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Trimbow Inhaler

The active substances beclometasone, formoterol and glycopyrronium bromide, in Trimbow, treat moderate to severe chronic obstructive pulmonary disease (COPD) and asthma in adults. The triple-action makes it a combination medication. It is available as a liquid in a portable inhaler.
Picture of Trimbow Inhaler
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Trimbow Inhaler

The active substances beclometasone, formoterol and glycopyrronium bromide, in Trimbow, treat moderate to severe chronic obstructive pulmonary disease (COPD) and asthma in adults. The triple-action makes it a combination medication. It is available as a liquid in a portable inhaler.


Trimbow is a medicine recommended to treat chronic obstructive pulmonary disease (COPD) and asthma. Trimbow is a preventive medication that helps maintainasthma and COPD for adults who have not found adequate relief through other treatments.

Numerous patients may have been prescribed a long-acting beta-2 agonist with corticosteroids to treat asthma or COPD. Others may have been recommended a long-acting muscarinic receptor agonist medication. And yet, such patients continue to experience flare-ups at least once a year;in such cases, doctors recommendTrimbowto better maintainasthma and COPD symptoms. 

Trimbow is a highly effective medicine to treat asthma and chronic obstructive pulmonary diseases. Treatments such as long-acting beta-2 agonists with corticosteroids (inhaled or otherwise) or long-acting muscarinic receptor agonists may not offer adequate relief in some cases.

Patients with asthma or COPD who have received such treatment but still experience flare-ups once a year are recommended Trimbow for adequate relief. It helps maintain the symptoms and prevent flare-ups in moderate to severe COPD or asthma.

Research has shown that regular use of Trimbow helps COPD patients reduce their exacerbations (flare-ups) by 15%. In moderate to severe asthma cases, the exacerbations were reduced by 12 to 15% through regular use of Trimbow.

Trimbow contains three active ingredients, namely beclomethasone, formoterol, and glycopyrronium bromide. Together they work to keep the lungs’ airways open and allow you to breathe comfortably.

  • Beclomethasone: Beclomethasone belongs to a group of anti-inflammatory medicines known as corticosteroids. Corticosteroids are naturally occurring chemicals that help prevent allergic reactions such as inflammation and excessive production of mucus.

    Beclomethasone works similarly to corticosteroids to prevent the immune system from causing inflammation in the airways. Thereby, it keeps the airways open to help you breathe easier.
  • Formoterol: Formoterol is a long-acting beta-2 agonist. Formoterol acts on the beta-2 receptors present in the cells of the lungs’ muscles. Muscles of lungs and airways tend to contract and become tense in case of flare-ups. Formoterol helps these muscles stay relaxed and allows the airways to open and help you breathe.

  • Glycopyrronium Bromide: Glycopyrronium bromide is a muscarinic receptor antagonist. It blocks the muscarinic receptors in muscle cells in the lungs. This action of glycopyrronium helps control the contraction of lung muscles and allows the airways to remain open.

Trimbow Inhaler is a long-term treatment. Even though you will experience an improvement in your symptoms in the first few weeks, it is imperative to continue the medication for a long time. Over time, it will ease your symptoms to offer permanent relief.

Trimbow is a prescription medication for asthma and chronic obstructive pulmonary disorder (COPD), and it should be taken as advised by your doctor or pharmacist. Your doctor will assess your asthma symptoms and prescribe the required dosage. Do not take a different dosage without consulting your doctor first.

Trimbow is available in two strengths – 87/5/9 micrograms or 172/5/9 micrograms. Your doctor will help you decide which strength of medication is best suited to your requirements.

Usually, the recommended dose to treat asthma or COPD is two inhalations twice a day. Do not take more than two inhalations two times a day. As Trimbow Inhaler is a long-term medication, you are required to continue taking the prescribed doses regularly until your doctor advises you otherwise.

Trimbow is not suitable for paediatric use. It is not to be prescribed to anyone below 18 years of age. 

The Trimbow Inhaler should be appropriately used as directed by your doctor or pharmacist. If you have any doubts or questions about using your medication, ask your doctor or pharmacist for help. It is also a good idea to read the patient information leaflet given in the pack. Here are the step-by-step instructions for using Trimbow, recommended for asthma or chronic obstructive pulmonary diseases (COPD) –

Priming –

When using a new pack of Trimbow Inhaler for the first time, release one actuation in the air to ensure that your Inhaler is working well. This process is also known as priming. Check the dosage counter on your Inhaler before priming your Trimbow Inhaler; it should read 61, 121, or 180 doses, depending on the kind of Inhaler you have purchased. After priming, the indicator should read 60, 120, or 180 doses.

Using the Inhaler

  • Step 1 - Stand or sit upright when using the Trimbow Inhaler.
  • Step 2 - Remove the protective cap from the mouthpiece and ensure that the mouthpiece is clean.
  • Step 3 - Facing away from the mouthpiece, breathe out as far as you can to empty your lungs.
  • Step 4 - Hold the Inhaler vertically with the body upwards and place the mouthpiece between your teeth, but do not bite. Place your lips around the inhaler mouthpiece to form a seal. Keep your tongue under the mouthpiece.
  • Step 5 - Press down on the top of the pressurized container of the Inhaler to release one dose. At the same time, breathe in slowly to inhale the medication.
  • Step 6 - Release the mouthpiece from your lips.
  • Step 7 - Hold your breath as long as you comfortably can. Then facing away from the Inhaler, breathe out and continue to breathe normally.
  • Step 8 - Check the dose indicator to ensure that it has moved correctly.
  • Step 9 - Wait at least thirty seconds before the second inhalation, hold the Inhaler in a vertical position during this time.
  • Step 10 - Repeat steps 3 to 8 for a second puff.

 Keep the following points in mind -

  • If you see a mist escaping from your mouth or the inhaler mouthpiece when you take your medication – it means that your dose has not been administered correctly. Follow the process once again in this case to ensure proper dosage.
  • Replace the protective cover over the mouthpiece after every use. Also, remember to rinse your mouth or gargle with water (without swallowing it) after every dose.
  • When the dose indicator shows 20 or fewer doses remaining, it is time to revisit your doctor to get a new prescription.

Clean your inhaler mouthpiece with a clean, dry cloth every once a week. Do not use water to clean your Inhaler. 

Trimbow is an effective medication for those who have asthma or chronic obstructive pulmonary diseases (COPD). However, in some cases, it is advised to exercise caution with using the Trimbow Inhaler. Discuss your medical history, ongoing treatments and prevailing medical conditions with your doctor before usingTrimbow. Here are some conditions whereinTrimbow should be used with caution –

  • If you have heart problems such as –
    • Angina (heart pain, pain in the chest)
    • A recent heart attack ( a myocardial infarction)
    • A heart failure
    • Narrowing of the arteries around your heart (coronary heart disease)
    • Problems in the heart valves
    • Hypertrophic obstructive cardiomyopathy (abnormal heart muscles)
    • Irregular heartbeat
    • Fast pulse rate
    • Palpitations
    • Abnormalities in a recent ECG

  • Arteriosclerosis (narrowing of the arteries)
  • Hypertension (high blood pressure)
  • Aneurysm (abnormal bulging of a blood vessel wall)
  • Hyperthyroidism (Overactive thyroid gland)
  • Hypokalaemia (low levels of potassium in the blood)
  • A disease of liver or kidneys
  • Diabetes
  • Tumour of the adrenal gland
  • If you need to take an anaesthetic, stop using Trimbow at least 12 hours before the anaesthesia.
  • Tuberculosis, or if you have had tuberculosis in the past.
  • Any other chest infection
  • Narrow-angle Glaucoma
  • Difficulty in passing urine
  • Infection of the mouth or throat
  • If you are pregnant or planning to get pregnant

Trimbow is used to treat asthma and chronic obstructive pulmonary disorders (COPD) among adults. However, this medication may not be suitable in some conditions. Discuss your medical history, ongoing treatments, and prevailing medical conditions with your doctor before recommending asthma or COPD medication. Here are some cases whereinTrimbow is unsuitable –

  • For those in need of a rescue inhaler. Trimbow is not a rescue inhaler, it is a long term maintenance treatment, and it will not be suitable for use in a sudden attack of breathlessness or wheezing.
  • Those allergic to beclomethasone, formoterol, or glycopyrronium bromide should not use this medicine.
  • Breastfeeding mothers should not take Trimbow.
  • Children and adolescents below 18 years of age should not take Trimbow.
  • If you are taking beta-blocker medicines for any other condition, do not take a Trimbow inhaler. 

Just like any other medication, the Trimbow Inhaleris also known to cause side effects in some cases. Medicines and their possible side effects can affect individual people in different ways. Just because a side effect is listed here does not mean that every person taking this medication will experience that or any other side effect. Usually, Trimbow side effects are mild and disappear as your body gets used to the medication. Here is the list of the Trimbow inhaler side effects–

Common Side Effects of Trimbow

  • Fungal infection of the mouth, also known as oral thrush.
  • Sore throat, hoarse voice
  • Runny or stuffy nose, sneezing
  • Headache
  • Urinary tract infection

Uncommon Side Effects of Trimbow

  • Restlessness
  • Trembling
  • Dizziness
  • Flu, inflammation of sinuses
  • Itchy, runny, or blocked nose
  • Fungal infection of the throat or oesophagus
  • Fungal infection of the vagina
  • Reduced sense of taste
  • Numbness
  • Inflammation of the ear
  • Irregular heartbeat
  • Abnormalities in ECG
  • Palpitations
  • Redness of the face
  • Cough
  • Dry mouth
  • Diarrhoea
  • Skin rash, hives, itchiness of the skin
  • High blood pressure
  • Weakness
  • Inflammation of the kidneys.

If you have been prescribedTrimbow, take the following precautions when taking the medication –

  • If you experience a worsening of breathlessness, fainting or allergic reactions on your skin, stop the medication immediately and consult your doctor.
  • Please do not use the Inhaler lying down. Use it only in a sitting or standing position.
  • Do not use other corticosteroids alongsideTrimbowwithout consulting your doctor or pharmacist
  • Follow the directions for use as given by your doctor or as given on the patient information leaflet.
  • Discuss your existing medical conditions and ongoing treatments with your doctor or pharmacist before taking Trimbow.
  • Trimbowmay interacts with a few other medicines to reduce their effect and vice versa. Some medicine interactions may also lead to side effects. Do not take a Trimbow inhaler with the following medicines –
    • Medicines affecting renal excretion mechanisms
    • Non-cardioselective beta-blockers (including eyedrops)
    • Beta-adrenergic medicinal products
    • Quinidine, disopyramide, antihistamines, monoamine oxidase inhibitors, tricyclic anti-depressants and phenothiazines
    • Xanthine derivatives, steroids, or diuretics
    • Anticholinergic-containing medicinal products

You can buy a Trimbow inhaler safely in the UK from MedsNow online pharmacy. Check our website for the Trimbow inhaler price and other details. Place the order for the medication from the convenience of your home. Trimbow Inhaler is a prescription-only medication. You can also take an online consultation with our doctors or pharmacists before buying the drug. The medication is delivered to your doorstep.

  1. Is Trimbowa Steroid Inhaler?

    Yes. Trimbow contains the active ingredient Beclomethasone. Beclomethasone belongs to a group of medicines known as corticosteroids, also called steroids sometimes. These medicines should not be confused with anabolic steroids known to be abused by some athletes and bodybuilders.

  2. Can You Use Trimbowwith a Spacer?

    Yes. Research has shown that using Trimbow with a spacer is an effective way to administer the medicine.

  3. Can I Buy a Trimbow inhaler Over the Counter?

    No. Trimbow is a prescription-only medicine in the United Kingdom and cannot be bought without a doctors consultation. If you have asthma or a chronic obstructive pulmonary disease (COPD), and you think that you may benefit from the use of Trimbow, talk to your doctor or pharmacist about it. They will assess your condition and prescribe the required medication.

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