Duova Multihaler

Your doctor will tell you how often you need to use your inhaler. The effect of this medicine may be noticeable after a few days but will only reach its maximum after a few weeks. This medicine must be used regularly to be effective, so go on taking it even if you don't have any symptoms. That means it’s doing its job. If you stop taking it your COPD may get worse. To get the benefit from this medicine you need to make sure you get your inhaler technique right, otherwise, it Does not work as well.

The most common side effects are nausea, diarrhea, dryness in mouth, vomiting, dizziness, nasopharyngitis (inflammation of the throat and nasal passages), and insomnia. If you get there, don’t stop taking it but do talk to your doctor. You can prevent some of these symptoms by rinsing your mouth and throat with water or brushing your teeth after using your inhaler. There are other, rarer side effects which can be serious. Talk to your doctor if you're worried about them.

Before taking this medicine, you should tell your doctor if you are pregnant, planning pregnancy or breastfeeding.

• Chronic obstructive pulmonary disease (COPD)

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Check the label for directions before use. Hold the multihaler by the base and open the mouth piece cover. Slide the knob until you a hear a click. Place the mouthpiece between your lips and breath in deeply. Remove the multihaler and hold your breath for 10 seconds. Afterwards, rinse your mouth thoroughly with water and spit it out.

Duova Multihaler is a combination of two medicines: Formoterol and Tiotropium. Formoterol is a bronchodilator while Tiotropium is an anticholinergic. They work by relaxing the muscles in the airways and widen the airways. Together, they make breathing easier.