Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Is The Ideal Dosage For Dulera?
Question: I WANT TO REDUCE MY DULERA THAT I HAVE BEEN ON FOR SEVERAL YEARS AT 200 mg two puffs a day .Went to my pulmonary doct and he reduced it to 100mg twice a day two puffs.Come back in a month he said.I'm not liking the dose..it's not enough.Now I'm taking 3 puffs a day twice a day.That little bit made a difference.It's not as much as I was taking.Yet more than prescribed.I don't want to be on inhalers forever.or st least that dose.of 200 mg twice a day.I do not understand the logic of cutting it in half.
I have upped the 100mg of Dulera on my own by one extra puff.adds to 300mg...600mg is still less than the 800mg total for day.why is there no in between recommended dosing?
I have upped the 100mg of Dulera on my own by one extra puff.adds to 300mg...600mg is still less than the 800mg total for day.why is there no in between recommended dosing?
Brief Answer:
Inhaled treatment is best treatment.
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Inhaled treatment is best treatment for breathing difficulty. Inhaled treatment acts directly on lungs, so systemic side effects are minimal and we can get desired effect quickly and precisely.
So better to continue inhaler. It is good for you.
Along with inhaler, you should also take combination of antihistamine and anti allergic drugs.
Before commenting on doses I would like to know
1. What is your weight?
2. Do you have allergies?
3. Do you smoke?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Inhaled treatment is best treatment.
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Inhaled treatment is best treatment for breathing difficulty. Inhaled treatment acts directly on lungs, so systemic side effects are minimal and we can get desired effect quickly and precisely.
So better to continue inhaler. It is good for you.
Along with inhaler, you should also take combination of antihistamine and anti allergic drugs.
Before commenting on doses I would like to know
1. What is your weight?
2. Do you have allergies?
3. Do you smoke?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
239 weight.JUST WANT TO KNOW IF YOU HEARD OF OFF LABEL PRESCRIBING OF DULERA.I need the stuff.I know that.No dispute.it comes in two doses. YES HAVE ALLEGIES..THIS IS INTRISNIC ASTHMA.HAD PERICSRDITIS AS CHILD.REMOVED SAC SROUND HEART. PART OF THE REASON FOR HIGHER.DOSAGE
Never smoked
HE NEVER PRESCRIBED THE IN BETWEEN DOSE
Doctor hears hitch in breathing..probably since having pericardectomy
Had that done at age 17Trying to reduce side effects
Have not heard back about dosing..need to understand logic of dosing
Never smoked
HE NEVER PRESCRIBED THE IN BETWEEN DOSE
Doctor hears hitch in breathing..probably since having pericardectomy
Had that done at age 17Trying to reduce side effects
Have not heard back about dosing..need to understand logic of dosing
Brief Answer:
Ideally, LABA should be taper off first.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Dukera is having mometasone and formoterol.
Mometasone is inhaled corticosteroid (ICS) and formoterol is long acting beta 2 agonist (LABA).
If asthma patient is stable fir atleast 6-8 months with particular dose than we can plan for taper down the dose.
Stability determined on the basis of PFT (Pulmonary Function Test) and symptoms.
If patient is stable then first LABA should be taper down to half dose.
Continue with reduced dose for 3 months. Again get done PFT. If PFT is stable then stop LABA and give only ICS. Do PFT again and taper ICS two half dose and so on.
So ideally LABA should be taper down first and then ICS.
Please let me know
1. What was last your PFT readings?
2. Do you still have allergies?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Ideally, LABA should be taper off first.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Dukera is having mometasone and formoterol.
Mometasone is inhaled corticosteroid (ICS) and formoterol is long acting beta 2 agonist (LABA).
If asthma patient is stable fir atleast 6-8 months with particular dose than we can plan for taper down the dose.
Stability determined on the basis of PFT (Pulmonary Function Test) and symptoms.
If patient is stable then first LABA should be taper down to half dose.
Continue with reduced dose for 3 months. Again get done PFT. If PFT is stable then stop LABA and give only ICS. Do PFT again and taper ICS two half dose and so on.
So ideally LABA should be taper down first and then ICS.
Please let me know
1. What was last your PFT readings?
2. Do you still have allergies?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
