Duomate 100mcg/6mcg Transhaler: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or worsening of asthma symptoms after using the inhaler
- Severe allergic reaction with rash, swelling, or difficulty breathing
- Chest pain, fast or irregular heartbeat
- Signs of adrenal insufficiency: fatigue, weakness, nausea, low blood pressure
- Vision changes or eye pain
- White patches in the mouth or throat
If experiencing severe symptoms, call emergency services immediately.
What is niveoli inhaler used for?
This medicine is a combination inhaler used for the maintenance treatment of asthma and COPD. It contains beclometasone (a steroid) and formoterol (a long-acting bronchodilator). It is not for acute attacks.
- Generic Name: Beclometasone (100mcg) + Formoterol (6mcg)
- Manufacturer: Cipla Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 niveoli inhaler के बारे में (Hindi Summary)
उपयोग: यह दवा बेक्लोमेथासोन और फॉर्मोटेरोल का संयोजन है, जिसका उपयोग अस्थमा और सीओपीडी के नियमित इलाज के लिए किया जाता है। यह इनहेलर फेफड़ों में सूजन कम करता है और सांस की नलियों को खोलता है, जिससे सांस लेने में आसानी होती है। यह दवा तुरंत राहत के लिए नहीं है, बल्कि लंबे समय तक नियंत्रण के लिए है। इसे डॉक्टर के बताए अनुसार ही लें।
साइड इफेक्ट्स: आम दुष्प्रभावों में गले में जलन, आवाज में भारीपन, सिरदर्द और हाथ-पैरों में कंपन शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, दिल की धड़कन तेज होना, या सांस लेने में कठिनाई हो सकती है। लंबे समय तक उपयोग से मुंह में फंगल संक्रमण, आंखों की समस्या हो सकती है। कोई भी असामान्य लक्षण दिखने पर डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा का उपयोग केवल डॉक्टर के निर्देशानुसार करें। यह तुरंत राहत के लिए नहीं है। हर बार उपयोग के बाद मुंह को पानी से धोएं। दवा की मात्रा न बढ़ाएं। आपात स्थिति के लिए रेस्क्यू इनहेलर हमेशा साथ रखें। दिल, मधुमेह, थायरॉइड या लिवर की बीमारी हो तो डॉक्टर को बताएं। दवा अचानक बंद न करें।
💊 niveoli inhaler Uses & Benefits
[{"condition":"Asthma","description":"Maintenance treatment to prevent asthma symptoms and reduce exacerbations in patients requiring combination therapy.","evidence":"Well-established"},{"condition":"Chronic Obstructive Pulmonary Disease (COPD)","description":"Regular use to improve lung function and reduce symptoms in patients with COPD who need dual bronchodilation and anti-inflammatory therapy.","evidence":"Well-established"}]
Off-label uses: []
Primary treatment for: Asthma
Also treats: Chronic Obstructive Pulmonary Disease (COPD)
📋 Drug Information
| Generic Name(s) | Beclometasone (100mcg) + Formoterol (6mcg) |
| Brand Name | niveoli inhaler |
| Manufacturer | Cipla Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Inhalation |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Do not puncture or incinerate the inhaler. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary actions. Beclometasone is a corticosteroid that binds to glucocorticoid receptors inside cells, reducing the production of inflammatory substances and suppressing the migration of inflammatory cells into the airways. Formoterol is a long-acting beta-2 adrenergic agonist that selectively stimulates beta-2 receptors on airway smooth muscle, causing relaxation and bronchodilation. Together, they reduce inflammation and keep the airways open, improving breathing and preventing symptoms.
Mechanism Steps
💡 How to Take niveoli inhaler
Strength: Each actuation delivers beclometasone 100mcg and formoterol 6mcg.
Dosage Information
| Adult Dosage | The usual adult dose is one inhalation twice daily (morning and evening). The dose may be adjusted by your doctor based on your condition and response. Do not exceed the prescribed dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | No specific dose adjustment is required for elderly patients, but use with caution due to increased risk of cardiovascular effects and other age-related conditions. |
| Renal Impairment | No specific dose adjustment is required for renal impairment, but use with caution. |
| Hepatic Impairment | Use with caution in patients with severe hepatic impairment. Dose adjustment may be necessary. |
| Maximum Daily Dose | The maximum recommended daily dose is two inhalations (200mcg beclometasone/12mcg formoterol) per day. Do not exceed this dose. |
Dosage Timeline
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of niveoli inhaler
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Propranolol | Major | |
| Furosemide | Moderate | |
| Theophylline | Moderate | |
| Prednisone | Moderate | |
| Ritonavir | Major | |
| Amitriptyline | Major | |
| Phenelzine | Major | |
| Hydrochlorothiazide | Moderate | |
| Diphenhydramine | Minor |
🚨 Major Interactions
- Strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
- Beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics (e.g., furosemide)
- Xanthine derivatives (e.g., theophylline)
- Other corticosteroids
🍷 Alcohol Interaction
Alcohol may increase the risk of dizziness and drowsiness. It is advisable to limit alcohol consumption while using this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to beclometasone, formoterol, or any component of the formulation.","Not for acute asthma attacks or status asthmaticus.","Severe hypersensitivity to milk proteins (if applicable to formulation)."]
⚠️ Warnings & Precautions
["Do not use for acute bronchospasm; use a short-acting beta-2 agonist instead.","Rinse mouth after each use to prevent oral candidiasis.","Use with caution in patients with cardiovascular disorders, especially coronary insufficiency, arrhythmias, and hypertension.","Use with caution in patients with convulsive disorders, thyrotoxicosis, diabetes mellitus, and ketoacidosis.","Do not exceed recommended dose; serious cardiovascular effects may occur.","Long-term use may lead to systemic corticosteroid effects such as adrenal suppression, osteoporosis, and growth retardation in children.","Transfer from systemic corticosteroids to inhaled therapy should be done gradually and under medical supervision.","Monitor for signs of adrenal insufficiency during periods of stress or trauma."]
🤱 Lactation Safety
It is not known whether beclometasone and formoterol pass into breast milk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose may cause symptoms such as tremor, palpitations, tachycardia, and hypokalemia. In case of overdose, seek immediate medical attention. Treatment is supportive and symptomatic. Monitor cardiac function and serum potassium levels.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Use this medicine only as prescribed for regular maintenance, not for acute attacks. Rinse your mouth with water after each use to prevent oral thrush. Do not exceed the recommended dose. Keep a rescue inhaler available at all times. Inform your doctor if you have heart disease, diabetes, thyroid problems, or liver disease. Do not stop this medicine abruptly without medical advice. Store the inhaler properly and check the dose counter regularly.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to cardiovascular effects of formoterol. Use with caution and monitor heart rate and blood pressure regularly.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before using this medicine. The safety of this combination during pregnancy is not fully established. Your doctor will weigh the benefits and risks.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist about this medicine before surgery. It may need to be continued or adjusted perioperatively.
🦷 Dental Procedures
Inform your dentist about this medicine. Rinsing with water after use can help prevent oral thrush, which is important for dental health.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise is generally safe and encouraged, but if you experience exercise-induced bronchospasm, use your rescue inhaler before exercise. Consult your doctor for personalized advice.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine does not usually affect your ability to work or drive. However, if you experience dizziness or tremor, avoid driving or operating machinery until you know how it affects you.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Stopping suddenly can cause your symptoms to worsen. Your doctor may gradually reduce the dose if appropriate.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to oral thrush, hoarseness, and systemic corticosteroid effects such as adrenal suppression, osteoporosis, and growth retardation in children. Regular monitoring of lung function, adrenal function, and eye health is recommended. Use the lowest effective dose to minimize risks.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
An oral medication that can help control asthma symptoms, but not as effective as inhaled combination therapy.
Evidence: Well-establishedAllergy shots may reduce asthma symptoms in allergic individuals.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Annual influenza vaccination is recommended for patients with asthma or COPD. Pneumococcal vaccination may also be advised. Consult your doctor for personalized recommendations.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate
✅ DO
Keep in original container
❌ DON'T
Do not puncture or incinerate
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom
✈️ Traveling with This Medicine
Carry your inhaler in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid extreme temperatures. If traveling across time zones, continue your doses at regular intervals as prescribed. Check customs regulations for carrying prescription inhalers. Store away from direct sunlight and heat.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Formoterol starts working within 5 minutes, but the full anti-inflammatory effect of beclometasone may take several days to weeks.
A: No, this is a maintenance inhaler and should not be used for sudden attacks. Use a rescue inhaler for immediate relief.
A: Take it as soon as you remember, but if it's almost time for the next dose, skip the missed dose. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for niveoli inhaler
View AllAlternative brands with exact same active ingredient:
-
fullform 100mcg/6mcg inhalerCipla Ltd ₹187.50 36.7% CHEAPER
-
duomate 100mcg/6mcg transhalerLupin Ltd ₹232.65 21.5% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This inhaler can be used for immediate relief during an asthma attack.
Fact: This medicine is for maintenance only. It does not provide rapid relief. Always use a rescue inhaler for acute symptoms. - Myth: Inhaled steroids are addictive.
Fact: Inhaled corticosteroids are not addictive. They are safe and effective for long-term control of asthma and COPD. - Myth: Once symptoms improve, the inhaler can be stopped.
Fact: Do not stop this medicine without consulting your doctor. Stopping suddenly can worsen your condition.