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DALIRESP
Asthma/COPD
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Drug Name:

DALIRESP Rx

Generic Name and Formulations:
Roflumilast 500mcg; tabs.

Company:
AstraZeneca Pharmaceuticals

Therapeutic Use:

Indications for DALIRESP:

To reduce risk of COPD exacerbations in severe COPD patients with chronic bronchitis and a history of exacerbations.

Limitations Of use:

Not for the relief of acute bronchospasm.

Adult:

500mcg once daily.

Children:

Not established.

Contraindications:

Moderate-to-severe liver impairment (Child-Pugh Class B or C).

Warnings/Precautions:

Depression. Suicidal ideation. Monitor for new or worsening insomnia, anxiety, depression, suicidal thoughts, other mood changes; reevaluate if occur. Mild liver impairment (Child-Pugh Class A). Monitor weight regularly; consider discontinuing if unexplained or significant weight loss occurs. Pregnancy. Labor & delivery, nursing mothers: not recommended.

Interactions:

Concomitant strong CYP450 inducers (eg, rifampicin, phenobarbital, carbamazepine, phenytoin): not recommended. Potentiated by CYP3A4 and CYP1A2 inhibitors (eg, erythromycin, ketoconazole, fluvoxamine, enoxacin, cimetidine), and by oral contraceptives containing gestodene + ethinyl estradiol (possible increased adverse effects).

Pharmacological Class:

Selective phosphodiesterase 4 (PDE4) inhibitor.

Adverse Reactions:

Diarrhea, weight loss, nausea, headache, back pain, influenza, dizziness, decreased appetite; psychiatric effects (eg, insomnia, anxiety, depression).

How Supplied:

Tabs—30, 90

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