For the Use of Registered Medical Practitioner or a Hospital or a Laboratory only

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FLUTCASONE FUROATE 100/200mcg and VILANTEROL 25mcg POWDER for INHALATION
QUALITATIVE AND QUANTITATIVE COMPOSITION: Each capsule contains Fluticasone Furoate 100/200 mcg and Vilanterol 25 mcg. INDICATION: Indicated for the treatment of asthma in adults and adolescents aged 12 years and older where use of a combination medicinal product (LABA and ICS) is appropriate: Patients not adequately controlled with ICSs and ‘as needed’ inhaled SABA. Patients already adequately controlled on both ICS and LABA. DOSAGE AND METHOD OF ADMINISTRATION: VILORESP Pulmicaps are for inhalation only and must not be swallowed. Use VILORESP Pulmicaps with the INNOHALER. Administer one inhalation once daily at the same time each day. Do not exceed one inhalation/24 hours. CONTRAINDICATIONS: Contraindicated in Primary treatment of status asthmaticus or other acute episodes of COPD or asthma and in severe milk protein hypersensitivity or known hypersensitivity to fluticasone furoate, vilanterol, or any excipients. WARNING AND PRECAUTION: Vilanterol/fluticasone (V/F) increase risks of serious asthma-related deaths when LABAs are used alone but not when combined with ICS. Use caution in patients with cardiovascular issues, immunosuppression, or other pre- existing conditions, and avoid during acute episodes. Monitor for infections, bone density, growth in children, and potential drug interactions. UNDESIRABLE EFFECTS: May cause serious asthma-related events (hospitalizations, intubations, death), cardiovascular effects (palpitations, tachycardia), infections (Candida, pneumonia), immunosuppression, adrenal suppression, bone density reduction, hypersensitivity reactions, hyperglycemia, muscle spasms, tremors, nervousness, and paradoxical bronchospasm. DRUG INTERACTIONS: Use caution when using VILORESP with strong CYP3A4 inhibitors (e.g., ketoconazole), beta-blockers, monoamine oxidase inhibitors, and non-potassium-sparing diuretics due to increased risks of systemic exposure, bronchospasm, potentiated cardiovascular effects, and worsened hypokalaemia. USE IN SPECIAL POPULATION: No dosage adjustment is required in patients with renal impairment. Use with caution in patients with moderate or severe hepatic impairment. There are insufficient data on the use of fluticasone furoate or vilanterol in pregnant women. Pregnant women using V/F should be closely monitored for risks such as pre-eclampsia and adverse neonatal outcomes. During labor, use should be limited due to potential beta-agonist interference with uterine contractions unless benefits outweigh risks. In lactating women: analyze risk benefit ration. These highlights do not include all the information needed to use VILORESP Pulmicaps effectively and safely. Please refer to full prescribing information [available on request]. FOR FURTHER INFORMATION, CONTACT: Medical Affairs; Alkem House; Senapati Bapat Marg, Lower Parel, Mumbai, Maharashtra: 400 013. Prepared on 19th June 2024. Source: Prescribing Information VILORESP Pulmicaps.