increased intraocular pressure (pressure inside the eye is higher than normal)
  • Shaking or trembling

Drug Warnings

If you are allergic to lactose (a form of sugar) or have lactose intolerance, Triohale Rotacap , or any other ingredients, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Triohale Rotacap . Triohale Rotacap is not recommended for children below 6 years of age. If your breathing worsens or you often wake up at night with asthma, experience chest tightness in the morning, or last longer than usual, please consult a doctor immediately. These might be signs indicating that your asthma is not controlled properly and requires an alternate or additional treatment. Regular monitoring of potassium levels is recommended while taking Triohale Rotacap as it may cause low potassium levels in the blood. If you have high blood pressure, diabetes, hypokalaemia (low potassium levels in the blood), glaucoma, cataracts, osteoporosis (weak bones), epilepsy, immune system problems, chickenpox, measles, thyroid, lung, heart, liver, or adrenal gland problems, tuberculosis inform your doctor before taking Triohale Rotacap . Triohale Rotacap should be used with caution in patients with narrow-angle glaucoma, prostatic hyperplasia, or bladder neck obstruction.

Drug-Drug Interactions

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CiclesonideDesmopressin
Critical
FormoterolLabetalol
Severe

Drug-Drug Interactions

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CiclesonideDesmopressin
Critical
How does the drug interact with Triohale Rotacap:
Co-administration of Bumetanide and Desmopressin may increase the risk of hyponatremia (low levels of salt in the blood).

How to manage the interaction:
If you have to use Desmopressin and Triohale Rotacap together, a doctor may adjust the dose or monitor you more frequently to safely use both medications. However, if you experience loss of appetite, headache, nausea, vomiting, lethargy (very tired), irritability, difficulty concentrating, weakness, unsteadiness, memory impairment, confusion, muscle spasm, decreased urination, and/or sudden weight gain, contact your doctor immediately as these may be symptoms of water intoxication (water poisoning) and hyponatremia (low levels of salt in the blood). Do not discontinue the medication without consulting a doctor.
FormoterolLabetalol
Severe
How does the drug interact with Triohale Rotacap:
Co-administration of labetalol and Triohale Rotacap together could decrease the effects of both medications.

How to manage the interaction:
Although taking Labetalol and Triohale Rotacap together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
FormoterolCarvedilol
Severe
How does the drug interact with Triohale Rotacap:
Using Triohale Rotacap and Carvedilol together may reduce the effects of both medications.

How to manage the interaction:
Although there is an interaction between Triohale Rotacap and Carvedilol, they can be taken together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
FormoterolMetipranolol
Severe
How does the drug interact with Triohale Rotacap:
Using Triohale Rotacap together with metipranolol can reduce the effects of both medications.

How to manage the interaction:
Although there is an interaction between Triohale Rotacap and metipranolol, they can be taken together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolRibociclib
Severe
How does the drug interact with Triohale Rotacap:
Taking ribociclib together with Triohale Rotacap can increase the risk of an irregular heart rhythm

How to manage the interaction:
Co-administration of Triohale Rotacap with Ribociclib can possibly result in an interaction, but it can be taken if your doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, or shortness of breath, contact your doctor right away. Do not stop using any medications without first talking to your doctor.
FormoterolEpinephrine
Severe
How does the drug interact with Triohale Rotacap:
Using epinephrine together with Triohale Rotacap may increase the risk of irregular heart rhythm.

How to manage the interaction:
Although taking Triohale Rotacap and Epinephrine together can cause an interaction, it can be taken if your doctor has suggested it. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolPindolol
Severe
How does the drug interact with Triohale Rotacap:
Using Triohale Rotacap with pindolol together could decrease the effects of both medications.

How to manage the interaction:
Although there is an interaction between Triohale Rotacap and Pindolol, they can be taken together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolCarteolol
Severe
How does the drug interact with Triohale Rotacap:
Taking carteolol with Triohale Rotacap can reduce the effects of both drugs.

How to manage the interaction:
Although there is an interaction between Carteolol and Triohale Rotacap, they can be taken together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
FormoterolTimolol
Severe
How does the drug interact with Triohale Rotacap:
Taking timolol with Triohale Rotacap could reduce the benefits of both medications because they have opposite effects on the body.

How to manage the interaction:
Although taking Triohale Rotacap and timolol together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience any unusual symptoms, contact your doctor immediately. Do not stop using any medications without talking to your doctor.
FormoterolNadolol
Severe
How does the drug interact with Triohale Rotacap:
Taking nadolol with Triohale Rotacap together could decrease the effects of both medications.

How to manage the interaction:
There may be a possibility of interaction between Triohale Rotacap and Nadolol, but it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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Drug-Drug Interactions Checker List

  • ALBUTEROL
  • PREDNISONE
  • FUROSEMIDE
  • AMILORIDE
  • ASPIRIN
  • AZITHROMYCIN
  • DULOXETINE
  • METOPROLOL
  • KETOCONAZOLE
  • RITONAVIR
  • PHENELZINE
  • POSACONAZOLE
  • ITRACONAZOLE
  • VORICONAZOLE

Habit Forming

No

Special Advise

  • You are advised to rinse your mouth with water after each dose of Triohale Rotacap because it not only removes the taste of medicine inhaled but also helps to avoid fungal infections (oral thrush) in the mouth and throat. After rinsing your mouth thoroughly, you may drink water, milk, or any liquids.
  • Your doctor may advise regular monitoring of potassium, as the use of Triohale Rotacap may affect the body's potassium levels.

Diet & Lifestyle Advise

  • Eat a healthy diet and exercise regularly to strengthen your breathing muscles and boost your immune system.
  • Avoid foods such as cabbage, beans, garlic, onions, shrimp, pickled food, dried fruits, fried foods, carbonated drinks, wine, bottled lemon, and lime juice as it may worsen asthma symptoms.
  • Do meditation, deep breathing, regular exercise, and try progressive muscle relaxation techniques to get relief from stress and reduce the risk of an asthma attack.
  • Quit smoking as it may reduce the effectiveness of the Triohale Rotacap and irritate the lungs worsening breathing problems.
  • Learning breathing exercises will help you move more air in and out of your lungs.
  • Limit alcohol intake.

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