What is this medication?
Formoterol+Mometasone, Dulera (US)/Zenhale (Canada)
Beta agonist, long- acting, corticosteroid, inhalant (oral)
Brand Name US: Dulera
Canadian Equivalent: Zenhale
Indicated for treatment of asthma, chronic stable obstructive pulmonary disease.
How does this medication work?
Formoterol is a selective beta agonist that binds to beta2 receptors located on the bronchial smooth muscle causing the airway to dilate reducing the work required to breath.
Mometasone is a corticosteroid that exhibits anti-inflammatory activity which is important in controlling the pathogenesis of asthma. However, the exact mechanism of corticosteroids on asthma is unknown.
What should I watch for while using this medication?
Before starting Formoterol+Mometasone, Dulera/Zenhale make sure your physician is aware of any allergies or medications you currently take, that it can have a negative effect on the HPA axis through adrenal suppression, can cause immunosuppression and rare cases of vasculitis and bronchospasm have been reported.
How should I take this medication?
Oral inhalation: Two inhalations twice daily of mometasone 100 mcg/formoterol 5 mcg or mometasone 200 mcg/formoterol 5 mcg (maximum dose: mometasone 200 mcg/formoterol 5 mcg [2 inhalations] twice daily).
How to Take: Shake well prior to each inhalation. Administer as 2 inhalations twice daily (morning and evening). Prime before first use and when the inhaler has not been used for >5 days by releasing 4 test sprays into the air, away from the face, shaking well before each spray. Rinse mouth with water (without swallowing) and spit after each use. Clean mouthpiece with a dry wipe after every 7 days of use.
What if I miss a dose?
If you miss a dose of medication, try to take it as soon as possible. However, if it is almost time for your next dose, take only that scheduled dose. Do not take double or extra doses.
How should I store this medication?
Keep out of the reach of children at all times. Store at room temperature between 15°C and 25°C protected from heat and moisture.
If the inhaler is exposed to low temperatures, warm it to room temperature (by warming in the hand) before use.
What are the possible side effects of using this medication?
Oral candidiasis (rinse mouth with water without swallowing after each use to reduce risk), hoarseness, headache, sinusitis, nasopharyngitis.
Note this is not a complete list of side effects, only common ones.
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