New Asthelite Forte Tablet: Comprehensive 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
- Severe chest pain or irregular heartbeat
- Seizures or convulsions
- Difficulty breathing or swelling of face, lips, or throat
- Severe nausea, vomiting, or abdominal pain
- Blood in vomit or stool
- Confusion or extreme restlessness
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is new asthelite forte tablet used for?
This medicine is a combination of theophylline and terbutaline used to treat asthma and COPD. It works by relaxing the muscles in the airways to make breathing easier. It is not for sudden attacks and must be taken under medical supervision.
- Generic Name: Theophylline (200mg) + Terbutaline (5mg)
- Manufacturer: Litaka Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 new asthelite forte tablet के बारे में (Hindi Summary)
उपयोग: यह दवा थियोफिलिन और टर्बुटालिन का संयोजन है, जिसका उपयोग अस्थमा और सीओपीडी जैसी श्वसन संबंधी समस्याओं में सांस लेने में आसानी के लिए किया जाता है। यह वायुमार्ग की मांसपेशियों को आराम देकर घरघराहट, सांस फूलना और छाती में जकड़न को कम करती है। यह दवा तुरंत अस्थमा अटैक के लिए नहीं है और इसे डॉक्टर की सलाह के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, सिरदर्द, बेचैनी और हाथ-पैर कांपना शामिल हैं। गंभीर दुष्प्रभावों में दिल की धड़कन तेज होना, अनियमित धड़कन, चक्कर आना और एलर्जी प्रतिक्रिया हो सकती है। यदि आपको सांस लेने में कठिनाई, चेहरे या गले में सूजन, या बेहोशी महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे चबाएं या तोड़ें नहीं। शराब का सेवन न करें। धूम्रपान से बचें क्योंकि इससे दवा का असर कम हो सकता है। यदि आपको दिल, जिगर, गुर्दे या थायरॉइड की समस्या है, तो डॉक्टर को बताएं। खुराक भूल जाने पर याद आते ही ले लें, लेकिन अगली खुराक का समय नजदीक हो तो छोड़ दें। दोहरी खुराक न लें।
💊 new asthelite forte tablet Uses & Benefits
[{"condition":"Bronchial asthma","description":"Used to relieve bronchospasm and prevent wheezing and shortness of breath in patients with asthma not controlled by inhaled corticosteroids and bronchodilators.","evidence":"Well-established"},{"condition":"Chronic obstructive pulmonary disease (COPD)","description":"Helps to relax airway smooth muscles and improve airflow in patients with COPD, reducing symptoms of breathlessness and wheezing.","evidence":"Well-established"},{"condition":"Reversible airway obstruction","description":"Provides bronchodilation in conditions where airway obstruction is reversible, such as exercise-induced bronchospasm or allergic bronchitis.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Apnea of prematurity","description":"Theophylline has been used off-label in premature infants to stimulate breathing, but this combination is not intended for pediatric use without specialist supervision.","evidence":"Limited"},{"condition":"Severe bronchospasm in emergency settings","description":"In some emergency situations, intravenous forms of these agents may be used, but this oral combination is not for acute attacks.","evidence":"Limited"}]
Primary treatment for: Bronchial asthma
Also treats: Chronic obstructive pulmonary disease (COPD), Chronic bronchitis, Emphysema
📋 Drug Information
| Generic Name(s) | Theophylline (200mg) + Terbutaline (5mg) |
| Brand Name | new asthelite forte tablet |
| Manufacturer | Litaka Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15–30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Theophylline and terbutaline are included in WHO essential medicines lists for the management of asthma and COPD, but combination products are not specifically recommended as first-line therapy. Inhaled bronchodilators and corticosteroids are preferred. Consult your doctor for guideline-based care. |
| ICMR Guideline | ICMR guidelines for asthma and COPD recommend inhaled bronchodilators and corticosteroids as first-line therapy. Oral theophylline may be used as add-on therapy in selected patients. This fixed-dose combination should be used only when prescribed by a specialist. |
👨⚕️ 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 bronchodilators with complementary mechanisms. Theophylline inhibits phosphodiesterase enzymes, leading to increased cyclic AMP levels in airway smooth muscle cells, which causes relaxation and widening of the airways. It also blocks adenosine receptors, reducing bronchoconstriction and inflammation. Terbutaline is a selective beta-2 adrenergic agonist that binds to beta-2 receptors on bronchial smooth muscle, stimulating cyclic AMP production and producing rapid bronchodilation. Together, they provide both immediate and sustained relief from bronchospasm.
Mechanism Steps
💡 How to Take new asthelite forte tablet
Strength: Each tablet contains theophylline 200 mg and terbutaline 5 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally two to three times daily, depending on the severity of the condition and the patient's response. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and serum theophylline levels. Do not exceed the prescribed dose. Take with a full glass of water, with or without food, but be consistent. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may require lower doses due to reduced clearance of theophylline and increased sensitivity to side effects. Start with a lower dose and titrate slowly. Regular monitoring of serum levels and cardiac function is advised. |
| Renal Impairment | In patients with renal impairment, dose reduction may be necessary. Monitor renal function and adjust dose accordingly. Consult your doctor for personalized dosing. |
| Hepatic Impairment | In patients with hepatic impairment, theophylline clearance is reduced. Dose reduction and close monitoring of serum levels are recommended. Consult your doctor for personalized dosing. |
| Maximum Daily Dose | The maximum daily dose should not exceed 600 mg of theophylline and 15 mg of terbutaline, but individual limits may be lower based on clinical response and toxicity. Always follow your doctor's prescription. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of new asthelite forte tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ciprofloxacin | Major | |
| Propranolol | Major | |
| MAO inhibitors | Major | |
| Furosemide | Moderate | |
| Corticosteroids | Moderate | |
| Digoxin | Moderate | |
| Cimetidine | Minor | |
| Phenytoin | Minor | |
| Ketamine | Moderate | |
| Halothane | Moderate |
🚨 Major Interactions
- Ciprofloxacin
- Propranolol
- MAO inhibitors
⚡ Moderate Interactions
- Furosemide
- Corticosteroids
- Digoxin
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. It can increase the risk of side effects such as drowsiness, dizziness, and heart rhythm disturbances. Alcohol may also affect theophylline metabolism, potentially leading to toxicity.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to theophylline, terbutaline, or any component of the formulation","Severe cardiac disease, including arrhythmias","Hyperthyroidism","Uncontrolled seizure disorders","Severe liver disease","Peptic ulcer disease","Concurrent use with MAO inhibitors"]
⚠️ Warnings & Precautions
["Do not use for acute asthma attacks; this is not a rescue medication.","Theophylline has a narrow therapeutic index; regular monitoring is essential.","Avoid smoking; smoking reduces theophylline levels and may decrease efficacy.","Use with caution in elderly patients and those with renal or hepatic impairment.","May cause dizziness or drowsiness; avoid driving or operating machinery until you know how it affects you.","Do not crush or chew extended-release formulations; swallow whole.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","Keep out of reach of children."]
🤱 Lactation Safety
Both theophylline and terbutaline are excreted in breast milk. Theophylline may cause irritability or insomnia in nursing infants. Terbutaline levels in milk are low but may cause tremors or increased heart rate. Consult your doctor before breastfeeding while taking this medicine.
💊 Overdose Management
Overdose can cause severe nausea, vomiting, restlessness, tremors, palpitations, seizures, and cardiac arrhythmias. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and may include activated charcoal, gastric lavage, and management of seizures and arrhythmias. Hemodialysis may be considered in severe cases.
⏰ 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
Take this medicine exactly as prescribed by your doctor. Do not crush or chew the tablet unless your doctor advises otherwise. Swallow it whole with a glass of water. Avoid drinking alcohol while taking this medicine, as it can increase the risk of side effects and heart problems. Do not take more than the recommended dose, as theophylline can be toxic in high amounts. Inform your doctor if you have heart disease, liver disease, kidney disease, thyroid problems, or a history of seizures. Avoid smoking and exposure to secondhand smoke, as smoking can reduce the effectiveness of this medicine. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose. Keep this medicine out of reach of children. Store it at room temperature, away from moisture and direct sunlight. Do not use it after the expiry date. Regular follow-up with your doctor is important to monitor your condition and adjust the dose if needed.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the effects of theophylline and terbutaline. Lower doses and careful monitoring are advised. Watch for signs of toxicity such as confusion, palpitations, and tremors.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor. This medicine should be used during pregnancy only if clearly needed. Your doctor may switch to safer alternatives.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthetic agents and affect heart rhythm. Your dose may need adjustment before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. It may cause dry mouth or increase heart rate during dental procedures. Local anesthetics with epinephrine should be used with caution.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you have severe asthma or heart disease. Consult your doctor before starting any exercise program. Warm up gradually and keep a rescue inhaler nearby.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It may also cause tremors, which can affect fine motor skills. Discuss with your doctor if your job involves such activities.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your condition improves, your doctor may adjust or discontinue the dose gradually.
📅 Long-Term Use Effects
Long-term use of this medicine requires regular monitoring of serum theophylline levels, heart function, and liver/kidney function. Prolonged high doses can lead to chronic insomnia, mood changes, and cardiac arrhythmias. Periodic dose adjustments may be needed. Do not stop suddenly without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
First-line therapy for asthma to reduce inflammation.
Evidence: Well-establishedQuick-relief rescue inhalers for acute symptoms.
Evidence: Well-establishedOral medications for asthma prophylaxis.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Annual influenza vaccination is recommended for patients with asthma or COPD. Pneumococcal vaccine may also be advised. This medicine does not interact with vaccines, but consult your doctor for timing.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss. Store at room temperature and protect from extreme heat or cold. If traveling across time zones, adjust dosing times gradually in consultation with your doctor. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Terbutaline starts working within 30 minutes, while theophylline may take 1–2 hours for full effect.
A: Consult your doctor. This medicine can increase heart rate and blood pressure, so caution is needed.
A: It may interact with other bronchodilators or corticosteroids. Always inform your doctor about all medicines you take.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can be used for immediate relief during an asthma attack.
Fact: This medicine is not a rescue inhaler and should not be used for acute attacks. It is for maintenance therapy. - Myth: It is safe to take extra doses if symptoms worsen.
Fact: Taking extra doses can lead to serious toxicity. Always follow the prescribed dose. - Myth: Once symptoms improve, the medicine can be stopped.
Fact: Do not stop without consulting your doctor. Sudden discontinuation may worsen symptoms.
🔄 Alternative Options
Generic Alternatives
- Theophylline + Terbutaline tablets from other manufacturers
Brand Alternatives
- New Asthelite Forte Tablet