What is Dulera?
Dulera is available in inhaler form for patients suffering from shortness of breath and wheezing. It is not indicated for relief in acute bronchospasm.
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Uses of Dulera
Dulera is a combination of two drugs – Formoterol and Mometasone used for the treatment of bronchial asthma. Dulera should be used regularly for effective functioning. It should not be used for the treatment of sudden asthma attacks as a rescue inhaler.
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How does Dulera work?
- Dulera contains a combination of two medicines – Formoterol and Mometasone.
- Formoterol is a long acting bronchodilator which relaxes and widens the airways and makes it easier for breathing.
- Mometasone is a corticosteroid which reduces inflammation in the body especially in the airways and thus making breathing easier.
How to Take Dulera?
- Dulera inhaler contains a combination of mometasone (100 or 200mcg) and Formoterol (5mcg) per actuation.
- Follow all the instructions on the prescription label if you are a first time user. Shake the inhaler well before each use.
- Always use Dulera in the dose and frequency as advised. Never use more than the recommended dose or for longer periods as it can lead to severe side effects.
- After each use of Dulera inhaler, rinse your mouth with water to prevent infections of mouth and throat especially fungal infections.
- Do not stop using Dulera suddenly even if you feel better as it might worsen the condition or may lead to withdrawal effects.
- In case of non improvement of symptoms or symptoms getting worse, seek medical attention immediately.
Common Dosage & when to take Dulera?
- Dulera should be administered in the dose of 2 inhalations twice daily per day (morning and evening approximately 12 hours apart) depending upon the severity of the condition.
- Before using it for the first time, 4 test sprays should be sprayed into airway away from eyes shaking well before each spray.
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When to avoid Dulera (Mometasone Furoate And Formoterol Fumarate Dihydrate Inhalation)?
Dulera should not be used or should be used with caution when:
- Allergic to any of its components
- Status asthmaticus (acute episode of asthma)
- Pregnancy and breast feeding mothers
- Epileptic patients
Side effects of Dulera?
Dulera may produce multiple side effects, although they may not be common in all the patients. Commonly observed side effects:
- Throat irritation
- Stomach discomfort
- Oral candidiasis (fungal infection)
- Nausea, vomiting
- Muscle or joint pain
- Hoarseness of voice
- Nasal congestion
- Low potassium levels
- Allergic reactions
Effects on organs?
Patients with glaucoma should use Dulera (Mometasone Furoate And Formoterol Fumarate Dihydrate Inhalation) with caution as it may lead to increased intraocular pressure.
Reported Allergic Reactions?
Tell your doctor if you are allergic to any of its ingredients. Allergy with Dulera may exhibit the following symptoms:
- Chest tightness
- Shortness of breath
- Swelling of face, lips, tongue, or throat.
Drug Interactions to Be Careful About
Drug interactions refer to the effect of drugs on each other and on human body following ingestion. Large numbers of medicine have shown interaction with each other. It is advised that the patient must always inform the physician about all the medicines/over the counter products/vitamin supplements used. Consult your doctor before administering any other drugs concomitantly with Dulera (Mometasone Furoate And Formoterol Fumarate Dihydrate Inhalation). All the possible drug interactions might not be listed here. Few important ones include:
- Beta blockers
- Monoamine oxidase inhibitors
- Tricyclic antidepressants
Shows Effects / Results In
- Dulera doesn’t work immediately after oral administration. It may take few days to two weeks for complete recovery.
- Even if symptoms disappear, it should be taken until advised to stop by the doctor.
Is Dulera (Mometasone Furoate And Formoterol Fumarate Dihydrate Inhalation) addictive?
No such tendency has been reported for Dulera.
Can I have Dulera with alcohol?
Concomitant administration of Dulera with alcohol should be avoided as it may increase the risk of adverse effects like dizziness, drowsiness, and confusion.
Any particular food item to be avoided?
No alteration in its action seen with any food product.
Can I have Dulera (Mometasone Furoate And Formoterol Fumarate Dihydrate Inhalation) when Pregnant?
- Dulera should be avoided during pregnancy as it may lead to adverse effects in foetus. It should only be used if the potential benefits justify the risks to the foetus.
- Always inform your doctor if you are pregnant or plan to become pregnant in the future before initiating Dulera therapy.
Can I have Dulera when feeding a baby?
Dulera (Mometasone Furoate And Formoterol Fumarate Dihydrate Inhalation) should not be used in breastfeeding women as the drug may pass into breast milk and lead to adverse effects in foetus.
Can I drive after taking Dulera?
Dulera doesn’t affect your ability to drive. Few patients have reported headache as an adverse effect.
What happens if I overdose on Dulera (Mometasone Furoate And Formoterol Fumarate Dihydrate Inhalation)?
- Dulera should not be administered in more than prescribed dose or frequency.
- Taking more medication or with increased frequency can cause serious toxicity.
- Signs of Overdosage: palpitations, fatigue, dry mouth, angina, tremor, headache, and hyperglycaemia.
What happens if I eat expired Dulera?
- The medicine may not work as well as the potency of the medicines decreases and also it may lead to some adverse effects.
- To be on the safer side, always check and never use an expired drug.
What happens if I miss a dose of Dulera (Mometasone Furoate And Formoterol Fumarate Dihydrate Inhalation)?
- The medicine may not work well if you miss a dose because, for effective working of the drug, a certain amount of drug must be present in your body at all times.
- Always consume the missed dose as soon as you remember. But, if it is already time for the next dose – do not double the dose.
Storage Requirements for Dulera
- Storage at room temperature away from direct heat and light.
- Keep medicines away from children and pets.
Pro Tips When Taking Dulera
- Dulera (Mometasone Furoate And Formoterol Fumarate Dihydrate Inhalation) should never be stopped abruptly even after symptoms have disappeared as it might lead to withdrawal symptoms.
- Dulera should not be used for the treatment of acute asthma attacks.
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