Symbicort Dosage Guide: What You Need to Know
If you have asthma or COPD, chances are your doctor has prescribed Symbicort. It’s a combo inhaler that contains budesonide (a steroid) and formoterol (a long‑acting bronchodilator). Getting the dose right can keep symptoms in check and lower flare‑ups. Below we break down the most common dosing schedules, how to use the device correctly, and what to watch out for.
Typical dosage ranges
Symbicort comes in two strengths: 80/4.5 µg (low) and 160/4.5 µg (high). For most adults with moderate asthma, the usual starting dose is one inhalation twice a day – that’s 80 µg of budesonide and 4.5 µg of formoterol each time. If symptoms stay uncontrolled after a couple of weeks, doctors may bump you up to two puffs twice daily, which doubles the amount.
People with severe COPD often need the higher strength, usually one puff twice a day as well. Some patients who have trouble remembering doses use a single‑daily regimen: one inhalation in the morning and another in the evening. Always follow your prescriber’s exact instructions; even a small change can affect how well you breathe.
How to use Symbicort correctly
First, shake the inhaler for about five seconds. Then remove the cap and exhale fully away from the mouthpiece. Place the mouthpiece between your teeth, close your lips around it, and press down on the canister while breathing in slowly and deeply. Hold your breath for about ten seconds before exhaling. Wait at least a minute between puffs if you need more than one.
Cleaning matters too – rinse the mouthpiece with warm water once a week and let it air‑dry. This prevents medication buildup that can change the dose you actually get. If you forget a dose, take it as soon as you remember unless it’s almost time for your next scheduled puff; then skip the missed one and continue normally.
Side effects like hoarseness or oral thrush are common if you don’t rinse your mouth after each use. A quick swish with water can keep those problems at bay. If you notice shaking, rapid heartbeat, or worsening breathing, call your doctor right away – it might mean the dose is too high.
Bottom line: stick to the prescribed number of puffs, use the inhaler technique described above, and keep an eye on how you feel. When in doubt, a short check‑in with your pharmacist can confirm you’re getting the right amount every time.
