Duova Inhaler 9mcg 6mcg (200 mdi)

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