Allergic reactions to Symbicort: signs and what to do
Allergic reactions to medication range from mild rash to life-threatening anaphylaxis. Symbicort (Budesonide / Formoterol) is generally well-tolerated at 80/4.5 mcg, 160/4.5 mcg, 200/6 mcg, 400/12 mcg, but any active ingredient including Budesonide, Formoterol or its excipients can trigger an allergic response in a sensitised individual. Knowing what to watch for and how to act is part of safe use.
Recognising an allergic reaction
Mild reactions present as itching, localised rash, or mild flushing within hours of dosing. Moderate reactions add hives, swelling of lips or face, more extensive rash, or wheezing. Severe reactions — anaphylaxis — include rapid swelling of throat, difficulty breathing, drop in blood pressure, dizziness or collapse. Severe reactions are a medical emergency.
What to do
For mild reactions, stop Symbicort and contact the prescriber for guidance — antihistamines may help symptomatically. For moderate reactions, stop the medication and seek same-day medical assessment. For any sign of anaphylaxis, call emergency services immediately. According to the prescribing information for Budesonide, Formoterol, a confirmed allergy contraindicates further use of Symbicort at any 80/4.5 mcg, 160/4.5 mcg, 200/6 mcg, 400/12 mcg dose.
Frequently asked questions
How do I know if I'm allergic to Symbicort? ▾
Allergic reactions typically start within hours to days of first exposure and present as itching, hives, rash or, in severe cases, breathing difficulty and swelling. If symptoms started after starting Symbicort at 80/4.5 mcg, 160/4.5 mcg, 200/6 mcg, 400/12 mcg and are not explained by another cause, allergy is the working hypothesis until confirmed otherwise.
Can I switch to a different brand if I'm allergic to Symbicort? ▾
A reaction to Symbicort is usually a reaction to either the active ingredient Budesonide, Formoterol or to an excipient. If the trigger is an excipient, a different brand of the same active ingredient may be tolerated; if the trigger is Budesonide, Formoterol itself, the whole Respiratory Medications class may need to be avoided. The prescriber decides based on the reaction type and severity.
More on Symbicort
- With alcoholSymbicort and alcohol — is it safe to drink?
- With foodShould Symbicort be taken with food?
- Side effectsSymbicort side effects: common, rare and warning signs
- Dosage guideSymbicort dosage guide: how much to take and when
- OnsetHow fast does Symbicort start working?
- DurationHow long does Symbicort last?
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.