HOW TO USE Dulera Inhaler:
Read Medication Guide provided by the pharmacist before you start using this medication and each time you get a refill. Read the patient instructions for guidance on how to use the inhaler correctly. If you have questions, ask your doctor or pharmacist. Follow the instructions for priming the inhaler if you use it for the first time or if you have not used it for more than 5 days. Do not spray in eyes. Shake the inhaler, and before each use. Inhale this medication by mouth as directed by your doctor, usually twice a day (morning and evening). Gargle and rinse your mouth with water after each use of this medicine to prevent dryness, irritation and fungal infections (thrush), mouth and throat. Do not swallow the rinse water. To clean the inhaler, wipe the outside of the mouthpiece once a week with a dry cloth. Do not use water or other liquids. Do not take the Dulera inhaler apart. Use this medication regularly in order to get the most benefit from it. This medicine works best when used at evenly spaced intervals. To help you remember, use it at the same time every day. Do not increase your dose, use this drug more often or stop using it without first consulting your doctor. Also, do not use other long-acting beta-agonists when using this drug. If you regularly use a variety of corticosteroids taken by mouth (eg, prednisone), you should not stop using it if prescribed by your doctor. You may have withdrawal symptoms if the drug is suddenly stopped. Some conditions (such as asthma, allergies) may become worse when the drug is suddenly stopped. To prevent withdrawal symptoms (eg fatigue, weight loss, nausea, muscle aches, headache, fatigue, dizziness), your doctor may refer you to slowly lower the dose of the old medicine after you use this product. Consult your doctor or pharmacist for more information and report any withdrawal reactions immediately. See also Precautions section. If you use quick-relief inhaler (eg, albuterol, also known as salbutamol in some countries) on a regular daily schedule (eg, 4 times a day), you must stop this schedule and only use quick-relief inhaler as needed sudden shortness of breath / asthma attacks. Consult your doctor for details. It may take a week or longer before you get the full effect of this drug. Tell your doctor if your condition persists or worsens. Find out which of your inhalers you should use every day, and you should use if your breathing suddenly worsens. Ask your doctor what to do if you have a worsening cough or shortness of breath, wheezing, increased sputum, worsening peak flow meter readings, greater use your quick-relief inhaler, or if your quick-relief inhaler does not seem to work well. Learn when you may self-medicate, and when you should get medical help immediately.
APPLICATION Dulera Inhaler:
This product is used to control and prevent symptoms (wheezing and shortness of breath) caused by asthma. It contains two drugs: mometasone and formoterol. Mometasone belongs to a class of drugs known as corticosteroids. It works by reducing swelling and irritation of the respiratory tract. Formoterol belongs to a class of drugs known as long-acting beta-agonist testing. It works by opening the airways in the lungs to breathe more easily. Managing the symptoms of breathing problems can decrease time lost from work or school. This medication should be used regularly to be effective. This will not work immediately and should not be used to relieve sudden asthma attacks. If an asthma attack occurs, use your quick-relief inhaler (eg, albuterol, also known as salbutamol in some countries), as required.
Side effects Dulera Inhaler:
Nasal congestion, hoarseness, dry mouth, or throat irritation may occur. If any of these effects persist or worsen, tell your doctor immediately. Remember that your doctor has prescribed this medication because he determines that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Rarely, this medicine may cause severe respiratory sudden deterioration problems / asthma immediately after use. If you have a sudden worsening of breathing, use quick-relief inhaler and seek medical help immediately. Tell your doctor immediately if any of these unlikely but serious side effects such as white patches on the tongue / mouth, signs of infection (eg fever, sore throat), mental / mood changes (eg, nervousness), problems with dream, vision problems (eg blurred vision), increased thirst / urination, muscle cramps, tremor (tremor). Get medical help immediately if any of these rare but very serious side effects: chest pain, fast / irregular heartbeat, severe dizziness, fainting, seizures. A very serious allergic reaction to this product is rare. However, get medical help immediately if you notice any symptoms of a serious allergic reaction, including: rash, itching / swelling (especially the face / tongue / throat), severe dizziness, sudden trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the United States – See your doctor for medical advice about side effects. You may report side effects FDA at 1-800-FDA-1088. In Canada – Call your doctor for medical advice about side effects. You may report side effects to the health of Canada 1-866-234-2345.
Precautions Dulera Inhaler:
Before using this medication, tell your doctor or pharmacist if you are allergic to mometasone or formoterol, or if you have any other allergies. This product may contain inactive ingredients that may cause allergic reactions or other problems. Talk to your pharmacist for more information. Before using this medication, tell your doctor or pharmacist your medical history, especially of: current / past infections (such as tuberculosis, herpes), high blood pressure, heart disease (eg, chest pain, myocardial infarction, heart rhythm disturbances ), overactive thyroid (hyperthyroidism), seizures, loss of bone (osteoporosis), eye problems (such as cataracts, glaucoma), diabetes mellitus. Formoterol may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can infrequently result in serious (rarely fatal) fast / irregular heartbeat and other symptoms (eg, severe dizziness, fainting) that require medical help right away. The risk of QT prolongation may be increased if you have certain medical conditions or are taking other medications that can affect the heart rhythm. Before using this product, tell your doctor or pharmacist of all medications you are taking, and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain problems with heart (QT prolongation in the EKG, sudden cardiac death). Low levels of potassium and magnesium in the blood may also increase the risk of prolonging the interval QT. This risk may increase if you use certain drugs (such as diuretics / “water pills”) or if you have conditions such as severe sweating, vomiting or diarrhea. Talk to your doctor about using this drug safely. This medication may mask signs of infection. It can make you more likely to get infections or could worsen any current infection. So wash your hands and to prevent the spread of infection. Avoid contact with people who have infections that can spread to others (such as chicken pox, measles, influenza). Consult your doctor if you have been exposed to infection or for more information. If you have moved from corticosteroids taken by mouth (eg, prednisone tablets) to this inhaler within the past 12 months, or if you already use this product in higher-than-usual doses for a long time, it may be harder for your body in response to exercise. Therefore, before having surgery or emergency care, or if you get a serious illness / injury, tell your doctor or dentist that you are using this medication, or corticosteroid use are inside in the last 12 months. Tell your doctor immediately if you develop unusual / extreme tiredness or weight loss. Carry a warning card or medical alert bracelet ID that says you are using (or used to) corticosteroids. Before surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs and herbal products). This drug can slow the growth of the child, if used for a long time, but poorly controlled asthma may also slow growth. The effect on final adult height is unknown. See your doctor regularly so that the height of your child can be tested. During pregnancy, this medication should be used only when really necessary. Discuss the risks and benefits with your doctor. It is not known if this medication passes into breast milk. Consult your doctor before breast-feeding.
Drug Interactions Dulera Inhaler:
Drug interactions can change your medications work or increase the risk of serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription / nonprescription drugs and herbal products) and share them with your doctor and pharmacist. Do not start, stop or change the dosage of medication without any approval of your doctor. Some products that may interact with this medicine include: aldesleukin, beta-blockers (propranolol). Other medications can affect the removal of mometasone on your body, which may affect mometasone works. Examples include azole antifungals (eg, ketoconazole), macrolide antibiotics (eg clarithromycin), HIV protease inhibitors (eg, ritonavir), among others.
OVERDOSAGE Dulera Inhaler
If overdose is suspected, contact your poison control center or emergency immediately. U.S. residents can call the U.S. National Poison Hotline at 1-800-222-1222. Canada residents can call the provincial poison control center. Symptoms of overdose may include: shaking (tremors), chest pain, fast / irregular heartbeat.
NOTES Dulera Inhaler:
Do not share this medication with others. Laboratory and / or medical tests (eg, pulmonary function tests, blood pressure, bone density tests) may be performed to monitor your progress or check for side effects. Consult your doctor for more information. Learn how to use a peak flow meter, use it daily and promptly report worsening breathing problems (such as readings in the yellow / red range, increased use of quick-relief inhalers). Avoid allergens / irritants such as smoke, pollen, pet dander, dust, or form, which can worsen breathing problems. Because the flu virus can also aggravate breathing problems, ask your doctor or pharmacist if you have to have a flu shot every year. In adults, this medicine may increase the risk of bone loss (osteoporosis) if used for a long time. Talk to your doctor about the risks and available for the treatment of osteoporosis. Lifestyle changes that reduce the risk of bone loss include doing weight-bearing exercise, getting enough calcium and vitamin D, stopping smoking, limiting alcohol. To help prevent osteoporosis later in life, to encourage children to exercise and eat healthy foods (including calcium).
Missed dose Dulera Inhaler:
If you miss a dose, skip the missed dose and resume your usual dosing. Do not double the dose to catch up.
STORAGE Dulera Inhaler:
Store at room temperature away from light, heat and moisture. Do not store or use near open flame. Do not store in the bathroom. Keep medicines away from children and pets. Do not flush medications down the toilet or pour them into the drainage, if instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more information about how to safely abandon your product.
