Indications & Dose:

Adjunct to bronchodilators for the maintenance treatment of patients with severe chronic obstructive pulmonary disease associated with chronic bronchitis and a history of frequent exacerbations 

• BY MOUTH

Adult: 500 micrograms once daily 

Contraindications:

Cancer (except basal cell carcinoma) . concomitant treatment with immunosuppressive drugs (except short-term systemic corticosteroids) . history of depression associated with suicidal ideation or behaviour . moderate to severe cardiac failure . severe acute infectious disease . severe immunological disease

Cautions:

History of psychiatric illness (discontinue if new or worsening psychiatric symptoms occur) . latent infection (such as tuberculosis, viral hepatitis, herpes infection)

Precautions:

Interaction:

Warnings:

Adverse Effects:

Lactations:

Special Precautions:

Counselling:

Side Effects Or Adverse Reactions:

Patient And Carer Advice: