DUOVA 200md Inhaler

Duova Inhalers
Tiotropium bromide and Formoterol fumarate combination drug is involved in making breathing easier for the people suffering from, chronic obstructive pulmonary disorder. It is available in the dosage form of capsules containing a dry powdered formulation of the two drugs Tiotropium and formoterol that is intended for the oral inhalation only with the help of an inhalation product.
Tiotropium bromide is an anticholinergic bronchodilator that relieves the discomfort caused by COPD i.e. chronic obstructive pulmonary disease (chronic bronchitis and emphysema). Formoterol on the other hand is a long-acting bronchodilator.
The ailments it is used for:
This combination therapy is used for long term management of severe COPD to treat symptoms but it is not used for acute exacerbation.
?Understanding the drug:
How it works?
The drug acts as a bronchodilator, producing the dilatory effect on smooth muscles and increases the mucus secretion from the nasal passage and bronchioles. Formoterol and Tiotropium bromide both are rapid-onset and long-acting selective beta-agonist and bronchodilator that relaxes the muscles of the small airways of the lungs (bronchioles) to widen the airways.
When should you avoid it?
You should not take this drug if you:

Are pregnant, the doctor must be consulted in an urgency to take the medicine to avoid any harm to the fetus
Hypersensitivity to Ipratropium or Tiotropium
Are younger than 10 years of age, as the safety of the medicine is not yet established in children
Have any? type of renal or hepatic impairment
Having angioderma(swelling of lips, throat and tongue)

How much to take?
The dose intake is prescribed by the Doctor depending upon the severity and demand of the disease condition. Always follow doctor?s instructions.?
What are the strengths available?
The drug Tiotropium bromide and formoterol fumarate is available in the following strength:
Duova inhaler 9mcg + 6mcg
Who is the manufacturer?
This drug Duova and its various dosage forms are manufactured by a well known pharmaceutical company, Cipla. It is available on our websites in various pack sizes of 200, 400 and 600 doses.
How to use?
Do not swallow the capsules as they are for inhalation purpose only. Following are the ways to take the medicine:

Always check the mouthpiece before using, it should always be clean and dirt free
Place the inhaler in and upright position and shake well
Now empty your lungs by exhaling the air completely out of the lungs
Put the mouthpiece in your mouth and close your lips
Take a deep breath through your mouth and press the canister to get puff of the medicine
Remove the inhaler and hold your breath for 10 seconds
Now breathe out through nose
Replace the cap and if needed take the second dose by repeating the steps as mentioned above.

When to take?
Take your drug dose at the same time every day as this will become a habit and will be less forgotten by the patient. Take your doctor?s advice about the time of dosage if there is any confusion about the dosage time.
For how long should it be taken?
This medicine controls your condition, but does not cure it. It is thus advised to take the drug as long as recommended by the doc tor even in the case you find yourself well. Do not stop the drug without doctor?s advice.
What if you take too much (overdose)?
Too much this drug may be disturbing or serious in many cases. Due to the overdose of the drug you may have a fast or irregular heartbeat; dry mouth or blurred vision. In such a case visit nearest healthcare center or call your doctor.
What if you miss the dose?
In case you forget to take the dose, take it as soon as you remember, as long as it is at least 12 hours before your next dose. Do not double up the dose for the missed one.
What are the side effects?
Tell your doctor as soon as possible if you notice any of the following:

Breathing difficulty? or worsening of your breathing problems
Bilateral conjunctivitis
Dry mouth
Pounding heart beat
Wheezing or troubled breathing
Stuffy nose, nosebleed
Drowsiness
White patches in your mouth or throat.

In such cases you must go for immediate medical help.?Do not get alarmed by the list. You may /may not experience all of them.
Are there any possible drug interactions?
You should ask your doctor about the full list of the drugs to be avoided or that you should be careful of while taking this drug. There are very few adverse drug interactions encountered with this drug yet the co-administration of this drug with other may cause harmful sideffects to other people.
What are the things to be taken care of?

Rinse your mouth after using the inhaler to prevent dry mouth and throat irritation.
Do not swallow these Rota caps by mouth
Clean the device once in a month with water
This medication must be used regularly to be effective