| Pack Size | Qty | Price Per Pill or Unit | Price | Offer | ||
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| 30 Rotacaps | US$ 0.62 | US$ 18.50 |
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| 60 Rotacaps | US$ 0.58 | US$ 35.005%US$ 37.00 |
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| 90 Rotacaps | US$ 0.56 | US$ 50.0010%US$ 55.50 |
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Description
| SKU | 1126 |
|---|---|
| Generic For | Duova Rotacaps |
| Strength | 18mcg + 12mcg |
| Active Ingredient | Tiotropium Bromide and Formoterol Fumarate |
Duova Rotacaps 18mcg + 12mcg for Asthma — Order Online
Duova Rotacaps 18mcg/12mcg is a combination prescription drug to relieve breathing problems in patients with chronic obstructive pulmonary disease (COPD). This long-standing lung disease causes shortness of breath and coughing. It is also used to treat wheezing, coughing, and breathing difficulties associated with respiratory conditions such as COPD.
Duova Rotacaps comprises two active pharmaceutical ingredients called Tiotropium Bromide and Formoterol Fumarate. Tiotropium is an anticholinergic agent that acts on the smooth muscles of the airways and inhibits the effects of acetylcholine, thereby preventing airway contraction. This, in turn, opens the airways in the lungs and makes it easier to get air in and out, whereas Formoterol is a long-acting beta agonist. It helps relax the muscles of the airways and widens them to facilitate easier breathing.
Usage methods of Tiotropium Bromide and formoterol fumarate rotacaps
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The dosage will be determined as per the patient's condition; therefore, it is advised to take this medication as directed by your healthcare specialist. Duova is available as Rotacaps and should not be swallowed; it is to be taken by inhalation only through a Rotahaler. Take the clean Rotahaler and insert the Rotacaps capsule into it, keeping it upright. Then rotate it to a horizontal position to open the capsule shell. Then, gently breathe out fully, place the mouthpiece between your lips, take a full, deep breath in through your mouth, and hold it for up to ten seconds. After that, take a normal breath and discard the empty capsule shell.
Always take this medication as prescribed by your health care professional. If you miss one or more doses, take the next dose at the scheduled time. Do not take a double dose at one time. The overdose of any drug can cause severe effects. The overdose of any medicine will cause you adverse effects, and sometimes it may be poisonous too. In any case of an overdose, you should contact your doctor right away.
Precautions and warnings with Tiotropium Bromide and formoterol fumarate rotacaps:
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Duova Rotacaops 18mcg/12mcg should not be used in patients who are hypersensitive to the active ingredient or any other component of this formulation. It should not be given to a pregnant woman or to those who are planning to get pregnant in the near future. A breastfeeding mother must not take this medication, as there is a possibility of passing this medication through breast milk. Before you use Duova 18/12mcg rotacaps, inform your healthcare specialist if you have seizures, epilepsy, or liver disease. Kidney disease, thyroid disorders, glaucoma, liver disorder, enlarged prostate or difficulty in urination. Also, please inform your healthcare specialist of any current medications, especially other inhalers, corticosteroids, or beta blockers.    Â
Side effects associated with Tiotropium Bromide and formoterol fumarate rotacaps
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Like all medicines, Duova Rotacaps 18mcg/12mcg may cause adverse effects ranging from mild to moderate. Common side effects of Duova Rotacaps include cough, sore throat, muscle cramps, palpitations or increased heart rate, dry mouth, headache, dizziness, constipation, tremors, or nervousness. The medication can contribute to serious side effects as well. These include chest pain, trouble breathing, or allergic reactions such as severe rash, severe dizziness, or swelling. These adverse effects are rare but require immediate medical help.Â
What is Duova Rotacaps 18mcg + 12mcg used for?
Duova Rotacaps is used to treat chronic obstructive pulmonary disease (COPD), a long-term lung condition that makes breathing difficult. It contains two medicines: tiotropium (a long-acting bronchodilator that keeps airways open) and formoterol (a fast-acting bronchodilator that relieves breathing problems). Together, they help improve airflow in your lungs, reduce breathlessness, and prevent flare-ups. You inhale the powder directly into your lungs using the rotacap inhaler device. Your doctor will prescribe this medicine based on your individual breathing needs.
How does Duova Rotacaps 18mcg + 12mcg work in the body?
Duova Rotacaps work by combining two medicines that help your airways stay open. Tiotropium (a long-acting bronchodilator) relaxes the muscles around your airways for up to 24 hours, keeping them open constantly. Formoterol (another bronchodilator) works faster and also relaxes those muscles. Together, they make breathing easier by preventing airway narrowing, reducing wheezing and shortness of breath throughout the day and night.
How do I use the Duova Rotacaps 18mcg + 12mcg inhaler correctly?
Load one rotacap into the inhaler chamber, then pierce it by pressing the buttons on both sides. Breathe out fully, place the mouthpiece in your mouth, and inhale deeply and steadily until the capsule is empty — you'll hear a clicking sound as the powder is drawn in. Hold your breath for a few seconds, then breathe out slowly. Use your inhaler once daily, usually in the morning. Always rinse your mouth with water after use to prevent throat irritation.
What should I do if I miss a dose of Duova Rotacaps 18mcg + 12mcg?
If you miss a dose of Duova Rotacaps, use it as soon as you remember. However, if it's almost time for your next scheduled dose, skip the missed dose and use your next one at the regular time. Never use two doses together to make up for a missed one. Since Duova is a maintenance inhaler taken regularly to prevent symptoms, missing occasional doses is less critical than with rescue inhalers, but consistency matters for best control. Contact your doctor if you frequently miss doses.
How will I know if Duova Rotacaps 18mcg + 12mcg is working for me?
You'll know Duova is working when you notice easier breathing, fewer wheezing episodes, and less shortness of breath during daily activities. You may also need your rescue inhaler less often. Your peak flow readings (measurements of how fast you can exhale) may improve when checked at home or at your doctor's clinic. Some people feel relief within days, while others take 2–4 weeks to notice full benefits. Keep a diary of your symptoms to track progress, and discuss any concerns with your doctor during regular check-ups.
How quickly does Duova Rotacaps 18mcg + 12mcg work when I am having breathing difficulty?
Duova Rotacaps works gradually over hours, not minutes, so it is not a rescue inhaler for sudden breathing difficulty. The formoterol (a fast-acting bronchodilator [medicine that opens airways]) component begins working within 5–15 minutes, while tiotropium (a long-acting maintenance medicine) builds effectiveness over days of regular use. For acute breathing emergencies, use your prescribed rescue inhaler instead, then contact your doctor.
What are the common side effects of Duova Rotacaps 18mcg + 12mcg, and should I be worried?
The most common side effects are trembling hands, headache, nervousness, and a faster heartbeat. Some people also experience a dry mouth or mild throat irritation. These effects are usually mild and often fade as your body adjusts. However, if you develop chest pain, severe shortness of breath, or signs of an allergic reaction (rash, swelling, difficulty breathing), stop using Duova and seek immediate medical attention. Always tell your doctor about any side effects that concern you or persist beyond a few weeks.
Is it safe to use Duova Rotacaps 18mcg + 12mcg for a long period of time?
Duova Rotacaps is designed for long-term daily use in managing asthma and chronic obstructive pulmonary disease (COPD). Both active ingredients—tiotropium (a long-acting bronchodilator that relaxes airways) and formoterol (a fast-acting bronchodilator)—are approved for extended treatment. When you use it exactly as prescribed, it's considered safe for prolonged periods. However, your doctor should monitor your condition regularly to ensure the dose remains appropriate. Never stop or change your treatment without consulting your doctor first, as this could worsen your symptoms.
Can I use other inhalers at the same time as Duova Rotacaps 18mcg + 12mcg?
Yes, you can use other inhalers alongside Duova Rotacaps, but tell your doctor or pharmacist first. Duova Rotacaps is a maintenance inhaler (long-acting medicine taken regularly), while rescue inhalers (quick-relief medicines) can be used when needed. Some combination inhalers may not be suitable together. Your doctor will advise which inhalers are safe to use with Duova Rotacaps based on your asthma or COPD [chronic obstructive pulmonary disease] treatment plan. Never start or stop any inhaler without checking with your healthcare provider.
Can vitamins or herbal remedies interfere with Duova Rotacaps 18mcg + 12mcg?
Most common vitamins and herbal remedies do not directly interfere with Duova Rotacaps. However, some herbal products—particularly those that affect the heart or blood pressure—may interact with formoterol fumarate (the long-acting bronchodilator [airway-widening medicine] in your inhaler). Before starting any new vitamin or herbal supplement, tell your doctor or pharmacist. They can check for potential interactions with your specific products and ensure safe use together with your Duova Rotacaps.
Can older adults or children use Duova Rotacaps 18mcg + 12mcg safely?
Duova Rotacaps is not recommended for children under 6 years old. It can be used safely in older adults and children aged 6 and above, but dosage and suitability depend on individual health conditions. Older adults may need careful monitoring if they have heart problems or high blood pressure, as formoterol (a long-acting bronchodilator [medicine that opens airways]) can affect these conditions. Always consult your doctor before starting this inhaler, especially if you're elderly or caring for a child, to confirm it's appropriate for your specific situation.
Are there any groups of people who should be extra careful when using Duova Rotacaps 18mcg + 12mcg?
Certain people need extra care with Duova Rotacaps. Tell your doctor if you have heart problems, high blood pressure, an overactive thyroid, diabetes, or a tremor disorder. Pregnant or breastfeeding women should discuss use with their doctor first. If you're allergic to tiotropium or formoterol, do not use this inhaler. People with low potassium levels also need caution. Always inform your doctor about all your health conditions and medicines before starting.
What are my options if Duova Rotacaps 18mcg + 12mcg does not agree with me?
If Duova Rotacaps does not agree with you, speak to your doctor before making any changes. Your doctor may adjust your dose, switch you to a different inhaler, or prescribe an alternative medicine that works better for your body. Do not stop using your inhaler without medical advice, as this could affect your breathing control. Your doctor can also help identify whether any symptoms you experience are side effects or something else. Keep track of when problems occur to discuss with your doctor at your next appointment.
What should I discuss with my doctor before starting Duova Rotacaps 18mcg + 12mcg?
Before starting Duova Rotacaps, tell your doctor if you have heart problems, high blood pressure, an overactive thyroid, diabetes, or seizures. Mention any allergies to the medicines or other drugs you take. Let them know if you're pregnant, breastfeeding, or planning to become pregnant. Discuss any recent lung infections or if you have a tremor condition. Your doctor needs this information to ensure Duova is safe for you and won't interact with your other medicines.
Is it safe to buy Duova Rotacaps 18mcg + 12mcg online, and how do I know it is genuine?
Yes, it is safe to buy Duova Rotacaps online from licensed pharmacies like ReliableRxPharmacy.com. We source all medicines from authorised distributors of manufacturers, ensuring authenticity. Ensure you purchase from a reputable pharmacy that operates under proper authorization, requests a physician's prescription when required, provides clear customer support details, and safeguards transactions with protected checkout systems. Avoid suspiciously cheap prices or sites that don't request prescriptions.
How quickly can I receive Duova Rotacaps 18mcg + 12mcg if I order from ReliableRxPharmacy?
When you order Duova Rotacaps from ReliableRxPharmacy, we deliver to standard international addresses within 20–30 business days. This applies whether you're ordering from North America or elsewhere. Your order is sourced from authorised distributors of the manufacturer and dispatched promptly. Delivery time may vary slightly depending on customs processing and your location. We recommend ordering with enough time before your current supply runs out.
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