Sequadra Inhaler

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Price range: $382.00 through $803.00

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Sequadra Inhaler

Price range: $382.00 through $803.00
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What Is Sequadra Inhaler?

Sequadra Inhaler is a once-daily, fixed-dose combination (FDC) bronchodilator inhaler manufactured by Novartis Healthcare for the long-term maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD). Each dose delivers Indacaterol 110 mcg + Glycopyrronium (Glycopyrrolate) 50 mcg — a dual-action combination of a Long-Acting Beta-2 Agonist (LABA) and a Long-Acting Muscarinic Antagonist (LAMA), making it one of the first once-daily LABA/LAMA fixed-dose combinations approved globally. It is indicated for adults with COPD — including chronic bronchitis and emphysema — as a maintenance (preventive) treatment, not a rescue therapy for acute attacks. Available in the Inhalers collection at Ed Care Store, Sequadra is approved for use in over 76 countries including the EU, Japan, Canada, Australia, and across Latin America, with a robust clinical safety and efficacy profile built on large-scale global trials.

How Does Sequadra Inhaler Work?

Sequadra's efficacy comes from the synergistic dual-bronchodilator action of its two active ingredients, each targeting a different physiological pathway that drives airway constriction in COPD:
  • Indacaterol (LABA) — Beta-2 Receptor Stimulation: Indacaterol binds to beta-2 adrenergic receptors on bronchial smooth muscle cells. This stimulates adenylate cyclase, increasing intracellular cyclic AMP (cAMP), which triggers smooth muscle relaxation and bronchial widening. Onset is within 5 minutes, with a full 24-hour bronchodilation sustained from a single dose.
  • Glycopyrronium (LAMA) — Muscarinic Receptor Blockade: Glycopyrronium blocks M3 muscarinic receptors in airway smooth muscle. Normally, acetylcholine binding to M3 receptors causes bronchoconstriction and excessive mucus secretion. By blocking this, Glycopyrronium reduces airway tone, prevents constriction, and decreases secretions — keeping airways open around the clock.
  • Dual Action = Complementary Bronchodilation: Because both drugs target entirely different receptor pathways, their combination produces greater bronchodilation than either agent alone — with clinical trials demonstrating statistically significant improvements in lung function (FEV1) at just 2 hours post-dose at Week 26, and sustained effect throughout the 24-hour dosing interval.
In a landmark clinical comparison, once-daily Indacaterol/Glycopyrronium reduced the annual rate of COPD exacerbations by 31% compared to the then-standard of care (twice-daily Salmeterol/Fluticasone combination) — a clinically significant advantage for patients with moderate-to-severe COPD.

Sequadra Inhaler Dosage & How to Use It Correctly

Recommended Dosage

The prescribed dose for adults is one capsule inhaled once daily using the Breezhaler® device, at the same time every day. Do not exceed one inhalation per 24 hours. Sequadra is a maintenance medication — it must be taken consistently every day regardless of whether symptoms are present. It does not provide relief during an acute COPD attack. Always carry a short-acting rescue inhaler for emergencies.

Step-by-Step Inhalation Technique

  • Open the Breezhaler® device by lifting the mouthpiece cap vertically.
  • Remove one Sequadra capsule from the blister pack — only immediately before use. Never store a capsule outside the blister.
  • Place the capsule in the capsule chamber of the device. Do not put capsules directly in the mouthpiece.
  • Close the device until you hear a click. Pierce the capsule by pressing both side buttons simultaneously once — then release.
  • Exhale fully away from the device, then place the mouthpiece in your mouth and inhale steadily and deeply.
  • Hold your breath for at least 5–10 seconds, then breathe out slowly.
  • Check the capsule is empty. If residual powder remains, repeat the inhalation step.
  • Rinse your mouth with water and spit — do not swallow. Discard the empty capsule.
  • Discard the entire inhaler device after 30 days of use, even if capsules remain.

Important Usage Rules

  • Never swallow the capsules — they are for inhalation only
  • Do not use Sequadra as a rescue inhaler for sudden breathlessness or acute attacks
  • Take at the same time each day to maintain consistent bronchodilation levels
  • If a dose is missed, take it as soon as you remember unless the next dose is within 12 hours

Who Is Sequadra Inhaler Prescribed For?

Sequadra is indicated for adult patients who:
  • Have a confirmed diagnosis of COPD — including chronic bronchitis, emphysema, or a combination of both
  • Require maintenance bronchodilator therapy beyond a single LABA or LAMA agent
  • Have not achieved adequate symptom control with monotherapy (single long-acting bronchodilator)
  • Experience persistent breathlessness, reduced exercise tolerance, or frequent exacerbations
  • Are seeking a convenient once-daily regimen to replace twice-daily combination therapies
Sequadra is not indicated for asthma (as a primary treatment) or for use in children. It is exclusively for adults with COPD who are under physician supervision.

Sequadra vs. Other Inhalers — How Does It Compare?

Ed Care Store stocks a full range of COPD and asthma inhalers. Understanding how Sequadra compares to alternatives in our Inhalers range helps you and your doctor make the right treatment choice:
Inhaler Drug Class Dosing Key Distinction vs Sequadra
Sequadra LABA + LAMA Once daily Gold-standard dual bronchodilator for COPD
Loftair 110/50 mcg LABA + LAMA Once daily Similar LABA/LAMA profile; alternative option
Seroflo Ecopack 250 LABA + ICS Twice daily Adds inhaled steroid; different mechanism
Triohale Rotacaps LABA + LAMA + ICS Once daily Triple therapy; for severe/frequent exacerbations
Ventorlin CFC-Free SABA (Salbutamol) As needed Rescue inhaler only; not a maintenance therapy
Maxiflo 250 Inhaler LABA + ICS Twice daily Fluticasone/Formoterol; asthma and COPD use
  For patients with very frequent exacerbations or severe COPD, Triohale Rotacaps (triple therapy: LABA + LAMA + ICS) may be appropriate. For a steroid-containing combination, explore Seroflo Ecopack 250 or Maxiflo 6/250 Mcg Inhaler. All patients should carry a short-acting rescue inhaler like Ventorlin CFC-Free Inhaler alongside their maintenance therapy.

Is Loftair Inhaler a Substitute for Sequadra?

The Loftair Inhaler 110 mcg/50 mcg contains the same active ingredients — Indacaterol 110 mcg and Glycopyrronium 50 mcg — as Sequadra. It is a generic equivalent of Sequadra manufactured to deliver the same dual LABA/LAMA bronchodilation at a more accessible price point. The choice between Sequadra and Loftair ultimately depends on your physician's recommendation, your response to the formulation, and cost considerations. Both are available from Ed Care Store with discreet, tracked shipping.

Side Effects of Sequadra Inhaler

Common Side Effects (Generally Mild)

  • Nasopharyngitis (upper respiratory tract infection symptoms) — the most frequently reported
  • Headache
  • Sinusitis or nasal congestion
  • Dry mouth — can be managed by staying well-hydrated and chewing sugar-free gum
  • Mild dizziness
  • Cough shortly after inhalation — usually transient

Less Common / Serious Side Effects — Consult Your Doctor

  • Paradoxical bronchospasm — wheezing or tightness immediately after inhalation; discontinue and use rescue inhaler
  • Urinary retention — more common in patients with pre-existing prostatic conditions
  • Narrow-angle glaucoma worsening — avoid letting medication contact the eyes
  • Tachycardia (fast or irregular heartbeat)
  • Hypokalaemia (low potassium) — particularly with high doses or combination with other medications
  • Severe hypersensitivity reactions — including rash, angioedema (rare)

Precautions & Contraindications

Do not use Sequadra if you:
  • Are allergic to indacaterol, glycopyrronium, or any component of the formulation (including lactose/milk proteins)
  • Have asthma as a primary diagnosis without COPD — Sequadra is not approved as a sole asthma treatment
  • Are pregnant, planning to conceive, or breastfeeding — consult your physician
  • Are under 18 years of age
Use with caution and inform your doctor if you have: cardiovascular disease (arrhythmias, hypertension), narrow-angle glaucoma, prostatic hyperplasia or urinary obstruction, seizure disorder (epilepsy), diabetes mellitus, or severe kidney or liver impairment. Avoid using other long-acting beta-2 agonists or other anticholinergic medications concurrently without medical guidance.

Why Buy Sequadra Inhaler from Ed Care Store?

  • Authentic, Source-Verified Products: Every inhaler stocked in our inventory is sourced from verified pharmaceutical manufacturers. You receive exactly what the label describes — no substitutes.
  • Discreet Packaging & Fast Shipping: All orders are shipped in plain, unmarked packaging with full order tracking. Your health decisions remain private.
  • Competitive Pricing: Prescription inhalers can be costly at retail US pharmacies. Our pricing makes long-term COPD maintenance treatment financially sustainable.
  • Comprehensive Respiratory Range: From dual bronchodilators to steroid combinations and rescue inhalers, our Inhalers collection covers every step of COPD and asthma management.
  • Expert Support: Have questions about inhaler technique, drug interactions, or product availability? Our knowledgeable support team is available via our Contact page.
For our ordering, returns, and shipping terms, visit our Shipping Policy and Medicine Policy pages. Explore broader respiratory health guidance on our Blog.

Frequently Asked Questions About Sequadra Inhaler

Is Sequadra a rescue inhaler? No. Sequadra is a long-acting maintenance inhaler for the daily prevention and control of COPD symptoms. It is not a rescue (reliever) inhaler and must not be used during an acute breathlessness attack. Always keep a short-acting beta-2 agonist (SABA) rescue inhaler — such as Ventorlin — available for sudden symptoms. How quickly does Sequadra work? Bronchodilation begins within approximately 5 minutes of the first inhalation. Maximum effect develops within 1–4 hours, with 24-hour bronchodilation maintained from a single daily dose. Meaningful improvements in lung function are typically measurable within the first week of regular use. Can I take Sequadra and Ventorlin together? Yes — using Sequadra as a daily maintenance inhaler alongside Ventorlin (or another SABA) as a rescue inhaler is a standard and clinically recommended COPD management approach. However, do not use another LABA or LAMA alongside Sequadra without physician guidance. What should I do if I miss a dose? If you miss a dose, take it as soon as you remember — unless it is already within 12 hours of your next scheduled dose. In that case, skip the missed dose and resume your regular schedule. Never double-dose. How should I store Sequadra capsules? Store capsules in the original blister at room temperature (below 30°C / 86°F), away from direct sunlight and moisture. Always keep capsules in the blister until immediately before use. Discard the Breezhaler® device after 30 days from first use. Keep out of reach of children. Does Sequadra interact with other medications? Sequadra may interact with: other beta-2 agonists or anticholinergic drugs (avoid concurrent use), beta-blockers (may antagonise LABA effect), drugs that prolong QT interval, and potassium-depleting diuretics. Always provide your complete medication list to your physician before starting Sequadra. Disclaimer: This content is for informational purposes only and does not constitute medical advice. Sequadra Inhaler is a prescription medication. Always consult a licensed respiratory physician or pulmonologist before initiating, adjusting, or discontinuing any inhaler therapy. Ed Care Store does not replace professional medical consultation.

Specifications

Sequadra Inhaler 2 Inhaler, 4 Inhaler, 6 Inhaler

Frequently Asked Questions

We offer free standard shipping on all orders. Orders are processed within 1-2 business days and typically arrive within 5-7 business days.

We accept returns within 30 days of purchase. Items must be in original condition with tags attached.

Yes! All our products come with a comprehensive warranty against defects in materials or workmanship.
Sequadra Inhaler
$382.00 – $803.00Price range: $382.00 through $803.00
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