Decomit Metered-Dose Inhaler (MDI) | 100 mcg/puff

✔️ Long-term or high-dose inhaled corticosteroids may cause:

• Cushing’s syndrome or Cushingoid features
• Adrenal suppression
• Growth retardation in children/adolescents
• Reduced bone mineral density
• Cataract or glaucoma

✔️ Dosage & Administration

Decomit Inhaler is for oral inhalation only, and the dose should be tailored to asthma severity and patient response.

Adults (including elderly):

Usual starting dose: 200 micrograms twice daily

Severe cases: 600–800 micrograms per day, divided into 2–4 doses

Dose may be reduced once asthma stabilizes

Children:

50–100 micrograms, 2–4 times daily based on response

Alternative: 100 or 200 micrograms twice daily

Usual starting dose: 100 micrograms twice daily

Decomit 250 Inhaler is not recommended for children

Hepatic or renal impairment: No dose adjustment required.

✔️ Administration

Correct inhaler use is critical for effectiveness. Improper use reduces medicine delivery to the lungs, decreasing efficacy.

Step-by-step instructions (National Asthma Guidelines):

• Remove the cap.
• Shake the inhaler at least six times.
• For new or unused inhalers, release one puff into the air to ensure function.
• Exhale fully and hold the inhaler upright.
• Place the mouthpiece between your teeth and seal your lips around it.
• Inhale slowly and deeply while pressing down firmly on the canister.
• Remove the inhaler and hold your breath for at least 10 seconds.
• If more than one puff is prescribed, wait 1 minute between puffs and repeat steps 4–7.
• Replace the cap and rinse your mouth after use.

Cleaning: Once a week, remove the canister, rinse plastic parts in warm water, dry thoroughly, and reassemble. Do not immerse the metal canister.

✔️ Contraindications

Hypersensitivity to any component of the inhaler

Special care for patients with active or latent pulmonary tuberculosis

✔️ Pregnancy & Lactation

Limited human safety data

Animal studies show possible fetal abnormalities (cleft palate, intrauterine growth retardation)

Breastfeeding mothers: use only if benefits outweigh risks

✔️ Precautions & Warnings

Instruct patients on proper inhaler technique to ensure effective lung delivery

Use regularly every day, even when asymptomatic, for optimal benefit

✔️ Storage:

Store below 30°C, protected from heat and sunlight

Do not break, puncture, or burn canister, even when empty

Keep away from children and eyes