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.
Spiriva (Tiotropium) is a bronchodilator. It relaxes muscles in your lungs to open your airways and make breathing easier.
› 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).
› The kidney is mainly responsible for removing Spiriva (Tiotropium) from the body so people with kidney disease or reduced function need to be watched closely. Spiriva (Tiotropium) can build up in the body and cause certain side effects. Tell your doctor if you develop dry mouth, blurry vision, confusion, sweating, increased heart rate or constipation. You may need to discuss other medication options to treat your COPD.
Upsides and benefits
› 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.
› Helps you breathe easier and lessens the need for a fast-acting (rescue) inhaler.
› Reduces flare-ups and hospitalizations with fewer side effects compared to some other medicines that open airways.
› You only need to take it once a day.
Downsides and risks
› 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.
› Won't cure your COPD (but it will relieve your symptoms).
› You'll need to use this medicine for a long time, and you have to take it every day.
› Can make symptoms of enlarged prostate or urinary blockage worse.
› Can worsen a certain type of glaucoma.
› You might feel dizzy or have blurry vision while taking this medicine.
Tips from our pharmacists for people taking the medication
› 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.
› Don't swallow the capsule. Insert the capsule into an inhaler device only.
› Use daily to control your COPD.
› Starts working the first few hours, but it may take longer to feel full effects.
› Prevents breathing problems, but doesn't stop sudden cough or wheezing once they start.
› Don't breathe out into the inhaler.
› You might feel dizzy and notice changes in your vision.
› Don't use it if you have an allergy to atropine.
› Contains lactose, so don't use it if you're allergic to milk protein.