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  3. Sequadra Inhaler Kit

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Sequadra Inhaler Kit, Pack of 1 INHALER
Sequadra Inhaler Kit, Pack of 1 INHALER
Sequadra Inhaler Kit, Pack of 1 INHALER
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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Sequadra Inhaler Kit is used to treat Chronic Obstructive Pulmonary Disease (COPD). It works by decreasing the airway secretions and relaxing & widening the airways, making it easier to breathe. In some cases, this medicine may cause side effects such as upper respiratory tract infection, inflammation of the sinuses, runny/stuffy nose, headache, dizziness, and stomach upset. Before taking this medicine, inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.
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Composition :

GLYCOPYRRONIUM-50MCG + INDACATEROL-110MCG

Manufacturer/Marketer :

Novartis India Ltd

Consume Type :

INHALATION

Return Policy :

Not Returnable

Expires on or after :

About Sequadra Inhaler Kit

Sequadra Inhaler Kit belongs to the group of medicines called bronchodilators indicated for long-term, maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD). COPD is a group of lung diseases with emphysema (shortness of breath) and chronic bronchitis (inflammation of the bronchial tube lining). In COPD, the muscles around the airways tighten, making it difficult to breathe.
 
Sequadra Inhaler Kit is a combination of two medicines, namely: Indacaterol and Glycopyrronium. Indacaterol relaxes and widens the openings in the airways, making it easier to breathe. Glycopyrronium decreases the secretions in the airways. Together, Sequadra Inhaler Kit provides relief from COPD.
 
You are advised to use Sequadra Inhaler Kit for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side-effects such as upper respiratory tract infection, inflammation of the sinuses, runny/stuffy nose, headache, dizziness, and stomach upset. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Do not stop taking Sequadra Inhaler Kit on your own as it might cause worsening of symptoms. Consult your doctor before taking Sequadra Inhaler Kit if you are pregnant or breastfeeding. Sequadra Inhaler Kit may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Sequadra Inhaler Kit is not recommended for children below 18years as the safety and effectiveness have not been established. Keep your doctor informed about your health condition and the medicines you are taking to avoid any interactions.

Uses of Sequadra Inhaler Kit

Treatment of Chronic Obstructive Pulmonary Disease (COPD)

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Directions for Use

• Sequadra Inhaler Kit is for oral inhalation only.• It is recommended to inhale one Sequadra Inhaler Kit twice daily, in the morning and evening, or as advised by your doctor.• Check the label for instructions before using this medication.• Place the capsule at the base of the rotahaler/inhaler and twist the mouthpiece until you hear a clicking sound. • Place the mouthpiece into your mouth and seal your lips around it. Inhale deeply and slowly through the mouthpiece, hold your breath for 10 seconds, and then exhale slowly. • Do not swallow the capsules.

Medicinal Benefits

Sequadra Inhaler Kit is a combination of two medicines, namely: Indacaterol and Glycopyrronium. Sequadra Inhaler Kit belongs to the group of medicines called bronchodilators used to treat Chronic Obstructive Pulmonary Disease (COPD). Indacaterol is a long-acting beta-agonist which relaxes and widens the openings in the airways, making it easier for the air to get in and out of the lungs. Glycopyrronium is an anticholinergic that decreases the secretions in the airways. Together, Sequadra Inhaler Kit provides relief from COPD.

How Sequadra Inhaler Kit Works

Sequadra Inhaler Kit is a combination of two medicines, namely: Indacaterol and Glycopyrronium. Indacaterol relaxes and widens the openings in the airways, making it easier to breathe. Glycopyrronium decreases the secretions in the airways. Together, Sequadra Inhaler Kit provides relief from COPD.

Storage

Keep Sequadra Inhaler Kit out of reach and sight of children.
Side effects of Sequadra Inhaler Kit
Here are the steps to manage the medication-triggered Common Cold:
  • Inform your doctor about the common cold symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Drink plenty of fluids, such as warm water or soup, to help thin out mucus.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
  • Throat pain can worsen if there is no proper rest for your throat.
  • Drink plenty of warm fluids and frequently gargle with salt water.
  • Humidify the surrounding air using a humidifier, as dry air may increase dryness and throat pain.
  • Consider taking lozenges or hard candy throat pain relievers, which give a soothing effect.
  • Take enough rest and stay in warm places to reduce pain quickly.
Managing Medication-Triggered Rhinitis (Stuffy Nose): A Step-by-Step Guide
  • Consult your doctor if you experience nasal congestion, runny nose, or sinus pressure after taking medication.
  • Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your rhinitis symptoms.
  • If advised by your doctor, use nasal decongestants or saline nasal sprays to help relieve nasal congestion.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of water and other fluids to help thin out mucus and soothe your nasal passages.
Here are the steps to manage the medication-triggered Cough:
  • Tell your doctor about the cough symptoms you're experiencing, which may be triggered by your medication.
  • Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your cough symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids, such as water, tea, or soup, to help thin out mucus and soothe your throat.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your cough persists or worsens, consult your doctor for further guidance.
  • Rest and get enough sleep, and try to give your voice a break.
  • Drink fluids to stay hydrated and to keep your throat moist; avoid caffeine and alcohol.
  • Soothe your throat with warm drinks like tea, broth, or warm water with honey.
  • Gargle with salt water to ease throat pain.
  • Use a humidifier or steam to moisten dry air.
  • Lozenges or hard candy can help soothe a sore throat.
  • Avoid smoke and harsh cleaning products that can irritate your throat.
  • Stay at home until you are feeling better to avoid spreading germs.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.

What if I have taken an overdose of Sequadra Inhaler Kit

Take Sequadra Inhaler Kit only as prescribed by the physician. Avoid exceeding the recommended dose as it could lead to an overdose. Symptoms of overdose may include tremors (shaking), fast/irregular heartbeat and chest pain. If you experience these symptoms or suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

Do not take Sequadra Inhaler Kit if you are allergic to any of its components. Inform your doctor if you have asthma, heart problems, seizures/epilepsy, thyroid gland problems, diabetes, narrow-angle glaucoma, kidney problems, severe liver problems, if you have any difficulty in passing urine or if you are taking any medicines for lung diseases. Consult your doctor if you are pregnant or breastfeeding. Sequadra Inhaler Kit may cause dizziness, so drive with caution. Avoid consuming alcohol as it might cause increased dizziness. Sequadra Inhaler Kit is not recommended for children below 18 years as safety and effectiveness have not been established. 

Drug-Drug Interactions

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Glycopyrronium bromideLevodopa
Severe
Glycopyrronium bromideSecretin
Severe

Drug-Drug Interactions

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Glycopyrronium bromideLevodopa
Severe
How does the drug interact with Sequadra Inhaler Kit:
Coadministration of levodopa with Sequadra Inhaler Kit can significantly decrease the blood levels of levodopa.

How to manage the interaction:
Although using Sequadra Inhaler Kit and levodopa together can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any unusual symptoms contact the doctor immediately. Do not stop using any medications without a doctor's advice.
Glycopyrronium bromideSecretin
Severe
How does the drug interact with Sequadra Inhaler Kit:
The combined use of secretin and Sequadra Inhaler Kit can inhibit gastric acid secretion.

How to manage the interaction:
Although using secretin and Sequadra Inhaler Kit together can lead to an interaction, it can be taken if advised by your doctor.
Glycopyrronium bromidePotassium chloride
Severe
How does the drug interact with Sequadra Inhaler Kit:
The use of Potassium chloride and Sequadra Inhaler Kit can increase the irritant effects of potassium on your stomach and upper intestine.

How to manage the interaction:
Using Potassium chloride and Sequadra Inhaler Kit together can lead to an interaction, however, it can be taken if advised by a doctor. However, if you experience severe stomach pain, bloating, sudden lightheadedness or dizziness, nausea, vomiting (especially with blood), decreased hunger, or dark, tarry stools, consult the doctor immediately. Do not discontinue any medications without a doctor's advice.
Glycopyrronium bromideDigoxin
Severe
How does the drug interact with Sequadra Inhaler Kit:
Co-administration of Digoxin and Sequadra Inhaler Kit may increase the serum concentration of Digoxin and increase the risk or severity of adverse effects.

How to manage the interaction:
Although there is a possible interaction between Digoxin and Sequadra Inhaler Kit, you can take these medicines together if prescribed by a doctor. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, confusion, loss of appetite, nausea, vomiting, diarrhea, change in vision such as blurry or yellow vision, fatigue, and fast or irregular heartbeat, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
Glycopyrronium bromidePramlintide
Severe
How does the drug interact with Sequadra Inhaler Kit:
Taking Pramlintide with Sequadra Inhaler Kit can cause slow stomach emptying or slow the intestinal absorption of nutrients.

How to manage the interaction:
Although using Pramlintide and Sequadra Inhaler Kit together can lead to an interaction, it can be taken if advised by your doctor.
IndacaterolLabetalol
Severe
How does the drug interact with Sequadra Inhaler Kit:
Combining Labetalol and Sequadra Inhaler Kit could decrease the medical benefits of both medications.

How to manage the interaction:
Although taking Labetalol and Sequadra Inhaler Kit together can result in an interaction, it can be taken if a doctor has prescribed it. Do not forget to inform a doctor, if you have severe chronic obstructive pulmonary disease (COPD) or a history of asthma, as Labetalol is often not advised in these patients. Do not discontinue any medications without a doctor's advice.
IndacaterolCarvedilol
Severe
How does the drug interact with Sequadra Inhaler Kit:
Taking Carvedilol and Sequadra Inhaler Kit may reduce the treatment outcomes.

How to manage the interaction:
There may be a possibility of interaction between Sequadra Inhaler Kit and Carvedilol, but it can be taken if prescribed by a doctor. Do not stop using any medications without a doctor's advice.
IndacaterolPropranolol
Severe
How does the drug interact with Sequadra Inhaler Kit:
Using propranolol together with Sequadra Inhaler Kit may reduce the benefits of both medications, since they have opposing effects in the body. In addition, propranolol can cause breathing problems.

How to manage the interaction:
Although taking Propranolol together with Sequadra Inhaler Kit can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Eat a healthy diet and exercise regularly to strengthen your breathing muscles and boost your immune system.
  • Avoid foods such as cabbage, beans, garlic, onions, shrimp, pickled food, dried fruits, fried foods, carbonated drinks, wine, bottled lemon and lime juice, as it may worsen symptoms.
  • Do meditation, deep breathing, regular exercise and try progressive muscle relaxation techniques to get relief from stress and reduce the risk of an attack.
  • Quit smoking as it might irritate the lungs and worsen breathing problems.
  • Learn breathing exercises like pursed-lip breathing. It helps provide relief from COPD.

Habit Forming

No

Therapeutic Class

BRONCHODILATOR
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Alcohol

Caution

You are advised not to consume alcohol while taking Sequadra Inhaler Kit as it might cause increased dizziness.

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Pregnancy

Caution

Please consult your doctor if you have any concerns regarding this; your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Caution

Consult your doctor if you are breastfeeding; your doctor will decide whether Sequadra Inhaler Kit can be taken by breastfeeding mothers or not.

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Driving

Caution

Sequadra Inhaler Kit may cause dizziness. Drive or operate machinery only if you are alert.

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Liver

Caution

Dose adjustment may be needed. Please consult your doctor if you have liver impairment/liver disease or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed. Please consult your doctor if you have kidney impairment/kidney disease or any concerns regarding this.

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Children

Unsafe

Sequadra Inhaler Kit is not recommended for children below 18 years as safety and effectiveness have not been established.

FAQs

Sequadra Inhaler Kit is used to treat Chronic Obstructive Pulmonary Disease (COPD).

Sequadra Inhaler Kit contains Indacaterol and Glycopyrronium. Indacaterol relaxes and widens the openings in the airways, making it easier for the air to get in and out of the lungs. Glycopyrronium decreases the secretions in the airways. Together, Sequadra Inhaler Kit provides relief from COPD.

Sequadra Inhaler Kit is indicated as an ongoing treatment for COPD. It does not treat a sudden attack of wheezing or breathlessness. Use a rescue inhaler to treat sudden breathing problems.

Dry mouth could be a side-effect of Sequadra Inhaler Kit. Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol; drinking water regularly and chewing sugar-free gum/candy might help in stimulating saliva and thereby prevents drying of the mouth.

Do not stop taking Sequadra Inhaler Kit on your own as it might cause worsening of symptoms. To treat your condition effectually, continue using Sequadra Inhaler Kit for as long as your doctor has prescribed it. Talk to your doctor if your breathing problems, wheezing, or cough do not improve or worsen.

No, Sequadra Inhaler Kit is not indicated for the treatment of asthma as the safety and effectiveness of Sequadra Inhaler Kit in patients with asthma have not been established. Consult your doctor if you have asthma.

Country of origin

Spain

Manufacturer/Marketer address

Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
Other Info - SEQ0001

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Author Details

Santoshini Reddy GDoctor badge

Written By

Santoshini Reddy G

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Jul 18, 2025 | 6:53 AM IST

Doctor imageWe provide you with authentic, trustworthy and relevant information

Reference

  1. https://www.medicines.org.uk/emc/files/pil.3496.pdf
  2. https://www.accessdata.fda.gov/drugsatfda_docs/label/2015/207930s000lbl.pdf
  3. https://www.ema.europa.eu/en/documents/product-information/ultibro-breezhaler-epar-product-information_en.pdf
  4. https://www.drugs.com/mtm/glycopyrrolate-and-indacaterol-inhalation.html

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