What is Dulera (Zenhale)?

Dulera, known as Zenhale in Canada, is a combination inhaler used to manage asthma in individuals 12 years and older. It contains two active ingredients:

• Mometasone Furoate: A corticosteroid that reduces inflammation in the airways.
• Formoterol Fumarate: A long-acting beta2-agonist that helps relax airway muscles, improving breathing.

Zenhale is available in Canada in multiple strengths to meet individual patient needs.

Why Choose Zenhale (Dulera)?

• Dual Action: Combines anti-inflammatory and bronchodilatory effects in one inhaler.
• Improved Asthma Control: Reduces the frequency and severity of asthma attacks.
• Cost Savings: Americans can save significantly by purchasing Zenhale from Canada.

How Zenhale Works

Zenhale’s combination of mometasone and formoterol addresses two critical components of asthma:

• Inflammation: Mometasone furoate suppresses airway inflammation, reducing swelling and mucus production.
• Bronchodilation: Formoterol fumarate relaxes airway muscles, allowing air to flow more freely and easing breathing.

This dual mechanism makes Zenhale an effective option for managing persistent asthma symptoms.

Differences Between Dulera and Zenhale

While Dulera and Zenhale contain the same active ingredients, there are slight variations in branding and availability:

• Branding: Dulera is the U.S. name, while Zenhale is used in Canada.
• Pricing: Zenhale is often more affordable when purchased from Canadian pharmacies due to regulated pricing.

Americans looking to save on asthma treatments should consider buying Zenhale from Canada for the same quality at a lower price.

Dosage and Administration

Zenhale is available in three strengths:

• 50 mcg / 5 mcg: For patients with mild asthma.
• 100 mcg / 5 mcg: For moderate asthma symptoms.
• 200 mcg / 5 mcg: For severe asthma requiring higher corticosteroid doses.

The usual dosage is two inhalations twice daily, but your healthcare provider will determine the most appropriate strength and frequency for you.

Side Effects of Zenhale

Common side effects of Zenhale include:

• Headache
• Sore throat
• Hoarseness
• Oral thrush (yeast infection in the mouth)

Rare but serious side effects may include:

• Worsening asthma symptoms
• Allergic reactions, including rash or swelling
• Increased heart rate

If you experience severe symptoms, consult your healthcare provider immediately.

Use in Pregnancy and Special Populations

Zenhale should only be used during pregnancy if the potential benefits outweigh the risks. Consult your doctor before starting or continuing this medication if you are pregnant or breastfeeding.

For children under 12 years, the safety and efficacy of Zenhale have not been established. Elderly patients do not require specific dosage adjustments but should be monitored closely for side effects.

Storage and Handling

• Store at room temperature (15°C to 30°C).
• Do not freeze or expose to high heat.
• Keep the inhaler in its original packaging to protect it from damage and light.

Discard the inhaler once the dose counter reads "0," even if it feels like some medication remains.

Why Buy Dulera from Canada?

For Americans, buying Dulera (Zenhale) from Canada offers several advantages:

• Cost Savings: Save up to 50% compared to U.S. prices.
• High Quality: Canadian pharmacies adhere to strict regulatory standards, ensuring the same efficacy and safety as U.S. versions.
• Ease of Access: Many Canadian online pharmacies specialize in serving U.S. patients, making it convenient to order Zenhale.

Alternative Asthma Treatments

In addition to Zenhale, other combination inhalers are available for asthma management:

• Symbicort: Contains budesonide and formoterol, suitable for both asthma and COPD.
• Advair: Combines fluticasone and salmeterol for asthma and COPD.
• Breo Ellipta: Offers fluticasone and vilanterol, with once-daily dosing.

Discuss with your doctor which option is best for you.

How to Order Dulera (Zenhale) from Canada

1. Obtain a Prescription: Ensure you have a valid prescription from your healthcare provider.
2. Select a Canadian Pharmacy: Choose a reputable pharmacy that specializes in serving U.S. patients.
3. Place Your Order: Provide your prescription and shipping information to complete your purchase.

By choosing Zenhale from Canada, you can manage your asthma effectively while saving money.