Duova Inhaler is a combination medication containing Tiotropium Bromide (9 mcg) and Formoterol Fumarate (6 mcg) per metered dose. Manufactured by Cipla, it is indicated for the long-term maintenance treatment of chronic obstructive pulmonary disease (COPD). This inhaler combines a long-acting anticholinergic and a long-acting beta-agonist to relax airway muscles, reduce bronchospasm, and improve airflow.

• Provides sustained bronchodilation for up to 12 hours

• Reduces wheezing, shortness of breath, and chest tightness

• Improves overall lung function and exercise tolerance

• Enhances quality of life by controlling COPD symptoms

• Shake the inhaler well before each use.

• Breathe out fully, away from the inhaler.

• Place the mouthpiece between your lips and inhale deeply and forcefully.

• Hold your breath for 10 seconds, then exhale slowly.

• Rinse your mouth with water after inhalation and spit it out to minimize the risk of oral infections.

• Typical dosage: One inhalation once daily, preferably at the same time each day.

• Do not exceed the recommended dosage.

• Regular use is essential for optimal effectiveness.

• Consult your healthcare provider for personalized dosing instructions.

• Not suitable for the relief of acute bronchospasm; always keep a rescue inhaler available.

• Inform your doctor if you have heart disease, high blood pressure, thyroid disorders, diabetes, liver or kidney impairment, or seizure disorders.

• Use with caution during pregnancy or breastfeeding; consult your physician.

• Regular monitoring may be necessary during long-term use.

• Keep out of reach of children.

Common side effects may include:

• Headache

• Throat irritation

• Hoarseness of voice

• Oral candidiasis (fungal infection in the mouth)

• Palpitations

• Tremors

• Nausea

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Seek immediate medical attention if you experience:

• Severe allergic reactions (rash, swelling, difficulty breathing)

• Chest pain or irregular heartbeat

• Vision changes

• Store below 25°C in a cool, dry place.

• Keep inhaler in its original packaging until use.

• Protect from moisture and direct sunlight.

• Do not freeze.

• Keep out of reach of children.

Q1: Can Duova Inhaler be used for sudden asthma attacks?
No, this medication is not intended for immediate relief. Use a fast-acting bronchodilator for acute symptoms.

Q2: How long does it take to see improvement in symptoms?
Some patients may notice improvement within a few days; however, full benefits may take up to two weeks of regular use.

Q3: Is it safe to use Duova Inhaler during pregnancy?
Use during pregnancy should only occur if the potential benefits justify the potential risks. Consult your doctor.

Q4: Can I stop using Duova Inhaler once I feel better?
No, discontinuing without medical advice may worsen your condition. Always follow your doctor's guidance.