Buy Symbicort Powder
Symbicort Powder

$46.75
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Prescription
Issued on site / Included
Availability
In Stock
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Symbicort Powder Properties

Primary Category
Pharmacological Class
Inhaled Corticosteroid, Long-Acting Beta-2 Adrenoreceptor Agonist
Indications
Minor Side Effects
Dosage Forms
Inhalation Powder
Administration Route
Inhalation
Mechanism of Action
Combines two medicines: a steroid to reduce inflammation in the airways and a long-acting bronchodilator to keep airways open, making breathing easier.
Prescription Status
Rx
Manufacturer
AstraZeneca
Patient Summary
A combination inhaler used daily to manage asthma symptoms and improve breathing in COPD. It is not for immediate relief of sudden breathing problems.
Onset Time
Formoterol component works quickly, Budesonide effect builds over days/weeks
Duration
Up to 12 hours (Formoterol) and longer (Budesonide)
Storage Instructions
Store at room temperature, away from moisture
Age Restrictions
Suitable for children (aged 6+) and adults, dosage varies
Pregnancy Use
Consult doctor before use during pregnancy
Alternative Drugs

About Symbicort Powder

Symbicort Powder is a brand-name inhaled medication that combines the inhaled corticosteroid budesonide with the long-acting β₂-agonist (LABA) formoterol fumarate dihydrate. It belongs to the class of combination inhaled corticosteroid-LABA therapies and is approved in Australia for the maintenance treatment of asthma and chronic obstructive pulmonary disease (COPD). The fixed-dose formulation delivers 160 µg of budesonide and 4.5 µg of formoterol per actuation, providing both anti-inflammatory protection and bronchodilation in a single device. While its primary indication is asthma control, clinicians also prescribe it for stable COPD to reduce exacerbations and improve lung function.

What is Symbicort Powder?

Symbicort Powder is a branded dry-powder inhaler (DPI) marketed by AstraZeneca. The product received Therapeutic Goods Administration (TGA) approval in 2005 and has since become a cornerstone of guideline-directed therapy for persistent asthma and COPD in Australia. It is classified as a prescription-only medication (S4) and is supplied in a multidose inhaler that releases a metered amount of powder when the patient inhales through the device. The formulation pairs budesonide, a glucocorticoid that suppresses airway inflammation, with formoterol, a rapid-onset LABA that relaxes airway smooth muscle, allowing patients to achieve both control and relief with one inhaler.

How Symbicort Powder Works

The therapeutic effect of Symbicort Powder stems from the complementary actions of its two active ingredients:

  • Budesonide binds to glucocorticoid receptors in the cytoplasm of airway epithelial and immune cells. This complex translocates to the nucleus, where it modulates gene transcription to decrease the production of pro-inflammatory cytokines (IL-5, IL-13, TNF-α) and adhesion molecules. The result is reduced eosinophilic infiltration, edema, and mucus hypersecretion-key drivers of airway hyper-responsiveness.

  • Formoterol is a high-affinity agonist of the β₂-adrenergic receptor on airway smooth-muscle cells. Activation stimulates adenylate cyclase, raising intracellular cyclic AMP (cAMP). Elevated cAMP leads to protein kinase A-mediated phosphorylation of myosin light-chain kinase, causing muscle relaxation and bronchodilation. Formoterol’s rapid onset (within minutes) distinguishes it from some other LABAs, providing prompt symptom relief while its long-acting profile (≈12 h) sustains airway patency.

Pharmacokinetic studies in healthy volunteers show that budesonide reaches peak plasma concentrations within 15 minutes after inhalation, with a systemic half-life of about 2 hours, reflecting extensive first-pass metabolism. Formoterol attains peak levels in 5-10 minutes, and its elimination half-life ranges from 10 to 14 hours, supporting twice-daily dosing. The dry-powder formulation delivers particles sized 1-5 µm, optimized for deposition in the bronchi and peripheral airways, enhancing therapeutic reach.

Together, the anti-inflammatory action of budesonide reduces the underlying pathology, while formoterol maintains airway caliber, yielding synergistic control of asthma and COPD symptoms.

Why Symbicort Powder is Used for Respiratory Conditions

  • Asthma maintenance therapy - Budesonide suppresses chronic inflammation that fuels bronchial hyper-responsiveness, while formoterol’s bronchodilation prevents nocturnal and exercise-induced bronchoconstriction. The Global Initiative for Asthma (GINA) recommends low-dose combination inhaled corticosteroid-LABA as a preferred step-3 option, positioning Symbicort Powder as a first-line choice when monotherapy fails.

  • COPD stability - Randomised trials (e.g., the SUMMIT study) demonstrated that the budesonide/formoterol combination reduces moderate exacerbations by ≈15 % compared with placebo and improves trough FEV₁. Australian COPD guidelines list combination inhaled corticosteroid-LABA as a step-2 maintenance option for patients with frequent exacerbations or elevated eosinophil counts.

  • Convenient twice-daily dosing - The 160/4.5 µg strength delivers a consistent therapeutic dose every 12 hours, simplifying adherence for patients who struggle with multiple inhalers.

  • Rapid onset for symptom relief - Formoterol’s fast bronchodilatory effect provides rescue-type relief without the need for a separate short-acting β₂-agonist, streamlining treatment plans.

  • Reduced systemic corticosteroid exposure - By delivering the corticosteroid directly to the lungs, the inhaled route minimises systemic absorption, decreasing the risk of adrenal suppression versus oral steroids.

  • Compatibility with spacer devices - Although designed as a DPI, the inhaler can be used with a spacer if inspiratory flow is insufficient, expanding its utility for elderly or pediatric patients with limited inhalation force.

Is Symbicort Powder Right for You?

Symbicort Powder is most suitable for adults with moderate-to-severe persistent asthma or stable COPD who require both anti-inflammatory control and long-acting bronchodilation. Patients who can generate an inspiratory flow of at least 60 L/min typically achieve optimal powder dispersion. The inhaler may also be appropriate for individuals who prefer a single device over separate maintenance and rescue inhalers.

Special populations warrant careful consideration:

  • Elderly patients - Age-related decline in inspiratory effort may necessitate a spacer or an alternative inhaler type. Renal or hepatic impairment does not markedly affect budesonide or formoterol clearance because of extensive first-pass metabolism, but clinicians should monitor for systemic steroid effects.

  • Pregnancy and lactation - Budesonide is classified as Pregnancy Category B in Australia, indicating no evidence of fetal risk at therapeutic doses, while formoterol is Category C. The benefits of asthma control usually outweigh potential risks, but treatment decisions should be individualized.

  • Severe bronchospasm - During an acute exacerbation, Symbicort Powder can provide bronchodilation, yet a rapid-acting rescue inhaler (e.g., salbutamol) remains essential for immediate relief.

As noted in the medication information, contraindications such as hypersensitivity to budesonide, formoterol, or any excipients must be respected. Patients with known paradoxical bronchospasm to β₂-agonists should avoid this product.

Taking Symbicort Powder Effectively

  1. Preparation - Open the inhaler and check that the dose counter shows a number greater than zero. Do not inhale through the mouthpiece if the device appears wet; allow it to dry for a few minutes.

  2. Inhalation technique - Exhale fully away from the device, place the mouthpiece between your teeth, and create a tight seal with your lips. Inhale rapidly and deeply through the mouth, aiming for a breath lasting about 3-4 seconds. Hold your breath for 5-10 seconds to allow particle deposition, then exhale slowly.

  3. Timing - Administer the first puff in the morning and the second 12 hours later, preferably at consistent times to maintain steady plasma levels.

  4. Missed dose - If a dose is forgotten, take it as soon as remembered unless the next scheduled dose is within 30 minutes; in that case, skip the missed dose to avoid double dosing.

  5. Travel considerations - The DPI is not pressurised; it can be taken through security checkpoints. Store the inhaler at room temperature (15-30 °C) and keep it away from moisture.

  6. Cleaning - Wipe the mouthpiece with a dry cloth weekly. Do not wash with water, as this can compromise powder flow.

Adhering to these steps maximises drug delivery to the lower airways and reduces variability in clinical response.

Understanding Side Effects and How to Manage Them

Common adverse events arise from the pharmacologic actions of the constituents:

  • Hoarseness or throat irritation - Local steroid deposition can cause mild laryngeal irritation. Rinsing the mouth with water and spitting out the rinse after each use mitigates this effect and also reduces the risk of oral candidiasis.

  • Oral thrush (candidiasis) - Budesonide suppresses local immunity, allowing fungal overgrowth. Regular oral hygiene, including brushing teeth and rinsing, is recommended. If symptoms persist, an antifungal mouthwash may be prescribed.

  • Tremor or palpitations - Formoterol’s β₂-agonist activity can stimulate skeletal muscle and cardiac β₁ receptors at higher systemic concentrations. These effects are usually transient and subside as the body acclimates. If they become bothersome, dose adjustment or switching to a lower-dose inhaler may be necessary.

  • Headache - Mild headaches are reported in clinical trials, potentially linked to systemic corticosteroid exposure. Adequate hydration and regular sleep patterns often alleviate this symptom.

Serious but rare reactions include paradoxical bronchospasm, severe allergic reactions (e.g., angioedema), and adrenal suppression with prolonged high-dose use. Patients experiencing wheezing that worsens shortly after inhalation, facial swelling, or difficulty breathing should seek urgent medical attention.

Monitoring strategies:

  • Perform periodic oral examinations to detect early signs of thrush.
  • Evaluate heart rate and blood pressure during routine visits, especially in patients with cardiovascular disease.
  • Encourage patients to keep a symptom diary, noting any new or worsening sensations after inhalation.

Buying Symbicort Powder from Our Online Pharmacy

Accessing Symbicort Powder through our online pharmacy offers a discreet, convenient pathway for Australian residents who may face stock shortages or high out-of-pocket costs at local bricks-and-mortar stores.

Why Choose Our Service?

  • Broad coverage - We partner with licensed Australian and international distributors, ensuring a reliable supply chain even when regional pharmacies report limited inventory.
  • Affordability - By sourcing generic equivalents where appropriate and negotiating bulk purchasing agreements, we pass savings directly to you. Many customers report up to 30 % lower pricing compared with private retail pharmacies.
  • Convenient support - Our customer-care team, trained in medication counselling, can answer queries about inhaler technique, storage, and insurance reimbursement through a secure chat platform.

Quality & Safety

We work through our platform with pharmacies that hold valid TGA authorisations and adhere to Good Manufacturing Practice (GMP) standards. All batches undergo third-party testing for potency, purity, and particle size distribution, matching the specifications set by AstraZeneca for Symbicort Powder.

Pricing & Access

  • Competitive price point - The standard 60-dose inhaler is listed at a price that often undercuts traditional pharmacy mark-ups.
  • Discount program - Register for a loyalty account to unlock a Lifetime 10 % discount on all reorders, helping you maintain long-term therapy without financial strain.
  • Alternative products - If you prefer a different inhaled corticosteroid-LABA combination, we also stock Pulmicort®, Seretide®, and Becotide®, each with transparent pricing.

Discreet Delivery

Orders ship via a reputable courier with express delivery in approximately 7 days or standard delivery within 3 weeks. Packages are unmarked and placed in tamper-evident containers, protecting privacy and product integrity.

Choosing to purchase Symbicort Powder through our pharmacy service eliminates the hassle of in-person visits, especially for patients living in remote areas or those managing busy schedules.

Frequently Asked Questions

  • How quickly does Symbicort Powder relieve breathlessness? Formoterol begins to relax airway smooth muscle within minutes, often providing perceptible relief in 5-10 minutes, while budesonide works over hours to days to reduce inflammation.

  • Can I use Symbicort Powder during an asthma attack? It offers maintenance bronchodilation, but a rapid-acting short-acting β₂-agonist (e.g., salbutamol) remains the recommended rescue medication for acute attacks.

  • Is there a risk of dependence on the LABA component? Formoterol does not cause physiological dependence. However, abrupt discontinuation may lead to loss of bronchodilation, so the medication should be tapered under medical guidance if cessation is planned.

  • What distinguishes Symbicort Powder from metered-dose inhalers (MDIs) like Seretide? The dry-powder inhaler eliminates the need for propellants and coordination of actuation with inhalation, which can improve drug delivery for patients who have difficulty timing breaths with MDIs.

  • Can I switch from a higher to a lower dose of Symbicort Powder? Dose adjustments should be based on symptom control and lung-function testing. A clinician may step down to a 80/4.5 µg strength if asthma remains well-controlled for at least three months.

  • Does smoking affect the efficacy of Symbicort Powder? Smoking can increase airway inflammation and reduce corticosteroid responsiveness. Patients are advised to quit smoking to maximise therapeutic benefit.

  • Is it safe to travel with Symbicort Powder on an airplane? Yes. DPIs are not pressurised and are permitted in carry-on luggage. Keep the device dry and avoid exposing it to extreme temperatures during the flight.

  • What should I do if I miss a dose for more than 24 hours? Resume the regular dosing schedule at the next scheduled time; do not double-dose to compensate for the missed inhalation.

  • Are there any food or beverage interactions? Inhaled budesonide and formoterol are not significantly affected by food. However, caffeine intake can augment β₂-agonist-related tremor, so excessive coffee or energy drinks should be limited.

  • Can Symbicort Powder be used in children? The product is authorised for patients aged 12 years and older in Australia. For younger children, age-appropriate formulations such as budesonide nebuliser solutions are preferred.

Glossary

Glucocorticoid
A class of steroid hormones that bind intracellular receptors to modulate gene expression, reducing inflammation and immune activity.
β₂-agonist
A compound that stimulates β₂-adrenergic receptors in airway smooth muscle, leading to relaxation and bronchodilation.
Particle size distribution
The range of aerosol droplet or powder particle diameters; optimal sizes (1-5 µm) ensure deep lung deposition.

Disclaimer

The information provided about Symbicort Powder is for general knowledge only and does not replace professional medical consultation. All treatment decisions, including those regarding off-label use, should be made under the supervision of a qualified healthcare provider. We assume readers are responsible adults capable of making informed health decisions. Our online pharmacy offers access to Symbicort Powder for individuals who may encounter limited availability through traditional pharmacies, insurance formularies, or who seek affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.

External Resources about Symbicort Powder


Information Prepared By

Sarah Jones
Tosin (Olalekan) Olaluwoye, MD, PhD