Daliresp

Pronunciation: roe-FLUE-mi-last
Generic Name: Roflumilast
Brand Name: Daliresp

Daliresp is used for:

Reducing the risk of flare-ups and worsened breathing problems in certain patients with severe chronic obstructive pulmonary disease (COPD).

Daliresp is a phosphodiesterase type 4 (PDE4) inhibitor. Exactly how it works is not known.

Do NOT use Daliresp if:

• you are allergic to any ingredient in Daliresp


• you have moderate to severe liver problems


• you are taking carbamazepine, hydantoins (eg, phenytoin), phenobarbital, primidone, rifamycins (eg, rifampin), or St. John's wort

Contact your doctor or health care provider right away if any of these apply to you.

Before using Daliresp:

Some medical conditions may interact with Daliresp. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have a history of liver problems, mental or mood problems (eg, depression), or suicidal thoughts or behaviors

Some MEDICINES MAY INTERACT with Daliresp. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Certain birth control pills (eg, containing gestodene or ethinyl estradiol), cimetidine, enoxacin, erythromycin, fluvoxamine, itraconazole, or ketoconazole because they may increase the risk of Daliresp's side effects


• Carbamazepine, hydantoins (eg, phenytoin), phenobarbital, primidone, rifamycins (eg, rifampin), or St. John's wort because they may decrease Daliresp's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Daliresp may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Daliresp:

Use Daliresp as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Daliresp comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Daliresp refilled.


• Take Daliresp by mouth with or without food.


• If you miss a dose of Daliresp, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Daliresp.

Important safety information:

• Daliresp may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Daliresp with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Daliresp will not stop sudden, severe breathing problems. Be sure to carry a short-acting bronchodilator inhaler with you at all times to treat any breathing problems that may occur between doses of Daliresp (eg, severe or sudden onset of wheezing or shortness of breath). If you have any questions about which medicines stop sudden, severe breathing problems, check with your doctor or pharmacist.


• Patients who take Daliresp may be at increased risk of mental or mood changes, including suicidal thoughts or actions. The risk may be greater in patients who have had these problems in the past. Watch patients who take Daliresp closely. Contact the doctor at once if new, worsened, or sudden symptoms, such as depressed mood, anxious behavior, trouble sleeping, or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.


• Daliresp may cause weight loss in some patients. You may need regular weight checks while taking Daliresp. Discuss any questions or concerns with your doctor.


• Daliresp should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of taking Daliresp while you are pregnant. It is not known if Daliresp is found in breast milk. Do not breast-feed while taking Daliresp.

Possible side effects of Daliresp:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Back pain; decreased appetite; diarrhea; dizziness; flu-like symptoms; headache; mild weight loss; nausea.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); decreased, difficult, or painful urination; irregular heartbeat; new or worsening mental or mood problems (eg, anxiety, depression); severe or persistent stomach or back pain; severe or unexplained weight loss; suicidal thoughts or behaviors; tremor; trouble sleeping.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Daliresp side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include cool, moist, and unusually pale skin; dizziness, light-headedness, or fainting; headache; irregular heartbeat.

Proper storage of Daliresp:

Store Daliresp at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Daliresp out of the reach of children and away from pets.

General information:

• If you have any questions about Daliresp, please talk with your doctor, pharmacist, or other health care provider.


• Daliresp is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Daliresp. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Daliresp resources

• Daliresp Side Effects (in more detail)
• Daliresp Use in Pregnancy & Breastfeeding
• Daliresp Drug Interactions
• Daliresp Support Group
• 6 Reviews for Daliresp - Add your own review/rating

• Daliresp Prescribing Information (FDA)


• Daliresp Advanced Consumer (Micromedex) - Includes Dosage Information


• Daliresp Consumer Overview


• Roflumilast Professional Patient Advice (Wolters Kluwer)

Compare Daliresp with other medications

• COPD
• COPD, Maintenance