Combivent (Ipratropium / Albuterol) is a combination medicine. It contains two bronchodilators (ipratropium and albuterol), which relax muscles in your lungs to open airways and make breathing easier.
Dulera (Mometasone / Formoterol) is a combination asthma medicine. Mometasone (a corticosteroid) lowers lung inflammation and works to control your asthma and prevent asthma attacks. Formoterol (a long-acting bronchodilator) relaxes muscles in your lungs to open airways and prevent wheezing and shortness of breath.
› Adrenal suppression can occur if you lower your dose or stop taking Dulera (Mometasone / Formoterol) too quickly. Symptoms include joint or muscle pain, extreme low energy, and depression. Changes in your medication need to be done slowly and over time. Talk to your doctor before you decrease or stop Dulera (Mometasone / Formoterol).
Upsides and benefits
› 2-in-1 medicine that opens airways and makes it easier to breathe. Medicines are more effective together than alone.
› Effectively relieves COPD and asthma symptoms.
› Respimat formulation has a clear display for dosing, doesn't require shaking, and only needs one inhalation per dose.
› It's a combination medicine that lowers inflammation and opens airways in your lungs.
› Significantly improves lung function and lowers the number of flare-ups by 70%. Also reduces rescue inhaler use in asthma.
› By inhaling this medication, it gets into your lungs quickly and doesn't affect the rest of your body as much, so if should have a lower risk of side effects.
› Some people who take Dulera (Mometasone / Formoterol) are able to use their fast-acting rescue inhalers less often.
Downsides and risks
› You have to use Combivent four times a day.
› Can make your heart race.
› Can make symptoms of enlarged prostate or urinary blockage worse.
› Can worsen a certain type of glaucoma.
› You need to use Dulera (Mometasone / Formoterol) twice a day to control your symptoms.
› It doesn’t stop a sudden asthma attack. You always need to have a rescue inhaler close by to treat sudden symptoms or breathing problems.
› Steroids can suppress your immune system, so you can catch bacterial and viral infections easier while on this.
› You may need to take a different medicine if your asthma doesn’t improve and you need your rescue inhaler more often, or if tests show that your lung function is reduced.
Tips from our pharmacists for people taking the medication
› Starts working in 15 to 30 minutes, and lasts about 4 to 6 hours.
› Make sure to read the instructions about how to set up your first dose.
› Clean the mouthpiece with a damp cloth once a week.
› The inhaler shows you how much medication you have left so you can plan ahead for refills.
› Don't take it more often or change your dose without talking to your doctor first.
› Tell your doctor if the medication stops working or if your symptoms get worse.
› One type of inhaler contains soya lecithin, so don't use if you have soybean, peanut, or allergies to atropine.
› Starts working right away, but it can take 1 to 2 weeks to feel the full effects.
› Inhale two separate puffs in the morning and two separate puffs in the evening. It’s important to read the information that comes with your medicine so you use it the correctly.
› Clean the mouthpiece with a dry cloth every 7 days and don’t wash it with water.
› Rinse your mouth out with water after each use to lower your chance of getting a yeast infection (thrush) in the mouth and throat.