Fullform Rotacaps 200 Mcg+6 Mcg is an inhaled combination medicine used for long-term control of asthma and chronic obstructive pulmonary disease (COPD). Each rotacap combines an inhaled corticosteroid (beclometasone dipropionate 200 µg) with a long-acting bronchodilator (formoterol fumarate 6 µg). The product is supplied as dry powder capsules (rotacaps) designed for use with a simple dry-powder inhaler (rotahaler). 

Key Features

How does Fullform Rotacaps 200 Mcg+6 Mcg work?

Fullform Rotacaps brings together two complementary actions:

Beclometasone (200 µg) anti-inflammatory

Beclometasone is an inhaled corticosteroid. It reduces inflammation in the airways. This lowers swelling and mucus production. Over time it reduces symptoms and the risk of flare-ups.

Formoterol (6 µg) long-acting bronchodilator

Formoterol is a long-acting β₂-agonist (LABA). It relaxes the airway smooth muscle and widens the breathing tubes. Relief starts quickly and can last many hours, improving airflow and easing breathlessness. 

Why the combination helps

Together, the steroid controls the inflammation that causes symptoms while formoterol keeps airways open. This combination improves lung function and lowers the chance of severe attacks better than either medicine alone. Clinical studies on similar 200/6 µg combinations support improved lung function and symptom control. 

What is in each capsule?

Each Fullform Rotacap contains:

• Beclometasone dipropionate is 200 micrograms (µg) per capsule
• Formoterol fumarate is 6 micrograms (µg) per capsule. 

(That is why the product is often written as Fullform Rotacaps 200 Mcg+6 Mcg.)

Uses 

Fullform Rotacaps 200 Mcg+6 Mcg is prescribed for:

• Maintenance therapy for asthma to reduce daily symptoms and prevent exacerbations.
• Maintenance therapy for COPD for patients who need both anti-inflammatory and bronchodilator control.

It is not a rescue inhaler. Do not use it for sudden breathing problems — keep a short-acting rescue inhaler (salbutamol/ventolin) available. Reviews and product listings consistently list these as the main uses. 

Dosage and typical schedule

• The usual dose for adults is 1 capsule (inhaled) twice daily, morning and evening, but follow your doctor’s instructions exactly.
• Do not exceed the prescribed dose. If symptoms get worse, seek medical advice rather than increasing the dose yourself.

Package inserts and pharmacy listings for rotacap formulations (200/6 µg) list twice-daily maintenance as standard. 

How to use Fullform Rotacaps (rotacap + rotahaler technique)

1. Wash hands.
2. Open the rotahaler device.
3. Put one Fullform Rotacap 200 Mcg+6 Mcg capsule into the chamber.
4. Close the device and pierce the capsule as directed (follow device marks).
5. Exhale away from the mouthpiece (do not exhale into the device).
6. Place the mouthpiece between lips and inhale forcefully and steadily to draw the powder into the lungs.
7. Hold breath for 5–10 seconds, then breathe out slowly.
8. Repeat if prescribed (most regimens require one capsule per inhalation twice daily).
9. Clean the rotahaler as recommended.

Rotacap/rotahaler systems deliver dry powder and perform well when used correctly. Studies of device and formulation show that technique and device condition affect dose delivered, so follow instructions carefully. 

Common side effects

Most people tolerate Fullform Rotacaps well. 

Common, usually mild effects include:

• Hoarseness or throat irritation.
• Sore throat and cough.
• Oral thrush (fungal infection in the mouth), rinse mouth after inhaling to reduce this risk.
• Headache.
• Tremor or slight increase in heart rate (from formoterol).

Severe side effects:

• Chest pain.
• Palpitations.
• Allergic reactions.
• Worsening of breathing.

If you these effects you should stop and contact emergency care. Product summaries and pharmacy information list these common and rare effects. 

Interactions

• Beta-blockers (eye or oral) can reduce formoterol effect.
• MAO inhibitors or tricyclic antidepressants increase cardiovascular risk with LABAs.
• Strong CYP3A4 inhibitors may increase corticosteroid exposure and risk of steroid side effects.

Always tell your doctor about all medicines, including eye drops and herbal products. 

Pharmacokinetics 

• Inhaled medicines act mainly in the lung. Some systemic absorption occurs.
• Formoterol produces bronchodilation rapidly (within minutes) and lasts for many hours.
• Beclometasone acts locally to reduce inflammation; systemic exposure is low with inhaled use but can rise with high doses or long-term use. Evidence from studies of 200/6 µg formulations shows effective lung benefits with acceptable systemic safety. 

Clinical evidence and device notes

• Clinical trials of extrafine beclometasone/formoterol 200/6 µg preparations show better lung function versus steroid alone and comparable safety. These data support the combination approach used in Fullform Rotacaps. 
• Rotacap/rotahaler dry powder delivery systems have been used successfully for decades. Device and formulation both matter for delivered dose; correct inhaler technique is essential. 

Precautions and special populations

• Not for acute attacks. Always have a rescue inhaler.
• Pregnancy and breastfeeding: Use only if doctor advises; weigh benefits vs risks.
• Children: Dose and use must follow pediatric specialist advice.
• Heart disease / high blood pressure: LABAs can affect heart rate — use under medical supervision.
• Cataracts, osteoporosis, diabetes: Long-term inhaled steroids can affect these conditions; review with your clinician. 

Storage and handling

• Store in a cool, dry place as the pack leaflet directs. Keep capsules in their blister until use. Do not swallow capsules — the powder must be inhaled using the rotahaler. 

Conclusion 

Fullform Rotacaps 200 Mcg+6 Mcg is a combination inhaled therapy that pairs beclometasone (anti-inflammatory) with formoterol (long-acting bronchodilator). It is intended for regular maintenance treatment of asthma and COPD to reduce symptoms and prevent exacerbations. It is not a rescue inhaler. Correct inhaler technique and adherence are key to benefit. 

FAQs

Q1. What is Fullform Rotacaps 200 Mcg+6 Mcg used for?

Maintenance treatment for asthma and COPD to control symptoms and prevent flare-ups. 

Q2. Is it a rescue inhaler?

No, it is for regular daily use. Keep a fast-acting inhaler for sudden attacks. 

Q3. How often should I use it?

Typically one inhalation twice daily (follow your doctor’s directions). 

Q4. Can I get an oral thrush from it?

Yes, rinsing your mouth after inhalation reduces the risk. 

Q5. Who should avoid it?

People with severe allergies to ingredients, or those told by a doctor to avoid LABA/steroid combinations without supervision. Consult your physician. 

References 

https://www.ciplamed.com/product-index/fullform-rotacaps/

https://pmc.ncbi.nlm.nih.gov/articles/PMC3385814/

https://pubmed.ncbi.nlm.nih.gov/27938358/