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Ultibro Breezhaler

Ultibro functions on two active substances called indacaterol and glycopyrronium. Glycopyrronium belongs to the group of medications known as anticholinergics whereas indacaterol is a long-acting bronchodilator. Both functions to relax the air passages and make breathing easier for patients with COPD.
Picture of Ultibro Breezhaler
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Ultibro Breezhaler

Ultibro functions on two active substances called indacaterol and glycopyrronium. Glycopyrronium belongs to the group of medications known as anticholinergics whereas indacaterol is a long-acting bronchodilator. Both functions to relax the air passages and make breathing easier for patients with COPD.


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Ultibro is an inhaler used for patients suffering from a chronic obstructive pulmonary disease (COPD). This medicine contains two active ingredients indacaterol and glycopyrroniumThis help open up the airways and make it easier for the patient to breathe.

Ultibro is effective for relieving COPD symptoms when used daily.

Ultibro contains two active ingredients – Indacaterol and Glycopyrronium.

Indacaterol is a long-acting beta 2 agonist. This medicine acts on the beta 2 receptors which are present in the lungs. It stimulates these receptors, as a result of which the lung muscles in the airways relax. 

However, it is a long-acting beta 2 agonist, which means that it does not work as quickly as short-acting beta 2 agonists like terbutaline or salbutamol. These are fast-acting drugs, but their effect also lasts for a few hours only (say 3-4 hours). While long-acting drugs such as Ultibro are useful for COPD patients as their effect lasts for about 24 hours.  

Glycopyrronium, the second ingredient, is an antimuscarinic or anticholinergic bronchodilator. It blocks the muscarinic receptors in the lungs. As a result, the chemical called acetylcholine can no longer work on them. The muscle around the airways thus relax and the airways gradually open. 

When a patient is suffering from a chronic obstructive pulmonary disease (COPD) which causes the airways to narrow, it becomes difficult for the patient to breathe. Ultibro opens up the airways and thereby makes it easier for air to get in and out of the lungs.  

The usual dose of Ultibro is one capsule to be inhaled once daily. It is recommended to take the dose at the same time every day.  

Ultibro inhaler will be supplied along with capsules that contain the medicine in a powder form. These capsules are to be inserted inside the chamber of the inhaler. The inhalation device then pierces the capsule and you can breathe in the powder. Remember that you must not swallow the capsules. 

If you skip a dose by mistake, take your next dose at the usual time on the next day. Do not consume a double dose in order to make up for a missed one. 

Ultibro should be used with caution by: 

  • People with severe kidney disease or dysfunction 

  • People with epilepsy 

  • People with high blood sugar or diabetes 

  • People with high blood pressure (hypertension) 

  • People with an overactive thyroid gland 

  • People with heart ailments. 

  • People with closed-angle glaucoma 

  • People who have urinary tract disorders such as an enlarged prostate gland or obstruction of the bladder 

Ultibro should not be used by: 

  • Children and adolescents below the age of 18 years 

  • People suffering from asthma 

  • People who need relief from sudden attacks of wheezing or breathing problems 

  • People who are allergic to any ingredient of the medicine, including lactose. 

  • Women who are breastfeeding 

Few common side effects of Ultibro include:  

  • Inflammation of the sinuses (sinusitis) 

  • Headache 

  • Infections in the upper respiratory tract such as coughs and colds 

  • Dizziness 

  • Sinus 

  • Sore throat 

  • Indigestion 

  • Tooth decay 

  • Chest pain (angina). Consult your medical team if you experience this symptom. 

Keep these precautions in mind while using Ultibro: 

  • Do not swallow the capsules directly. Always use the inhaler. 

  • Do not use this inhaler to relieve a sudden wheezing attack or breathlessness 

  • If you find the need to use this inhaler more often than the recommended dose, consult your medical team. It is possible that your COPD condition might be deteriorating and you may be in the need of a different course of treatment.  

You can safely purchase Ultibro online at MedsNow after a brief online consultation with one of our clinicians. Post consultation, once the prescriber ensures that this is the right medicine for you, your order will be supplied.  

  1. Is Ultibro A Steroid Inhaler?

    No, Ultibro is not a steroid inhaler.

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