Patient was educated on contraindications to be exercised while using Dulera as follows:
- Elevated blood sugars
- Dulera should be used cautiously in diabetic patients, as long-term use of Dulera can result in increased insulin resistance and increased synthesis of glucose from sources other than carbohydrates.
- Increased insulin resistance and synthesis of extra glucose result in elevated blood sugars, contribute towards impaired blood sugar control, and can be detrimental in diabetic patients.
- Elevated blood sugars and poorly managed diabetes, while using Dulera should be reported to the physician for further investigation, to facilitate a change in plan of care.
- Osteoporosis
- Use of Dulera should be avoided or restricted in individuals with history of osteoporosis, as use of Dulera in such individuals can result in further loss of bone mass and deterioration of osteoporosis with weakening of the skeletal framework and pathological fractures.
- Carefully watch for any exacerbation of bone pain and report any such finding to your physician immediately.
