Dulera is a commonly prescribed inhaler for asthma, but it’s not the only option. This article explores comparable inhalers to Dulera, outlining their uses, dosages, benefits, and potential side effects. Understanding these alternatives empowers you to discuss the best treatment plan with your doctor.
Dulera combines mometasone (a corticosteroid) and formoterol (a long-acting beta2-agonist) to reduce inflammation and open airways. It’s a maintenance inhaler, used twice daily for long-term asthma control. However, factors like cost, individual response, and potential side effects may lead you to seek alternatives.
Dulera Alternatives: A Detailed Comparison
Several inhalers offer similar benefits to Dulera. Here’s a breakdown of some key contenders:
Advair Diskus and Advair HFA
Advair, available as both Diskus and HFA, combines fluticasone (an ICS) and salmeterol (a LABA). Like Dulera, it’s used for maintenance treatment of asthma and COPD. A significant advantage of Advair is the availability of generic versions, potentially offering cost savings. Advair is used twice daily and is approved for children 4 years and older. Potential side effects are similar to Dulera, but may also include bronchitis, nausea, and vomiting.
Symbicort and Generic
Symbicort combines budesonide (an ICS) and formoterol (a LABA). It’s used for both asthma and COPD and is available as a generic, making it a potentially more affordable option. Symbicort is generally used twice daily and is approved for children 6 years and older. Side effects are similar to Dulera but can also include back pain and nasal congestion.
Breo Ellipta
Breo Ellipta combines fluticasone furoate (an ICS) and vilanterol (a LABA). It’s used for both asthma and COPD. A key difference from Dulera is its once-daily dosage, potentially improving adherence. However, Breo Ellipta is only approved for adults 18 years and older. Possible side effects mirror Dulera’s, with the addition of throat pain and bronchitis.
AirDuo Digihaler and AirDuo RespiClick
AirDuo, available as Digihaler and RespiClick, combines fluticasone propionate and salmeterol, similar to Advair but in lower doses. AirDuo RespiClick has a generic version available. The Digihaler version offers a “smart” inhaler experience with built-in sensors to track usage and provide feedback. AirDuo is used twice daily and is approved for individuals 12 years and older.
Trelegy Ellipta
Trelegy Ellipta is a triple-combination inhaler containing fluticasone furoate, umeclidinium, and vilanterol. It’s used for both asthma and COPD in adults 18 years and older. The once-daily dosage offers convenience, but the addition of a third medication may increase the risk of side effects, including bronchitis, back pain, and urinary tract infections.
Natural Approaches to Asthma Management
While no natural remedies directly replace Dulera, lifestyle modifications can significantly impact asthma control. Identifying and minimizing triggers like air pollution, allergens (pet dander, dust mites), smoke, and strong odors is crucial. Breathing exercises, such as pursed lip breathing and belly breathing, can also help improve lung function and manage symptoms.
Switching to a Dulera Alternative: Key Considerations
Consult Your Doctor: Never abruptly stop Dulera without consulting your doctor. They can help you safely transition to a new inhaler and monitor your response.
Learn Proper Technique: Each inhaler type has a specific usage technique. Ask your doctor or pharmacist to demonstrate the correct method for your new inhaler to ensure optimal medication delivery.
Maintain Oral Hygiene: If your new inhaler contains a corticosteroid, rinse your mouth with water after each use and spit it out to prevent oral thrush.
Rescue Inhaler for Acute Attacks: Dulera and its alternatives are for maintenance, not acute attacks. Always keep a rescue inhaler (like albuterol) on hand for sudden symptom flares.
Disclose All Medications: Inform your doctor about all medications you’re taking, including prescription and over-the-counter drugs, to avoid potential drug interactions.
Conclusion
Choosing the right asthma inhaler is a personalized decision. This overview of Dulera alternatives provides a starting point for discussing your options with your healthcare provider. They can assess your individual needs and guide you towards the most effective and suitable treatment plan. Remember, managing asthma effectively requires open communication with your doctor and proactive participation in your care.
