Bremax Tab - Tablet Tulobuterol Hydrochloride - 2mg 1 Tablet(s) / Tablet Unimed Unihealth Pharmaceuticals Ltd. Introduction: Bremax Tab is used for the treatment of asthma and chronic obstructive pulmonary disorder(COPD) ,a lung disorder in which flow of air to the lung is blocked. It helps in relaxing the muscles of the air passages, thus widening it and making it easier to breathe. Bremax Tab is for external use. Your doctor will explain how to use a patch and give you the one most suitable for you. Follow the instructions carefully to get the most benefit. The dose may change from time to time to suit your individual needs. You should not wear more than one patch... Uses of Bremax Tab: AsthmaChronic obstructive pulmonary disease (COPD) Side effects of Bremax Tab: TremorHeadacheRestlessnessInsomnia (difficulty in sleeping)PalpitationsMuscle cramp How to use Bremax Tab: Use this medicine in dose and duration as advised by your doctor. Check the label before use. Make sure the skin is clean and dry. Remove the protective liner of the patch. Do not touch the sticky side. With sticky side down, place the patch evenly onto the skin. How Bremax Tab works: Bremax Tab is a bronchodilator. It works by relaxing the muscles in the airways and widens airways. This makes breathing easier. What if you forget to take Bremax Tab?: If you miss a dose of Bremax Tab, skip it and continue with your normal schedule. Do not double the dose. Indication: Chronic obstructive pulmonary disease Adult Dose: Oral Bronchodilation Adult: Initially, 1-2 mg bid, increase to 2 mg tid if necessary. Child Dose: Oral Bronchodilation Child: 1-6 yr: 0.25-0.5 mg bid, 6-10 yr: 0.5-1 mg bid, 10-14 yr: 1-1.5 mg bid. Contraindication: Phaeochromocytoma. Mode of Action: Tulobuterol is a direct-acting sympathomimetic with selective action on ?2-receptors. It is available orally, as a inhaler and as a transdermal patch. It is given as the hydrochloride by mouth and the base as transdermal formulation and inhalation. Precaution: Hyperthyroidism, myocardial insufficiency, arrhythmias, susceptibility to QT-interval prolongation, hypertension and DM. Side Effect: Fine tremor of skeletal muscle, palpitations, muscle cramps, tachycardia, nervous tension, headache, peripheral vasodilatation, hypersensitivity reactions. Interaction: Increased risk of arrhythmia with digoxin. Hypokalaemia with concomitant admin of xanthines, corticosteroids and diuretics.