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  3. Duova Inhaler 200 mdi

Duova Inhaler 200 mdi, Pack of 1 INHALER
Duova Inhaler 200 mdi, Pack of 1 INHALER
Duova Inhaler 200 mdi, Pack of 1 INHALER
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Written By Lakshmithulasi Yarragunta ,
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Duova Inhaler 200 mdi is used to treat chronic obstructive pulmonary disease (COPD). It contains Formoterol and Tiotropium which work by relaxing and widening the airways, making it easier to breathe. In some cases, this medicine may cause side effects such as headache, dizziness, dry mouth, nausea, sore throat, and hoarseness. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.

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Composition :

FORMOTEROL-6MCG + TIOTROPIUM-9MCG

Manufacturer/Marketer :

Cipla Ltd

Consume Type :

INHALATION

Return Policy :

Not Returnable

Expires on or after :

About Duova Inhaler 200 mdi

Duova Inhaler 200 mdi is a respiratory medication primarily used to treat chronic obstructive pulmonary disease (COPD), like bronchitis (inflammation of the lining of your bronchial tubes) and emphysema (shortness of breath). It may also be used to treat asthma. COPD is a group of lung diseases that causes obstructed airflow from the lungs.

Duova Inhaler 200 mdi contains Formoterol (bronchodilator) and Tiotropium (anticholinergic). Duova Inhaler 200 mdi works by relaxing the muscles in the airways, thereby improving breathing and reducing symptoms such as wheezing, coughing, and shortness of breath.

The common side effects of Duova Inhaler 200 mdi include headache, dizziness, dry mouth, nausea, sore throat, and hoarseness. Most of these side effects of Duova Inhaler 200 mdi do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Do not use Duova Inhaler 200 mdi to treat sudden severe symptoms or as a rescue inhaler. Please check with your doctor if you are pregnant, breastfeeding, or taking other prescribed or non-prescribed medicines. Keep the doctor informed about your health condition and medications to rule out any side effects/interactions.

Uses of Duova Inhaler 200 mdi

Duova Inhaler 200 mdi is used in the treatment of chronic Obstructive Pulmonary Disease (COPD), including bronchitis and emphysema. The detailed uses of Duova Inhaler 200 mdi are as follows:

  • COPD treatment: Duova Inhaler 200 mdi is highly effective in managing chronic obstructive pulmonary disease (COPD), a progressive lung condition. It helps alleviate symptoms such as breathlessness and wheezing, thereby ensuring better respiratory function.
  • Inflammation control: Duova Inhaler 200 mdi is effective in reducing swelling in the airways, which makes it easier for individuals with respiratory conditions to breathe.

Directions for Use

  • It is recommended to take Duova Inhaler 200 mdi twice a day or as advised by your doctor.
  • It is a capsule with powdered medication which is placed in a Rotahaler/Transhaler, a plastic inhalation device that releases the medication when you breathe. The capsule should be placed at the base of the rotahaler/transhaler, and completely twist the mouthpiece until you hear a click sound. Then, breathe in through the mouthpiece deeply and hold your breath for 10 seconds. Remove the device and breathe out normally.
  • Remove the inhaler and hold your breath for a few seconds, then breathe out slowly.
  • Rinse your mouth with water and spit it out after using it to avoid fungal infections in the mouth and throat.
  • It is for inhalation only. Do not swallow the capsule.

Medicinal Benefits

Duova Inhaler 200 mdi is a respiratory medication primarily used to treat chronic obstructive pulmonary diseases (COPD) like bronchitis (inflammation of the lining of your bronchial tubes) and emphysema (shortness of breath). It may also be used to treat asthma. Duova Inhaler 200 mdi contains Formoterol (bronchodilator) and Tiotropium (anticholinergic). Duova Inhaler 200 mdi works by relaxing the muscles in the airways, thereby improving breathing and reducing symptoms such as wheezing, coughing, and shortness of breath.

How Duova Inhaler 200 mdi Works

Duova Inhaler 200 mdi contains Formoterol (bronchodilator) and Tiotropium (anticholinergic). Duova Inhaler 200 mdi works by relaxing the muscles in the airways, thereby improving breathing and reducing symptoms such as wheezing, coughing, and shortness of breath.

Storage

• Store in a cool and dry place away from sunlight.• Keep Duova Inhaler 200 mdi out of the sight and reach of children.• Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Duova Inhaler 200 mdi
  • Focus on eating nutrient-rich foods such as citrus fruits, spinach, ginger, garlic, turmeric, and fermented foods to improve immunity and general health.
  • Drink plenty of water to stay hydrated, and think about taking probiotics, zinc, vitamin C, and vitamin D supplements.
  • Adopt healthful practices such as leading a balanced lifestyle and remaining at home when necessary.
Here are the steps to manage the medication-triggered Upper respiratory tract infection:
  • Inform your doctor about the symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids to help loosen and clear mucus from your nose, throat, and airways.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
Here are the steps to Dry Mouth (xerostomia) caused by medication:
  • Inform your doctor about dry mouth symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Drink plenty of water throughout the day to help keep your mouth moist and alleviate dry mouth symptoms.
  • Chew sugar-free gum or candies to increase saliva production and keep your mouth moisturized.
  • Use saliva substitutes, such as mouthwashes or sprays, only if your doctor advises them to help moisturize your mouth and alleviate dry mouth symptoms.
  • Avoid consuming smoking, alcohol, spicy or acidic foods, and other irritants that may aggravate dry mouth symptoms.
  • Schedule regular dental check-ups to keep track of your oral health and handle any dry mouth issues as they arise.
  • Drink warm fluids such as warm water with honey, broth, soup or herbal tea to soothe sore throat.
  • Gargle with warm salt water.
  • Suck on lozenges to increase the production of saliva and soothe your throat.
  • Use a humidifier to soothe sore throat as it adds moisture to the air and makes breathing easier.
Here are the steps to manage the medication-triggered Sinusitis (Sinus infection or Inflammation Of Sinuses):
  • Consult your doctor if you experience symptoms of sinusitis, such as nasal congestion, facial pain, or headaches, which may be triggered by your medication.
  • Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your sinusitis symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • If your doctor advises, you can use nasal decongestants or saline nasal sprays to help relieve nasal congestion and sinus pressure.
  • To help your body recover, get plenty of rest, stay hydrated, and engage in stress-reducing activities. If your symptoms persist or worsen, consult your doctor for further guidance.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Managing back pain as a side effect of medication requires a combination of self-care techniques, lifestyle modifications, and medical interventions. Here are the steps:
  • Talk to your doctor about your back pain and potential medication substitutes or dose changes.
  • Try yoga or Pilates and other mild stretching exercises to increase flexibility and strengthen your back muscles.
  • To lessen the tension on your back, sit and stand upright and maintain proper posture.
  • To alleviate discomfort and minimize inflammation, apply heat or cold packs to the afflicted area.
  • Under your doctor's supervision, think about taking over-the-counter painkillers like acetaminophen or ibuprofen.
  • Make ergonomic adjustments to your workspace and daily activities to reduce strain on your back.
  • To handle tension that could make back pain worse, try stress-reduction methods like deep breathing or meditation.
  • Use pillows and a supportive mattress to keep your spine in the right posture as you sleep.
  • Back discomfort can worsen by bending, twisting, and heavy lifting.
  • Speak with a physical therapist to create a customized training regimen to increase back strength and flexibility.

What if I have taken an overdose of Duova Inhaler 200 mdi

Do not exceed the recommended dose, as it might cause an overdose. If you suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

Do not use Duova Inhaler 200 mdi if you are allergic to any of its components. Inform the doctor if you have heart, liver, or kidney diseases, high blood pressure, hypokalaemia (low potassium levels in the blood), aneurysm (swelling of an artery), pheochromocytoma (adrenal gland tumour), hyperadrenocorticism (high levels of cortisol), eye disorders like cataract and glaucoma, chickenpox or measles, immune system problem, seizure (fits), osteoporosis (weak and brittle bones) or diabetes. Special precautions should be taken in patients with a fungal, bacterial, parasitic, or viral infection and tuberculosis since nasal or inhaled corticosteroids can cause secondary infections. Duova Inhaler 200 mdi can cause a rise in blood glucose levels. Hence, monitor your blood glucose levels regularly and inform your doctor if you already have diabetes before using Duova Inhaler 200 mdi. Duova Inhaler 200 mdi may affect the unborn baby during pregnancy. Please let your doctor know if you plan to become pregnant, are already pregnant, or are a lactating mother. Duova Inhaler 200 mdi is not recommended for children below five years of age.

Drug-Drug Interactions

verifiedApollotooltip
FormoterolPenbutolol
Severe
FormoterolCarteolol
Severe

Drug-Drug Interactions

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FormoterolPenbutolol
Severe
How does the drug interact with Duova Inhaler 200 mdi:
Using Duova Inhaler 200 mdi together with penbutolol can reduce the effect of both medications.

How to manage the interaction:
There may be a possibility of interaction between Penbutolol and Duova Inhaler 200 mdi, but it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolCarteolol
Severe
How does the drug interact with Duova Inhaler 200 mdi:
Taking carteolol with Duova Inhaler 200 mdi can reduce the effects of both drugs.

How to manage the interaction:
Although there is an interaction between Carteolol and Duova Inhaler 200 mdi, they can be taken together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
FormoterolEpinephrine
Severe
How does the drug interact with Duova Inhaler 200 mdi:
Using epinephrine together with Duova Inhaler 200 mdi may increase the risk of irregular heart rhythm.

How to manage the interaction:
Although taking Duova Inhaler 200 mdi and Epinephrine together can cause an interaction, it can be taken if your doctor has suggested it. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolRibociclib
Severe
How does the drug interact with Duova Inhaler 200 mdi:
Taking ribociclib together with Duova Inhaler 200 mdi can increase the risk of an irregular heart rhythm

How to manage the interaction:
Co-administration of Duova Inhaler 200 mdi with Ribociclib can possibly result in an interaction, but it can be taken if your doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, or shortness of breath, contact your doctor right away. Do not stop using any medications without first talking to your doctor.
FormoterolPropranolol
Severe
How does the drug interact with Duova Inhaler 200 mdi:
Coadministration of propranolol with Duova Inhaler 200 mdi can reduce the effects of both medications.

How to manage the interaction:
Although taking propranolol and Duova Inhaler 200 mdi together can result in an interaction, it can be taken if your doctor has prescribed it. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolSotalol
Severe
How does the drug interact with Duova Inhaler 200 mdi:
Taking sotalol with Duova Inhaler 200 mdi could reduce the benefits of both medications because they have opposite effects on the body.

How to manage the interaction:
Although there is an interaction between Sotalol and Duova Inhaler 200 mdi, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
FormoterolLabetalol
Severe
How does the drug interact with Duova Inhaler 200 mdi:
Co-administration of labetalol and Duova Inhaler 200 mdi together could decrease the effects of both medications.

How to manage the interaction:
Although taking Labetalol and Duova Inhaler 200 mdi together can result in an interaction, it can be taken if a doctor has prescribed it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without talking to a doctor.
FormoterolCarvedilol
Severe
How does the drug interact with Duova Inhaler 200 mdi:
Using Duova Inhaler 200 mdi and Carvedilol together may reduce the effects of both medications.

How to manage the interaction:
Although there is an interaction between Duova Inhaler 200 mdi and Carvedilol, they can be taken together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
FormoterolTimolol
Severe
How does the drug interact with Duova Inhaler 200 mdi:
Taking timolol with Duova Inhaler 200 mdi could reduce the benefits of both medications because they have opposite effects on the body.

How to manage the interaction:
Although taking Duova Inhaler 200 mdi and timolol together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience any unusual symptoms, contact your doctor immediately. Do not stop using any medications without talking to your doctor.
FormoterolNadolol
Severe
How does the drug interact with Duova Inhaler 200 mdi:
Taking nadolol with Duova Inhaler 200 mdi together could decrease the effects of both medications.

How to manage the interaction:
There may be a possibility of interaction between Duova Inhaler 200 mdi and Nadolol, but it can be taken if prescribed by a doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Know your triggers, such as allergens like pollen, dust, and food items, that make your asthma severe.
  • Quit smoking and avoid passive smoking. Smoking also reduces the effectiveness of the medicine.
  • Eat a healthy diet and exercise regularly to strengthen your breathing muscles and boost your immune system.
  • Learning breathing exercises will help you breathe more effectively.

Habit Forming

No

Therapeutic Class

RESPIRATORY STIMULANTS

Duova Inhaler 200 mdi Substitute

Substitutes safety advice

Product Substitutes

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Alcohol

Unsafe

Avoid drinking alcohol while taking this medicine, as it can worsen your side effects.

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Pregnancy

Consult your doctor

Duova Inhaler 200 mdi is not recommended to use during pregnancy since it may have harmful effects on the unborn baby. Please consult your doctor if you are planning to conceive or are already pregnant before starting Duova Inhaler 200 mdi.

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Breast Feeding

Consult your doctor

It is not known if this drug passes into breast milk. Consult your doctor before breastfeeding.

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Driving

Unsafe

Do not drive or operate machinery if you experience drowsiness and increased/uneven heart rate while using Duova Inhaler 200 mdi. This may affect your ability to drive. Seek medical attention if the symptoms persist longer.

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Liver

Caution

Duova Inhaler 200 mdi should be used with caution in patients with liver diseases. Let your doctor know if you have any history of liver diseases or hepatic impairment. Your doctor will weigh the benefits and potential risks before prescribing Duova Inhaler 200 mdi.

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Kidney

Caution

Duova Inhaler 200 mdi should be used with caution in patients with kidney diseases. Let your doctor know if you have any history of kidney disease. Your doctor will weigh the benefits and potential risks before prescribing Duova Inhaler 200 mdi.

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Children

Consult your doctor

Duova Inhaler 200 mdi is not recommended for use in children less than five years of age. The dose may have to be adjusted by your doctor depending on the child's condition and age.

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Heart

Duova Inhaler 200 mdi may increase the risk of cardiovascular side effects. Please inform your doctor if you have any history of heart disease before taking Duova Inhaler 200 mdi.

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Geriatrics

Caution

Duova Inhaler 200 mdi should be used with caution in elderly patients, as it may increase the risk of falls and cardiovascular events. The doctor will weigh the benefits and risks of Duova Inhaler 200 mdi before prescribing it.

Have a query?

FAQs

Duova Inhaler 200 mdi is used to treat chronic obstructive pulmonary diseases (COPD), including bronchitis (inflammation of the lining of your bronchial tubes) and emphysema (shortness of breath)

Duova Inhaler 200 mdi works by relaxing the muscles in the airways, thereby improving breathing and reducing symptoms such as wheezing, coughing, and shortness of breath.

Formoterol in Duova Inhaler 200 mdi may cause dry mouth as a temporary side effect in some people. It is not necessary for everyone taking Duova Inhaler 200 mdi to experience this side effect. However, to avoid such side effects, drink plenty of water, regularly rinse your mouth, practice good oral hygiene and suck on sugarless candy. However, if the condition persists or worsens, please consult a doctor.

Duova Inhaler 200 mdi is not used for sudden breathing problems; your doctor may suggest a rescue inhaler.

Country of origin

India

Manufacturer/Marketer address

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Other Info - DUO0120

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Author Details

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Aug 10, 2025 | 12:21 PM IST

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Reference

  1. https://www.lxir.in/products/ludotrop-f/
  2. https://www.tradeindia.com/products/tiotropium-bromide-and-formoterol-fumarate-dihydrate-rotacaps-c7231318.html
  3. https://chemist180.com/products/productdetails/tioform-rotacaps?srsltid=AfmBOooQi9AYgZG1jvOIjHjKwEEL-bo3jacQYIe7MUqeYxNUB-c6C0PS
  4. https://www.truemeds.in/medicine/duova-1218-mcg-rotacap-30-tm-roap1-000032
  5. https://www.indiamart.com/proddetail/tiotropium-bromide-formoterol-fumarate-dihydrate-rotacaps-23698518630.html?srsltid=AfmBOorReZB8ICirfynY_QhzpU2SqLWuugN2Cbwmp-8w2A2WWR7IYvNl

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