Duova Rotacaps (Tiotropium/Formoterol)

This medicine is prescribed for:

• Chronic obstructive pulmonary disease (COPD)
• Asthma not controlled by a single medicine
• Chronic bronchitis
• Emphysema
• Long-term breathing difficulty, wheezing, and chest tightness
• Maintenance treatment of respiratory diseases

This medicine is not intended for sudden severe asthma attacks.

This medicine works in two ways:

• Tiotropium blocks certain receptors in the lungs and relaxes the airway muscles.
• Formoterol stimulates beta-2 receptors to widen the breathing passages.

Together, they provide long-lasting opening of the airways, reduce wheezing, and improve breathing throughout the day.

• Use this medicine only with a rotahaler or compatible inhalation device.
• Insert one rotacap into the device and twist as directed.
• Breathe in deeply through the mouthpiece to inhale the powder.
• Do not swallow the rotacap.
• Use this medicine regularly at the same time every day.
• Do not stop using it suddenly without consulting your doctor.

Usual Dose:

• Usually 1 rotacap once or twice daily as prescribed by your doctor
• The exact dose depends on the strength and your condition

Missed Dose:
If you miss a dose, use it as soon as you remember. If it is nearly time for the next dose, skip the missed dose. Do not use two rotacaps together.

Overdose:
Taking too much may cause dry mouth, tremors, rapid heartbeat, chest pain, dizziness, blurred vision, or difficulty passing urine. Seek emergency medical attention immediately if overdose is suspected.

Minor Side Effects:

• Dry mouth
• Throat irritation
• Cough
• Headache
• Dizziness
• Tremors or shakiness
• Fast heartbeat
• Constipation

Major Side Effects:

• Chest pain
• Irregular heartbeat
• Severe allergic reaction
• Swelling of face, lips, tongue, or throat
• Difficulty passing urine
• Sudden worsening of breathing
• Blurred vision or eye pain

Stop using this medicine and seek immediate medical help if serious side effects occur.

• Do not swallow the rotacaps.
• This medicine is not for emergency relief during sudden asthma attacks.
• Tell your doctor if you have heart disease, high blood pressure, glaucoma, enlarged prostate, difficulty urinating, diabetes, or thyroid problems.
• Use with caution during pregnancy and breastfeeding.
• If you need to use this medicine more often than usual, contact your doctor.
• Store the rotacaps in a cool, dry place away from moisture.
• Use the inhalation device correctly for the best effect.

Several medicines with similar ingredients or action may be available, including:

• Tiova-F Rotacaps
• Combihale FT Rotacaps
• Tiotropium + Formoterol Rotacaps (generic brands)
• Duolin Rotacaps + Formoterol combination
• Foracort + Tiotropium combinations

The exact substitute depends on the prescribed strength and availability. Consult your doctor before changing brands.

1. Can I swallow this medicine?
No. The rotacap should not be swallowed. It must be inhaled using a rotahaler device.

2. Is this medicine used for sudden breathing attacks?
No. This medicine is for long-term control and not for sudden severe attacks.

3. Why does this medicine cause dry mouth?
Dry mouth is a common side effect of Tiotropium.

4. Can this medicine be used in asthma?
Yes. It may be used in asthma if your doctor feels that one medicine alone is not enough.

5. What should I do if I experience chest pain after using this medicine?
Stop using the medicine and seek immediate medical help.

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