Duova Inhaler - 9mcg + 6mcg

This inhaler made up with the drug Tiotropium Bromide and Formoterol Fumarate, which is a combination medicine that helps in making breathing easier for the people who are suffering from chronic obstructive pulmonary disorder. It is available in the form of capsules which is made up of dry powdered formulation of the two drugs i.e. Tiotropium and formoterol. The drug is intended for the oral inhalation only with aid of inhalation product.

Tiotropium Bromide is an anticholinergic bronchodilator that relives the discomfort incited by COPD i.e. chronic obstructive pulmonary disease (chronic bronchitis and emphysema). On the other hand, Formoterol is a long-acting bronchodilator medicine.

How it works?

The medication acts as a bronchodilator, producing the dilatory effect on smooth muscles and increases the mucus secretion from the nasal passage and bronchioles. The drug named as Formoterol and Tiotropium Bromide both are rapid-onset and long acting selective beta-agonist and bronchodilator that give relieves to the muscles of small airways of the lungs (bronchioles) in order to widen the airways.

This combination therapy is used for long term management of severe COPD to treat symptoms but it is not prescribed for the treatment of acute exacerbation.  

Important information about Tiotropium Bromide and Formoterol Fumarate

You should avoid this drug if you have hypersensitivity to Ipratropium or Tiotropium. Also, don’t take it if you are younger than 10 years of age as the safe concern to this medicine is not yet established in children. Avoid this medicine if you have any type of renal or hepatic impairment, having angioderma (swelling of lips, throat and tongue). Consult your doctor if you are pregnant while taking this medicine in order to avoid any harm to the fetus.      

Dosage information

Take Tiotropium Bromide and Formoterol Fumarate as per your doctor’s direction and refer the medicine leaflet to know more details about this drug. Do not alter the dosage without your doctor permission. Also, do not take this medicine after prescription period is over. Your medicine dose is prescribed by the doctor as it may depend on the severity and demand of the disease condition. Do not swallow the Rotacaps. It is intended to be taken by inhaler by using your Rotahaler. Rinse your mouth after getting this drug inhaled in order to avoid throat irritation and dry mouth like conditions.    Below are the instructions which you need to follow to properly take this medicine-

§  Open the Rota haler capsule by holding it in horizontal position by keeping white spot up and lighter colored end in opposite direction.

§  Then gently breathe out and seal your lips around the mouth piece.

§  Take a full deep breathe in your mouth and hold it for 10 seconds.

§  After that take the normal breathe and throw away the empty capsule shell.

This medicine controls your condition, but does not provide cure for it. Hence, it is advised to take this drug as long as recommended by your doctor even after your find yourself well.

What if you miss a dose

If you miss a dose, take the drug as soon as possible as long as it is 12 hours before your next dose. Do not double up the dose in order to compensate the missed one.

What if you overdose

In case of overdose, get emergency medical help or call your doctor immediately. Overdose of this drug may result into fast or irregular heartbeat; dry mouth or blurred vision.

Side Effects

Tell your doctor in case you experience following side effects such as breathing difficulty or worsening of your breathing problems, bilateral conjunctivitis, dry mouth, pounding heart beat, wheezing or troubled breathing, stuffy nose, nosebleed, drowsiness, white patches in your mouth or throat. In all those above conditions, go for medical help. Do not get alarmed by the side effects. You may/ may not experience all of them.

Interaction with other drugs

Many other drugs can interact with this medicine. Consult your doctor about the full list of drugs to be avoided or that you should be careful while being treated with this medicine.

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