Duova Rotacaps (Formoterol 12mcg / Tiotropium 18mcg)

What is DUOVA?

DUOVA contains Formoterol and Tiotropium Bromide
Formoterol belongs to a group of medicines called ‘long-acting beta-agonists’ or bronchodilators’
Tiotropium Bromide belongs to a group of medicines called anticholinergic bronchodilator

What DUOVA is used for?

It is used to treat,

Asthma
Chronic obstructive pulmonary disease (COPD)

Warning & Precautions

Talk to your Doctor, if you:

Are allergic to formoterol, tiotropium or any other ingredients of this medicine
Are diabetic
Have high blood pressure
Have heart attack (myocardial infarction) during the last 6 months, or irregular heart beat
Severe heart failure in the past year
Have problems with your thyroid gland
Have low levels of potassium in your blood
Have severe liver problems such as liver cirrhosis
Have narrow angle glaucoma
Have prostate problems or have difficulty passing urine
Have any kidney problems

Interactions

Tell your doctor if you are taking:

Beta-blocker medicines (such as atenolol or propranolol for high blood pressure), including eyedrops (such as timolol for glaucoma)
Medicines for a fast or uneven heart beat (such as quinidine)
Digoxin, often used to treat heart failure
Diuretics (such as furosemide)
Steroid medicines that you take by mouth (such as prednisolone)
Xanthine medicines (such as theophylline or aminophylline)
Erythromycin (used to treat infections)
Anti-histamines (such as terfenadine)
Other substances that dilate the airways (bronchodilators, such as salbutamol)
Ephedrine (used to treat asthma or as a decongestant)
Tricyclic anti-depressants (such as amitriptyline)
Ipratropium or oxitropium used to treat COPD
Methylxanthines e.g. theophylline

Related Product

Directions & For Use

Always use this medicine exactly as your doctor has told you
Pull the cap upwards
Hold the base of the inhaler firmly and open the mouthpiece by pulling it upwards, in the direction of the arrow
Remove a DUOVA from the bottle immediately before use and close the bottle tightly. Place one medicine in the capsule-shaped compartment in the base of the inhaler. Do not store the medicine in the inhaler
Never place a medicine directly into the mouthpiece. Close the mouthpiece until you hear a click, leaving the cap open
Hold the inhaler with the mouthpiece upwards, and firmly press the piercing button completely in only once. Release the button. This will pierce the medicine and allows the medication to be released when you breathe in Breath out fully. It is important to do this away from the mouthpiece. Avoid breathing into the mouthpiece at any time
Place the mouthpiece in your mouth and keep your head in an upright position. Close your lips around the mouthpiece and breathe in slowly and deeply enough to hear or feel the medicine vibrating inside the compartment. Hold your breath for as long as you comfortably can whilst taking the inhaler out of your mouth. Then breathe normally. Repeat steps 7 and 8 to empty the medicine completely
If you take more DUOVA

If you have taken more DUOVA, talk to your doctor or local hospital accident and emergency department
If you forgot to take DUOVA

Do not take a double dose to make up for forgotten individual doses. If you have forgotten to take your medicine, take it as soon as you remember. If your next dose is due within 2 hours, take the dose now and skip the next one
If you stop taking DUOVA

Do not stop taking this medicine until the doctor has told you to do so

Side Effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Formoterol

Bronchospasm (tightening of the muscles in the airways which causes sudden wheezing)
Tiotropium Bromide

Allergic reactions such as swelling of the face or throat (angioedema), dizziness
Shortness of breath
Unexpected tightness of the chest, coughing, breathlessness immediately after inhalation (known as bronchospasm)

Storage

Protect from excess heat and light
Keep this medicine out of reach of children
Store at room temperature (15-25°C)
Do not use this medicine after the expiry date