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Formodual

Formodual

Ask a doctor about a prescription for Formodual

This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Formodual

Leaflet accompanying the packaging: information for the user

Formodual, (200 micrograms + 6 micrograms)/inhalation dose, inhalation aerosol, solution

Solution
Beclometasone dipropionate + Formoterol fumarate dihydrate
Medicine intended for use in adults.

You should carefully read the contents of the leaflet before using the medicine, as it contains important information for the patient.

  • You should keep this leaflet, so that you can read it again if you need to.
  • In case of any doubts, you should consult a doctor, pharmacist, or nurse.
  • This medicine has been prescribed specifically for you. Do not pass it on to others. The medicine may harm another person, even if their symptoms are the same.
  • If the patient experiences any side effects, including any side effects not listed in this leaflet, they should tell their doctor, pharmacist, or nurse. See section 4.

Table of contents of the leaflet

  • 1. What is Formodual and what is it used for
  • 2. Important information before using Formodual
  • 3. How to use Formodual
  • 4. Possible side effects
  • 5. How to store Formodual
  • 6. Contents of the packaging and other information

1. What is Formodual and what is it used for

Formodual is a solution in an inhalation aerosol, containing two active substances, which are delivered directly to the lungs when you inhale through the mouthpiece of the inhaler.
The medicine contains two active substances:
Beclometasone dipropionate, belonging to a group of medicines called corticosteroids, which have an anti-inflammatory effect by reducing swelling and irritation of the lungs.
Formoterol fumarate dihydrate, belonging to a group of long-acting bronchodilators, which relax the muscles in the airways and make breathing easier.
Together, these two active substances make breathing easier. They also help prevent asthma symptoms, such as shortness of breath, wheezing, and coughing.

Formodual is intended for the treatment of asthma in adults.

Formodual is used in patients whose:

  • asthma symptoms are not adequately controlled with inhaled corticosteroids and a short-acting bronchodilator used as needed, or
  • asthma symptoms are adequately controlled with both inhaled corticosteroids and long-acting bronchodilators.

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2. Important information before using Formodual

When not to use Formodual:

Warnings and precautions

Before starting treatment with Formodual, you should discuss it with your doctor, pharmacist, or nurse:

Before using Formodual, you should always inform your doctor if any of the above warnings apply to you.

Before using this medicine, you should consult a doctor, pharmacist, or nurse if you have any current or past health problems or allergies, or if you have any doubts about whether Formodual can be used.

The doctor may occasionally order a blood test to check potassium levels, especially

in patients with severe asthma.Like other bronchodilators, Formodual may cause a sudden decrease in potassium levels in the blood (hypokalemia). This is related to oxygen deficiency in the blood caused by taking other medicines at the same time as Formodual, which may exacerbate the decrease in potassium levels in the blood.
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If the patient is taking large doses of inhaled corticosteroids for a long time, they may be more likely to require corticosteroid administration during periods of stress. Stressful situations may include hospitalization after an accident, serious injury, or waiting for surgery. In such situations, the doctor will decide on the possible increase in corticosteroid dose or may prescribe other steroids in the form of tablets or injections.
If hospitalization is necessary, the patient should remember to bring all their medicines and inhalers, including Formodual, as well as over-the-counter medicines, if possible, in their original packaging.

If the patient experiences blurred vision or other vision disturbances, they should contact their doctor.

Children and adolescents

Formodual should not be used in children and adolescents under the age of 18.

Formodual and other medicines

You should tell your doctor, pharmacist, or nurse about all the medicines you are currently taking or have recently taken, including those available without a prescription.
This is necessary because Formodual may affect the action of some other medicines.
Similarly, some medicines may affect the action of Formodual.
In particular, you should tell your doctor, pharmacist, or nurse if you are taking any of the following medicines:

  • some medicines may enhance the effect of Formodual, and the doctor may want to closely monitor the condition of the patient taking such medicines (including some HIV medicines: ritonavir, cobicistat);
  • beta-blockers. Beta-blockers are medicines used to treat many diseases, including heart disease, high blood pressure, and glaucoma (increased pressure in the eye). If the administration of beta-blockers is necessary (including eye drops), the effect of formoterol may be reduced or formoterol may not work at all;
  • medicines that stimulate beta-adrenergic receptors (medicines that work in the same way as formoterol) - may enhance the effect of formoterol;
  • medicines used to treat irregular heartbeat (quinidine, disopyramide, procainamide);
  • medicines used to treat allergies (antihistamines);
  • medicines used to treat symptoms of depression or mental disorders, such as monoamine oxidase inhibitors (e.g., phenelzine and isocarboxazid), tricyclic antidepressants (e.g., amitriptyline and imipramine), phenothiazines;
  • medicines used to treat Parkinson's disease (L-dopa);
  • medicines used to treat hypothyroidism (L-thyroxine);
  • medicines containing oxytocin (which cause uterine contractions);
  • medicines used to treat mental disorders, such as monoamine oxidase inhibitors (MAOIs) or medicines with similar properties, such as furazolidone and procarbazine;
  • medicines used to treat heart disease (digoxin);
  • other medicines used to treat asthma (theophylline, aminophylline, or steroids);
  • diuretics.

You should also inform your doctor if you are scheduled to undergo general anesthesia for surgery or a dental procedure.

Pregnancy, breastfeeding, and fertility

There are no clinical data on the use of Formodual during pregnancy.
Formodual should not be used if the patient is pregnant, thinks they may be pregnant, or plans to have a child, or if the patient is breastfeeding, unless the doctor decides otherwise.
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Driving and using machines

It is unlikely that Formodual will affect the ability to drive and use machines.

Formodual contains alcohol

Formodual contains 9 mg of alcohol (ethanol) per inhalation, which is equivalent to 0.25 mg/kg body weight per dose, when two inhalations are used. The amount of alcohol in two inhalations of this medicine is equivalent to less than 1 ml of beer or wine. The small amount of alcohol in this medicine is unlikely to have noticeable effects.

3. How to use Formodual

This medicine should always be used in accordance with the recommendations of a doctor or pharmacist. In case of doubts, you should consult a doctor or pharmacist.
The doctor will regularly check if the patient is taking the optimal dose of Formodual. The doctor will determine the smallest dose that provides the best control of asthma symptoms.

Dosage: Adults and the elderly

The recommended dose of the medicine is two inhalations twice a day.
The maximum daily dose is 4 inhalations.

Remember: You should always have a fast-acting inhaled reliever medicine with you to treat asthma symptoms or a sudden asthma attack.

Special patient groups:

There is no need to adjust the dosage in elderly patients. There is no information on the use of Formodual in patients with liver or kidney function disorders.

Use in children and adolescents under 18 years of age:

This medicine should NOT be used in children and adolescents under 18 years of age.

The dose of beclometasone dipropionate in Formodual, which is effective in treating asthma, may be lower than the dose contained in other inhaled medicines containing beclometasone dipropionate. If the patient has previously used another inhaled medicine

containing beclometasone dipropionate, the doctor will recommend the appropriate dose of Formodual.

Do not increase the dose.

If you feel that the effect of the medicine is insufficient, you should always consult a doctor before increasing the dose of the medicine.

In case of worsening asthma symptoms:

In case of worsening of the disease or difficulties in controlling it (e.g., when the patient needs to use another inhaled reliever medicine more frequently) or when the inhaled reliever medicine does not relieve symptoms, you should immediately inform your doctor. This may indicate worsening of asthma, and the doctor may decide to change the dosage of Formodual or use other treatment.

Method of administration:

Formodual is intended for inhalation use.

This medicine is in a pressurized container, in a plastic casing with a mouthpiece. At the back of the inhaler, there is a dose counter that shows how many doses of the medicine are left. After each press of the inhaler, a dose of the medicine is released, and the counter will show one dose less. Be careful not to drop the inhaler, as this may cause the counter to decrement.

Inhaler test:

Before using the inhaler for the first time, or if the inhaler has not been used for 14 days or more, you should perform an inhaler test to ensure it is working properly.

  • Remove the protective cap from the mouthpiece.
  • Hold the canister in an upright position with the mouthpiece pointing downwards.
  • Point the mouthpiece away from you and firmly press the top of the canister to release one inhalation.
  • Check the dose counter. If the inhaler is being tested for the first time, the dose counter should show 120.
Inhaler with visible dose counter showing a value of 120, arrow pointing to the round display with the number

How to use the inhaler:

If possible, you should stand or sit upright while inhaling.
Before inhaling, check the dose counter: any value between "1" and "120" indicates that there are still doses of the medicine left in the canister. If the dose counter shows "0", it means that there are no more doses of the medicine left, and you should discard the old inhaler and purchase a new one.

Sequence of five black-and-white drawings showing the steps of using the inhaler, from removing the cover to inhaling and exhaling
  • 1. Remove the protective cap from the mouthpiece and check that the mouthpiece is clean and free of dust or other contaminants.
  • 2. Perform a slow and deep exhalation.
  • 3. Hold the canister in an upright position, with the stem pointing upwards, and then place the mouthpiece between your lips. Do not bite the mouthpiece.
  • 4. Perform a slow and deep inhalation through your mouth. Immediately after starting inhalation, firmly pressthe top of the canister to release one inhalation of the medicine. Patients with a weak grip will find it easier to hold the inhaler with both hands: place both index fingers on the top of the canister and both thumbs on the bottom.
  • 5. Hold your breath for as long as possible, then remove the inhaler from your mouth and perform a slow exhalation. Do not exhale into the inhaler.

To take another dose of the medicine, continue to hold the inhaler in an upright position for about half a minute, then repeat the steps described in points 2 to 5.
Important:The steps described in points 2 to 5 should not be performed too quickly.
After use, replace the protective cap and check the dose counter.
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To reduce the risk of fungal infection of the mouth and throat, you should rinse your mouth or throat with water or brush your teeth after each inhalation.

If the dose counter shows 20, you should have a new inhaler ready.

You should stop using the inhaler if the counter shows 0, as the medicine left in the canister may not provide a full dose.

If a "mist" appears over the top opening of the mouthpiece or from the side of the mouth, it means that Formodual is not reaching the lungs as it should. You should take another dose, following the instructions, starting again from point 2.
If you feel that the effect of Formodual is too strong or too weak, you should consult a doctor or pharmacist.
If you have difficulty using the inhaler during inhalation, you can use a spacer (AeroChamber Plus). You should ask your doctor or pharmacist about this device.
It is essential to carefully read the leaflet that comes with the AeroChamber Plus spacer and follow the instructions for use and cleaning recommendations.

Cleaning the inhaler:

The inhaler should be cleaned once a week.

When cleaning, do not remove the canister from the plastic casing, and do not use water or other liquids to clean the inhaler.

Cleaning the inhaler:

  • 1. Remove the protective cap from the mouthpiece by pulling it straight off the inhaler.
  • 2. Wipe the mouthpiece and dose indicator on the inside and outside with a dry cloth or tissue.
  • 3. Replace the protective cap.

Using a higher than recommended dose of Formodual

  • using a higher than recommended dose of formoterol may cause the following symptoms: nausea, vomiting, rapid heartbeat, palpitations, arrhythmias, changes in electrocardiogram (ECG), headache, tremors, drowsiness, excessive acidic metabolic products in the blood, decreased potassium levels in the blood, increased glucose levels in the blood. The doctor may recommend a blood test to check potassium and glucose levels in the blood.
  • using too high a dose of beclometasone dipropionate may cause temporary adrenal gland disorders, which resolve on their own within a few days. The doctor may recommend a blood test to check cortisol levels in the blood.

If you experience any of these symptoms, you should inform your doctor.

Missing a dose of Formodual

You should take the missed dose as soon as possible. If it is almost time for the next dose, do not take the missed dose, just take the next dose at the usual planned time. Do not take a double doseto make up for the missed dose.

Stopping treatment with Formodual

Even if you feel better, you should not stop taking Formodual or reduce the dose without consulting your doctor. It is essential to take the medicine regularly, even when symptoms of the disease have disappeared.
If you have any further doubts about using this medicine, you should consult a doctor or pharmacist.
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4. Possible side effects

Like all medicines, Formodual can cause side effects, although not everybody gets them.
As with other inhaled medicines, there is a risk of worsening shortness of breath and wheezing immediately after taking Formodual, known as paradoxical bronchospasm.You should immediately STOP taking Formodualand use a fast-acting inhaled bronchodilator to relieve shortness of breath and wheezing. You should contact your doctor immediately.
You should immediately inform your doctorif you experience any allergic reactions, such as skin allergies, itching, rash, redness, swelling of the skin or mucous membranes, especially of the eyes, face, lips, and throat.
Other possible side effects are listed below, depending on their frequency.

  • Frequent(occurring in less than 1 in 10 people):
  • fungal infections (of the mouth and throat),
  • headache,
  • hoarseness,
  • throat pain.

Uncommon(occurring in less than 1 in 100 people):

  • palpitations, unusual rapid heartbeat, and arrhythmias,
  • changes in electrocardiogram (ECG),
  • increased blood pressure,
  • flu-like symptoms,
  • sinusitis,
  • nasal congestion,
  • ear infection,
  • throat irritation,
  • cough and cough with expectoration,
  • asthma attack,
  • vaginal fungal infections,
  • nausea,
  • taste disturbances,
  • lip burning,
  • dryness of the mouth and throat mucosa,
  • difficulty swallowing,
  • indigestion,
  • upset stomach,
  • diarrhea,
  • muscle pain and muscle cramps,
  • flushing,
  • increased blood flow to some tissues,
  • increased sweating,
  • tremors,
  • restlessness, especially motor restlessness,
  • dizziness,
  • hives.
  • changes in some blood test results: decreased white blood cell count, increased platelet count,

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decreased potassium levels in the blood,
increased glucose levels in the blood,
increased insulin, free fatty acids, and ketone bodies in the blood.
The following side effects have also been reported as "uncommon" in patients with chronic obstructive pulmonary disease:

  • pneumonia: you should inform your doctor if you experience any of the following symptoms: increased production of sputum, change in sputum color, fever, increased cough, increased breathing problems,
  • decreased cortisol levels in the blood, which is caused by the effect of corticosteroids on the adrenal glands,
  • irregular heartbeat.

Rare(occurring in less than 1 in 1000 people):

  • feeling of pressure in the chest,
  • arrhythmias (caused by premature contraction of the heart chambers),
  • decreased blood pressure,
  • kidney inflammation,
  • swelling of the skin and mucous membranes, lasting for several days.

Very rare(occurring in less than 1 in 10,000 people):

  • shortness of breath,
  • worsening of asthma,
  • decreased platelet count,
  • swelling of the hands and feet.

Using inhaled corticosteroids in high doses for a long time may

cause systemic effects in very rare cases.These include:

  • adrenal gland disorders (adrenal gland suppression),
  • decreased bone density (osteoporosis),
  • delayed growth in children and adolescents,
  • increased intraocular pressure (glaucoma),
  • cataracts.

Frequency not known(cannot be estimated from the available data):

  • sleep disturbances,
  • depression or feeling depressed,
  • nervousness,
  • excessive excitement or irritability. These side effects are more likely to occur in children, but the frequency of these side effects is unknown.
  • blurred vision.

Reporting side effects

If you experience any side effects, including any side effects not listed in this leaflet, you should tell your doctor, pharmacist, or nurse.
Side effects can be reported directly to the Department of Adverse Reaction Monitoring of Medicinal Products, Medical Devices, and Biocidal Products:
Al. Jerozolimskie 181C, 02-222 Warsaw,
phone: (22) 49 21 301, fax: (22) 49 21 309,
Website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
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Reporting side effects will help to gather more information on the safety of this medicine.

5. How to store Formodual

The medicine should be stored out of sight and reach of children.
Information for the pharmacist:
Store in a refrigerator at a temperature between 2°C and 8°C. Store for a maximum of 18 months.
Information for the patient:
Do not use the medicine after 3 months from the date of dispensing from the pharmacy and do not use this medicine after the expiry date stated on the carton and label after "Exp". The expiry date refers to the last day of the month stated.
Do not store above 25°C.
If the inhaler has been exposed to very low temperatures, you should warm it in your hands for a few minutes before use. Never use other methods to heat the canister.
Important: The canister contains a pressurized liquid. Do not expose to temperatures above 50°C. Do not pierce the canister.
Medicines should not be disposed of via wastewater or household waste. You should ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the packaging and other information

What Formodual contains:

  • The active substances of the medicine are beclometasone dipropionate and formoterol fumarate dihydrate. One dose of the medicine delivered by the inhaler contains 200 micrograms of beclometasone dipropionate and 6 micrograms of formoterol fumarate dihydrate. This corresponds to a dose delivered through the mouthpiece, containing 177.7 micrograms of beclometasone dipropionate and 5.1 micrograms of formoterol fumarate dihydrate.
  • The other ingredients are norflurane (HFC 134a), anhydrous ethanol, hydrochloric acid. This medicine contains fluorinated greenhouse gases. Each inhaler contains 10.356 g of norflurane (HFC 134a), which corresponds to 0.015 tons of CO2 equivalent (GWP = 1430).

What Formodual looks like and what the pack contains

Formodual is available as a solution for inhalation, in an aluminum-coated canister with a dose counter, in a plastic casing with a mouthpiece, in a cardboard box. The casing is equipped with a plastic mouthpiece cover and has a dose counter (canister containing 120 doses) or dose indicator (canister containing 180 doses).
Each pack contains:

  • one pressurized canister (which delivers 120 inhalations),
  • two pressurized canisters (each delivering 120 inhalations),
  • one pressurized canister (which delivers 180 inhalations). Not all pack sizes may be marketed.

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Marketing authorization holder:

Chiesi Farmaceutici S.p.A, Via Palermo 26/A, 43122 Parma, Italy

Manufacturer:

Chiesi Farmaceutici S.p.A, Via San Leonardo 96, 43122 Parma, Italy
Chiesi Pharmaceuticals GmbH, Gonzagagasse 16/16, 1010 Vienna, Austria
Chiesi SAS, 2 rue des Docteurs Alberto et Paolo Chiesi, 41260 La Chaussee Saint Victor, France
To obtain detailed information, you should contact the local representative of the marketing authorization holder:
Chiesi Poland Sp. z o.o., Al. Jerozolimskie 134, 02-305 Warsaw
phone: (22) 620 14 21, fax: (22) 652 37 79, email: [email protected]

This medicinal product is authorized in the Member States of the European Economic Area under the following names:

Bulgaria, Cyprus, Estonia, Lithuania, Latvia, Romania: Foster
Belgium, Greece, Luxembourg: Inuvair
Denmark, Finland, Sweden: Innovair
France, Spain, Poland, United Kingdom: Formodual
Germany: Kantos Master
Ireland: Fostair
Italy: Inuver
Norway: Inuxair

Date of last revision of the leaflet: 12/2024

{Marketing authorization holder's logo}
10/10

4. Possible side effects

Like all medications, this medication can cause side effects, although they do not occur in everyone.
Similarly to other inhaled medications, there is a risk of worsening shortness of breath and wheezing immediately after taking Formodual, known as paradoxical bronchospasm.You should then immediately STOP taking Formodual
and use a fast-acting inhaled bronchodilator to relieve shortness of breath and wheezing. You should immediately contact your doctor.
You should immediately inform your doctorif you experience any allergic reactions,
such as: skin allergies, itching, skin rash, skin redness, skin or mucous membrane swelling, especially of the eyes, face, lips, and throat.
Other possible side effects are listed below, depending on the frequency of occurrence.

  • fungal infections (of the mouth and throat),
  • headache,
  • hoarseness,
  • sore throat.

Frequent(occurring in less than 1 in 10 people):

  • heart palpitations, irregular heartbeats and arrhythmias,
  • changes in the electrocardiogram (ECG),
  • increased blood pressure,
  • flu-like symptoms,
  • sinusitis,
  • nasal congestion,
  • ear infection,
  • throat irritation,
  • cough and cough with expectoration,
  • asthma attack,
  • vaginal fungal infections,
  • nausea,
  • taste disorders,
  • lip burning,
  • dryness of the oral mucosa,
  • difficulty swallowing,
  • indigestion,
  • stomach upset,
  • diarrhea,
  • muscle pain and cramps,
  • facial redness,
  • increased blood flow to some tissues,
  • increased sweating,
  • tremors,
  • restlessness, especially motor,
  • dizziness,
  • hives.
  • changes in the values of some blood parameters: decreased white blood cell count, increased platelet count, decreased potassium levels in the blood,

7/10
increased blood sugar levels,
increased insulin, free fatty acids, and ketone bodies in the blood.
The following side effects have also been reported as "uncommon" in patients with chronic obstructive pulmonary disease:

  • pneumonia: you should inform your doctor if you experience any of the following symptoms: increased production of sputum, change in the color of sputum, fever, increased cough, increased breathing problems,
  • decreased cortisol levels in the blood, which is caused by the effect of corticosteroids on the adrenal glands,
  • irregular heartbeat.

Rare(occurring in less than 1 in 1000 people):

  • feeling of pressure in the chest,
  • heart rhythm disorders (caused by too early contraction of the heart chambers),
  • decreased blood pressure,
  • kidney inflammation,
  • skin and mucous membrane swelling, lasting for several days.

Very rare(occurring in less than 1 in 10,000 people):

  • shortness of breath,
  • worsening of asthma,
  • decreased platelet count,
  • swelling of the hands and feet.

Using inhaled corticosteroids in high doses for a long time can

cause systemic side effects in very rare cases.These include:

  • adrenal function disorders (adrenal suppression),
  • decreased bone mineral density (osteoporosis),
  • delayed growth in children and adolescents,
  • increased intraocular pressure (glaucoma),
  • cataract.

Frequency not known(cannot be determined from available data):

  • sleep disorders,
  • depression or feeling of sadness,
  • nervousness,
  • excessive excitement or irritability. These side effects are more likely to occur in children, but the frequency of these side effects is unknown.
  • blurred vision.

Reporting side effects

If you experience any side effects, including any side effects not listed in the leaflet, you should tell your doctor, pharmacist, or nurse.
Side effects can be reported directly to the Department of Adverse Reaction Monitoring of Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Jerozolimskie Avenue 181C, 02-222 Warsaw,
phone: (22) 49 21 301, fax: (22) 49 21 309,
Website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help to gather more information on the safety of the medication.
8/10

5. How to store Formodual

The medication should be stored out of sight and out of reach of children.
Information for the pharmacist:
Store in a refrigerator at a temperature between 2°C and 8°C. Store for a maximum of
18 months.
Information for the patient:
The medication should not be used after 3 months from the date of issue from the pharmacy and should not be used after the expiry date stated on the carton and label after the abbreviation "Exp". The expiry date indicates the last day of the given month.
Do not store above 25°C.
If the inhaler has been exposed to very low temperatures, before using the medication, you should warm it in your hands for a few minutes. Never use other methods to heat the container.
Important: The container contains a pressurized liquid. Do not expose to temperatures above 50°C. Do not pierce the container.
Medications should not be disposed of in wastewater or household waste. You should ask your pharmacist how to dispose of medications that are no longer used. This will help protect the environment.

6. Contents of the pack and other information

What Formodual contains:

  • The active substances of the medication are: beclomethasone dipropionate and formoterol fumarate dihydrate. One metered dose from the inhaler contains 200 micrograms of beclomethasone dipropionate and 6 micrograms of formoterol fumarate dihydrate. This corresponds to a delivered dose through the mouthpiece, containing 177.7 micrograms of beclomethasone dipropionate and 5.1 micrograms of formoterol fumarate dihydrate.
  • The other ingredients are: norflurane (HFC 134a), anhydrous ethanol, hydrochloric acid. This medication contains fluorinated greenhouse gases. Each inhaler contains 14.239 g of norflurane (HFC 134a), which corresponds to 0.020 tons of CO2 equivalent (global warming potential GWP =
    • 1430).

What Formodual looks like and what the pack contains

Formodual is available as an inhalation solution, in an aluminum-coated container with a metering valve, placed in a plastic case, in a cardboard box. The case is equipped with a plastic mouthpiece cover and has a dose counter (container containing 120 doses) or dose indicator (container containing 180 doses).
Each pack contains:

  • one pressurized container (which delivers 120 sprays),
  • two pressurized containers (which deliver 120 sprays each),
  • one pressurized container (which delivers 180 sprays). Not all pack sizes may be marketed.

Marketing authorization holder:

Chiesi Farmaceutici S.p.A, Via Palermo 26/A, 43122 Parma, Italy
9/10

Manufacturer:

Chiesi Farmaceutici S.p.A, Via San Leonardo 96, 43122 Parma, Italy
Chiesi Pharmaceuticals GmbH, Gonzagagasse 16/16, 1010 Vienna, Austria
Chiesi SAS, 2 rue des Docteurs Alberto et Paolo Chiesi, 41260 La Chaussee Saint Victor, France
To obtain detailed information, you should contact the local representative of the marketing authorization holder:
Chiesi Poland Sp. z o.o., Jerozolimskie Avenue 134, 02-305 Warsaw
phone: (22) 620 14 21, fax: (22) 652 37 79, e-mail: [email protected]

This medicinal product is authorized in the Member States of the European Economic Area under the following names:

Bulgaria, Cyprus, Estonia, Lithuania, Latvia, Romania: Foster
Belgium, Greece, Luxembourg: Inuvair
Denmark, Finland, Sweden: Innovair
France, Spain, Poland, United Kingdom: Formodual
Germany: Kantos Master
Ireland: Fostair
Italy: Inuver
Norway: Inuxair

Date of last revision of the leaflet: 12/2024

{Marketing authorization holder's logo}
10/10

Alternatives to Formodual in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Formodual in Spain

Dosage form: PULMONARY INHALATION, 100 micrograms/6 micrograms/actuation
Active substance: formoterol and beclometasone
Manufacturer: Lupin Europe Gmbh
Prescription required
Dosage form: Powder for inhalation, 0.200 mg/0.006 mg
Active substance: formoterol and beclometasone
Manufacturer: Chiesi España S.A.U.
Prescription required
Dosage form: Powder for inhalation, 0.100 mg/0.006 mg
Active substance: formoterol and beclometasone
Manufacturer: Chiesi España S.A.U.
Prescription required
Dosage form: PULMONARY INHALATION, 200/6 micrograms/actuation
Active substance: formoterol and beclometasone
Manufacturer: Chiesi España S.A.U.
Prescription required
Dosage form: PULMONARY INHALATION, 100 micrograms/6 micrograms
Active substance: formoterol and beclometasone
Manufacturer: Chiesi España S.A.U.
Prescription required
Dosage form: PULMONARY INHALATION, 200/6 micrograms/actuation
Active substance: formoterol and beclometasone
Manufacturer: Chiesi España S.A.U.
Prescription required

Alternative to Formodual in Ukraine

Dosage form: aerosol, 100+6 mcg/dose
Active substance: formoterol and beclometasone
Prescription required

Online doctors for Formodual

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Formodual – subject to medical assessment and local rules.

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Doctor

Andrei Popov

General medicine6 years of experience

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Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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Doctor

Abdullah Alhasan

General medicine10 years of experience

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

  • Chest pain, shortness of breath, heart palpitations, high blood pressure
  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
  • Management of heart failure and coronary artery disease
  • General medical issues: infections, fever, fatigue, gastrointestinal symptoms
  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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€69
November 502:00
November 502:15
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November 503:00
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5.0(1)
Doctor

Ngozi Precious Okwuosa

General medicine5 years of experience

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
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€60
November 505:45
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November 509:05
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Doctor

Karina Travkina

Otolaryngology (ENT)16 years of experience

Dr Karina Travkina is an ENT specialist providing online consultations for adults with acute and chronic conditions affecting the ears, nose and throat. She takes a structured and personalised approach to each consultation, beginning with a thorough review of symptoms and medical history, followed by diagnostic interpretation and a tailored treatment plan.

Common reasons for consultation include:

  • chronic pharyngitis and recurrent tonsillitis
  • allergic, vasomotor and medication-induced rhinitis
  • sinusitis, nasal obstruction, and postnasal drip
  • nosebleeds, earwax build-up, or foreign bodies in the ear, nose, or throat
  • Eustachian tube dysfunction and related complaints
Dr Travkina follows evidence-based guidelines and ensures patients receive clear explanations and follow-up recommendations. Whether you need help with ENT symptoms, clarification of test results, or guidance on next steps – she offers expert medical advice in a convenient online format.
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€69
November 506:00
November 506:30
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Doctor

Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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€60
November 507:00
November 507:25
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5.0(33)
Doctor

Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC. He offers online consultations in Portuguese, English, and Spanish — combining global expertise with a patient-centred, evidence-based approach.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.
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€59
November 508:00
November 508:20
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November 509:20
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5.0(3)
Doctor

Iryna Reznychenko

Gynecology25 years of experience

Dr Iryna Reznychenko is an obstetrician-gynaecologist, paediatric gynaecologist, and certified lactation consultant. She provides online consultations for women at all stages of life – from adolescence to menopause. Her work combines medical care for gynaecological conditions with dedicated support for breastfeeding challenges, both physical and emotional.

Areas of expertise:

  • interpretation of test results and personalised treatment planning
  • menstrual irregularities, PCOS, endometriosis
  • abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
  • care during perimenopause and menopause, hormonal balance, cancer prevention
  • breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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€50
November 508:30
November 509:20
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Doctor

Oksana Khlopushyna

Otolaryngology (ENT)31 years of experience

Dr Oksana Khlopushyna is a senior ENT specialist with over 30 years of clinical experience. She provides online consultations for both adults and children with acute or chronic ear, nose, and throat conditions.

Common issues treated:

  • nasal congestion, rhinitis, runny nose
  • sinus infections, sinusitis
  • ear infections, otitis, eustachian tube dysfunction
  • sore throat, pharyngitis, laryngitis
  • adenoid problems, tonsillitis, enlarged tonsils
Dr Khlopushyna offers a personalised approach to each patient, helping clarify symptoms and guiding next steps for treatment or further evaluation – all in a convenient online format.
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€65
November 509:00
November 509:35
November 510:10
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5.0(9)
Doctor

Tetiana Fursenko

Otolaryngology (ENT)4 years of experience

Dr. Tetiana Fursenko is an ENT (ear, nose, and throat) specialist offering online consultations for both adults and children. She focuses on diagnosing and treating conditions of the upper respiratory tract using evidence-based medical guidelines and personalised treatment plans.

Common concerns addressed during consultation:

  • Nasal congestion, runny nose, sinusitis, rhinitis, and hay fever.
  • Ear pain, otitis (middle ear infections), earwax buildup, hearing loss.
  • Sore throat, tonsillitis, pharyngitis, chronic throat irritation.
  • Hoarseness, loss of voice, laryngitis.
  • Allergic rhinitis, sneezing, nasal itching, seasonal allergies.
  • Snoring, mouth breathing, enlarged adenoids.
  • Frequent colds, lingering post-viral symptoms.
  • Foreign objects in the ear or nose.
  • ENT-related check-ups and chronic condition follow-up.

Dr. Fursenko helps patients manage symptoms early, avoid complications, and receive timely treatment. Online ENT consultations are a convenient way to access care for both urgent and recurring conditions — from anywhere.

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€55
November 509:00
November 510:00
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5.0(10)
Doctor

Duarte Meneses

Family medicine4 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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€65
November 509:00
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