Duova Rotacaps (Tiotropium Bromide/Formoterol)

✅ Key Benefits

• Dual bronchodilation combines long-acting muscarinic antagonist and beta₂ agonist effects

• Improves airflow and reduces exacerbations in asthma or COPD

• Capsule-based DPI ensures accurate dosing and breath-activated delivery

• Reusable format—easy to load and use with a Rotahaler inhaler

• Convenient for daily maintenance therapy, typically twice daily dosing

🎯 How to Use

1. Open the Rotahaler and place one Duova capsule in the chamber.

2. Pierce the capsule by twisting halves of the device.

3. Exhale fully, then inhale deeply through the mouthpiece to deliver medication.

4. Hold your breath for 5–10 seconds, then exhale slowly.

5. Dispose of the empty capsule and reassemble the device.

6. Clean the inhaler regularly—rinse and let it fully air-dry before reuse.

7. Use twice daily or as prescribed by your healthcare provider.

⚠️ Precautions

• Prescription-required inhaler therapy—under physician supervision

• Not for emergency relief—keep a fast-acting rescue inhaler available

• Do not use during acute bronchospasm or respiratory infection without medical advice

• Ensure the device is dry and clean prior to use to maintain dose delivery

• Replace inhaler device every 6 months, or when damaged or clogged

• Store in a cool, dry place, protected from moisture and heat

🤕 Possible Side Effects

• Common: Throat irritation, cough during inhalation

• Less common: Dry mouth, hoarseness, mild headache

• Occasional: Mild fungal infection in the mouth (thrush), voice changes

• If you experience wheezing, severe throat pain, or allergic reaction, discontinue use and seek medical advice

❓ Frequently Asked Questions (FAQs)

Q. What is Duova used for?
A. It’s a dual-bronchodilator therapy used twice daily to help manage airflow obstruction in asthma and COPD.

Q. Is this a rescue inhaler?
A. No—use it regularly for maintenance and always carry a short-acting inhaler for emergencies.

Q. How do I load the capsule?
A. Unlock the Rotahaler, insert the capsule, pierce it by twisting the halves, inhale the powder, and then discard the empty capsule.

Q. Can it be used long-term?
A. Yes—Duova can be used chronically, with regular monitoring as directed by your healthcare provider.