Duaklir Pressair

— THERAPEUTIC CATEGORIES —
  • Asthma/COPD

Duaklir Pressair Generic Name & Formulations

General Description

Aclidinium bromide 400mcg, formoterol fumarate 12mcg; per actuation; dry powder for oral inhalation.

Pharmacological Class

Anticholinergic + long-acting beta-2 agonist (LABA).

How Supplied

Dry powder inhaler—30, 60 doses

Generic Availability

NO

Duaklir Pressair Indications

Indications

Maintenance treatment of COPD.

Limitations of Use

Not indicated for relief of acute bronchospasm or for treatment of asthma.

Duaklir Pressair Dosage and Administration

Adult

1 inhalation twice daily (in the AM + PM). Max 1 inhalation twice daily.

Children

Not established.

Duaklir Pressair Contraindications

Contraindications

Use of LABA without inhaled corticosteroid (ICS) in asthma. Milk protein sensitivity.

Duaklir Pressair Boxed Warnings

Not Applicable

Duaklir Pressair Warnings/Precautions

Warnings/Precautions

LABA as monotherapy (without ICS) for asthma can increase risk of asthma-related events. Do not initiate in acute deteriorating COPD. Not for relief of acute symptoms. Prescribe a short-acting β2-agonist for acute symptoms; monitor for increased need. Do not exceed recommended dose. Discontinue immediately and treat if paradoxical bronchospasm or immediate hypersensitivity reactions occur; use alternative therapy. Cardiovascular disorders (eg, coronary insufficiency, cardiac arrhythmias, hypertension). Convulsive disorders. Thyrotoxicosis. Hyperresponsiveness to sympathomimetics. Diabetes. Ketoacidosis. Hypokalemia. Hyperglycemia. Narrow-angle glaucoma. Urinary retention. Prostatic hyperplasia. Bladder-neck obstruction. Pregnancy. Labor & delivery. Nursing mothers.

Duaklir Pressair Pharmacokinetics

See Literature

Duaklir Pressair Interactions

Interactions

Caution with concomitant other adrenergic drugs; may potentiate sympathetic effects. Concomitant xanthine derivatives, steroids, or diuretics may potentiate hypokalemia. Caution with non-K+-sparing diuretics. Extreme caution with MAOIs, tricyclics, or others that prolong QTc interval. Antagonized by β-blockers; if needed, use cardioselective agents if no acceptable alternatives. Additive effects with concomitant other anticholinergic-containing drugs; avoid.

Duaklir Pressair Adverse Reactions

Adverse Reactions

Upper respiratory tract infection, headache, back pain; paradoxical bronchospasm, hypersensitivity reactions, cardiovascular effects.

Duaklir Pressair Clinical Trials

See Literature

Duaklir Pressair Note

Not Applicable

Duaklir Pressair Patient Counseling

See Literature