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Dulera (Formoterol/Mometasone)

Type
Product
Manufacturer
Country
Dosage
Qty-Price (USD)
Type: drug type
Product: Dulera
Manufacturer: Organon
Country: Canada
Dosage: 100 mcg/5 mcg/120 dose
Qty-Price (USD):
Type: drug type
Product: Dulera (Expiry Note)
Manufacturer: Organon
Country: Canada
Dosage: 200 mcg/5 mcg/120 dose
Qty-Price (USD):

Generic Equivalent of Dulera
Type
Product
Manufacturer
Country
Dosage
Qty-Price (USD)
Type: drug type
Product: Formoterol/Mometasone
Manufacturer: Generic
Country: India
Dosage: 200 mcg/6 mcg/120 dose
Qty-Price (USD):

Dulera Information

portrait medically reviewed by Carol Hou (BSc. Pharm) on September 4, 2025.
A licensed pharmacist (Licensed Community Pharmacies Directory | College of Pharmacists of British Columbia) with over 20 years of experience in medication management, specifically medication safety, she has reviewed the information for accuracy and completeness.

Dulera and Formoterol/Mometasone at CanadaPharmacyOnline.com

Organon manufactures and markets the brand-name drug Zenhale (mometasone furoate/formoterol fumarate) in Canada. It is known as the brand name Dulera in the United States.

Generic domperidone is sourced from manufacturers that meet the applicable quality regulatory standards. The specific manufacturer of your dispensed medication may vary.

Important Information about Generic Dulera:

Generic formoterol/mometasone contains the same active ingredient as brand-name Dulera and is required to meet the same safety, effectiveness, and quality standards. This means it is designed to work in the same way as Dulera. Studies have demonstrated similar absorption rates, but individual responses can still vary. If you have any questions about using generic Formoterol/Mometasone, talk to your doctor or pharmacist.

For more information about generic drug approval and bioequivalence, you can visit the FDA website: https://www.fda.gov/drugs/buying-using-medicine-safely/generic-drugs.

Dosage

Dulera, a pressurized metered-dose inhaler (pMDI) that delivers a combination of mometasone furoate and formoterol fumarate, consisting of 120 doses. It is available in two strengths (at this pharmacy):
• 100 mcg/5 mcg
• 200 mcg/5 mcg

Your doctor will determine the appropriate dose and strength based on your individual needs and medical history.

Usage

Dulera is a prescription medication used for the long-term, twice-daily maintenance treatment of asthma in patients 12 years of age and older. It is intended for patients whose asthma is not adequately controlled on a long-term asthma control medication, such as an inhaled corticosteroid alone, or whose condition clearly warrants the initiation of both an inhaled corticosteroid and a long-acting beta2-agonist (LABA).

Zenhale is a maintenance inhaler and should not be used to relieve sudden asthma attacks or sudden shortness of breath. You should use a separate "rescue" inhaler for immediate relief of asthma symptoms.

Mechanism of Action
Dulera combines two medicines with different mechanisms to control asthma symptoms:
• Formoterol Fumarate: A long-acting beta2-agonist (LABA) that relaxes the muscles around the airways, making it easier to breathe. Formoterol provides a sustained bronchodilating effect.
• Mometasone Furoate: An inhaled corticosteroid (ICS) that reduces inflammation and swelling in the airways. It helps prevent asthma attacks, reducing symptoms like wheezing and chest tightness over time.

The combination provides both anti-inflammatory and bronchodilating effects for comprehensive asthma control.

Take this medicine exactly as your doctor prescribes, following the instructions in the Zenhale product monograph in Canada. Consult your doctor for personalized guidance and safe use.

The information below summarizes some, but not all, potential side effects, risks, and interactions. Before taking Dulera, it is essential to discuss all possible side effects, risks, and interactions with your doctor or pharmacist.

Side Effects

The information below is a partial list of side effects; individual reactions can vary. Before starting Dulera, it is crucial to discuss potential side effects and risks with your doctor or pharmacist.

Common Side Effects - The following are some common side effects of Dulera; other side effects may also occur. Contact your doctor promptly if any side effects persist, worsen, or concern you, or if you experience any other concerning symptoms.
• Headache
• Hoarseness or voice changes
• Inflammation of the nose and throat
• Nasal congestion
• Sore throat or flu-like symptoms
• Thrush (a yeast infection in the mouth or throat). You can help prevent this by rinsing your mouth with water and spitting it out after each dose.
• Upper respiratory tract infection

Serious Side Effects - These are rare but potentially severe side effects. Seek immediate medical attention or call emergency services if you experience any of the following:
• Allergic reactions: Severe rash, hives, swelling of the face, lips, tongue, or throat, and difficulty breathing.
• Cardiovascular events: Chest pain, fast or irregular heartbeat, or high blood pressure.
• Decreased bone mineral density, especially with long-term use.
• Endocrine effects: Signs of reduced adrenal function (fatigue, weakness, nausea) or hyperglycemia (high blood sugar).
• Immune suppression: Using an inhaled corticosteroid can worsen existing infections (e.g., tuberculosis, fungal, bacterial, viral) or make you more susceptible to new ones.
• Paradoxical bronchospasm: A sudden worsening of breathing problems right after using the inhaler.

Contraindications

The following is not an exhaustive list of contraindications. Before starting Dulera, it is crucial to discuss all your medical conditions, past and present, and all medications you are taking with your doctor or pharmacist.

Dulera should not be used if:
• You are allergic to mometasone furoate, formoterol fumarate, or any other ingredient in Dulera.
• You are having a sudden, severe asthma attack. Zenhale is a long-term maintenance treatment and not a rescue inhaler.
• You are currently taking other medications that contain a long-acting beta2-agonist (LABA), as this can increase the risk of serious side effects.

Tell your doctor about all of your medical conditions, past and present, before starting Dulera. This is crucial because certain conditions affect whether Dulera is right for you. These conditions may include, but are not limited to:
• Cardiovascular disease (e.g., heart disease, high blood pressure)
• Diabetes
• Glaucoma, cataracts, or a family history of these conditions
• Seizure disorders
• Thyroid disease (hyperthyroidism)
• A weakened immune system or an active infection
• Osteoporosis (weak bones)

Drug Interactions

Before taking Dulera, it is essential to discuss all potential risks and interactions with your doctor or pharmacist. For complete and up-to-date information, please visit the official Dulera website at https://www.dulera.com.

Provide your doctor with a complete list of all your medications, including prescriptions, over-the-counter (OTC) drugs, vitamins, and herbal supplements. Dulera may interact with other medicines, but is not limited to:
• Beta-blockers: Can block the effects of formoterol and should generally be avoided.
• CYP3A4 Inhibitors: Medications like ketoconazole, clarithromycin, and ritonavir can increase mometasone levels.
• Diuretics (e.g., furosemide): Can increase the risk of hypokalemia (low potassium).
• MAOIs and Tricyclic Antidepressants: Can increase the risk of cardiovascular side effects.
• Other LABAs: Do not take with other medications containing a long-acting beta2-agonist.

Pregnancy and Breastfeeding

Dulera should be used during pregnancy only if your doctor determines that the potential benefits justify the potential risks to the fetus. It is crucial to have well-controlled asthma throughout pregnancy, and you should consult your doctor if you are pregnant or may become pregnant.

The active ingredients in Dulera may be excreted in human milk. Caution should be exercised when administering this medication to a nursing mother. The decision to discontinue breastfeeding or the drug should be made by a doctor, taking into account the importance of the medication to the mother.

Use in the Elderly

Elderly patients may be more sensitive to the effects of Dulera, particularly the cardiovascular side effects. Close monitoring is recommended to ensure the lowest effective dose is being used.

Use in Children

Zenhale is approved for use in patients 12 years of age and older in Canada. Its safety and efficacy have not been established in children younger than 12 years. For adolescents taking inhaled corticosteroids for an extended period, it is important to note that these medications can potentially slow growth. For this reason, regular monitoring of growth is recommended. Note: The 50 mcg/5 mcg strength is approved for use in children aged 5 to less than 12 years in the United States, but not in Canada. This medication should only be used in children as specifically prescribed by a doctor.

Frequently Asked Questions about Dulera at Canada Pharmacy Online:

Why is Dulera more affordable in Canada than in the United States?

Prescription drug prices, including Dulera, are generally lower in Canada than in the US due to a combination of factors, primarily government price regulations, differing market dynamics, and other economic considerations. In Canada, provincial and federal governments negotiate drug prices with pharmaceutical companies, which often results in lower costs compared to the US, where market forces play a more significant role. For more information, see the FAQs on Prescription Drug Importation from the Kaiser Family Foundation (KFF): https://www.kff.org/health-costs/issue-brief/faqs-on-prescription-drug-importation/.

How much is the shipping?

Our shipping fee is a flat rate of $10.00 per order. Our pharmacy is dedicated to offering you the lowest prices on high-quality products.

How do I place an order with your pharmacy?

Ordering from us is very simple. You can purchase online or call Customer Service at 1866.920.3784; for more information or to learn about the ordering process, visit our How to Order page.

Is there a limit on the number of tablets I can order at one time?

CanadaPharmacyOnline.com can only dispense a maximum of a three-month supply of Dulera at a time, as per your doctor's prescription.

Can I buy over the counter from you?

No, Dulera requires a valid prescription from your doctor. We do not sell this product without a valid prescription.

Do you ship to the United States?

Yes, we do. It usually takes 7 to 18 business days to receive your order from our pharmacy.

What is the best time to take Dulera?

Dulera should be taken twice daily, in the morning and evening, at the same time each day to maintain consistent medication levels.

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The information on this page is sourced from independent third parties contracted by CanadaPharmacyOnline. While we cannot guarantee its medical accuracy, we strongly recommend consulting a healthcare professional for personalized advice regarding medications or medical conditions.

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Prescriptions Dispensed from Canada are Dispensed by Candrug Pharmacy #18985. 202A 8322-130th Street, Surrey, British Columbia, Canada V3W 8J9, 604-543-8711. Pharmacy Manager: Carol Hou.
This pharmacy is duly licensed in the province of British Columbia, Canada by the College of Pharmacists of BC. If you have any questions or concerns you can contact the college at: 200-1765 West 8th Ave Vancouver, BC V6J 5C6 Canada.
All prices are in US dollars.
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