Asthacrom 1 mg/100 mg Inhaler: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Breathing becomes worse immediately after using the inhaler
- Severe chest pain or a racing, irregular heartbeat
- Swelling of the face, lips, or throat
- Widespread rash or hives with difficulty breathing
- Severe muscle weakness or cramps
- Blue lips or fingertips
- Confusion or fainting
If experiencing severe symptoms, call emergency services immediately.
What is asthacrom 1 mg/100 mg inhaler used for?
This medicine is an inhaler that combines salbutamol, a quick-acting bronchodilator, with sodium cromoglycate, a mast cell stabiliser. It is used to relieve wheezing and breathlessness in allergic asthma and to reduce allergen-triggered attacks. It is inhaled only, and the dose must be set by a doctor.
- Generic Name: Salbutamol + Sodium Cromoglycate
- Manufacturer: Cipla Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 asthacrom 1 mg/100 mg inhaler के बारे में (Hindi Summary)
उपयोग: यह दवा एक इनहेलर है जिसमें सालबुटामोल और सोडियम क्रोमोग्लाइकेट दोनों मिले होते हैं। सालबुटामोल सांस की नली की मांसपेशियों को तुरंत ढीला करके घरघराहट और सांस फूलने में राहत देता है, जबकि सोडियम क्रोमोग्लाइकेट एलर्जी वाली कोशिकाओं को शांत करके दौरे पड़ने की संभावना कम करता है। यह दवा एलर्जी से होने वाले दमा, धूल, पराग या पालतू जानवरों के संपर्क से उठने वाली सांस की तकलीफ के लिए दी जाती है। यह दवा केवल मुंह से सांस के जरिए ली जाती है, निगली या इंजेक्शन के रूप में नहीं। इसका इस्तेमाल डॉक्टर की सलाह के अनुसार ही करें और तेज दमे के दौरे में तुरंत मेडिकल मदद लें।
साइड इफेक्ट्स: इस दवा से आमतौर पर गले में खराश, मुंह सूखना, खांसी और आवाज में भारीपन जैसी हल्की शिकायतें हो सकती हैं। कुछ लोगों को सिरदर्द, चक्कर, दिल की धड़कन तेज होना या हाथ कांपना महसूस हो सकता है। बहुत कम मामलों में गंभीर एलर्जी, सांस लेने में अचानक कठिनाई या दिल की धड़कन अनियमित हो सकती है। अगर कोई भी लक्षण गंभीर या लगातार बना रहे तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस इनहेलर का इस्तेमाल डॉक्टर के बताए तरीके से ही करें। हर बार इस्तेमाल से पहले इनहेलर को अच्छी तरह हिलाएं और सही तरीके से सांस लें ताकि दवा फेफड़ों तक पहुंचे। हर डोज के बाद मुंह में पानी डालकर कुल्ला करें। डॉक्टर की बताई मात्रा से ज्यादा पफ न लें, क्योंकि इससे दिल की धड़कन तेज और हाथ कांप सकते हैं। अगर सांस की तकलीफ बढ़े या इनहेलर काम न करे तो तुरंत अस्पताल जाएं। गर्भावस्था, स्तनपान या दिल की बीमारी हो तो डॉक्टर को पहले बताएं।
💊 asthacrom 1 mg/100 mg inhaler Uses & Benefits
[{"condition":"Allergic asthma","description":"Used for regular control of asthma symptoms in people whose attacks are triggered by allergens, while also providing quick relief of wheezing and breathlessness through the salbutamol component.","evidence":"Well-established"},{"condition":"Exercise-induced bronchoconstriction","description":"The salbutamol component rapidly opens the airways before or after exercise, and sodium cromoglycate may reduce the frequency of exercise-triggered narrowing in some patients.","evidence":"Moderate"},{"condition":"Allergic bronchitis with reversible airway obstruction","description":"May be prescribed when a clinician has confirmed both an allergic component and reversible narrowing of the airways.","evidence":"Limited"}]
Off-label uses: [{"condition":"Chronic cough with suspected allergic airway disease","description":"Occasionally tried when other causes have been excluded and an allergic airway component is suspected, but this is not a standard approved use.","evidence":"Limited"}]
Primary treatment for: Allergic asthma
Also treats: Exercise-induced bronchoconstriction, Allergic bronchitis with reversible airway obstruction
📋 Drug Information
| Generic Name(s) | Salbutamol + Sodium Cromoglycate |
| Brand Name | Asthacrom 1 mg/100 mg Inhaler |
| Manufacturer | Cipla Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Bronchodilator + Mast Cell Stabilizer |
| Route of Administration | Inhalation |
| Storage | Store the inhaler at room temperature, away from heat and direct sunlight. Do not refrigerate. Keep the canister in its original packaging and do not puncture or burn it. Keep out of reach of children. |
| Shelf Life | Not established from the available information. Check the expiry date printed on the inhaler and do not use it after that date. |
| WHO Guideline | Not established from the available information. Inhaled short-acting beta-2 agonists are widely recognised as reliever therapy in asthma, and sodium cromoglycate has been used as a controller in allergic asthma, but specific WHO recommendations for this fixed-dose combination are not established from the available information. |
| ICMR Guideline | Not established from the available information. Indian guidelines generally recommend inhaled bronchodilators for symptom relief and inhaled corticosteroids as the preferred controller therapy for persistent asthma. This combination may be used in selected patients as advised by a clinician. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works through two complementary mechanisms delivered directly to the airways. Salbutamol is a short-acting beta-2 adrenergic agonist that binds to beta-2 receptors on the smooth muscle cells lining the bronchioles. This binding activates an enzyme called adenylate cyclase, which raises cyclic AMP inside the muscle cells and causes them to relax, widening the airways within minutes. Sodium cromoglycate acts on mast cells in the lung tissue and stabilises their membranes so that they are less likely to release histamine, leukotrienes, and other inflammatory mediators when an allergen is encountered. The result is both rapid symptom relief and a reduction in allergen-triggered attacks.
Mechanism Steps
💡 How to Take asthacrom 1 mg/100 mg inhaler
Strength: Inhaler containing salbutamol 1 mg and sodium cromoglycate 100 mg per actuation.
Dosage Information
| Adult Dosage | The usual adult dose is one or two puffs inhaled as directed by your doctor, often two to four times a day for regular control, with extra doses for symptom relief as prescribed. The exact dose depends on the severity of your asthma, your response to treatment, and whether you are using other inhalers. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the maximum number of puffs advised by your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. The dose depends on the child's age, weight, and severity of asthma, and must be individualized by a qualified clinician. |
| Elderly Dosage | Older adults may be more sensitive to the cardiac effects of salbutamol, such as a fast heartbeat and palpitations. The dose should be individualized by a qualified clinician, and heart rate and potassium levels may need monitoring, especially in those with heart disease. |
| Renal Impairment | Salbutamol and sodium cromoglycate are excreted partly by the kidneys. In severe kidney impairment, the dose may need to be adjusted by a qualified clinician. Not established from the available information for specific dose adjustments. |
| Hepatic Impairment | Salbutamol is metabolised in the liver. In severe liver impairment, the dose may need to be adjusted by a qualified clinician. Not established from the available information for specific dose adjustments. |
| Maximum Daily Dose | The maximum daily dose must be determined by a qualified clinician based on the individual patient's condition and response to treatment. Do not exceed the number of puffs prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of asthacrom 1 mg/100 mg inhaler
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Propranolol | Major | |
| Tricyclic antidepressants | Major | |
| Furosemide | Moderate | |
| Prednisolone | Moderate | |
| Theophylline | Moderate | |
| Digoxin | Minor |
🚨 Major Interactions
- Non-selective beta-blockers such as propranolol
- Monoamine oxidase inhibitors and tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics such as furosemide or thiazides
- Corticosteroids
- Xanthine derivatives such as theophylline
🍷 Alcohol Interaction
Alcohol does not directly interact with this inhaled medicine, but it can worsen dehydration, increase heart rate, and impair judgement, which may make asthma symptoms feel worse. It is best to limit alcohol while using this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to salbutamol, sodium cromoglycate, or any other ingredient in the inhaler","Severe acute asthma attack that is not responding to usual reliever treatment","Use in children under the age recommended by the prescribing doctor","Not for oral or injectable use"]
⚠️ Warnings & Precautions
["Do not exceed the prescribed dose, because too much salbutamol can cause a fast heartbeat, tremor, and low potassium levels.","Use with caution if you have heart disease, an overactive thyroid, diabetes, or low potassium levels.","Rinse your mouth after each dose to reduce throat irritation and oral fungal infection.","Keep a separate fast-acting reliever inhaler available if your doctor has prescribed one.","Seek urgent medical help if your breathing worsens or if the inhaler stops working.","Tell your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Do not puncture or burn the inhaler canister, even when it appears empty."]
🤱 Lactation Safety
Salbutamol is excreted in small amounts in breast milk and is generally considered compatible with breastfeeding. Data on sodium cromoglycate in breast milk are limited. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Inhaling more than the prescribed dose can cause a fast heartbeat, palpitations, tremor, headache, and low potassium levels. Treatment is supportive and may include monitoring of heart rate, blood pressure, and potassium levels. In severe cases, medical assessment in a hospital setting is needed. If you suspect a large overdose, contact your doctor or a poison control centre immediately.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, provided there is still a reasonable gap before your next scheduled dose. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed one.
Additional Safety Advice
Always use this inhaler exactly as your doctor has instructed. Shake the inhaler well before each use and follow the correct breathing technique so that the medicine reaches your lungs rather than staying in your mouth. Rinse your mouth with water after every dose to reduce throat irritation and the risk of oral fungal infection. Do not exceed the prescribed number of puffs in a day, because too much salbutamol can cause a fast heartbeat, shaking, and low potassium levels. Keep a separate fast-acting reliever inhaler available if your doctor has prescribed one, and do not rely on this combination product alone during a severe attack. Tell your doctor if you are pregnant, planning pregnancy, breastfeeding, or have heart disease, an overactive thyroid, diabetes, or low potassium levels. Store the inhaler away from heat and direct sunlight, and never puncture or burn the canister. Seek urgent medical help if your breathing worsens, if the inhaler stops working, or if you need it much more often than usual.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may be more sensitive to the cardiac effects of salbutamol, such as a fast heartbeat and palpitations. They should use this medicine with caution, especially if they have heart disease, and their heart rate and potassium levels may need monitoring.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, discuss your asthma treatment with your doctor before conception. Good asthma control is important for a healthy pregnancy. Salbutamol is generally considered acceptable in pregnancy when clinically needed, but sodium cromoglycate has limited data. Do not stop or change your inhaler without medical advice.
🏥 Post-Surgery Considerations
Inform your surgeon and anaesthetist that you use this inhaler before any surgery. They will assess your lung function and may adjust your asthma treatment around the procedure. Continue your inhaler as advised unless told otherwise.
🦷 Dental Procedures
Tell your dentist that you use this inhaler, especially if you need dental work that may cause stress or breathing difficulty. Rinsing your mouth after inhaler use helps reduce oral irritation. Your dentist may take extra precautions if you have severe asthma.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise can trigger asthma symptoms in some people. If your doctor has advised, use this inhaler before exercise to prevent breathlessness. Warm up gradually and avoid exercising in cold, dry air or in areas with high pollution. Stop and use your reliever inhaler if you develop wheezing or chest tightness during activity.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, tremor, or a fast heartbeat in some people. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their usual work and daily activities while using this inhaler as prescribed.
🛑 When to Stop This Medicine
Do not stop using this inhaler without consulting your doctor. If your doctor decides to stop it, follow their instructions carefully. Seek immediate medical advice if your symptoms worsen or if you need the inhaler much more often than usual.
📅 Long-Term Use Effects
Long-term use of this inhaler is generally well tolerated when taken at prescribed doses. Regular use of the salbutamol component at high doses may lead to tremor, a fast heartbeat, and low potassium levels. Sodium cromoglycate is considered safe for long-term use in allergic asthma. Regular follow-up with your doctor is important to assess asthma control, review inhalation technique, and adjust treatment if needed.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
These are the preferred controller medicines for persistent asthma and can reduce the need for frequent reliever use.
Evidence: Well-establishedOral medicines that can help control allergic asthma in some patients.
Evidence: ModerateReducing exposure to triggers and, in selected cases, allergen immunotherapy can improve long-term control.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known vaccine interactions with this inhaled medicine. People with asthma should follow their doctor's advice regarding influenza and other recommended vaccinations, as respiratory infections can trigger asthma attacks.
📦 Storage Guide
✅ DO
Store at room temperature, away from heat and direct sunlight
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in the original container with the cap on
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep out of reach of children
❌ DON'T
Do not puncture or burn the canister, even when empty
✈️ Traveling with This Medicine
Carry this inhaler in its original packaging with the prescription label visible. Keep a copy of your prescription with you, especially for air travel or international trips. Store it in your hand luggage rather than checked baggage, because extreme temperatures in the cargo hold can affect the canister. If you are crossing time zones, continue your doses at the usual intervals and discuss any adjustments with your doctor beforehand. Check the customs rules of your destination for carrying prescription inhalers, and carry enough supply for the entire trip plus a few extra days.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The salbutamol component starts opening the airways within about five minutes. The protective effect of sodium cromoglycate builds up over days to weeks of regular use.
A: This inhaler contains a quick-acting bronchodilator, but a severe attack that is not responding to usual reliever treatment needs urgent medical help. Follow your asthma action plan and seek emergency care if needed.
A: No, this inhaler does not contain steroids. It contains salbutamol, a bronchodilator, and sodium cromoglycate, a mast cell stabiliser.
A: Do not stop or change the dose without talking to your doctor. Stopping suddenly can lead to worsening asthma symptoms.
A: If you remember within a short time, take the missed dose. If it is almost time for the next dose, skip it and continue your regular schedule. Do not double the dose.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This inhaler is addictive.
Fact: This medicine is not addictive. It is a bronchodilator and mast cell stabiliser used to control asthma symptoms. - Myth: Inhalers are only for severe asthma.
Fact: Inhalers can be prescribed for mild, moderate, or severe asthma, depending on the doctor's assessment. - Myth: You can stop using the inhaler once you feel better.
Fact: Asthma medicines should be continued or stopped only on a doctor's advice, because stopping suddenly can lead to worsening symptoms. - Myth: This inhaler can replace all other asthma medicines.
Fact: This medicine may be part of a treatment plan, but it does not replace other medicines such as inhaled corticosteroids if they have been prescribed.
🔄 Alternative Options
Generic Alternatives
- Salbutamol inhaler
- Sodium cromoglycate inhaler