DUOVA INHALER -“ 9MCG + 6MCG
Duova Inhaler -9MCG + 6MCG is prescribed for the management of chronic obstructive pulmonary
disease (COPD) whose symptoms are quite similar to asthma including- shortness of breath, wheezing,
chronic cough with sputum production, tightness of the chest etc.
The two main active ingredients of Duova Inhaler -9MCG + 6MCG are- Tiotropium Bromide and
Formoterol Fumarate Dihydrate
How does it work:
Formoterol (long-acting beta-agonist) bronchodilator in Duova Inhaler works locally in the lungs and
helps in the smooth muscle in the airway walls to widen airways. Tiotropium (long-acting
anticholinergic) in Duova Inhaler works on specific receptors (muscarinic receptors) in the lung
bronchioles to stop the interaction of acetylcholine (a neurotransmitter or chemical messenger of the
nervous system) with muscarinic receptors. Both of these ingredients together reduces bronchospasm
and assists in relieving from the COPD symptoms by increasing air flow into the lungs.
How to use this?
Use Duova Inhaler as prescribed by your doctor, normally 2 puffs daily. If needed, use the spacer device
recommended by the manufacturer, and must use it for as long as it has been advised by your health
specialist. Do not immediately stop using it once you start to feel better.
Some common side-effects are- tremors, bronchitis, insomnia, rash, tonsillitis, upset stomach, nausea,
dysphonia, Viral Infection, high pressure in the eye, rapid heartbeat, dry mouth, and throat etc. Side-
effects like hypokalaemia and Paradoxical bronchospasm are very rare but serious one and requires
immediate medical attention.
Precautions and Warning:
If you are pregnant or are breastfeeding or allergic to atropine or its derivatives like ipratropium,
tiotropium, formoterol, or any ingredients in Duova Inhaler, avoid using this inhaler.
If you have or had diabetes, overactive thyroid, high blood pressure, congestive heart failure, epilepsy,
urinary problems glaucoma irregular heartbeat, heart disease, acute episode of bronchospasm, kidney
disease etc. consult your doctor before using this inhaler
If you are using other medications which interact with Duova Inhaler ingredients like- tricyclic
antidepressants (TCAs) such as amitriptyline, diuretics like furosemide or hydrochlorothiazide, MAOIs
like phenelzine etc., inform your health specialist.