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Duaklir Pressair (Generic Formoterol Oral Inhalation)

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Why is this medication prescribed?

Duaklir Pressair is a medication prescribed for the treatment of chronic obstructive pulmonary disease (COPD). It is specifically used to help manage symptoms of COPD, such as chronic bronchitis and emphysema. Duaklir Pressair contains two active ingredients:

  • Aclidinium bromide: A long-acting muscarinic antagonist (LAMA) that helps relax and open the airways in the lungs, making it easier to breathe.
  • Formoterol fumarate: A long-acting beta2-adrenergic agonist (LABA) that also helps relax muscles in the airways to improve breathing.

By combining these two medications, Duaklir Pressair helps to improve lung function, reduce symptoms such as shortness of breath, and decrease the frequency of COPD exacerbations (flare-ups).

How should this medicine be used?

How Duaklir Pressair Should Be Used:

  • Inhalation Device: Duaklir Pressair comes as a dry powder inhaler. It is essential to use the inhaler correctly to ensure the medication is delivered effectively to the lungs.
  • Dosage: The typical dosage is one inhalation twice a day, usually once in the morning and once in the evening. The exact dosage and frequency should be determined by a healthcare provider based on the patient’s specific condition and needs.
  • Instructions for Use:
    • Remove the cap from the inhaler.
    • Breathe out fully, away from the inhaler.
    • Place the mouthpiece in your mouth and close your lips around it.
    • Inhale quickly and deeply through your mouth to ensure the medication reaches your lungs.
    • Hold your breath for as long as comfortable, then breathe out slowly.
    • Replace the cap on the inhaler after use.
    • Make sure to rinse your mouth with water and spit it out after inhalation to reduce the risk of oral thrush.
  • Regular Use: It is important to use Duaklir Pressair regularly, even if you feel well, to maintain control over COPD symptoms. It is not intended for the relief of acute bronchospasm or sudden breathing problems.
  • Storage: Store the inhaler at room temperature, away from moisture and heat. Ensure the inhaler is kept clean and dry, and discard it when the dose indicator shows that it is empty.

Always follow your healthcare provider’s instructions and read the patient information leaflet that comes with the medication for detailed usage guidelines and any potential side effects or precautions.

Other uses for this medicine

Currently, Duaklir Pressair is primarily prescribed for the treatment of chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. It is not generally prescribed for other conditions. Off-label uses are rare and would be at the discretion of a healthcare provider based on their clinical judgment.

What special precautions should I follow?

Special Precautions for Duaklir Pressair:

  • Allergies: Inform your doctor if you have any allergies to aclidinium, formoterol, or any other medications. Also, inform them about any other allergies you have, such as to foods, dyes, preservatives, or animals.
  • Medical History: Provide a complete medical history, especially if you have:
    • Heart problems (e.g., irregular heartbeat, chest pain)
    • High blood pressure
    • Diabetes
    • Seizure disorders
    • Thyroid problems
    • Glaucoma
    • Prostate problems or difficulty urinating
  • Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss with your doctor whether Duaklir Pressair is safe for you to use.
  • Other Medications: Inform your healthcare provider about all medications you are currently taking, including prescription, over-the-counter drugs, vitamins, and herbal supplements, as there could be potential interactions.
  • Avoiding Certain Activities: Duaklir Pressair may cause dizziness or blurred vision. Avoid driving, using machinery, or performing activities that require alertness until you know how the medication affects you.
  • Infections: Since inhaled medications can sometimes increase the risk of infections, inform your doctor if you have or suspect you have any infections, particularly tuberculosis, or if you have been exposed to measles or chickenpox.
  • Asthma: Duaklir Pressair is not indicated for the treatment of asthma. Using it for asthma without a long-term asthma control medication can increase the risk of asthma-related death.
  • Inhaler Technique: Ensure you understand how to use the inhaler correctly. Improper use may result in inadequate medication delivery.
  • Regular Monitoring: Regular follow-ups with your healthcare provider are necessary to monitor your condition and response to treatment. Inform your doctor if your symptoms do not improve or if they worsen.
  • Storage: Store the inhaler at room temperature, away from moisture and heat, and keep it out of the reach of children.

Always follow your healthcare provider’s instructions and the guidelines provided with the medication to ensure safe and effective use.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with the use of Duaklir Pressair. However, maintaining a balanced diet can support overall health and well-being, particularly for individuals with COPD. Discuss with your healthcare provider or a dietitian if you have any specific dietary concerns or conditions that might require dietary modifications.

What should I do if I forget a dose?

  • If you miss a dose of Duaklir Pressair, take it as soon as you remember.
  • If it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule.
  • Do not take a double dose to make up for a missed one.

What side effects can this medication cause?

Duaklir Pressair, like any medication, can cause side effects in some individuals. Common side effects may include:

  • Dry mouth: This is one of the most common side effects of Duaklir Pressair. It can be alleviated by drinking water or using sugar-free lozenges.
  • Sore throat: Some people may experience irritation or soreness in the throat after using Duaklir Pressair.
  • Nasopharyngitis (inflammation of the nose and throat): This may cause symptoms such as a runny or stuffy nose, sneezing, and sore throat.
  • Headache: Headaches are a common side effect reported by some individuals using Duaklir Pressair.
  • Cough: A persistent cough may occur as a side effect of Duaklir Pressair.
  • Back pain: Some individuals may experience back pain while using Duaklir Pressair.
  • Urinary tract infections (UTIs): In some cases, urinary tract infections may occur as a side effect of this medication.
  • Increased heart rate (tachycardia): Rapid heartbeat or palpitations may occur in some individuals.
  • Gastrointestinal issues: These may include nausea, vomiting, diarrhea, or constipation.
  • Muscle spasms: Some individuals may experience muscle cramps or spasms as a side effect.
  • Blurred vision: Rarely, Duaklir Pressair may cause blurred vision or other visual disturbances.

It’s essential to note that not everyone will experience these side effects, and some individuals may experience side effects not listed here. If you experience any concerning or persistent side effects while using Duaklir Pressair, it’s important to consult your healthcare provider for guidance. They can provide personalized advice and may adjust your treatment regimen if necessary.

What should I know about storage and disposal of this medication?

Storage and disposal of Duaklir Pressair:


  • Room Temperature: Store Duaklir Pressair at room temperature, between 68°F and 77°F (20°C and 25°C). Avoid storing it in extremely hot or cold environments.
  • Moisture and Heat: Keep the inhaler away from excessive moisture and heat. Do not store it in the bathroom.
  • Out of Reach of Children: Ensure the inhaler is kept in a secure place out of the reach of children and pets.
  • Original Packaging: Store the inhaler in its original packaging until ready for use to protect it from damage.


  • Empty Inhaler: Dispose of the inhaler when the dose indicator shows a zero, indicating it is empty.
  • Proper Disposal: Do not throw the inhaler in household trash. Follow any local guidelines for disposing of medical devices. Many areas have specific disposal programs for inhalers.
  • Pharmacy Return: You can return the used inhaler to a pharmacy that offers a take-back program.

In case of emergency/overdose

  • Seek Emergency Help: If you suspect an overdose, contact emergency medical services immediately or go to the nearest emergency room.
  • Poison Control Center: You can also contact the Poison Control Center at 1-800-222-1222 for guidance on managing an overdose.

What other information should I know?

  • Follow the prescribed dosage and administration instructions provided by your healthcare provider.
  • Do not exceed the recommended dosage or frequency of use unless instructed by your healthcare provider.
  • Inform your healthcare provider about any other medications you are taking, including prescription and over-the-counter drugs, as well as any supplements.
  • Inform your healthcare provider about any allergies or medical conditions you have before using Duaklir Pressair.
  • Report any adverse reactions or side effects to your healthcare provider promptly.
  • Attend regular follow-up appointments with your healthcare provider to monitor your COPD and adjust treatment as needed.

Remember, always consult your healthcare provider or pharmacist for specific guidance tailored to your individual needs and circumstances regarding the storage, disposal, and emergency procedures for Duaklir Pressair.

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