What are the active ingredients of Symbicort (budesonide and formoterol)?

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Last updated: October 26, 2025View editorial policy

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Ingredients of Symbicort

Symbicort contains two active ingredients: budesonide (an inhaled corticosteroid) and formoterol (a long-acting beta2-agonist). 1, 2

Active Ingredients Details

  • Budesonide: An inhaled corticosteroid that treats underlying airway inflammation in asthma 1, 2
  • Formoterol: A rapid- and long-acting beta2-agonist that prevents and reverses airway obstruction 1, 3

Mechanism of Action

  • Budesonide and formoterol have complementary effects, treating two different components of asthma 1
  • The combination provides both anti-inflammatory effects (from budesonide) and bronchodilation (from formoterol) 2
  • Formoterol has a rapid onset of action, providing quick symptom relief, while budesonide addresses the underlying inflammation 3

Formulation Characteristics

  • Symbicort is available as a combination inhaler containing both medications in a single device 1
  • The combination allows for convenient twice-daily dosing during periods of good control 1
  • Formoterol in Symbicort provides a faster onset of action compared to other long-acting beta2-agonists like salmeterol 3

Clinical Considerations

  • Symbicort is indicated for maintenance treatment of asthma in patients whose condition is not adequately controlled with inhaled corticosteroids alone 4
  • The formoterol component should not be used for acute symptom relief or exacerbations 5
  • Potential adverse effects include respiratory infections, headache, tremor, and potential adrenal insufficiency with long-term use 6, 5

Important Distinctions

  • Formoterol is the preferred LABA in combination therapy due to its rapid onset of action 7
  • Symbicort (budesonide/formoterol) has a faster onset of action than other combination products like Seretide/Advair (salmeterol/fluticasone) 3
  • Studies suggest a potential synergistic effect when both drugs are administered via one inhaler 2

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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