Aerocort Rotacaps
✅ Effective asthma control
✅ Convenient rotacap format
✅ Easy inhalation method
✅ Enhanced respiratory comfort
Contains Beclomethasone Dipropionate and Levosalbutamol Sulphate
✓ Medically reviewed by Morgan Ellis — Pharmacy Researcher · 8 years experience · Last reviewed: May 2026
⚡ Quick Answer — What is Aerocort Rotacaps?
Aerocort Rotacaps combines beclomethasone dipropionate (an inhaled corticosteroid, ICS) with levosalbutamol (a short-acting β2 agonist, SABA) in one inhaler. This combination is unusual — most preventer combinations pair ICS with a long-acting β2 agonist (LABA), not a short-acting one. Aerocort Rotacaps is intended for symptomatic relief plus same-time anti-inflammatory delivery in mild-to-moderate asthma. Each rotacaps delivers beclomethasone 100 mcg + levosalbutamol 50 mcg per rotacap, manufactured by Cipla at WHO-GMP certified facilities. Note: consider a separate ICS preventer + SABA reliever, or move to ICS-LABA combination, if exacerbations recur.
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What Is Aerocort Rotacaps?
Aerocort Rotacaps is a fixed-dose ICS-SABA combination unique to the Indian market. The ICS component (beclomethasone) treats underlying inflammation; the SABA component (levosalbutamol) provides immediate relief. The intent is to reduce reliever dependence and ensure ICS dosing happens when patients reach for symptom relief.
Important context: international guidelines (GINA 2024) prefer either separate ICS controller + SABA reliever or an ICS-formoterol SMART/MART regime. ICS-SABA combinations are no longer first-line in most settings, though Aerocort Rotacaps remains widely used in India.
How Does Aerocort Rotacaps Work?
- Levosalbutamol activates β2 receptors for rapid bronchodilation (1–5 min onset, 4–6 h duration). The R-isomer reduces tremor and tachycardia compared to racemic salbutamol.
- Beclomethasone binds glucocorticoid receptors, suppresses airway inflammation, and restores β2 receptor responsiveness. Effect builds over 1–2 weeks.
Uses and Indications
- Mild-to-moderate persistent asthma — symptomatic relief + same-time ICS delivery
- Step-down from ICS-LABA in well-controlled asthma
- Acute episodes of bronchospasm with concurrent ICS dosing (4–6 h symptomatic cover)
Aerocort Rotacaps Dosage
| Patient | Dose | Frequency |
|---|---|---|
| Adults — mild persistent asthma | 1–2 rotacaps | As needed, max 4× daily |
| Children 6–12 yr | 1 rotacap | As needed, max 3× daily |
How to Use Aerocort Rotacaps Properly
- Insert one rotacap into the Rotahaler with the coloured end down.
- Twist sharply — listen for the click.
- Breathe out fully away from device.
- Seal lips around mouthpiece.
- Inhale forcefully and deeply; you should hear the rotacap whir.
- Hold breath 10 seconds, then breathe out slowly.
- Check rotacap is empty; repeat if powder remains.
- For ICS-containing combinations: rinse mouth, gargle, and spit out.
Side Effects of Aerocort Rotacaps
Common:
- Mild tremor (β2 effect)
- Palpitations, increased heart rate
- Oral thrush, hoarse voice (ICS effect)
- Throat irritation, headache
- Dry mouth
Less common:
- Hypokalaemia at high doses
- Mild hyperglycaemia
- Easy bruising, mild adrenal suppression at high cumulative ICS doses
- Mild reduction in growth velocity in children at high doses
Serious — stop and seek help:
- Severe allergic reaction
- Paradoxical bronchospasm
- Cardiac arrhythmias
Warnings and Precautions
- Daily ICS exposure if used as a reliever — not a problem, but means total daily ICS dose can climb. Track usage.
- If you need {$brand} more than 3× per week, your asthma is poorly controlled — step up to ICS-LABA (Foracort, Seretide).
- Rinse mouth, gargle, and spit after every dose to prevent oral thrush.
- International guidelines increasingly favour ICS-formoterol SMART/MART over ICS-SABA. Discuss with your prescriber whether a switch is appropriate.
- Cardiovascular disease: use cautiously in arrhythmias, severe coronary disease.
- Pregnancy: safer alternatives (budesonide-based) are preferred.
Contraindications
- Hypersensitivity to beclomethasone, levosalbutamol, or excipients
- Untreated respiratory infection
- Severe tachyarrhythmias (relative)
Drug Interactions
| Interacting drug | Effect | What to do |
|---|---|---|
| Non-selective beta-blockers (propranolol, timolol drops) | Block β2 effect — can precipitate severe bronchospasm | Avoid; switch to cardioselective beta-blocker if essential |
| Loop or thiazide diuretics | Additive hypokalaemia | Monitor serum potassium with high doses |
| Systemic corticosteroids | Additive hypokalaemia + hyperglycaemia | Monitor electrolytes and glucose |
| Theophylline / aminophylline | Additive tachycardia and hypokalaemia | Monitor heart rate and potassium |
| MAOIs and tricyclic antidepressants | Potentiate cardiovascular effects | Caution — monitor BP/HR |
| Digoxin | Hypokalaemia increases digoxin toxicity risk | Monitor potassium; check digoxin level if symptomatic |
Storage
- Store below 25°C in a dry place. Keep desiccant in the bottle.
- Do not store in the bathroom — humidity makes the powder clump and reduces dose delivery.
- Once the strip/blister is opened, use within the period stated on the leaflet (typically 2–3 months).
- Keep out of reach of children.
Related Alternatives on MedsBase
- Foracort Inhaler — budesonide + formoterol ICS-LABA
- Seretide Accuhaler — fluticasone + salmeterol ICS-LABA
- Budecort Inhaler — budesonide ICS preventer
- Duova Inhaler — tiotropium + formoterol LAMA-LABA combo
- Triohale Inhaler — tiotropium + formoterol + ciclesonide triple
Frequently Asked Questions
How is Aerocort different from a separate ICS + reliever?
Aerocort delivers ICS + SABA in a single dose, ensuring beclomethasone is taken every time the reliever is used. This can reduce reliever-only behaviour. International guidelines now favour ICS-formoterol SMART/MART or separate ICS + SABA.
How is Aerocort different from Foracort?
Foracort = budesonide + formoterol (ICS + LABA, twice-daily preventer). Aerocort = beclomethasone + levosalbutamol (ICS + SABA, as-needed reliever). Different design intent: Foracort is a maintenance preventer; Aerocort is symptomatic relief with ICS coverage.
How often can I use Aerocort?
Up to 4× daily in adults. Going above this regularly = poorly-controlled asthma → step up to ICS-LABA (Foracort, Seroflo) or formal SMART regime.
Why must I rinse my mouth?
Beclomethasone deposition can cause oral thrush and hoarseness.
Can children use Aerocort Rotacaps?
From age 6 with confirmed inspiratory flow.
Is Aerocort safe in pregnancy?
Beclomethasone has long-standing pregnancy data; budesonide is more data-supported. Discuss with prescriber.
How fast does Aerocort start working?
Levosalbutamol begins relief in 1–5 min; beclomethasone preventer effect builds over 1–2 weeks.
Is Aerocort still recommended?
Internationally, ICS-formoterol SMART/MART is increasingly preferred. Aerocort remains widely used in India where access and cost favour the older approach. Discuss with your prescriber.
Can I co-prescribe Aerocort with Asthalin?
Aerocort already contains a SABA (levosalbutamol). Adding Asthalin separately is unnecessary and may stack β2-agonist side effects.
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| Strength | 100 + 100 mcg |
|---|---|
| Quantity | 30 Rotacap/s, 60 Rotacap/s, 90 Rotacap/s |
| Pharma Form | Rotacaps |
| Manufacturer | Cipla Inc |
| Treatment | Asthma |
| Generic Brand | Beclometasone + Levosalbutamol |
Aerocort Rotacaps
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