Avessa 6 mcg/500 mcg Capsule: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Breathing worsens immediately after using the inhaler
- Severe allergic reaction with swelling of face, lips, or throat
- Chest pain or irregular heartbeat
- Fever with increased cough and difficulty breathing
- Signs of adrenal insufficiency: extreme fatigue, weakness, dizziness
- Vision changes or eye pain
- Yellowing of skin or eyes
If experiencing severe symptoms, call emergency services immediately.
What is avessa 6 mcg/500 mcg capsule used for?
This medicine is a combination inhaler containing formoterol (a long-acting bronchodilator) and fluticasone propionate (an inhaled corticosteroid). It is used for long-term maintenance treatment of asthma and COPD in adults. It should not be used for sudden breathing attacks.
- Generic Name: Formoterol + Fluticasone Propionate
- Manufacturer: Sun Pharmaceutical Industries Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 avessa 6 mcg/500 mcg capsule के बारे में (Hindi Summary)
उपयोग: यह दवा अस्थमा और क्रॉनिक ऑब्सट्रक्टिव पल्मोनरी डिजीज (सीओपीडी) के दीर्घकालिक उपचार के लिए उपयोग की जाती है। यह सांस की नली की सूजन को कम करती है और सांस लेने में आसानी प्रदान करती है। यह दवा तुरंत सांस की तकलीफ के लिए नहीं है, बल्कि नियमित रूप से उपयोग करने पर लाभ देती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में गले में जलन, सिरदर्द, आवाज में भारीपन, कंपन और धड़कन शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें एलर्जी, सांस की तकलीफ बढ़ना, और संक्रमण शामिल हो सकते हैं। किसी भी असामान्य लक्षण को तुरंत डॉक्टर को बताएं।
सुरक्षा सलाह: इस दवा का उपयोग करने के बाद मुंह को पानी से धोएं। निर्धारित खुराक से अधिक न लें। तुरंत राहत के लिए एक अलग रेस्क्यू इनहेलर हमेशा पास रखें। दिल, मधुमेह, थायरॉइड या लीवर की समस्या हो तो डॉक्टर को बताएं। डॉक्टर की सलाह के बिना दवा बंद न करें।
💊 avessa 6 mcg/500 mcg capsule Uses & Benefits
[{"condition":"Asthma","description":"Maintenance treatment of asthma in adults who require combination therapy for adequate control.","evidence":"Well-established"},{"condition":"Chronic Obstructive Pulmonary Disease (COPD)","description":"Long-term maintenance therapy to reduce exacerbations and improve lung function in patients with COPD.","evidence":"Well-established"}]
Off-label uses: []
Primary treatment for: Asthma and Chronic Obstructive Pulmonary Disease (COPD)
Also treats: Exercise-induced bronchospasm, Nocturnal asthma
📋 Drug Information
| Generic Name(s) | Formoterol + Fluticasone Propionate |
| Brand Name | Avessa 250 Inhaler |
| Manufacturer | Sun Pharmaceutical Industries Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Long-acting beta-2 agonist (LABA) + Corticosteroid |
| Route of Administration | Inhalation |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the capsules in the original blister pack until ready to use. Do not refrigerate or freeze. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ 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 combines two active ingredients with complementary actions. Fluticasone propionate is a synthetic corticosteroid that binds to glucocorticoid receptors inside cells, reducing the production of inflammatory mediators and suppressing the recruitment of inflammatory cells in the airways. Formoterol is a long-acting beta-2 adrenergic agonist that selectively stimulates beta-2 receptors on airway smooth muscle, causing relaxation and bronchodilation. Together, they reduce inflammation and keep airways open for extended periods.
Mechanism Steps
💡 How to Take avessa 6 mcg/500 mcg capsule
Strength: Inhalation capsule containing formoterol 6 mcg and fluticasone propionate 500 mcg.
Dosage Information
| Adult Dosage | The usual adult dose is one inhalation capsule (formoterol 6 mcg + fluticasone propionate 500 mcg) inhaled twice daily, approximately 12 hours apart. The dose may be adjusted by your doctor based on your condition and response to treatment. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | No specific dose adjustment is required for elderly patients, but they should be monitored for cardiovascular effects and adrenal suppression. Dose must be individualized by a qualified clinician. |
| Renal Impairment | No specific dose adjustment is recommended for renal impairment. However, use with caution in severe renal impairment as formoterol is excreted renally. |
| Hepatic Impairment | Use with caution in patients with severe hepatic impairment. Fluticasone propionate exposure may increase. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose is two inhalations (formoterol 12 mcg + fluticasone propionate 1000 mcg) per day. Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of avessa 6 mcg/500 mcg capsule
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Propranolol | Major | |
| Furosemide | Moderate | |
| Theophylline | Moderate | |
| Prednisone | Moderate | |
| Ritonavir | Major | |
| Metoprolol | Moderate | |
| Amitriptyline | Moderate | |
| Hydrochlorothiazide | Moderate | |
| Diphenhydramine | Minor |
🚨 Major Interactions
- Strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
- Beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics (e.g., furosemide)
- Xanthine derivatives (e.g., theophylline)
- Other corticosteroids
🍷 Alcohol Interaction
Alcohol may increase the risk of dizziness and drowsiness. It is advisable to limit or avoid alcohol while using this medicine, especially if you experience tremors or palpitations.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to formoterol, fluticasone propionate, or any component of the formulation","Acute asthma attack or status asthmaticus","Children under 18 years (unless specifically prescribed by a specialist)","Severe hypersensitivity to milk proteins (some formulations may contain lactose)"]
⚠️ Warnings & Precautions
["Do not use for acute bronchospasm; a short-acting beta-2 agonist should be used for immediate relief.","Do not exceed the recommended dose; serious cardiovascular effects may occur.","Rinse mouth after inhalation to prevent oral candidiasis.","Use with caution in patients with cardiovascular disorders, seizure disorders, thyroid disease, diabetes, and hepatic impairment.","Monitor for signs of adrenal insufficiency when transferring from systemic corticosteroids.","May cause paradoxical bronchospasm; discontinue and seek medical help if it occurs.","Long-term use may increase risk of pneumonia, cataracts, and osteoporosis.","Do not stop abruptly without medical supervision."]
🤱 Lactation Safety
It is not known whether formoterol or fluticasone propionate are excreted in human breast milk. Caution is advised when administering to a nursing woman. Consult your doctor.
💊 Overdose Management
Overdose may cause tachycardia, tremor, hypokalemia, and hyperglycemia. In case of overdose, seek immediate medical attention. Treatment is supportive and symptomatic. Monitor cardiac function, potassium levels, and blood glucose. There is no specific antidote.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Always rinse your mouth with water after inhaling this medicine to prevent oral thrush. Do not exceed the prescribed dose. Keep a fast-acting rescue inhaler available for sudden breathing difficulty. Inform your doctor if you have heart disease, diabetes, thyroid disorders, or liver problems. Do not stop this medicine abruptly without medical advice. Regular follow-up and lung function tests are important. Avoid exposure to people with active respiratory infections. This medicine is not for acute asthma attacks.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to cardiovascular effects and adrenal suppression. Monitor blood glucose, potassium, and bone density regularly. Use the lowest effective dose.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor. This medicine should be used during pregnancy only if clearly needed. Your doctor will weigh the benefits and risks.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are using this medicine. It may need to be continued during the perioperative period, but your doctor will advise.
🦷 Dental Procedures
Inhaled corticosteroids can increase the risk of oral thrush. Inform your dentist that you use this inhaler. Rinsing your mouth after inhalation helps prevent this.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise is generally encouraged, but if you have exercise-induced bronchospasm, use your rescue inhaler before exercise. Consult your doctor for personalized advice.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause tremor or palpitations in some people, which could affect driving or operating machinery. If you experience these side effects, avoid such activities until you know how the medicine affects you.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Abrupt discontinuation can lead to worsening of asthma or COPD. Your doctor will gradually reduce the dose if needed.
📅 Long-Term Use Effects
Long-term use of high doses may increase the risk of pneumonia, cataracts, glaucoma, osteoporosis, and adrenal suppression. Regular monitoring of lung function, blood glucose, potassium, bone density, and eye examinations is recommended. Use the lowest effective dose for the shortest duration necessary.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Exercise and education program to improve lung function and quality of life.
Evidence: Well-establishedReducing exposure to allergens can help control asthma symptoms.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Annual influenza vaccination and pneumococcal vaccination are recommended for patients with asthma or COPD to reduce the risk of respiratory infections.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate or freeze
✅ DO
Keep capsules in original blister pack
❌ DON'T
Do not remove capsules until ready to use
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in bathroom
✈️ Traveling with This Medicine
Carry your inhaler in its original packaging with a copy of your prescription. Keep it in your carry-on luggage. Store at room temperature and protect from extreme heat or cold. If traveling across time zones, consult your doctor about adjusting dosing times. Declare your medication at customs if required.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The bronchodilator effect starts within 5 minutes, but the full anti-inflammatory effect may take several days to weeks of regular use.
A: No, this medicine is for maintenance therapy only. You need a fast-acting rescue inhaler for acute attacks.
A: Consult your doctor. Use only if the potential benefit justifies the potential risk to the fetus.
A: Take it as soon as you remember if less than 6 hours have passed. Otherwise, skip the missed dose and continue with your regular schedule. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for avessa 6 mcg/500 mcg capsule
View AllAlternative brands with exact same active ingredient:
-
airwin f2 500 capsuleUltimate Healthcare ₹334.00 3.1% COSTLIER
-
Combihale FF 500 RedicapsDr Reddy's Laboratories Ltd ₹598.00 84.6% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be used for immediate relief during an asthma attack.
Fact: This medicine is a maintenance therapy and should not be used for acute attacks. A fast-acting rescue inhaler is needed for sudden symptoms. - Myth: Inhaled steroids are dangerous and cause weight gain.
Fact: Inhaled steroids act mainly in the lungs and have minimal systemic effects. Weight gain is not a common side effect. - Myth: Once symptoms improve, you can stop using the inhaler.
Fact: Stopping suddenly can lead to worsening of asthma or COPD. Always consult your doctor before stopping.