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Dulera vs. Spiriva Handihaler

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.

• Maintenance treatment of asthma in people ages 5 years and older

• 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%)

• 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

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.

• Chronic obstructive pulmonary disease (COPD)
• Asthma in people age 6 years and older - Spiriva Respimat only

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%)

• 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