{"id":631845,"date":"2025-04-21T09:30:00","date_gmt":"2025-04-21T13:30:00","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=631845"},"modified":"2025-04-09T16:28:32","modified_gmt":"2025-04-09T20:28:32","slug":"how-long-does-symbicort-stay-in-your-system","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/how-long-does-symbicort-stay-in-your-system\/","title":{"rendered":"How long does Symbicort stay in your system?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/symbicort\"><span style=\"font-weight: 400;\">Symbicort<\/span><\/a><span style=\"font-weight: 400;\"> is a drug that healthcare professionals prescribe to treat asthma and chronic obstructive pulmonary disease (COPD). It contains two active ingredients: budesonide and formoterol fumarate dihydrate.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Budesonide is a long-acting inhaled corticosteroid that helps relieve inflammation in the lungs and airways, while formoterol is a <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/long-acting-beta-agonists\"><span style=\"font-weight: 400;\">long-acting beta-2 agonist<\/span><\/a><span style=\"font-weight: 400;\"> (LABA) that helps keep the airways open (a bronchodilator) by relaxing the smooth muscles around them. A combination of budesonide and formoterol can remain in your system for up to 24 hours or more.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is important to note that Symbicort is a maintenance medicine that needs to be taken continuously over a long period of time to manage asthma symptoms and flare-ups. The United States Food and Drug Administration (FDA) has not approved it as a quick-relief medicine for acute constriction of the airway muscles (bronchospasm) or sudden breathing problems.<\/span><\/p>\n<h2 id=\"how-long-does-symbicort-stay-in-your-system\"><span style=\"font-weight: 400;\">How long does Symbicort stay in your system?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The time Symbicort stays in your system depends on the half-life of budesonide and formoterol. A drug\u2019s <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK554498\/\"><span style=\"font-weight: 400;\">half-life<\/span><\/a><span style=\"font-weight: 400;\"> is the time it takes for the concentration of the starting dose to reduce by half in the body.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cBudesonide has a half-life of about 4.7 hours, while formoterol\u2019s half-life is around 7.9 hours. And in general, it takes about five half-lives for a drug to clear from the body,\u201d says<\/span> <a href=\"https:\/\/wellbridge.org\/contributors\/edmond-hakimi\/\"><span style=\"font-weight: 400;\">Edmond Hakimi<\/span><\/a><span style=\"font-weight: 400;\">, DO, Medical Director at Wellbridge. This means that budesonide is eliminated in roughly 24 hours, while formoterol takes around 40 hours.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Hakimi, however, notes that even after the drugs are eliminated, their effects\u2014such as reduced lung inflammation\u2014can last longer. Also, factors such as age and metabolism can influence the duration the medication lasts in each individual.\u00a0\u00a0<\/span><\/p>\n<h2 id=\"factors-that-influence-how-long-symbicort-stays-in-your-system\"><span style=\"font-weight: 400;\">Factors that influence how long Symbicort stays in your system<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The following factors may affect how long Symbicort stays in your system.<\/span><\/p>\n<h3 id=\"metabolism\"><span style=\"font-weight: 400;\">Metabolism<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Metabolism is the process by which drugs (and even foods) are broken down so they can be excreted after they have been absorbed and distributed throughout the body. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Drug metabolism can <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK442023\/\"><span style=\"font-weight: 400;\">affect drug concentrations<\/span><\/a><span style=\"font-weight: 400;\"> in the blood. People with slower metabolisms may retain medications longer in their systems, which can lead to a toxic buildup of active drugs or their metabolites. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Hakimi explains that if someone metabolizes Symbicort too quickly, they might not get the full benefit, while slow metabolizers could experience more side effects.<\/span><\/p>\n<h3 id=\"liver-function\"><span style=\"font-weight: 400;\">Liver function<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The liver has enzymes that convert some drugs from inactive to active forms. This organ is significantly involved in the <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7508170\/\"><span style=\"font-weight: 400;\">metabolism of many drugs<\/span><\/a><span style=\"font-weight: 400;\">, including budesonide and formoterol.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cSince budesonide and formoterol are processed through the liver, people with liver disease or reduced liver function may take longer to clear the medication from their system,\u201d says Dr. Hakimi.\u00a0<\/span><\/p>\n<h3 id=\"age\"><span style=\"font-weight: 400;\">Age<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Age also affects drug metabolism. The rate of drug metabolism slows down as people age, and according to Dr. Hakimi, older adults may retain Symbicort in their system for longer because of this.\u00a0<\/span><\/p>\n<h3 id=\"medication-interactions\"><span style=\"font-weight: 400;\">Medication interactions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Drug-drug interactions can also affect metabolism, causing an abnormal increase or decrease in the blood concentrations of a drug. Dr. Hakimi says some drugs, like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ketoconazole\"><span style=\"font-weight: 400;\">ketoconazole<\/span><\/a><span style=\"font-weight: 400;\"> (an antifungal) and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ritonavir\/what-is\"><span style=\"font-weight: 400;\">ritonavir<\/span><\/a><span style=\"font-weight: 400;\"> (an antiretroviral for HIV), may slow down the breakdown of budesonide and formoterol, making them last longer than expected. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">To ensure optimal efficacy, it is vital that you use Symbicort precisely as prescribed, avoid missing doses, and inform your healthcare provider of any other medications you might be taking. Regular follow-ups with a healthcare provider can help monitor how well the medication works and whether adjustments are needed.<\/span><\/p>\n<h2 id=\"side-effects-and-risks-of-symbicort\"><span style=\"font-weight: 400;\">Side effects and risks of Symbicort<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Common <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/symbicort-side-effects\/\"><span style=\"font-weight: 400;\">side effects of Symbicort<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Throat irritation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/oral-thrush-treatment-and-medications\"><span style=\"font-weight: 400;\">Thrush<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Back pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nasal congestion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gastrointestinal discomfort<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The medication can also cause more <\/span><a href=\"https:\/\/www.mysymbicort.com\/asthma.html\"><span style=\"font-weight: 400;\">serious side effects like<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chest pain and irregular heartbeat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lower respiratory tract infection<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/hypertension-treatments-and-medications\"><span style=\"font-weight: 400;\">High blood pressure<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Allergic reaction<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Immune system effects and increased risk of infections like sinusitis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eye problems like cataracts and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/glaucoma-treatment-and-medications\"><span style=\"font-weight: 400;\">glaucoma<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increased risk of osteoporosis (a bone condition characterized by a decrease in bone density and thickness)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pneumonia<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decrease in blood potassium levels (hypokalemia)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increase in blood sugar levels<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Notably, Symbicort can interact with certain drugs, causing reduced efficacy and increased risk of side effects. According to <\/span><a href=\"https:\/\/www.highpoint.edu\/faculty-staff\/pharmacy\/brian-pacanowski\/\"><span style=\"font-weight: 400;\">Brian Pacanowski<\/span><\/a><span style=\"font-weight: 400;\">, Pharm.D., Assistant Professor of Clinical Sciences and Director of Experiential Education at High Point University&#8217;s Fred Wilson School of Pharmacy, there are four drug classes known to have adverse drug interactions with Symbicort:<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Inhibitors of cytochrome P4503A4 (CYP3A4):<\/b><span style=\"font-weight: 400;\"> CYP3A4 is an important enzyme that helps break down many corticosteroids, like budesonide. Medications that interfere with this enzyme could cause delayed breakdown of budesonide, leading to more systemic exposure to it. This can increase the risk of side effects like adrenal insufficiency. Such medications include ketoconazole, itraconazole, clarithromycin, indinavir, nefazodone, and ritonavir.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Monoamine oxidase inhibitors and tricyclic antidepressants:<\/b><span style=\"font-weight: 400;\"> Symbicort should be administered with caution along with or within two weeks of discontinuing a monoamine oxidase inhibitor (MAOI), as this may lead to drops or increases in blood pressure, pulse irregularities, and\/or arrhythmias. Caution should also be exercised when Symbicort is used with tricyclic antidepressants, as this drug combination has not been adequately studied.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Beta blockers:<\/b><span style=\"font-weight: 400;\"> Beta blockers may produce bronchospasm in patients with asthma; however, certain cardio-specific beta blockers may be used in conjunction with Symbicort if there are no suitable alternatives.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Non-potassium-sparing diuretics:<\/b><span style=\"font-weight: 400;\"> EKG (electrical activity of the heart) changes and hypokalemia caused by these medications can be worsened by Symbicort.\u00a0 Examples include furosemide and hydrochlorothiazide.\u00a0<\/span><\/li>\n<\/ul>\n<h2 id=\"how-long-does-it-take-for-side-effects-to-go-away-after-stopping-symbicort\"><span style=\"font-weight: 400;\">How long does it take for side effects to go away after stopping Symbicort?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">How long side effects last after stopping Symbicort depends on the individual as well as the specific symptoms. \u201cSince budesonide and formoterol clear from the system within 1-2 days, most short-term side effects, like jitteriness, headache, or mild throat irritation, should subside within that timeframe,\u201d Dr. Hakimi says. However, some other effects, such as hoarseness or mild oral thrush, might take longer to resolve.\u00a0<\/span><\/p>\n<h2 id=\"optimal-use-of-symbicort\"><span style=\"font-weight: 400;\">Optimal use of Symbicort<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Symbicort is not a tablet. It is a medication designed to be inhaled and comes as a metered-dose inhaler. Knowing how to use it correctly is important for maximizing its benefits and minimizing side effects.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Hakimi explains this step-by-step guide for using Symbicort for the best result:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Start by shaking the Symbicort inhaler well for about 5 seconds before each use.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exhale fully to empty your lungs before bringing the inhaler to your mouth.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Place the mouthpiece between your lips, forming a tight seal, and take a slow, deep breath while pressing down on the inhaler to release the medication.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hold your breath for about 10 seconds before exhaling to allow the medication to reach deep into your lungs.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If a second puff is needed, wait 30 seconds before repeating the process.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Proper inhaler technique ensures the medication is delivered effectively, improving symptom control and reducing the risk of complications. If you are unsure about how to take Symbicort correctly, you can always speak to your healthcare provider or pharmacist. You can suggest that they watch you use the inhaler while they give you feedback or corrections.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">After using Symbicort, it is important to <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6498108\/\"><span style=\"font-weight: 400;\">rinse your mouth<\/span><\/a><span style=\"font-weight: 400;\"> (or gargle) with water and spit it out. This helps remove part of the inhaled drug that may be deposited in your mouth and pharynx and helps prevent mouth thrush (a fungal infection) and other localized side effects like hoarseness.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The usual dosage of Symbicort is <\/span><a href=\"https:\/\/www.mysymbicort.com\/asthma.html\"><span style=\"font-weight: 400;\">two inhalations twice daily<\/span><\/a><span style=\"font-weight: 400;\">, and it\u2019s important that you do not use it with any other medication that also contains LABA. If your symptoms do not get better or get worse when using Symbicort, it\u2019s best to seek immediate medical attention, as this inhaler does not serve as a substitute for a rescue inhaler.\u00a0<\/span><\/p>\n<h2 id=\"symbicort-alternatives\"><span style=\"font-weight: 400;\">Symbicort alternatives<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are several drug alternatives to Symbicort that contain both a corticosteroid and a long-acting beta agonist (LABA). \u201cThese can be prescribed if the prescriber and\/or patient prefers, or if the patient\u2019s insurance does not provide good coverage for Symbicort,\u201d says Dr. Pacanowski. A few of these include:<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/budesonide-formoterol-fumarate\"><span style=\"font-weight: 400;\">Budesonide-formoterol<\/span><\/a><span style=\"font-weight: 400;\"> generic<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/dulera\"><span style=\"font-weight: 400;\">Dulera (mometasone\/formoterol)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/fluticasone-salmeterol\"><span style=\"font-weight: 400;\">Fluticasone-salmeterol<\/span><\/a><span style=\"font-weight: 400;\"> generic<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/fluticasone-furoate-vilanterol\"><span style=\"font-weight: 400;\">Fluticasone-vilanterol<\/span><\/a><span style=\"font-weight: 400;\"> generic<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/breo-ellipta\"><span style=\"font-weight: 400;\">Breo Ellipta<\/span><\/a><span style=\"font-weight: 400;\"> (fluticasone\/vilanterol)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/advair-diskus\"><span style=\"font-weight: 400;\">Advair HFA<\/span><\/a><span style=\"font-weight: 400;\"> (fluticasone\/salmeterol)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dr. Pacanowski further explains that while Symbicort is not known to cause typical withdrawal symptoms that are associated with drugs of dependency, stopping the medication without replacement therapy, especially abruptly, may result in the worsening of the underlying asthma or COPD symptoms it was managing.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hence, it is important to discuss with your healthcare provider about how this medication is working for you. If there is a need to stop or switch to another alternative, they will offer medical advice and help you make the right treatment decision. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Symbicort is a drug that healthcare professionals prescribe to treat asthma and chronic obstructive pulmonary disease (COPD). It contains two active ingredients: budesonide and formoterol fumarate dihydrate.\u00a0 Budesonide is a long-acting inhaled corticosteroid that helps relieve inflammation in the lungs and airways, while formoterol is a long-acting beta-2 agonist (LABA) that helps keep the airways [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":631872,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[10965,20946,12752,8905],"coauthors":[20970],"class_list":["post-631845","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-asthma","tag-copd","tag-medication-side-effects","tag-seasonal","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How long does Symbicort stay in your system?<\/title>\n<meta name=\"description\" content=\"Budesonide and formoterol, the active ingredients in Symbicort, can stay in your system for 24 hours or more, depending on various factors. 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