Inhalopédia | Inhalers

Class
- Long-acting muscarinic antagonist (LAMA)
  Long-acting beta-2 agonist (LABA)
Active ingredient
- Aclidinium bromide
- Formoterol fumarate dihydrate
Device
- Genuair®
Inhalers techniques and maintenance
Age
- 18 +
Typical use
- Asthma (off-label)
  in addition to an ICS, when uncontrolled on high dose ICS + LABA
Asthma management principles
- COPD
  uncontrolled on 1 bronchodilator (LAMA or LABA)
COPD management principles
Marketed strength
- 400/12 mcg
Number of doses
- 60 doses
Dose indicator
- Yes | Indicator
Usual adult dosage
- 1 inh BID
Usual pediatric dosage
- -
Required inspiratory flow
- > 40 - 45 L/min
  Medium internal resistance (R3)
Inspiratory flows
Public coverage
- MN – NIHB – QC | Open/Regular Benefit
  All provinces except MN – NIHB | Restricted Benefit with criteria
  QC | Not a Benefit
Provincial coverage criteria
Advantages
- Less anticholinergic side effects
- Easy handling
- Impossible to take empty (locking mechanism)
Disadvantages
- Taste that can be unpleasant
- BID dosing
- May fail to actuate despite good inspiratory flow
Side effects

Product monograph

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Duaklir®