The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet is: PL 29831/0736.
WockAIR 160 micrograms / 4.5 micrograms inhalation powder
WockAIR® 160micrograms/4.5micrograms, inhalation powder, pre-dispensed
budesonide/formoterol fumarate dihydrate
1. What WockAIR is and what it is used for
2. What you need to know before you use WockAIR
3. How to use WockAIR
4. Possible side effects
5. How to store WockAIR
6. Contents of the pack and other information
WockAIR is an inhaler that is used to treat asthma in adults and adolescents aged 12-17 years. It is also used to treat the symptoms of Chronic Obstructive Pulmonary Disease (COPD) in adults aged 18 years and older. It contains two different medicines: budesonide and formoterol fumarate dihydrate.
WockAIR can be prescribed for asthma in two different ways.
Some people are prescribed WockAIR and a separate reliever inhaler
a) WockAIR every day and a separate reliever inhaler when required.
Some people are prescribed WockAIR as their only asthma inhaler
b) WockAIR every day and also when required.
WockAIR can also be used to treat the symptoms of COPD in adults. COPD is a long-term disease of the airways in the lungs, which is often caused by cigarette smoking.
Talk to your healthcare practitioner before using WockAIR if:
Contact your doctor if you experience blurred vision or other visual disturbances.
Tell your healthcare practitioner if you are using, have recently used or might use any other medicines.
In particular, tell your doctor or pharmacist if you are using any of the following medicines:
If any of the above applies to you, or if you are not sure, talk to your doctor or pharmacist before using WockAIR.
Also tell your healthcare practitioner if you are going to have a general anaesthetic for an operation or for dental work.
WockAIR has no or negligible effect on your ability to drive or to use tools or machines.
WockAIR contains lactose, which is a type of sugar. If you have been told by your doctor that you have an intolerance to some sugars, talk to your doctor before using this medicine. The amount of lactose in this medicine does not normally cause problems in people who are lactose intolerant.
The excipient lactose contains small amounts of milk proteins, which may cause allergic reactions.
If you have been taking steroid tablets for your asthma or COPD, your doctor may reduce the number of tablets that you take, once you start to use WockAIR. If you have been taking oral steroid tablets for a long time, your doctor may want you to have blood tests from time to time. When reducing oral steroid tablets, you may feel generally unwell even though your chest symptoms may be improving. You might experience symptoms such as a stuffy or runny nose, weakness or joint or muscle pain and rash (eczema). If any of these symptoms bother you, or if symptoms such as headache, tiredness, nausea (feeling sick) or vomiting (being sick) occur, please contact your doctor immediately. You may need to take other medication if you develop allergic or arthritic symptoms. You should speak to your doctor if you are concerned as to whether you should continue to use WockAIR.
Your doctor may consider adding steroid tablets to your usual treatment during periods of stress (for example, when you have a chest infection or before an operation).
If you feel you are getting breathless or wheezy while using WockAIR, you should continue to use WockAIR but go to see your doctor as soon as possible, as you may need additional treatment.
Contact your doctor immediately if:
These signs could mean that your asthma or COPD is not being properly controlled and you may need different or additional treatment immediately.
WockAIR can be prescribed for asthma in different ways. The amount of WockAIR to use and when to use it depends on how it has been prescribed for you.
Take your fixed dose of WockAIR every day. This helps to prevent asthma symptoms from happening.
Adults (18 years and above)
Adolescents (12 to 17 years)
WockAIR is not recommended to be used in children who are younger than 12 years.
Your doctor (or asthma nurse) will help you to manage your asthma. They will adjust the dose of this medicine to the lowest dose that controls your asthma. However, do not adjust or stop the dose without talking to your doctor (or asthma nurse) first.
Use a separate reliever inhaler to treat asthma symptoms when they happen. Always keep your reliever inhaler with you to use when you need it. Do not use WockAIR to treat asthma symptoms - use your reliever inhaler.
b) Using WockAIR every day and also when required.
Only use WockAIR in this way if your doctor has told you to and if you are aged 12 or above.
Use your WockAIR every day. This helps to prevent asthma symptoms from happening. You can take:
Your doctor may increase this to 2 inhalations twice a day.
Also use WockAIR as your reliever inhaler to treat asthma symptoms when they happen and, if agreed with your doctor, to prevent asthma symptoms from happening (for example, when exercising or on exposure to allergens).
Always keep your WockAIR with you, so you can use it as your reliever inhaler when you need it.
Seek urgent medical advice if WockAIR does not relieve your asthma symptoms or if your asthma symptoms worsen despite treatment with WockAIR.
A total daily dose of more than 8 inhalations is not normally needed. However, your doctor may allow you to take up to 12 inhalations a day for a limited period.
If you regularly need to use 8 or more inhalations a day, make an appointment to see your doctor or nurse as soon as possible. They may need to change your treatment.
Do not use more than 12 inhalations in total in 24 hours.
Your doctor may also prescribe other medicines to widen your airways, also called bronchodilator medicines (such as tiotropium or ipratropium bromide) for your COPD disease.
Your doctor, nurse or pharmacist should demonstrate how to use the inhaler and should check your use regularly.
The inhaler contains 60 doses of powder medicine in a coiled strip of foil. It has a dose counter which shows you how many doses you have remaining counting down from 60 to 0. When you have reached the last 10 doses the numbers will be on a red background.
The inhaler is not refillable - please dispose of the inhaler when it is empty and replace it with a new one.
As you use the inhaler the side chamber will gradually fill up with used strip. The foil strips with black bars don’t contain medicine. Eventually the numbered sections of the strip will appear in the side chamber.
Do not let more than 2 sections of foil strip build up in the side chamber as they may cause the inhaler to jam. Tear the strip away carefully as shown above, and dispose of it safely.
Hold the inhaler in your hands as seen in the pictures.
2. Prepare the dose
It is important that you take your dose as stated on the pharmacist’s label or as advised by your doctor. You should not exceed your prescribed dose without seeking medical advice.
The most common symptoms that may occur if you use more WockAIR than you should are trembling, headache or a rapid or irregular heartbeat.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Common (may affect up to 1 in 10 people)
Tell your doctor if you have any of the following while taking WockAIR, they could be symptoms of a lung infection:
Uncommon (may affect up to 1 in 100 people)
Rare (may affect up to 1 in 1,000 people)
Very rare (may affect up to 1 in 10,000 people)
Inhaled corticosteroids can affect the normal production of steroid hormones in your body, particularly if you use high doses for a long time. The effects include:
These effects are much less likely to happen with inhaled corticosteroids than with corticosteroid tablets.
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
Keep this medicine out of the sight and reach of children.
Do not store above 30°C.
Do not use this medicine after the expiry date which is stated on the carton or on the label of your inhaler after EXP. The expiry date refers to the last day of that month.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
WockAIR is a red/white, plastic inhaler containing your medicine. Each inhaler contains an OPA/Al/PVC-Al blister with 60 doses of inhalation powder, pre-dispensed. The inhalation powder is white to off-white or slightly yellow of colour with no agglomerates.
WockAIR is available in packs of 1, 2, 3, 4 or 6 inhaler(s), each with 60 doses.
Not all pack sizes may be marketed.
To listen to or request a copy of this leaflet in Braille, large print or audio please call, free of charge: 0800 198 5000 (UK Only)
Please be ready to give the following information:
Product name Reference number
WockAIR 160micrograms/4.5micrograms, inhalation powder, pre-dispensed 29831/0736
This is a service provided by the Royal National Institute of Blind People.
This leaflet was last revised in 08/2023.