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The Vanuatu Government has declared a state of emergency after a violent earthquake struck Vanuatu’s capital, Port Vila, on Tuesday, where we are located. All network, communication services and cargo flights are impacted.

Our priority is to ensure all our staff and families are safe, as is our workplace environment, before returning. We will endeavour to provide you with updates on the developing situation and hope to have operations commence as swiftly as possible and when it is safe to do as advised by the Vanuatu Government. We appreciate your patience, support and understanding through this challenging time.

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Combination

Our combination inhalers combine two medications, usually an anti-inflammatory corticosteroid and a bronchodilator or two different types of bronchodilator that work by different mechanisms to prevent and control symptoms of asthma and other chronic respiratory diseases.

Use the search feature to quickly find the product you are looking for by entering either the active ingredient, e.g. budesonide or the product name e.g. Symbicort.

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Corticosteroid/bronchodilator combination

The combination of a corticosteroid like fluticasone or budesonide with a long-acting bronchodilator like salmeterol and formotero in one inhaler can be used for long-term asthma management, as it contains both an anti-inflammatory, to reduce inflammation and improve lung function, also a bronchodilator to relieve symptoms of bronchospasm. For asthmatics whose symptoms are already well controlled using a preventer and controller/reliever medication individually, the combination inhaler is more convenient to use and often provides better control than a preventer inhaler alone. However this type of combination medication is not suitable for severe asthma or asthma attack. A corticosteroid/ bronchodilator combination can also be used for maintenance therapy of moderate to severe chronic obstructive pulmonary disease (COPD).

Bronchodilator combinations

The combination of salbutamol or levosalbutamol, both short-acting beta agonists, with ipratropium, an anticholinergic, has a synergistic action (one drug enhances the action of the other), so that the combination is more effective as a bronchodilator than each individual drug alone. This combination can be used to widen the airways and relieve symptoms of asthma, COPD, bronchitis and emphysema and may also be used in addition to another reliever bronchodilator, if needed to control symptoms.

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