Compare Spiriva vs. Dulera

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Makes it easier to breathe.

Spiriva (Tiotropium) works well to reduce COPD symptoms and flare-ups with fewer side effects than some medicines that open airways, but you have to use it every day.

3.5/ 5 average rating with 74 reviewsforSpiriva
Prevents breathing problems.

Dulera (Mometasone / Formoterol) is a convenient medication that'll control your asthma long-term, but it won’t stop a sudden asthma attack.

4.3/ 5 average rating with 38 reviewsforDulera
Upsides
  • 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.
  • 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
  • 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.
  • 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.
Used for
Dosage forms
  • Inhaler
  • Inhaler
Price
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Reviews
74 reviews so far
64%
saidit'sworth it
46%
saiditworked well
8%
saidit'sa big hassle

Have you used Spiriva (Tiotropium)?

Leave a review
38 reviews so far
84%
saidit'sworth it
79%
saiditworked well
8%
saidit'sa big hassle

Have you used Dulera (Mometasone / Formoterol)?

Leave a review
Side effects
36possible side effects
  • Respiratory tract Infection
    41%
  • Dry mouth
    16%
  • Pharyngitis
    13%
  • Sinusitis
    11%
  • Chest pain (non-specific)
    7%
  • Urinary tract Infection
    7%
  • Dyspepsia
    6%
  • Rhinitis
    6%
  • Headache
    6%
  • Edema, Dependent
    5%
  • Abdominal pain
    5%
  • Constipation
    5%
  • Dry Mouth
    5%
  • Vomiting
    4%
  • Myalgia
    4%
  • Infection
    4%
  • Moniliasis
    4%
  • Epistaxis
    4%
  • Rash
    4%
  • Depression
    4%
  • Insomnia
    4%
  • Arthralgia
    4%
  • Allergic reaction
    3%
  • Leg pain
    3%
  • Dysphonia
    3%
  • Parathesia
    3%
  • Gastroinestinal disorder not otherwise specified
    3%
  • Castroesophegeal reflux
    3%
  • Stomatitis
    3%
  • Hypercholesterolemia
    3%
  • Hyperglycemia
    3%
  • Skeletal pain
    3%
  • Angina pectoris
    3%
  • Herpes zoster
    3%
  • Laryngitis
    3%
  • Cataract
    3%
See more detailed side effects
4possible side effects
  • Nasopharyngitis
    5%
  • Headache
    5%
  • Dysphonia
    5%
  • Sinusitis
    3%
See more detailed side effects
Risks and risk factors
  • Serious allergic reaction
    • History of atropine allergic reaction
  • Sudden onset difficulty breathing (paradoxical bronchospasm)
  • Worsening glaucoma
    • History of narrow-angle glaucoma
  • Difficulty urinating
    • History of urinary bladder blockage (urinary obstruction)
    • History of enlarged prostate
  • Serious allergic reaction
    • Severe milk protein allergy
  • Reduced kidney function
    • History of moderate to severe kidney disease
  • Feeling dizzy
    • Taking with other anticholinergic medications
See more detailed risks and warnings
  • Asthma-related death
    • Adverse effect of all long-acting beta agonist drugs (LABAs)
  • Adrenal suppression (HPA axis suppression)
    • Lowering dose or stopping Dulera (Mometasone / Formoterol) too quickly, especially after long-term treatment
    • Stress such as trauma, surgery, or infection
  • Bone loss
    • Long-term inactivity
    • History or family history of osteoporosis (postmenopausal bone loss)
    • Long-term use of drugs that cause bone loss
  • Heart disease
    • History of heart rhythm problems
    • High blood pressure
    • Heart failure
  • Increased risk of infection
    • Long-term treatment with Dulera (Mometasone / Formoterol)
    • Not vaccinated against chickenpox or measles
    • Age greater than 65 years
  • Reduced growth rate in children
    • Dose of Dulera (Mometasone / Formoterol)
    • Duration of treatment
  • Eye problems
    • History of high internal eye pressure
    • History of cataracts
    • History of glaucoma
See more detailed risks and warnings