{"id":52460,"date":"2022-07-08T09:04:00","date_gmt":"2022-07-08T13:04:00","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=52460"},"modified":"2022-07-08T09:29:34","modified_gmt":"2022-07-08T13:29:34","slug":"dulera-alternatives","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/dulera-alternatives\/","title":{"rendered":"Dulera alternatives: What can I take instead of Dulera?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><a href=\"#compare-dulera-alternatives\">Compare Dulera alternatives<\/a> | <a href=\"#advair\">Advair<\/a> | <a href=\"#symbicort\">Symbicort<\/a> | <a href=\"#breo-ellipta\">Breo Ellipta<\/a> | <a href=\"#airduo\">AirDuo<\/a> | <a href=\"#trelegy-ellipta\">Trelegy Ellipta<\/a> | <a href=\"#natural-alternatives\">Natural alternatives<\/a> | <a href=\"#how-to-switch-meds\">How to switch meds<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dulera (mometasone furoate and formoterol fumarate dihydrate) is the brand name of an inhaler that has two medications used to control <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/asthma-treatment-and-medications\"><span style=\"font-weight: 400;\">asthma<\/span><\/a><span style=\"font-weight: 400;\">. As a combination inhaler, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/dulera\/what-is\"><span style=\"font-weight: 400;\">Dulera<\/span><\/a><span style=\"font-weight: 400;\"> contains a corticosteroid (mometasone) and a long-acting beta2-adrenergic agonist (formoterol). Dulera can be an effective inhaler for people with persistent asthma symptoms such as cough, wheeze, chest tightness, or difficulty breathing daily. Dulera works as a <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/bronchodilators\"><span style=\"font-weight: 400;\">bronchodilator<\/span><\/a><span style=\"font-weight: 400;\"> to reduce inflammation and open airways in the lungs to improve breathing problems. This inhaler is a maintenance inhaler used twice daily. With two medications in one inhaler, Dulera is a more convenient inhaler option than using two separate inhalers.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Who shouldn\u2019t use Dulera?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While an effective treatment for some people, <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2017\/022518s021lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Dulera<\/span><\/a><span style=\"font-weight: 400;\"> may not be the best option for all people managing persistent asthma symptoms. Not all people with asthma will require a maintenance inhaler or a combination maintenance inhaler. People with less persistent asthma may only need a rescue inhaler such as albuterol (Proair HFA or Proventil HFA) or only an inhaled steroid such as fluticasone (Flovent). On the other hand, some people with more severe asthma may require several prescription drug therapies. Some maintenance inhalers for asthma are only approved in certain ages limiting use in some children. <\/span><a href=\"https:\/\/www.dulera.com\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Dulera<\/span><\/a><span style=\"font-weight: 400;\"> can be used in people 5 years of age and older.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, some people may be managing not only asthma but also <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/copd-treatment-and-medications\"><span style=\"font-weight: 400;\">chronic obstructive pulmonary disease (COPD)<\/span><\/a><span style=\"font-weight: 400;\">. While Dulera only has FDA approval for use in managing asthma, some alternative inhalers similar to Dulera can be used in both asthma and COPD. However, one of the biggest advantages of some alternatives is that they have become available as generic inhalers that can be more affordable for people.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/copd-vs-asthma\/\"><b>COPD vs. asthma: Which is worse?<\/b><\/a><b>\u00a0<\/b><\/p>\n<h2><span style=\"font-weight: 400;\">What can I take in place of Dulera ?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are several other brand-name combination inhalers that contain an <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/inhaled-corticosteroids\"><span style=\"font-weight: 400;\">inhaled corticosteroid (ICS)<\/span><\/a><span style=\"font-weight: 400;\"> and a <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/long-acting-beta-agonists\"><span style=\"font-weight: 400;\">long-acting beta2-agonist (LABA)<\/span><\/a><span style=\"font-weight: 400;\">. These inhalers include Advair Diskus, Advair HFA, AirDuo Digihaler, AirDuo RespiClick, Breo Ellipta, and Symbicort. More recently, a few brand-name inhalers (Advair, AirDuo, and Symbicort) became available as generics that include fluticasone propionate\/salmeterol and budesonide\/formoterol. The two medications in Dulera are not yet available as a generic combination inhaler.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These combination alternative inhalers share common side effects of oral thrush, hoarse voice, upper respiratory infections, sinus infections, and headaches. However, some alternatives have additional adverse effects that should be considered before switching from Dulera.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th>\n<h2 id=\"compare-dulera-alternatives\"><span class=\"title\">Compare Dulera alternatives<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Uses<\/b><\/td>\n<td><b>Dosage<\/b><\/td>\n<td><b>Get coupon<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Dulera<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(mometasone\/formoterol)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Asthma<\/span><\/td>\n<td><span style=\"font-weight: 400;\">2 inhalations of 50-200 mcg\/5 mcg by mouth twice daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/dulera\"><span style=\"font-weight: 400;\">Dulera coupon<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Advair Diskus<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(fluticasone\/salmeterol)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Asthma and COPD<\/span><\/td>\n<td><span style=\"font-weight: 400;\">1 inhalation of 100-500 mcg\/50 mcg by mouth twice daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/advair-diskus\"><span style=\"font-weight: 400;\">Advair Diskus coupon<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Advair HFA<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(fluticasone\/salmeterol)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Asthma<\/span><\/td>\n<td><span style=\"font-weight: 400;\">2 inhalations of 45-230 mcg\/21 mcg by mouth twice daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/advair-hfa\"><span style=\"font-weight: 400;\">Advair HFA coupon<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">AirDuo Digihaler<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(fluticasone\/salmeterol)<\/span><\/td>\n<td><span style=\"font-weight: 400;\"> Asthma<\/span><\/td>\n<td><span style=\"font-weight: 400;\">1 inhalation of 55-232 mcg\/14 mcg by mouth twice daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/airduo-digihaler\"><span style=\"font-weight: 400;\">AirDuo Digihaler coupon<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">AirDuo RespiClick<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(fluticasone\/salmeterol)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Asthma<\/span><\/td>\n<td><span style=\"font-weight: 400;\">1 inhalation of 55-232 mcg\/14 mcg by mouth twice daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/airduo-respiclick-55-14\"><span style=\"font-weight: 400;\">AirDuo RespiClick coupon<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Breo Ellipta<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(fluticasone\/vilanterol)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Asthma and COPD<\/span><\/td>\n<td><span style=\"font-weight: 400;\">1 inhalation of 100-200 mcg\/25 mcg by mouth once daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/breo-ellipta\"><span style=\"font-weight: 400;\">Breo Ellipta coupon<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Symbicort (budesonide and formoterol)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Asthma and COPD<\/span><\/td>\n<td><span style=\"font-weight: 400;\">2 inhalations of 80-160 mcg\/4.5 mcg by mouth twice daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/symbicort\"><span style=\"font-weight: 400;\">Symbicort coupon<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Trelegy Ellipta<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(fluticasone\/umeclidinium\/vilanterol)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Asthma and COPD<\/span><\/td>\n<td><span style=\"font-weight: 400;\">1 inhalation of 100-200 mcg\/62.5 mcg\/25 mcg by mouth once daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/trelegy-ellipta\"><span style=\"font-weight: 400;\">Trelegy Ellipta coupon<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span style=\"font-weight: 400;\">Other alternatives to Dulera<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">For people seeking other alternative asthma maintenance treatments, there are single medication inhalers, oral tablets, and injectable options.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Inhaled corticosteroids:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/alvesco\"><span style=\"font-weight: 400;\">Alvesco<\/span><\/a><span style=\"font-weight: 400;\"> (ciclesonide)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/arnuity-ellipta\"><span style=\"font-weight: 400;\">Arnuity Ellipta<\/span><\/a><span style=\"font-weight: 400;\"> (fluticasone furoate)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/asmanex-60-metered-doses\"><span style=\"font-weight: 400;\">Asmanex<\/span><\/a><span style=\"font-weight: 400;\">\/<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/asmanex-hfa\"><span style=\"font-weight: 400;\">Asmanex HFA <\/span><\/a><span style=\"font-weight: 400;\">(mometasone furoate)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/flovent-hfa\"><span style=\"font-weight: 400;\">Flovent HFA<\/span><\/a><span style=\"font-weight: 400;\">\/<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/flovent-diskus\"><span style=\"font-weight: 400;\">Flovent Diskus<\/span><\/a><span style=\"font-weight: 400;\"> (fluticasone propionate)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/pulmicort-flexhaler\"><span style=\"font-weight: 400;\">Pulmicort Flexhaler<\/span><\/a><span style=\"font-weight: 400;\"> (budesonide)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0Qvar\/<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/qvar-redihaler\"><span style=\"font-weight: 400;\">Qvar RediHaler<\/span><\/a><span style=\"font-weight: 400;\"> (beclomethasone dipropionate)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Long-acting anticholinergic:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/spiriva-respimatt?q=Spiriva%20Respimat\"><span style=\"font-weight: 400;\">Spiriva Respimat<\/span><\/a><span style=\"font-weight: 400;\"> (tiotropium bromide)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Leukotriene receptor antagonists:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/accolate\"><span style=\"font-weight: 400;\">Accolate<\/span><\/a><span style=\"font-weight: 400;\"> (zafirlukast) tablets<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/singulair\"><span style=\"font-weight: 400;\">Singulair<\/span><\/a><span style=\"font-weight: 400;\"> (montelukast) tablets<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/zyflo\"><span style=\"font-weight: 400;\">Zyflo<\/span><\/a><span style=\"font-weight: 400;\"> (zileuton) tablets<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Biologics:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/dupixent\"><span style=\"font-weight: 400;\">Dupixent<\/span><\/a><span style=\"font-weight: 400;\"> (dupilumab) injection<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/fasenra\"><span style=\"font-weight: 400;\">Fasenra<\/span><\/a><span style=\"font-weight: 400;\"> (benralizumab) injection<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/nucala\"><span style=\"font-weight: 400;\">Nucala<\/span><\/a><span style=\"font-weight: 400;\"> (mepolizumab) injection<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/xolair\"><span style=\"font-weight: 400;\">Xolair<\/span><\/a><span style=\"font-weight: 400;\"> (omalizumab) injection<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Top 5 Dulera alternatives<\/span><\/h2>\n<h3 id=\"advair\"><span style=\"font-weight: 400;\">1. Advair and generics<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/advair-hfa\/what-is\"><span style=\"font-weight: 400;\">Advair HFA<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/advair-diskus\/what-is\"><span style=\"font-weight: 400;\">Advair Diskus<\/span><\/a><span style=\"font-weight: 400;\"> are combination inhalers that can be used to manage both asthma and COPD. Advair contains an ICS (fluticasone propionate) and a LABA (salmeterol).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Unlike Dulera, Advair has generic options available called <\/span><a href=\"https:\/\/www.wixela.com\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Wixela Inhub<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-first-generic-advair-diskus\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">fluticasone propionate\/salmeterol<\/span><\/a><span style=\"font-weight: 400;\">. The generic inhalers may be less expensive options for people.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Advair and the generics can be used in children aged 4 years and older.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Like Dulera, Advair and the generic aerosol inhalers are dosed twice a day.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2008\/021077s029lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Advair<\/span><\/a><span style=\"font-weight: 400;\"> has similar side effects as Dulera, but also has reports of bronchitis, nausea, and vomiting in people with asthma, and reports of pneumonia and musculoskeletal pain in people with COPD.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/dulera-vs-advair\/\"><b>Dulera vs. Advair<\/b><\/a><\/p>\n<h3 id=\"symbicort\"><span style=\"font-weight: 400;\">2. Symbicort and generic<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/symbicort\/what-is\"><span style=\"font-weight: 400;\">Symbicort<\/span><\/a><span style=\"font-weight: 400;\"> is a combination inhaler that can be used to manage both asthma and COPD. Symbicort contains an ICS (budesonide) and a LABA (formoterol).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Unlike Dulera, Symbicort has a generic option available called <\/span><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-first-generic-symbicort-treat-asthma-and-copd\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">budesonide\/formoterol<\/span><\/a><span style=\"font-weight: 400;\">. The generic inhaler may be a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/symbicort-without-insurance\/\"><span style=\"font-weight: 400;\">less expensive option<\/span><\/a><span style=\"font-weight: 400;\"> for people.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Symbicort can be used in children aged 6 years and older.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Like Dulera, Symbicort and the generic inhaler are <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/symbicort\/dosage\"><span style=\"font-weight: 400;\">dosed twice a day<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2010\/021929s021lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Symbicort<\/span><\/a><span style=\"font-weight: 400;\"> has similar <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/symbicort-side-effects\/\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\"> as Dulera but also has reports of back pain, nasal congestion, stomach discomfort, and vomiting.<\/span><\/p>\n<h3 id=\"breo-ellipta\"><span style=\"font-weight: 400;\">3. Breo Ellipta<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/breo-ellipta\/what-is\"><span style=\"font-weight: 400;\">Breo Ellipta<\/span><\/a><span style=\"font-weight: 400;\"> is a combination inhaler that can be used to manage both asthma and chronic COPD. Breo Ellipta does not have a generic inhaler available. This alternative contains an ICS (fluticasone furoate) and a LABA (vilanterol trifenatate).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Breo Ellipta is only approved for use in adults aged 18 years and older.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Unlike Dulera, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/breo-ellipta\/dosage\"><span style=\"font-weight: 400;\">Breo Ellipta is dosed once a day<\/span><\/a><span style=\"font-weight: 400;\">, which may be more convenient for people with asthma or COPD.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2017\/204275s012lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Breo Ellipta<\/span><\/a><span style=\"font-weight: 400;\"> has similar <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/breo-ellipta-side-effects\/\"><span style=\"font-weight: 400;\">side effects<\/span><\/a><span style=\"font-weight: 400;\"> as Dulera but also has reports of throat pain and bronchitis in people with asthma, and reports of back pain, pneumonia, elevated blood pressure, fever, and joint pain in people with COPD.<\/span><\/p>\n<h3 id=\"airduo\"><span style=\"font-weight: 400;\">4. AirDuo<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">AirDuo Digihaler and AirDuo RespiClick are combination inhalers that can be used in the management of asthma. This alternative contains an ICS (fluticasone propionate) and a LABA (salmeterol). While this alternative contains the same two ingredients as Advair and the approved generics, it differs as it contains lower doses of salmeterol and is available as a unique inhaler device.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The AirDuo RespiClick has a generic inhaler available and may be a less expensive option.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2017\/208799s000lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">AirDuo<\/span><\/a><span style=\"font-weight: 400;\"> can be used in children aged 12 years and older. Like Dulera, AirDuo is dosed twice a day.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.digihaler.com\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Digihaler<\/span><\/a><span style=\"font-weight: 400;\"> is considered a \u201csmart\u201d inhaler and has built-in sensors to help capture useful information accessible through a mobile app. This data can be shared with doctors and help patients better understand their inhaler use. This alternative may be a great option for people who need feedback on their inhaler technique or require reminders for using their inhaler.<\/span><\/p>\n<h3 id=\"trelegy-ellipta\"><span style=\"font-weight: 400;\">5. Trelegy Ellipta<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/trelegy-ellipta\/what-is\"><span style=\"font-weight: 400;\">Trelegy Ellipta<\/span><\/a><span style=\"font-weight: 400;\"> is a triple combination inhaler that can be used to manage both asthma and (COPD. Trelegy Ellipta contains three types of medications including an ICS (fluticasone furoate), a long-acting anticholinergic (umeclidinium bromide), and a LABA (vilanterol trifenatate). This alternative may be a great option for people who need additional maintenance therapy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This combination inhaler does not have a generic option available.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This inhaler is only approved in adults aged 18 years and older.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Unlike Dulera, Trelegy Ellipta is dosed once a day, which may be more convenient for people with asthma or COPD.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With one more medication than Dulera, <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2017\/209482s000lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Trelelgy Ellipta<\/span><\/a><span style=\"font-weight: 400;\"> does have more reported side effects including bronchitis, back pain, nasal congestion, altered taste, diarrhea, constipation, urinary tract infection, musculoskeletal pain, pneumonia, nausea, and vomiting.\u00a0<\/span><\/p>\n<h2 id=\"natural-alternatives\"><span style=\"font-weight: 400;\">Natural alternatives to Dulera\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While there are no well-supported natural alternative options to Dulera, such as vitamins or supplements, there are alternative remedies that are important for people with asthma to practice. According to the <\/span><a href=\"https:\/\/www.lung.org\/lung-health-diseases\/lung-disease-lookup\/asthma\/living-with-asthma\/managing-asthma\/reduce-asthma-triggers\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">American Lung Association<\/span><\/a><span style=\"font-weight: 400;\">, it\u2019s important to be aware of and minimize asthma triggers that can make asthma worse. By making lifestyle changes or diet modifications, people with asthma can control their asthma symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/asthma-attack-triggers\/\"><span style=\"font-weight: 400;\">common asthma triggers<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Air pollution<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Animal dander<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aspirin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cigarette smoke<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dust mites<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercise<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fireplace or campfire smoke<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Food allergies such as peanuts or shellfish<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">High humidity<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mold<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Non-steroidal anti-inflammatory drugs (NSAIDs)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Respiratory infections (colds, flu, sinus infections)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stressed emotions including crying too hard or anger<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strong odors including cleaning products, scented candles, and air fresheners<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sudden or extreme changes in temperature<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trees or grass<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">An important alternative remedy is learning and utilizing breathing techniques. Pursed lip breathing and belly breathing exercises can be practiced for five to 10 minutes daily that can lead to increased oxygen levels and help rid the lungs of accumulated stale air.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/home-remedies-for-asthma\/\"><b>7 home remedies for asthma\u2014and what to do if they don\u2019t work<\/b><\/a><\/p>\n<h2 id=\"how-to-switch-meds\"><span style=\"font-weight: 400;\">How to switch to a Dulera alternative<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">1. Do not suddenly stop taking Dulera<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Before stopping Dulera, make an asthma maintenance plan with the prescribing doctor. Suddenly discontinuing Dulera can result in worsening asthma symptoms. Once a plan has been established, Dulera can be safely discontinued and replaced with the new treatment.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2. Learn how to use the new inhaler<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are a variety of different devices that inhalers come in with varying directions for use that require proper technique to make sure the medicine is being delivered correctly. Healthcare professionals, such as a pharmacist, can teach people how to use the inhaler and advise if and how often the specific brand of inhaler needs to be primed. Priming is important to make sure the dosing chamber of certain inhalers fill with the right amount of medication.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/child-asthma-inhaler-proper-use\/\"><b>How to properly administer an inhaler to your child<\/b><\/a><\/p>\n<h3><span style=\"font-weight: 400;\">3. Continue proper oral care with inhaled corticosteroid (ICS) alternatives<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Dulera and alternatives that contain a corticosteroid (such as Advair, Breo Ellipta, and Symbicort) require an important step after use. It\u2019s important to rinse the mouth with water, without swallowing, and spit out. This step helps to prevent the increased risk of a fungal infection called oral candidiasis (oral thrush).<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/conditions\/oral-thrush-treatment-and-medications\"><b>Oral thrush treatments and medications<\/b><\/a><\/p>\n<h3><span style=\"font-weight: 400;\">4. Do not use Dulera alternatives for sudden asthma attacks<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sudden asthma symptoms such as trouble breathing, wheezing, tightness in the chest, or coughing require a rescue inhaler. Rescue inhalers work quickly to relieve symptoms, whereas Dulera alternatives are maintenance treatments not intended for acute attacks. Rescue inhalers include albuterol (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/proair-hfa\"><span style=\"font-weight: 400;\">Proair<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/proventil-hfa\"><span style=\"font-weight: 400;\">Proventil<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ventolin-hfa\"><span style=\"font-weight: 400;\">Ventolin<\/span><\/a><span style=\"font-weight: 400;\">) and levalbuterol (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/levalbuterol-tartrate\"><span style=\"font-weight: 400;\">Xopenex<\/span><\/a><span style=\"font-weight: 400;\">). It\u2019s important to discuss with a healthcare provider about the different inhalers prescribed to manage asthma.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">5. Discuss all prescription and over-the-counter medications with a healthcare provider<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Before switching from Dulera to an alternative, it\u2019s important that the prescribing doctor has reviewed a medication list including prescription drugs and over-the-counter medications. Some alternatives have drug interactions that must be avoided. For example, caution should be used in people using ICS and LABA combination inhalers who are also taking certain antidepressants (such as monoamine oxidase inhibitors and tricyclic antidepressants), ketoconazole, and diuretics. Always consult a healthcare provider for medical advice before changing the treatment plan.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Compare Dulera alternatives | Advair | Symbicort | Breo Ellipta | AirDuo | Trelegy Ellipta | Natural alternatives | How to switch meds Dulera (mometasone furoate and formoterol fumarate dihydrate) is the brand name of an inhaler that has two medications used to control asthma. As a combination inhaler, Dulera contains a corticosteroid (mometasone) and [&hellip;]<\/p>\n","protected":false},"author":133,"featured_media":52625,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[10965,4350],"coauthors":[20740],"class_list":["post-52460","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-asthma","tag-prescription-savings","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Top Dulera alternatives and how to switch your Rx<\/title>\n<meta name=\"description\" content=\"Advair, Symbicort, Breo Ellipta, AirDuo, and Trelegy Ellipta are some Dulera alternatives. 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