Dulera 5 mcg/200 mcg Metered-Dose Inhaler

Dulera
4.730 ratingsReviews
Generic:
Mometasone and Formoterol
Analogs:
Symbicort Advair Breo Ellipta Wixela Inhub Flutiform Fostair Airduo Respiclick Seretide
Our Dulera product is a metered-dose inhalation aerosol containing 5 mcg formoterol fumarate and 200 mcg mometasone furoate per actuation. It is intended for scheduled asthma maintenance rather than sudden symptom relief. Verify the exact package label and prescribed product before ordering.
AdultsPregnancyAllergiesDiabetesBreastfeedingChildrenDriving

Dosages

Dulera 5mcg+200mcg

Quantity Price per inhaler You save Total price
2 $90.50 - $181.00
4 $75.50 $60.00 $302.00
6 $69.50 $126.00 $417.00

Manufacturers

German RemediesOrganon Canada Inc.Organon LLC

Payment & Shipping

Package Example

Your order is securely packed and usually ships within 24 hours. Below is what a standard package looks like.

It is about the size of a regular letter (9.4x4.3x0.3 inches) and shows no details about what is inside.

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Shipping Times
Shipping MethodEstimated delivery
Express Free for orders over $300.00Estimated delivery to the U.S.: 4-7 days
Standard Free for orders over $200.00Estimated delivery to the U.S.: 14-21 days
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Discount Coupons

  • Independence Day - July 4, 2026 10% JULY410
  • Labor Day - September 7, 2026 7% LABOR07
  • Thanksgiving - November 26, 2026 9% THANKS09

Brand Names

Also known as (by country):
CountryBrand Names
Canada
Zenhale

FAQ

In the United States, mometasone/formoterol inhalers are prescription medicines when purchased from local pharmacies. Under our store policy, however, this product can be ordered without a prescription and sent by mail.

Take the missed dose when you remember unless it is almost time for the next scheduled dose. In that case, skip the missed dose and resume the regular schedule. Do not use extra inhalations or double a dose to make up for one that was missed.

The exact manufacturer of the supplied inhaler is not confirmed in advance and may vary by available stock. Check the manufacturer name on the received carton and inhaler label, along with the active ingredients, strength, dosage form, lot number, and expiration date.

Do not use an inhaler if its carton, seal, canister, actuator, or mouthpiece appears damaged, opened, or compromised. Keep the packaging and contact customer service within 7 days of delivery so a replacement or refund can be arranged.

This is a pressurized metered-dose inhalation aerosol and should remain protected from crushing, puncture, and excessive heat during transport. Its labeled storage range is 68°F to 77°F, with excursions permitted between 59°F and 86°F; do not expose it to temperatures above 120°F. After arrival, inspect the inhaler and packaging before use.

Store the inhaler at 68°F to 77°F, with permitted excursions from 59°F to 86°F. Keep it with the mouthpiece down. The canister is under pressure, so do not puncture or incinerate it and do not expose it to temperatures above 120°F.

This metered-dose inhalation aerosol is used by oral inhalation as a regular asthma controller, not as a rescue inhaler for sudden breathing symptoms. For the higher-strength mometasone/formoterol inhaler, the usual regimen for patients age 12 and older is two inhalations twice daily, as prescribed. Shake and use the device as directed in its instructions, and rinse the mouth with water after use and spit it out to reduce the risk of oral thrush.

Pregnancy requires an individual clinical assessment because adequate studies of this combination in pregnant people are lacking, while poorly controlled asthma can also create risks. Breastfeeding also requires individualized advice: it is not known whether mometasone or formoterol passes into human milk or affects a nursing infant. Do not stop a prescribed asthma controller solely because of pregnancy or breastfeeding without discussing the treatment plan with the prescriber.

Formoterol fumarate and mometasone furoate inhalation aerosol is used as maintenance treatment for asthma. Mometasone reduces airway inflammation, while formoterol helps keep airway muscles relaxed over time. It is not intended to relieve an acute asthma attack.

Tell the prescriber about other long-acting beta2-agonists, beta-blockers, diuretics, MAO inhibitors, tricyclic antidepressants, and strong CYP3A4 inhibitors, as these may increase side effects or affect treatment. Use also requires caution with heart rhythm problems, high blood pressure, seizures, thyroid disease, diabetes, and low potassium. Avoid taking another medicine containing a long-acting beta2-agonist unless specifically directed.

Description

The Two Active Ingredients Have Different Roles

Mometasone furoate is an inhaled corticosteroid. With regular use, it reduces inflammation and sensitivity inside the airways. Formoterol fumarate is a long-acting beta2-agonist that relaxes airway muscles and helps keep the airways open between scheduled doses. Combining them in one inhaler can simplify a maintenance routine when a clinician has determined that both types of treatment are appropriate.

The fixed combination also means that the amount of each ingredient cannot be adjusted independently. A person who needs a different corticosteroid dose, a different long-acting bronchodilator, or separate adjustment of the two components may need another treatment plan. Dulera should not be added to another long-acting beta2-agonist unless a clinician has specifically reviewed the combination.

Who May Discuss Dulera With a Prescriber?

Dulera may be considered when asthma is not adequately controlled with an inhaled corticosteroid alone or when the condition already warrants treatment with both an inhaled corticosteroid and a long-acting bronchodilator. The listed 200 mcg mometasone strength is associated with treatment for patients 12 years of age and older; younger children require age-appropriate products and strengths.

Several factors can affect whether this exact inhaler is a suitable match:

  • Prescribed strength: the package must match the strength and product identified by the prescriber.
  • Inhaler technique: a pressurized metered-dose aerosol requires coordinated actuation and inhalation. A clinician may recommend a spacer when appropriate.
  • Daily routine: Dulera is used on a regular twice-daily schedule rather than only when symptoms occur.
  • Current medicines: other bronchodilators, beta-blockers, diuretics, and strong CYP3A4 inhibitors can affect the treatment decision.
  • Health history: diabetes, cardiovascular disease, seizures, pregnancy, breastfeeding, and known ingredient allergies warrant individual review.

These points help frame a discussion, but they do not establish that Dulera is appropriate for a particular person. A prescriber must assess asthma control, current treatment, inhaler technique, and relevant medical history.

How Do the Ingredients Affect Daily Use?

The two ingredients do not serve identical purposes. Formoterol can begin relaxing airway muscles relatively quickly, while the full anti-inflammatory benefit of mometasone depends on continued, regular use. Even though formoterol can have a rapid onset, Dulera is not labeled as a rescue inhaler and should not replace the acute-relief medicine prescribed for sudden symptoms.

This distinction matters when evaluating the product. Dulera is intended to support ongoing control, such as fewer recurring symptoms and improved breathing stability over time. It is not meant to produce guaranteed or immediate relief from every symptom. Missing scheduled doses can reduce maintenance coverage, while taking extra doses without clinical direction can increase the risk of adverse effects.

How Should Dulera Fit Into a Routine?

Dulera is generally used twice daily, in the morning and evening, according to the prescribed directions. The exact number of actuations must come from the applicable product label and prescriber. Do not change the dose or frequency based only on symptom severity.

Useful administration and care steps include:

  • Shake and prime the metered-dose inhaler exactly as directed in its instructions for use.
  • Use the inhalation technique demonstrated by a clinician or pharmacist. Poor coordination can reduce the amount of medicine reaching the lungs.
  • Rinse the mouth with water and spit it out after each dose to reduce the risk of oral thrush. Do not swallow the rinse water.
  • Track remaining doses and arrange a replacement before the inhaler is empty.
  • Keep the prescribed rescue inhaler available for sudden symptoms if the treatment plan includes one.

Store the inhaler at 68°F to 77°F; permitted temperature excursions are 59°F to 86°F. Keep it with the mouthpiece down. The contents are under pressure, so do not puncture or incinerate the canister and do not expose it to temperatures above 120°F.

Available Package Quantities

We offer the listed 5 mcg/200 mcg product in quantities of two, four, or six inhalers. The strength remains the same across these options; only the number of inhalers changes. The appropriate quantity depends on the prescribed directions, the number of actuations in each supplied inhaler, and when the treatment is due for clinical review.

A larger quantity should not be treated as permission to extend treatment, increase the dose, or postpone necessary follow-up. Before selecting a quantity, verify the exact product strength and check that the anticipated supply aligns with the prescribed regimen. We do not state a fixed number of treatment days because that cannot be calculated reliably from package quantity alone.

Expected Response and Review Points

Some bronchodilator effect may occur early, but improvement in overall asthma control can take longer because the corticosteroid component works with consistent use. The response varies among patients, so progress should be assessed against the goals established with the prescriber rather than against a guaranteed timeline.

Increasing reliance on a rescue inhaler, nighttime awakening, activity limitation, or symptoms that are not improving can indicate that asthma is not adequately controlled. Sudden severe breathing difficulty requires urgent medical attention. Patients should not respond to worsening symptoms by taking extra Dulera unless their clinician has provided explicit instructions to do so.

Important Safety Priorities

Dulera can cause side effects associated with inhaled corticosteroids, long-acting beta2-agonists, or both. Common concerns can include headache, throat irritation, hoarseness, and oral thrush. Rinsing the mouth after use helps reduce local corticosteroid effects but does not eliminate every risk.

  • Acute breathing problems: Dulera is not for immediate relief of an asthma attack. Paradoxical bronchospasm, in which breathing becomes worse immediately after inhalation, requires prompt treatment and medical assessment.
  • Allergy: known hypersensitivity to mometasone furoate, formoterol fumarate, or another ingredient is a contraindication.
  • Cardiovascular effects: formoterol can cause palpitations, tremor, a faster heart rate, or changes in blood pressure, particularly when excessive doses or interacting medicines are involved.
  • Glucose and potassium: beta2-agonists can occasionally raise blood glucose or lower blood potassium. People with diabetes or other relevant risks may need monitoring.
  • Corticosteroid effects: prolonged or high exposure can contribute to adrenal suppression, reduced bone mineral density, eye problems, or slower growth in pediatric patients.
  • Infection risk: inhaled corticosteroids can increase susceptibility to certain infections or worsen existing infections. Exposure to chickenpox or measles can be particularly important for a person without immunity.

Pregnancy and breastfeeding require an individualized discussion because available human data are limited. The clinician should weigh the benefits of maintaining asthma control against potential medicine-related risks. No specific impairment of driving or operating machinery is expected, although an individual experiencing dizziness or another relevant effect should avoid those activities until it resolves.

Interactions and Medical Precautions

Another medicine containing a long-acting beta2-agonist should generally not be used with Dulera because excessive exposure can increase cardiovascular and other adverse effects. Patients should provide a complete list of prescription medicines, nonprescription products, and supplements before starting treatment.

Beta-blockers can reduce the bronchodilator effect of formoterol and may trigger bronchospasm in susceptible patients. Certain diuretics can worsen changes in potassium or heart rhythm. Strong CYP3A4 inhibitors can increase systemic exposure to mometasone. Monoamine oxidase inhibitors, tricyclic antidepressants, and other medicines that affect cardiac rhythm may also require additional caution.

A history of heart rhythm problems, significant cardiovascular disease, high blood pressure, hyperthyroidism, seizures, diabetes, osteoporosis, glaucoma, cataracts, liver impairment, or recurrent infections may influence monitoring or product selection. These conditions do not all rule out treatment, but they should be reviewed before use.

How Does Dulera Compare With Other Combination Inhalers?

Combination inhalers differ in their corticosteroid, long-acting bronchodilator, device, labeled strength, and dosing schedule. Symbicort combines budesonide with formoterol and is also supplied as a metered-dose aerosol in the United States. Advair Diskus combines fluticasone propionate with salmeterol in a dry-powder device. Breo Ellipta uses fluticasone furoate and vilanterol in a dry-powder inhaler with a once-daily maintenance schedule.

How does Dulera compare to Advair Diskus?

FeatureDuleraAdvair Diskus
Active ingredientsMometasone and formoterolFluticasone and salmeterol
Medicine classICS/LABA combinationICS/LABA combination
Common useAsthma maintenanceAsthma maintenance
Dosage formMetered-dose inhalation aerosolDry powder inhalation
Available strengths5 mcg + 200 mcg100 mcg + 50 mcg, 250 mcg + 50 mcg, 500 mcg + 50 mcg
Device typePressurized inhalerDiskus multidose blister

How does Dulera compare to Symbicort?

FeatureDuleraSymbicort
Active ingredientsMometasone and formoterolBudesonide and formoterol
Medicine classICS/LABA combinationICS/LABA combination
Common useAsthma maintenanceAsthma maintenance
Dosage formMetered-dose inhalation aerosolInhalation powder
Available strengths5 mcg + 200 mcg100 mcg + 6 mcg, 200 mcg + 6 mcg, 400 mcg + 6 mcg

These differences make comparisons conditional rather than absolute. A metered-dose aerosol may suit someone who can coordinate actuation and inhalation or use an appropriate spacer, while a dry-powder device requires sufficient inspiratory flow. Once-daily treatment may simplify some routines, whereas another patient may need a different ingredient or dosing approach. Product approval, strengths, and instructions also vary by market, so a brand available elsewhere should not automatically be treated as a US substitute. Our Asthma category provides another way to review relevant catalog options before discussing a change with a prescriber.

US Prescription Status and Strength Context

Dulera is available in the United States by prescription only and is FDA-approved for maintenance treatment of asthma within its labeled patient population. It is not approved for relief of acute bronchospasm. Our checkout process does not change those regulatory facts.

Our stated ordering policy does not require customers to submit a prescription during checkout. Our policy does not change Dulera's US prescription-only status or replace appropriate prescribing guidance. Verify the exact label, strength, and directions before using the product.

Ordering Options and Pharmacist Support

Our catalog presents the listed product in quantities of two, four, or six inhalers, with prices shown in US dollars. Before placing an order, compare the product name, dosage form, active ingredients, strength per actuation, and package quantity with the intended treatment. Confirm the package details rather than relying on the Dulera brand name alone.

We have operated since 2017, and our support team is available 24/7 by email, online chat, or phone. Pharmacist support is also available for questions about the listed product, inhaler handling, storage, or order details. Support can clarify product information but cannot diagnose asthma, select treatment for an individual, or replace directions from the prescribing clinician. No shipping speed, delivery date, insurance coverage, or reimbursement outcome should be assumed unless it is explicitly provided during the order process.

A Product Match Depends on Exact Verification

Dulera may fit a treatment plan that calls for scheduled use of mometasone furoate and formoterol fumarate in a pressurized metered-dose inhaler. The main purchase decision is not simply whether a combination maintenance inhaler is desired; it is whether this exact dosage form, ingredient combination, strength, and package quantity match the prescribed product.

Our listing identifies 5 mcg formoterol fumarate and 200 mcg mometasone furoate per actuation, matching the corresponding FDA-labeled Dulera strength. Verify the packaging before use. If the intended treatment instead calls for a different strength, another corticosteroid, a dry-powder device, or a once-daily schedule, a related combination inhaler may be a more appropriate product to discuss with the prescriber.

Medically reviewed by
John Buducci
Pharmacology Expert
Updated August 11, 2026

Customer questions

Asked by Rachel Morgan, San Diego, United States

I found a much cheaper generic inhaler on another website. Why should I pay more through your store?

Answered by Support team

We stand behind the quality of the generic medicines we offer. We cannot verify what another seller supplies, how it is sourced or handled, or whether a lower-priced listing is truly equivalent in manufacturer, origin, and product condition. The choice is yours, but only you can decide whether the savings are worth accepting that unknown risk.

Asked by Daniel Brooks, Dallas, United States

I live in Dallas, where summer heat can be intense. Can this pressurized inhaler normally travel by mail without being ruined?

Answered by Support team

A metered-dose inhaler can normally be mailed when it is properly protected from crushing, puncture, and excessive heat. Keep it within its labeled handling conditions as far as possible, and inspect the carton, canister, mouthpiece, and spray function after arrival. Do not use it if it appears damaged or may have been exposed to extreme heat.

Asked by Olivia Bennett, New York, United States

Will the inhaler package say Dulera, or could it have a different generic or manufacturer name on it?

Answered by Support team

The exact trade name on the supplied package cannot be guaranteed. Verify the label shows formoterol fumarate plus mometasone furoate, a metered-dose inhalation aerosol, and 5 mcg formoterol fumarate plus 200 mcg mometasone furoate per actuation. If the active ingredients, strength, or dosage form do not match, do not use it before the discrepancy is checked.

Asked by Megan Foster, Seattle, United States

My 11-year-old son has asthma. Is the 5 mcg/200 mcg inhaler the right strength for a child his age?

Answered by Support team
Medical reviewed by John Buducci

This higher mometasone strength is generally intended for patients age 12 and older. Children ages 5 to under 12 who are prescribed this combination use a lower mometasone strength, so the child's prescriber should confirm the appropriate inhaler and dose.

Product specifications

Active ingredientMometasone and formoterol
Drug classInhaled corticosteroid and long-acting beta2-agonist combination
Dosage formMetered-dose inhalation aerosol
Available strengths5 mcg formoterol fumarate + 200 mcg mometasone furoate per actuation
RouteOral inhalation
StorageStore at 68°F to 77°F; excursions permitted between 59°F and 86°F. Store the inhaler with the mouthpiece down. Contents are under pressure: do not puncture or incinerate, and do not expose to temperatures above 120°F.
ATC codeR03AK09

Regulatory information

United States: medicine status
FDA approval statusDulera is FDA-approved as a metered-dose inhaler for the treatment of asthma; the U.S. labeling lists 100 mcg/5 mcg and 200 mcg/5 mcg strengths per actuation, including the 200 mcg/5 mcg presentation in our catalog.
Prescription statusDulera is available in the United States by prescription only.
Official prescribing informationThe FDA-approved prescribing information includes a boxed warning and instructions for use, contraindications, warnings, and adverse reactions.Safety monitoringSuspected serious adverse events and product-quality problems may be reported to FDA MedWatch.

More information