Doctor insights on:
I have emphysema and am using dulera (formoterol and mometasone) by itself it there another medication I can use with it besides my rescue inhaler?
Emphysema: Is rather a syndrome, management is long term and multifaceted, drug therapy is only one aspect, environmental control and habit control like stopping smoking and avoiding smokers is important, nutrition and physical activity. Given that you are only on these two medications, means your doctor is comfortable with that regimen, if otherwise, you feel uncontrolled, kindly revisit your doctor ...Read more
No: Dulera is a combo LABA and steroid. Xopenex is a SABA ...Read more
Dulera (formoterol and mometasone): Is not meant to work to alleviate symptoms. It is an anti-inflammatory medicine which takes time to take effect and a long acting bronchodilator which is not used to open up the airways fully, just low level so the rescue medicine can take effect faster. You still need your bronchodilator. Reconsider changing Lisinopril to arb if you have chronic cough. Dulera (formoterol and mometasone) will work but not noticeably. ...Read more
I'd like to know the difference between Quvar and Dulera (formoterol and mometasone) - specifically if one is stronger and worse to be on for a long time.
ICS vs ICS/LABA: QVar is an inhaled cortisone (ICS)which helps to reduce airway inflammation. It is supposed to have a smaller particle size to reach the more distant airways in the lung. Dulera (formoterol and mometasone) is another ICS but combined with a long acting bronchodilator (LABA)- the latter has a black box warning about risk for asthma deaths. However the ICS/LABA more effective and the black box warning mostly disproved. ...Read more
No: Not supposed to be used under the age of 12 years old. ...Read more
No: Dulera (formoterol and mometasone) currently is not indicated under the age of 12 ...Read more
No: Qvar is a single agent inhaled steroid while dulera (formoterol and mometasone) is a combination steroid with long acting bronchodialator. ...Read more
Can you use dulera (formoterol and mometasone) for bronchitis? How fast does it work for bronchitis.
Yes: No one can tell how fast it will work. You may not be even able to tell the difference. Dulera (formoterol and mometasone) has steroid to decrease the inflammation in the airways, and has a long acting bronchodilator whose effect is not something readily felt and more, bronchitis does not show much response in tests to bronchodilator treatment. But does it work, yes it does. ...Read more
Which inhaler is a rescue inhaler, xopenex (levalbuterol) hfa or dulera? Already used xopenex (levalbuterol) hfa and did not get full relief
Was on advair 250/50 got sample of Dulera (formoterol and mometasone) 100/5 2 puffs 2x a day. Need to buy now can I buy the 200mcg/5mcg and take 1 puff 2xday?
See below: I would do my best to stay on advair. Dulera doesn't work near as well in my opinion. ...Read more
Insurance won't cover advair, I'm on on dulera (formoterol and mometasone) due to only one insurance will cover without a fit, but not helping how can I get my advair back?
See details: Have your doctor appeal the decision, find out if he/she can get samples for you or pay for it yourself. ...Read more
Been coughing its really deep when lay down on my side is that normal? I take adviar 250/50 should I go higher or switch back to dulera (formoterol and mometasone) it worked goo
Not normal: There is study showing that the size of the medicine mist can reach further into the lung with Dulera (formoterol and mometasone) than advair. Thus it is reasonable to try switching back for a couple of weeks and see if this may do the trick. If not helpful, then you should really check with your doctor regarding modifying your medication program. ...Read more
Yes: A scenario where one may be needing to take Dulera (formoterol and mometasone) and ventolin around the same time would be during some type of asthma/copd exacerbation. Remember though, Dulera (formoterol and mometasone) has a long acting form of albuterol (the active ingredient in ventolin). So normally, one would not need to take them both at the same time. ...Read more
Both-read why: Dulera (formoterol and mometasone) is a combination inhaler containing an steroid (for inflammation) and long acting bronchodilator. Dulera (formoterol and mometasone) is used every day to control and prevent asthma. In contrast, albuterol is for quick relief and only used as needed. This is a good combination for patients with moderate to severe persistent asthma. An allergist can assist in further explanation. ...Read more
Treats asthma: Dulera (formoterol and mometasone) was approved by the fda in 2010 for the chronic treatment of asthma. Dulera (formoterol and mometasone) is an inhaler that contains 2 medications (long-acting bronchodilator and an inhaled corticosteroid). These are considered very effective for moderate to severe persistent asthma. An allergist or pulmonologist can help determine if this is the right medication. ...Read more
I have mild to moderate asthma. Is dulera (formoterol and mometasone) a safe medicine to take? I have read that it increases asthma related deaths? Is it well tested?
No evidence: Although the initial study involving only a long acting bronchodilator (laba) often on patients who were not on inhaled steroid at the same time showed a slight increase in risk for asthma deaths. Subsequent studies failed to confirm this finding as long as the patients were on an inhaled steroid (ics). In fact, the combination of a laba and ICS (dulera) works better than doubling the ICS dose. ...Read more
I'm concerned that dulera (formoterol and mometasone) may be causing anxiety and congestion. Could this be true? What is the half life of dulera (formoterol and mometasone)?
Can dulera (formoterol and mometasone) lose it's effectiveness over time? I'm on dulera (formoterol and mometasone) 100mcg 2 puffs 2 x a day and just got a cold and need to use rescue inhaler throughout day
Not the medication: Something (eg. Viral infection, post nasal drip, smog, acid reflux) is triggering your asthma. Its presence will continue to trigger the attack. The medication will control each episode but unless the trigger is removed, your symptoms will continue or worsen; see your doctor to help determine if your meds need to be adjusted or another med started. ...Read more
The steroid: Both Dulera and symbicort (budesonide and formoterol) have the same long acting bronchodilator, they differ in the steroid content. Dulera contains mometasone. Symbicort (budesonide and formoterol) contains budesonide. Both agents are used to treat moderate persistent asthma. ...Read more
Possibly: Dulera and symbicort (budesonide and formoterol) have labeling stating that they are recommended starting at age 12 while advair can be used starting at age 4. Albuterol inhalers can be used at any age. The above are all typically asthma treatments. If your medical professional prescribed Dulera to your 6 yr old please just contact their office because they may have a legitimate reason for its use. ...Read more
Yes: Should meds be stopped before a methacholine challenge? Yes. A methacholine challenge is used to diagnose asthma. Dulera (formoterol and mometasone) is a combination medication with a long-acting beta agonist and a steroid. Long-acting beta agonists should be stopped prior to testing for accurate results. Speak with your doctor to find out exactly how long you need to be off prior to testing (usually 2 days). ...Read more
See below: What are you switching from? In my experience Dulera isn't even comparable to the other inhalers in the same category. ...Read more
What are the chances of dulera (formoterol and mometasone) cause a negative methacholine challenge?
Very high: In fact, we ask our patients to avoid using Dulera (formoterol and mometasone) for at least 2 weeks before doing any methacholine challenge. In research settings however, methacholine challenge may be used to assess the effectiveness of Dulera (formoterol and mometasone). ...Read more
Will dulera (formoterol and mometasone) without a doubt cause a false negative on a methacholine challenge?
It can: Any beta agonist can do itGet a more detailed answer ›
I'm on dulera (formoterol and mometasone). Why do labas cause increased risk of death from asthma? Not sure if its worth taking.
So the long acting drugs cause an increased risk of death because if they are occupying the beta receptors and then you start having trouble breathing - as in a asthma attack, the short active inhaler will not have any receptors to bind to, thus they won't work.
With that said, I would still take them, just know that there could be problems. The LABAs work very well. ...Read more