Full Answer
How often should I take my Dulera inhaler?
Note the differences between DULERA and your other inhaled medications, including the differences in prescribed use and physical appearance. DULERA should be taken every day as 2 puffs in the morning and 2 puffs in the evening. For a step-by-step guide see Using Your DULERA Inhaler.
What should I know about Dulera before taking it?
Ask your healthcare provider or pharmacist if you have any questions. Use Dulera exactly as prescribed. Dulera should be taken every day as 2 puffs in the morning and 2 puffs in the evening. If you miss a dose of Dulera, skip your missed dose and take your next dose at your regular time.
What should I do if I have breathing problems with Dulera?
Call your healthcare provider if breathing problems worsen over time while using DULERA. You may need different treatment. Get emergency medical care if breathing problems worsen quickly, and you use your rescue inhaler medicine, but it does not relieve your breathing problems.
Can DULERA and albuterol be taken together?
Using albuterol together with formoterol may increase cardiovascular side effects such as elevations in heart rate and blood pressure or irregular heart rhythm. Talk to your doctor if you have any questions or concerns, particularly if you have a history of high blood pressure, arrhythmia, or heart disease.
When should I use DULERA?
DULERA is taken twice daily every day. DULERA should be taken every day as 2 puffs in the morning and 2 puffs in the evening. Mometasone furoate is an inhaled corticosteroid—ICS for short. Inhaled corticosteroids help to decrease inflammation in the lungs.
How long should you wait between different inhalers?
Wait one minute between “puffs” for multiple inhalations of the same medication. b. Wait 1-2 minutes before administering next medication.
Does DULERA help with shortness of breath?
This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma. It contains 2 medications: mometasone and formoterol. Mometasone belongs to a class of drugs known as corticosteroids. It works by reducing the irritation and swelling of the airways.
What does DULERA do for your lungs?
Dulera (mometasone / formoterol) is a combination asthma medication. It contains mometasone which is a corticosteroid that helps lower inflammation in your lungs and formoterol which is a long-acting bronchodilator that helps open up your airways to make breathing easier.
How often can you use DULERA?
DULERA is taken twice daily every day. DULERA should be taken every day as 2 puffs in the morning and 2 puffs in the evening. Mometasone furoate is an inhaled corticosteroid—ICS for short.
Can I use inhaler after nebulizer?
Inhalers and Nebulizers Both deliver the same type of medicine, and they work equally well when you use them the way you should. Inhalers and nebulizers are available only by prescription. You might see some bronchodilator inhalers sold over the counter, but don't use them unless your doctor recommends it.
How long should you wait between bronchodilator and corticosteroid?
The answer to this is 5 minutes. Five minutes allows the bronchodilator enough time to work and dilate the airways and then the corticosteroid can be administered.
When do you use a nebulizer vs inhaler?
Nebulizers are often used by people who cannot use metered-dose inhalers, such as infants and young children, and people with severe asthma. Dry powder or rotary inhaler: Dry powder is inhaled with these devices that are activated by your breath. They may be used by children and adults.
Why is dulera discontinued?
Doses of the related beta2-agonist albuterol, when administered intravenously, have been reported to aggravate preexisting diabetes mellitus and ketoacidosis. Be alert to hypokalemia and hyperglycemia as beta2-agonist medications such as DULERA have the potential to produce adverse cardiovascular effects.
Can I take dulera once a day?
The maximum dose is two puffs of Dulera (200 mcg/5 mcg strength) twice a day. Dulera isn't approved for the immediate relief of asthma symptoms.
What happens if you take too much dulera?
Using too much of a LABA medicine may cause: chest pain, a fast and irregular heartbeat, tremor, dizziness, seizures, increased or decreased blood pressure, headache, nervousness, weakness, and electrocardiogram (ECG) changes. Lower bone mineral density.
Before Taking This Medicine
You should not use Dulera if you are allergic to formoterol (Foradil, Perforomist, Symbicort) or mometasone (Asmanex).Mometasone can weaken your im...
Dulera Dosing Information
Usual Adult Dose of Dulera for Asthma -- Maintenance:Two inhalations inhaled orally twice daily (morning and evening).Each inhalation contains eith...
What Happens If I Miss A Dose?
Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.
What Happens If I Overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.Overdose symptoms may include chest pain, fast heart rate, and feel...
What Should I Avoid While Using Dulera?
Do not use a second form of formoterol (Bevespi, Perforomist, Symbicort) or other long-acting inhaled bronchodilator unless your doctor tells you t...
What Other Drugs Will Affect Dulera?
Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may in...
Is Dulera similar to Breo?
Yes, Dulera and the medication called fluticasone furoate/vilanterol trifenatate (Breo) are similar. The Food and Drug Administration (FDA) has app...
Can Dulera cause weight loss or weight gain?
In clinical studies, Dulera didn’t cause weight loss or weight gain. But there’s a small chance that Dulera can affect the function of your adrenal...
Is Dulera a bronchodilator?
Dulera works as a bronchodilator, which is drug that relaxes muscles in your airways to make it easier for you to breathe. Formoterol, which is one...
Can I use Dulera as a rescue inhaler for sudden breathing problems?
Maybe. Dulera isn’t approved to treat sudden breathing problems. But treatment guidelines now recommend that people ages 12 years and older use an...
Should I rinse out my mouth after inhaling my dose of Dulera?
Yes, you should rinse your mouth after inhaling a dose of Dulera. Doing so will help prevent mouth and throat infections, such as oral thrush. Afte...
Can Dulera slow my child’s growth?
Possibly. An ingredient in Dulera, mometasone, is type of drug called an inhaled corticosteroid (ICS). ICSs may slightly slow growth in children. I...
How long does it take for Dulera to work?
Do not allow a young child to use this medicine without help from an adult. It may take up to 1 or 2 weekss before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.
How to store Dulera 60 inhaler?
For the 60-inhalation Dulera inhaler, after priming, store the inhaler with the mouthpiece down or on its side. Keep the medicine canister away from open flame or high heat, such as in a car on a hot day. The canister may explode if it gets too hot. Do not puncture or burn an empty inhaler canister.
What is the Dulera inhaler?
Dulera inhalers contain a combination of formoterol and mometasone. Formoterol is a long-acting bronchodilator that relaxes muscles in the airways to improve breathing.< Mometasone is a corticosteroid. It prevents the release of substances in the body that cause inflammation.
Why is Dulera used?
It prevents the release of substances in the body that cause inflammation. Dulera is used to control and prevent the symptoms of asthma in adults and children who are at least 5 years old. Dulera is not for use in treating an asthma or bronchospasm attack.
What are the side effects of Dulera?
Dulera side effects. Get emergency medical help if you have signs of an allergic reaction to Dulera: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: worsening asthma symptoms; tremors, nervousness, chest pain, fast or pounding heartbeats;
Can Dulera be used for asthma?
Ask your doctor or pharmacist if you have any questions. Dulera is not a rescue medicine for asthma attacks. Use only fast-acting inhalation medicine for an attack. Seek medical attention if your breathing problems get worse quickly, or if you think your asthma medications are not working as well.
Can you use Dulera inhaler too much?
Dulera inhalers come with patient instructions for safe and effective use, and directions for priming the inhaler device. Follow these directions carefully. Use the medicine exactly as directed. Using too much of this medicine can cause life-threatening side effects.
How long does Dulera last?
The safety and effectiveness of Dulera have been established in patients 12 years of age and older in 3 clinical trials up to 52 weeks in duration. In the 3 clinical trials, 101 patients 12 to 17 years of age were treated with Dulera.
How to administer Dulera?
Administer Dulera as two inhalations twice daily every day (morning and evening) by the orally inhaled route. Shake well prior to each inhalation. Individual patients may experience a variable time to onset and degree of symptom relief. If symptoms arise between doses, use an inhaled short-acting beta 2 -agonist for immediate relief. Improvement in lung function following administration of Dulera can occur within 5 minutes of treatment, although the maximum benefit may not be achieved for 1 week or longer after beginning treatment.
What is Dulera used for?
Dulera is a prescription medicine used to control symptoms of asthma and prevent symptoms such as wheezing in people 5 years of age and older. Dulera contains formoterol. LABA medicines such as formoterol when used alone increase the risk of hospitalizations and death from asthma problems.
How many strengths are in Dulera?
Dulera is a pressurized metered dose inhaler (MDI) that is available in 2 strengths (100 mcg/5 mcg or 200 mcg/5 mcg) for adult and adolescent patients aged 12 and older and 1 strength (50 mcg/5 mcg) for pediatric patients aged 5 to less than 12 years.
What is the effect of beta-adrenergic stimulation on seizures?
Excessive beta-adrenergic stimulation has been associated with seizures, angina, hypertension or hypotension, tachycardia with rates up to 200 beats/min, arrhythmias, nervousness, headache, tremor, palpitation, nausea, dizziness, fatigue, malaise, and insomnia. Therefore, Dulera should be used with caution in patients with cardiovascular disorders, especially coronary insufficiency, cardiac arrhythmias, and hypertension.
What is the treatment for overdosage?
Dulera: Treatment of overdosage consists of discontinuation of Dulera together with institution of appropriate symptomatic and/or supportive therapy . The judicious use of a cardioselective beta-receptor blocker may be considered, bearing in mind that such medication can produce bronchospasm. There is insufficient evidence to determine if dialysis is beneficial for overdosage of Dulera. Cardiac monitoring is recommended in cases of overdosage.
Is Dulera a rescue drug?
Dulera is not indicated for the relief of acute symptoms, i.e., as rescue therapy for the treatment of acute episodes of bronchospasm. An inhaled, short-acting beta 2 -agonist, not Dulera, should be used to relieve acute symptoms such as shortness of breath.
How long does it take for Dulera to go away?
headache. sinusitis (sinus infection) Most of these side effects may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk with your doctor or pharmacist.
How long does Dulera last?
When you get Dulera from the pharmacy, the pharmacist will add an expiration date to the label on the box. This date is typically 1 year from the date they dispensed the medication.
What is the FDA's approval for Dulera?
The Food and Drug Administration (FDA) approves prescription drugs such as Dulera to treat certain conditions. Dulera may also be used off-label for other conditions. Off-label use is when a drug that’s approved to treat one condition is used to treat a different condition.
How many puffs of Dulera can you take a day?
The maximum dose is two puffs of Dulera (200 mcg/5 mcg strength) twice a day. Dulera isn’t approved for the immediate relief of asthma symptoms. If you have symptoms of asthma between Dulera doses, your doctor will likely want you to use a rescue inhaler, such as a short-acting beta2-agonist (SABA).
What is a dulera?
Dulera comes as a metered dose inhaler, which is blue in color and disposable. Each inhaler is made up of a canister and an actuator. The canister contains the two active ingredients in Dulera: mometasone and formoterol. The actuator holds the canister in place and releases the medication in premeasured inhalations (puffs).
How many people have a cold with Dulera?
The side effects in children ages 12 to 17 years were the same as those seen in adults. Of the people ages 12 and over who took Dulera in clinical studies, 4.7% had common cold symptoms, compared with 3.6% of people who took a placebo.
Does Dulera cause headaches?
Headaches may occur while taking Dulera. In clinical trials, up to 4.5% of people who took Dulera had headaches, compared with 3.6% of people who took a placebo (treatment with no active drug). This side effect may go away on its own as you continue to use Dulera.
How often should I take Duleera?
DULERA should be taken every day as 2 puffs in the morning and 2 puffs in the evening. Mometasone furoate is an inhaled corticosteroid—ICS for short. Inhaled corticosteroids help to decrease inflammation in the lungs. Inflammation in the lungs can lead to breathing problems.
How to store a Dura 120 inhaler?
The 120-actuation inhaler can be stored in any position. For the 60-actuation inhaler, after priming, store the inhaler with the mouthpiece down or sideways. Store DULERA at room temperature between 68°F to 77°F (20°C to 25°C). The contents of your DULERA are under pressure.
What is the best medicine for asthma?
LABA medicines help the muscles around the airways in your lungs stay relaxed to prevent asthma symptoms, such as wheezing, cough, chest tightness, and shortness of breath. These symptoms can happen when the muscles around the airways tighten. This makes it hard to breathe. DULERA contains formoterol.
What is Durera used for?
What is DULERA? DULERA is a prescription medicine used to control symptoms of asthma and prevent symptoms such as wheezing in people 5 years of age and older. DULERA is not used to relieve sudden breathing problems and will not replace a rescue inhaler.
How often should I use a rescue inhaler?
you need to use 4 or more inhalations of your rescue inhaler for 2 or more days in a row. you use 1 whole canister of your rescue inhaler in 4 weeks’ time.
Does Durera have ICS?
DULERA contains an ICS and a LABA. When an ICS and LABA are used together, there is not a significant increased risk in hospitalizations and death from asthma problems. Call your healthcare provider if breathing problems worsen over time while using DULERA. You may need different treatment.
Does a laba medicine have formoterol?
LABA medicines such as form oterol when used alone increase the risk of hospitalizations and death from asthma problems. DULERA contains formoterol. LABA medicines such as formoterol when used alone increase the risk of hospitalizations and death from asthma problems . DULERA contains an ICS and a LABA.
How long should you wait between inhalers?
If you are using other inhalers at the same time, wait at least 1 minute between the use of each medication, and use this drug last. Gargle and rinse your mouth with water after each use of this medication to help prevent dryness, irritation, and yeast infections ( thrush) in the mouth and throat. Do not swallow the rinse water.
How long does it take to get the full benefit of a syringe?
It may take 1 week or longer before you get the full benefit of this drug. Tell your doctor if your symptoms do not improve or if they worsen. Learn which of your inhalers you should use every day (controller drugs) and which you should use if your breathing suddenly worsens (quick-relief drugs).
What are the side effects of a syringe?
Side Effects. Stuffy nose, hoarseness, dry mouth, or throat irritation may occur. If any of these effects persist or worsen, tell your doctor promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects.
What happens if you stop taking a med?
If you suddenly stop taking the drug, you may also have withdrawal symptoms (such as weakness, weight loss, nausea, muscle pain, headache, tiredness, dizziness ).
Where to report side effects?
You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. Precautions.
Does formoterol cause breathing problems?
Controlling symptoms of breathing problems can decrease time lost from work or school.When used alone, long-acting beta agonists (such as formoterol) may rarely increase the risk of serious (sometimes fatal) asthma -related breathing problems.
Can you use salbutamol 4 times a day?
If you have been using a quick-relief inhaler (such as albuterol, also called salbutamol in some countries) on a regular daily schedule (such as 4 times daily), you must stop this schedule and only use the quick-relief inhaler as needed for sudden shortness of breath/ asthma attacks. Consult your doctor for details.
How long to wait for a duo neb?
In his book, Noah Greenspan advocates for using the four-hour (duo-neb), waiting 15-30 minutes then use the 12 hour (Advair), wait 15-30 minutes then use the 24 hour (Spiriva). He postulates that allowing the previous inhaler to do some of its magic will make the following inhaler more efficient.
Do bronchodilators work together?
Then, both bronchodilators work together, allowing for the best delivery of the corticosteroid. There is very good evidence suggesting that by taking the anticholinergic and beta-2 agonist in close proximity to each other, their effects are multiplied as compared to taking either one alone or further apart.".
Who Requires Nebulizer Treatment?
Nebulizer devices are used to administer the same medicines as typical inhalers. The only difference is that inhaler users have to breathe in quickly and coordinate their medication movement. This is difficult for many people.
What Does A Nebulizer Machine Use?
The device is used to deliver either short-acting or long-acting medications. Both of these are effective for providing relief. Besides that, more than one drug can be given using a nebulizer.
How Long Does A Nebulizer Treatment Take?
The time of nebulizer treatment varies according to the dose and medication. Typically, the therapy can last from five to ten minutes. If you put more than one medicine inside the cup, then treatment time will increase.
How Do You Know When The Treatment Is Complete?
The primary signal that your treatment has completed is the disappearance of mist. Once the mist stops coming out, you can switch off the compressor.
Final Words
That was everything you needed to know about nebulizer treatment. We hope we have answered all your queries. The best way to administer the medication yourself is by following the doctor’s plan.
Indications and Usage For Dulera
Dulera Dosage and Administration
- Administration Information
Administer Dulera as two inhalations twice daily every day (morning and evening) by the orally inhaled route (see Patient Instructions for Use in the Patient Information leaflet). Do not use more than two inhalations twice daily of the prescribed strength of Dulera as some patients are more l… - Recommended Dosage
Administer Dulera as two inhalations twice daily every day (morning and evening) by the orally inhaled route. Shake well prior to each inhalation. Individual patients may experience a variable time to onset and degree of symptom relief. If symptoms arise between doses, use an inhaled s…
Dosage Forms and Strengths
- Dulera is a pressurized metered dose inhaler (MDI) that is available in 2 strengths (100 mcg/5 mcg or 200 mcg/5 mcg) for adult and adolescent patients aged 12 and older and 1 strength (50 mcg/5 mcg) for pediatric patients aged 5 to less than 12 years. Dulera 50 mcg/5 mcg delivers 50 mcg of mometasone furoate and 5 mcg of formoterol fumarate dihydrate per actuation. Dulera …
Contraindications
- Status Asthmaticus
Dulera is contraindicated in the primary treatment of status asthmaticus or other acute episodes of asthma where intensive measures are required. - Hypersensitivity
Dulera is contraindicated in patients with known hypersensitivity to mometasone furoate, formoterol fumarate, or any of the ingredients in Dulera [see Warnings and Precautions (5.10)].
Warnings and Precautions
- Serious Asthma-Related Events – Hospitalizations, Intubations, and Death
Use of LABA as monotherapy (without ICS) for asthma is associated with an increased risk of asthma-related death [see Salmeterol Multicenter Asthma Research Trial (SMART)]. Available data from controlled clinical trials also suggest that use of LABA as monotherapy increases the … - Deterioration of Disease and Acute Episodes
Dulera should not be initiated in patients during rapidly deteriorating or potentially life-threatening episodes of asthma. Dulera has not been studied in patients with acutely deteriorating asthma. The initiation of Dulera in this setting is not appropriate. Increasing use of inhaled, short-acting b…
Adverse Reactions
- LABA use may result in the following: 1. Serious asthma-related events – hospitalizations, intubations, and death [see Warnings and Precautions (5.1)]. 2. Cardiovascular and central nervous system effects [see Warnings and Precautions (5.11)]. Systemic and local corticosteroid use may result in the following: 1. Candida albicans infection [see Warnings and Precautions (5.…
Drug Interactions
- In clinical trials, concurrent administration of Dulera and other drugs, such as short-acting beta2-agonist and intranasal corticosteroids have not resulted in an increased frequency of adverse drug reactions. No formal drug interaction studies have been performed with Dulera. The drug interactions of the combination are expected to reflect those of the individual components.
Use in Specific Populations
- Pregnancy
Risk Summary There are no randomized clinical studies of Dulera, mometasone furoate, or formoterol fumarate in pregnant women. There are clinical considerations with the use of Dulera in pregnant women [see Clinical Considerations]. Animal reproduction studies with Dulera are no… - Lactation
Risk Summary There are no available data on the presence of Dulera, mometasone furoate, or formoterol fumarate in human milk, the effects on the breastfed child, or the effects on milk production. Other inhaled corticosteroids, similar to mometasone furoate, are present in human …
Overdosage
- Signs and Symptoms
Dulera:Dulera contains both mometasone furoate and formoterol fumarate; therefore, the risks associated with overdosage for the individual components described below apply to Dulera. Mometasone Furoate: Chronic overdosage may result in signs/symptoms of hypercorticism [se… - Treatment
Dulera:Treatment of overdosage consists of discontinuation of Dulera together with institution of appropriate symptomatic and/or supportive therapy. The judicious use of a cardioselective beta-receptor blocker may be considered, bearing in mind that such medication can produce broncho…
Dulera Description
- Dulera 50 mcg/5 mcg, Dulera 100 mcg/5 mcg, and Dulera 200 mcg/5 mcg are combinations of mometasone furoate and formoterol fumarate dihydrate for oral inhalation only. One active component of Dulera is mometasone furoate, a corticosteroid having the chemical name 9,21-dichloro-11(Beta),17-dihydroxy-16 (alpha)-methylpregna-1,4-diene-3,20-dione 17-(2-furoate) wit…