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Compare Dulera vs. Spiriva Handihaler

Head-to-head comparisons of medication uses, side effects, warnings, and more.

  • Dulera (mometasone / formoterol)
    Spiriva (tiotropium)
  • Dulera (mometasone / formoterol)
    Spiriva (tiotropium)

  • Summary of Dulera vs. Spiriva Handihaler

    Summary for ICS / LABA
    Prescription only

    Dulera (mometasone / formoterol) is an inhaler that's used for the maintenance treatment of asthma in adults and children. It's a combination medication containing an inhaled corticosteroid (ICS) and a long-acting beta agonist (LABA) that work together to help make breathing easier. Dulera (mometasone / formoterol) is inhaled through the mouth twice per day. But the specific dosage depends on how old you are and how severe your asthma symptoms are. Side effects include common cold symptoms and headache. This medication isn't available as a lower-cost generic yet.

    Summary for LAMA
    Prescription only

    Spiriva (tiotropium) is a medication used to help control chronic obstructive pulmonary disease (COPD) and asthma. There are two different Spiriva inhalers: Spiriva Respimat is a metered-dose inhaler, and Spiriva HandiHaler is a device that you place a capsule of medication into before you take the medication. The typical dosage for Spiriva (tiotropium) is two inhalations once a day, but the dose depends on the reason you're using it. Side effects include dry mouth, cough, and upper respiratory tract infections. Only Spiriva HandiHaler is also available as a generic version.

  • Indications of Dulera vs. Spiriva Handihaler

    Indications for
    •Maintenance treatment of asthma in people ages 5 years and older
    Indications for
    •Chronic obstructive pulmonary disease (COPD)
    •Asthma in people age 6 years and older - Spiriva Respimat only

  • Pros and Cons of Dulera vs. Spiriva Handihaler

    Pros and Const for ICS / LABA
    Pros
    •Works well to improve lung function and lessen asthma symptoms
    •Combines two different asthma medications into a single inhaler for convenience
    •Can use with a spacer if you have trouble using the inhaler
    Cons
    •Doesn't replace your rescue inhaler
    •Need to inhale 2 puffs twice daily for it to work well
    •Can raise your risk for infections
    Pros and Const for LAMA
    Pros
    •Helps prevent attacks or flare-ups
    •Has few side effects
    •Used once daily
    •Doesn't commonly cause a fast heart rate like some other bronchodilators
    •Available as a lower-cost generic (Spiriva HandiHaler only)
    Cons
    •Doesn't work fast enough to be used as a rescue inhaler for attacks
    •Can be difficult for some people to use
    •Can cause dry mouth as a side effect
    •Only Spiriva Respimat can be used for asthma in children 6 years and older
    •Spiriva Respimat is currently only available as brand name

  • Common Side Effects of Dulera vs. Spiriva Handihaler

    Common Side Effects for
    •Sore throat, stuffy nose, and other symptoms of the common cold (5%)
    •Headache (up to 5%)
    •Pressure in the sinuses and other symptoms of a sinus infection (up to 3%)
    Common Side Effects for

    Spiriva HandiHaler and generic

    •Upper respiratory tract infection (41%)
    •Dry mouth (16%)
    •Sinus inflammation (11%)
    •Sore throat (9%)
    •Urinary tract infection (7%)
    •Chest pain (7%)

    Spiriva Respimat

    •Sore throat (12%)
    •Cough (6%)
    •Dry mouth (4%)
    •Sinus inflammation (3%)

  • Warnings of Dulera vs. Spiriva Handihaler

    Common Side Effects for
    •Not for use for asthma attack or worsening breathing
    •Fungal infection in the mouth (oral thrush)
    •Sudden narrowing of your airways (bronchospasm)
    •Higher risk of infections
    •Caution when switching from oral to inhaled steroids
    •Changes in stress hormone levels
    •Heart problems
    •Delayed growth in children
    •Eye and vision problems
    •Low potassium levels in the blood
    Common Side Effects for
    •Not a rescue inhaler
    •Allergic reaction
    •Sudden airway tightening (paradoxical bronchospasm)
    •Worsening glaucoma
    •Urination problems
    •Higher risk for side effects in people with kidney problems

  • Prices with our coupons for Dulera vs. Spiriva Handihaler

    Learn more about Dulera
    Learn more about Spiriva

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