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Duova Inhaler 9mcg 6mcg (200 mdi)
Upto 23% OFF

Tiotropium Bromide and Formoterol Fumarate

$17.64 - $23.00

Rating:
96% of 100

Available Dosages

1 Inhaler
US$ 23.00 - Price Per Inhaler
US$ 23.00
3 Inhaler
US$ 18.05 - Price Per Inhaler
US$ 54.16US$ 69.00
6 Inhaler
US$ 17.64 - Price Per Inhaler
US$ 105.82US$ 138.00
More Information
SKU: 1125
Active Ingredient: Tiotropium Bromide and Formoterol Fumarate
Manufacturer: Cipla, India
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Buy Duova Inhaler 9mcg 6mcg (200 mdi) Online

Duova Inhalers are a combination drug of Tiotropium bromide and Formoterol fumarate, this medicine help in making breathing easier for people suffering from chronic obstructive pulmonary disorder. It is available in the dosage form of capsules containing a dry powdered formulation of Tiotropium and formoterol intended for oral inhalation only with the help of an inhaler.

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.

This combination therapy is used for the long-term management of severe COPD to treat symptoms but is not used for acute exacerbation. The drug acts as a bronchodilator, producing a dilatory effect on smooth muscles and increasing the mucus secretion from the nasal passage and bronchioles. Formoterol and Tiotropium bromide are both rapid-onset and long-acting selective beta-agonist and bronchodilator that relaxes the muscles of the lungs' small airways (bronchioles) to widen the airways.

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. Very few adverse drug interactions are encountered with this drug, yet the co-administration of this drug with others may cause harmful side effects to other people.

 

You should not take this drug if you are:

 

   — A pregnant woman should consult a doctor to avoid any harm to the fetus

   — Hypersensitivity to Ipratropium or Tiotropium

   — Younger than 10 years of age, as the safety of the medicine is not yet established in children

   — Have any  renal or hepatic impairment

   — Having angioedema(swelling of lips, throat and tongue)

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 heartbeat

   — Wheezing or troubled breathing

   — Stuffy nose, nosebleed

   — Drowsiness

   — White patches in your mouth or throat.

The dose intake is prescribed by the doctor depending upon the severity and demand of the disease condition.

 

Do not swallow the capsules, as they are for inhalation purposes only. Following are the ways to take medicine:

   — Always check the mouthpiece before using it; it should always be clean and dirt free

   — Place the inhaler in an upright position and shake it 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 a puff of the medicine

   — Remove the inhaler and hold your breath for 10 seconds

   — Now breathe out through the nose

   — Replace the cap and, if needed, take the second dose by repeating the abovementioned steps.

 

This medicine controls your condition but does not cure it. It is thus advised to take the drug as long as the doctor recommends, even if you find yourself well. Do not stop the drug without a doctor’s advice.

 

What are the things to be taken care of?

   — Rinse your mouth to prevent dry mouth and throat irritation after using the inhaler.

   — Do not swallow these Rota caps by mouth

   — Clean the device once a month with water

   — This medication must be used regularly to be effective

 

What is Tiotropium Bromide and Formoterol Fumarate and what is it used for?

Tiotropium Bromide and Formoterol Fumarate is a combination medicine used to help people with breathing problems caused by lung conditions like asthma and chronic obstructive pulmonary disease. These conditions make your airways narrow and tight, causing wheezing, coughing, chest tightness, and shortness of breath. The Duova Inhaler delivers both medicines directly into your lungs to keep your airways open and relaxed. This combination inhaler helps prevent breathing difficulties throughout the day and night, making it easier to stay active and sleep better. It's designed for regular daily use rather than quick relief during sudden breathing attacks.

How does Tiotropium Bromide and Formoterol Fumarate actually work in the body?

This combination works in two different ways to keep your airways open. Tiotropium Bromide blocks natural chemicals in your body that make your airways squeeze tight, helping them stay relaxed for a full day. Formoterol Fumarate acts faster and relaxes the muscles wrapped around your airways, opening them wider so air flows more easily. Think of it like unlocking a door and then propping it open—both actions work together to keep the passage clear. The inhaler sprays these medicines directly into your lungs where they're needed most, giving you better breathing control throughout your day and night.

How long does Duova Inhaler take to start working?

The Duova Inhaler starts working fairly quickly, with the Formoterol component beginning to open your airways within about five to fifteen minutes after you use it. You'll likely notice your breathing becoming easier during this time. The Tiotropium component takes a bit longer to reach its full effect, usually within a few hours, but then continues working throughout the entire day. For the best overall results with this combination inhaler, most people find their breathing improves steadily over the first few days of regular use. Remember, this inhaler is meant for daily prevention, not emergency relief during sudden breathing attacks.

When and how should I take Duova Inhaler?

Take your Duova Inhaler at the same time each day, usually twice daily—once in the morning and once in the evening, roughly twelve hours apart. Shake the inhaler well before each use, breathe out fully, then place the mouthpiece between your lips and press down while breathing in slowly and deeply. Hold your breath for about ten seconds to let the medicine reach deep into your lungs. Rinse your mouth with water afterwards to prevent irritation. Your doctor will show you the proper technique when starting treatment. Always follow the specific dose your doctor prescribes, and never use more than recommended.

What should I do if I forget to take a dose of Duova Inhaler?

If you miss a dose of your Duova Inhaler, take it as soon as you remember—but only if there's plenty of time before your next scheduled dose. If it's nearly time for your next dose, skip the missed one entirely and continue with your regular schedule. Never take two doses at once or use extra puffs to make up for a forgotten dose, as this could cause unwanted side effects. Set a daily alarm on your phone or link your inhaler use to regular activities like brushing your teeth to help you remember. Consistency matters with this medicine for best breathing control.

Is it safe to take Duova Inhaler for a long time?

Yes, the Duova Inhaler is specifically designed for long-term daily use to manage ongoing breathing problems. Many people use this combination inhaler safely for months or even years as part of their regular treatment plan. The medicine works best when used consistently every day, not just when you feel symptoms. Your doctor will monitor your breathing and overall health during regular check-ups to make sure the inhaler continues working well for you. If you notice any unusual changes or new symptoms while using this inhaler long-term, mention them at your next appointment so adjustments can be made if needed.

Can I take Duova Inhaler with other medicines I am already on?

The Duova Inhaler can usually be taken alongside many other medicines, but some combinations need careful monitoring. Certain heart medicines, water pills, steroid tablets, other inhalers, and medicines for depression or infections may interact with this inhaler. Even over-the-counter cold medicines and supplements can sometimes cause problems when combined with Tiotropium and Formoterol. Before starting this inhaler, tell your doctor about everything you're currently taking, including vitamins, herbal products, and medicines you only use occasionally. Your doctor can then check for any potential interactions and adjust your treatment plan if necessary to keep you safe.

How is Duova Inhaler different from similar medicines used for breathing problems?

The Duova Inhaler combines two different types of long-acting medicines in one device, which means fewer inhalers to carry and remember. Some people use separate inhalers for each medicine, but this combination simplifies your routine. Unlike quick-relief rescue inhalers that you grab during sudden breathing troubles, this combination works slowly throughout the day for prevention. Some similar products might contain different ingredient combinations or strengths, while others might be powder inhalers instead of spray inhalers. The specific nine microgram and six microgram dosage in this product offers a particular strength balance that your doctor has chosen based on your individual breathing needs.

Is the generic version containing Tiotropium Bromide and Formoterol Fumarate just as good as the branded medicine?

Yes, generic versions containing Tiotropium Bromide and Formoterol Fumarate work just as effectively as branded versions. Generic medicines must meet the same strict quality, strength, and safety standards as their branded counterparts. The Duova Inhaler contains the exact same active ingredients in the same amounts as branded alternatives, delivering the medicine to your lungs in the same way. The main difference is usually the price—generics typically cost significantly less while providing identical benefits. Many doctors and patients worldwide trust generic combination inhalers for long-term breathing management. Choosing a generic can make your treatment more affordable without compromising on quality or results.

What side effects can Tiotropium Bromide and Formoterol Fumarate cause?

Common side effects from Tiotropium Bromide and Formoterol Fumarate include dry mouth, throat irritation, headache, cough, and a hoarse voice. Some people experience a fast or irregular heartbeat, muscle cramps, trembling hands, or difficulty sleeping. You might also notice sinus problems, nausea, or constipation. These effects are usually mild and often improve as your body adjusts to the medicine. Rinsing your mouth after each use helps prevent throat irritation. Rarely, some people have blurred vision, trouble urinating, severe dizziness, or unexpected wheezing that gets worse rather than better. Stop using the inhaler and seek immediate help if you experience chest pain or severe allergic reactions.

Who should NOT take Tiotropium Bromide and Formoterol Fumarate or needs to be extra careful with it?

People allergic to Tiotropium Bromide, Formoterol Fumarate, or similar medicines should avoid this combination. Those with certain heart conditions, irregular heartbeat, high blood pressure, diabetes, overactive thyroid, seizures, or narrow-angle glaucoma need extra monitoring. If you have prostate problems or difficulty urinating, this inhaler might worsen those issues. Pregnant or breastfeeding women should discuss potential risks with their doctor before starting treatment. This inhaler isn't meant for children under specific ages or for treating sudden breathing attacks. People with low potassium levels or those taking certain other medicines may need dose adjustments. Always share your complete medical history before beginning this treatment.

Where can I buy Duova Inhaler online and be sure I am getting a genuine medicine?

You can purchase your Duova Inhaler directly from us at AllDayChemist.com, where we've been serving patients worldwide since 2002. We source every medicine, including this combination inhaler, directly from licensed manufacturers to guarantee authenticity. As a fully licensed international pharmacy, we ship discreetly to the USA, UK, Australia, and many other countries, with competitive pricing on both branded and generic medicines. We offer free shipping options and make reordering simple for your ongoing treatment needs. Our customers trust us for genuine medicines at affordable prices, backed by our two decades of reliable service and secure prescription management.

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