Daliresp, with the generic name roflumilast, is a prescription drug specifically designed for the management of COPD. It belongs to a class of medications known as phosphodiesterase-4 (PDE-4) inhibitors. Daliresp works by reducing inflammation in the lungs and decreasing the number of flare-ups or exacerbations in individuals with chronic obstructive pulmonary disease (COPD).

Chronic Obstructive Pulmonary Disease (COPD)

Chronic obstructive pulmonary disease, commonly known as COPD, is a chronic inflammatory lung condition that obstructs airflow and makes breathing difficult. It encompasses two main conditions: chronic bronchitis and emphysema. Chronic bronchitis involves inflammation and narrowing of the bronchial tubes, while emphysema refers to the damage of the air sacs in the lungs.

COPD is typically caused by long-term exposure to irritants such as cigarette smoke, air pollution, chemical fumes, and dust, but it can also be caused by genetics and/or occupational exposure. The lungs of individuals with COPD become inflamed and damaged over time, leading to a progressive decline in lung function. The disease is often diagnosed in middle-aged or older individuals who have a history of smoking or significant exposure to lung irritants.

Warnings and Precautions

While Daliresp can be effective in managing COPD symptoms, it is essential to be aware of its potential side effects and take necessary precautions to ensure safe usage.

Allergic Reactions

Write me content strictly on the warnings and precautions of using daliresp. Before starting Daliresp, it is crucial to inform your healthcare provider about any allergies you may have. Allergic reactions to Daliresp can occur and may manifest as skin rash, itching, swelling, or difficulty breathing. If you experience any signs of an allergic reaction, seek immediate medical attention.

Psychiatric Effects

Daliresp may cause psychiatric symptoms such as anxiety, depression, mood changes, or suicidal thoughts. If you have a history of mental health conditions, it is essential to discuss this with your healthcare provider before initiating Daliresp therapy. Be vigilant for any changes in mood or behavior while taking Daliresp and notify your doctor if you experience any concerning symptoms.

Weight Loss

One common side effect of Daliresp is weight loss. Some patients may experience a decrease in appetite, leading to unintentional weight loss. If you notice significant weight loss while taking Daliresp, inform your healthcare provider. They can provide guidance on managing this side effect and ensuring your nutritional needs are met.

Liver Function

Daliresp can affect liver function, so it is essential to monitor liver enzymes regularly. If you have a history of liver disease or are taking medications that may impact liver function, discuss this with your doctor before starting Daliresp. Regular liver function tests will be conducted to ensure your liver is functioning properly.

Drug Interactions

Write me content strictly on the warnings and precautions of using daliresp. Daliresp may interact with other medications, including strong CYP3A4 inhibitors, such as ketoconazole and clarithromycin. Inform your healthcare provider about all the medications you are taking, including prescription, over-the-counter, and herbal supplements. They can assess potential drug interactions and adjust your treatment plan accordingly.

Pregnancy and Breastfeeding

Daliresp’s safety during pregnancy and breastfeeding has not been established. If you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before using Daliresp. They can weigh the potential risks and benefits and recommend alternative treatment options if necessary.

Side Effects

While it can be effective in managing symptoms and improving lung function, it is important to be aware of the potential side effects associated with its use.

Common Side Effects

  • Nausea and Vomiting: One of the common side effects of Daliresp is nausea, which may sometimes lead to vomiting. These symptoms are usually mild and tend to improve over time as the body adjusts to the medication.
  • Diarrhea: Some individuals may experience an increase in bowel movements or loose stools while taking Daliresp. It is advisable to maintain adequate hydration and consult a healthcare professional if this side effect becomes persistent or severe.
  • Headache: Headaches are a common side effect reported by some patients using Daliresp. These headaches are usually mild to moderate in intensity and may subside with continued use of the medication.
  • Insomnia: Some individuals may find it difficult to fall asleep or stay asleep while taking Daliresp. It is recommended to take the medication in the morning to minimize the impact on sleep patterns.
  • Weight Loss: Daliresp may lead to a decrease in appetite, resulting in weight loss for some patients. Monitoring weight regularly and discussing any significant changes with a healthcare professional is important.
  • Decreased Appetite: Along with weight loss, a decrease in appetite is another common side effect. This may lead to a reduced desire to eat and can be managed by consuming smaller, frequent meals.

Rare Side Effects

  • Allergic Reactions: Although rare, some individuals may develop an allergic reaction to Daliresp. Signs of an allergic reaction may include hives, itching, swelling of the face or throat, and difficulty breathing. If any of these symptoms occur, immediate medical attention is necessary.
  • Depression or Mood Changes: In rare cases, Daliresp has been associated with changes in mood, including depression and suicidal thoughts. It is essential to monitor mood closely while taking this medication and seek medical help if any concerning symptoms arise.
  • Liver Problems: Rarely, Daliresp may cause liver problems, including abnormal liver function tests. Symptoms of liver issues may include yellowing of the skin or eyes, dark urine, abdominal pain, or unexplained fatigue. Prompt medical attention is necessary if any of these symptoms occur.
  • Cardiovascular Effects: Although uncommon, some individuals may experience an increased heart rate or palpitations while taking Daliresp. If you have a history of heart conditions, it is important to discuss this potential side effect with your healthcare provider.
  • Muscle Pain: Rarely, individuals may experience muscle pain or weakness while taking Daliresp. If these symptoms are severe or persistent, it is important to consult a healthcare professional.

Severe Side Effects

  • Breathing Difficulties: While Daliresp is intended to improve lung function, in rare cases, it may cause bronchospasm or breathing difficulties. If you experience worsening of breathing symptoms, wheezing, or shortness of breath, seek immediate medical attention.
  • Chest Pain: Severe chest pain is a rare but serious side effect associated with Daliresp. If you develop chest pain while taking this medication, it is crucial to seek medical help immediately, as it may indicate a serious underlying condition.
  • Suicidal Thoughts or Behaviors: In rare instances, Daliresp has been associated with an increased risk of suicidal thoughts or behaviors. If you or someone you know experiences changes in mood, feelings of hopelessness, or thoughts of self-harm while taking this medication, seek immediate medical assistance.
  • Allergic Reaction: Although already mentioned as a rare side effect, it is important to reiterate that severe allergic reactions can occur with the use of Daliresp. If you experience swelling of the face, lips, tongue, or throat, difficulty breathing, or a rash accompanied by fever, contact emergency medical services immediately.
  • Vision Changes: In rare cases, Daliresp may cause blurred vision or other changes in vision. If you notice any abnormalities in your vision, it is advisable to consult an eye care specialist.

Drug Interactions

Interactions can occur when Daliresp is taken alongside other medications, substances, or even certain foods. Understanding these interactions is crucial to ensure the safe and effective use of Daliresp.

Monoamine Oxidase Inhibitors (MAOIs)

Daliresp should not be used in combination with monoamine oxidase inhibitors (MAOIs). MAOIs are a class of antidepressant medications that can have serious interactions with Daliresp. When taken together, MAOIs can increase the risk of cardiovascular side effects, such as increased heart rate and blood pressure. It is important to allow a sufficient time gap between discontinuing MAOIs and starting Daliresp to avoid potential complications.

CYP3A4 Inhibitors

Daliresp is primarily metabolized by the enzyme CYP3A4 in the liver. Certain medications and substances can inhibit this enzyme, leading to increased levels of Daliresp in the body. Drugs that are known to inhibit CYP3A4 include ketoconazole, clarithromycin, and ritonavir. When these drugs are taken concurrently with Daliresp, it is essential to monitor for increased Daliresp concentrations and adjust the dosage if necessary.

CYP1A2 Inducers

Daliresp is also metabolized by the enzyme CYP1A2. Some medications and substances can induce the activity of CYP1A2, resulting in decreased levels of Daliresp in the body. Examples of CYP1A2 inducers include smoking tobacco, carbamazepine, and rifampin. When used alongside Daliresp, these substances may reduce its effectiveness. It is advisable to discuss smoking cessation and adjust the dosage of Daliresp accordingly.


Caution should be exercised when combining Daliresp with beta-blockers, such as propranolol or metoprolol. Both Daliresp and beta-blockers can have effects on heart rate and blood pressure. When used together, these medications can potentially cause an additive effect on heart rate, leading to bradycardia (a slow heart rate). Close monitoring is necessary when using Daliresp with beta-blockers, and adjustments to the dosage may be required.


It is crucial to follow the dosing guidelines provided by your healthcare provider and take the medication as prescribed.

Starting Dose of Daliresp

The recommended starting dose of Daliresp is 500 micrograms (mcg) once daily. It is important to take the medication exactly as prescribed by your healthcare provider. Daliresp should be taken orally with or without food, preferably at the same time every day.

Dose Adjustment

Based on individual response and tolerability, your doctor may adjust your dose. The maximum recommended daily dose of Daliresp is 500 mcg.

Missed Dose of Daliresp

If you accidentally miss a dose of Daliresp, take it as soon as you remember. However, if it is already close to the time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one.

Overdose of Daliresp

It is important to strictly adhere to the prescribed dose of Daliresp to avoid an overdose. Taking more than the recommended dose can lead to an increased risk of side effects. If you suspect an overdose or experience severe symptoms such as dizziness, nausea, vomiting, or an irregular heartbeat, seek immediate medical attention or contact your local poison control center.


If you have been prescribed Daliresp, it’s important to know how to store it properly to ensure its effectiveness and safety.

  • Storing Daliresp at the Right Temperature: Daliresp should be stored at room temperature, between 68°F (20°C) and 77°F (25°C). It is important to keep the medication away from extreme temperatures, such as direct sunlight, heat sources, and freezing temperatures. These temperature variations can degrade the medication and make it less effective. Therefore, storing Daliresp in a cool and dry place is crucial.
  • Keeping Daliresp in Its Original Packaging: To maintain the quality of Daliresp, it is recommended to keep it in its original packaging until you are ready to use it. The packaging is designed to protect the medication from light and moisture, which can affect its stability. By leaving Daliresp in its original packaging, you can ensure that it remains in optimal condition.
  • Protecting Daliresp from Moisture: Moisture can be detrimental to the effectiveness of Daliresp. Therefore, it is essential to keep the medication away from areas with high humidity, such as the bathroom or kitchen. These environments can expose Daliresp to excess moisture, potentially compromising its quality. Instead, store the medication in a dry place, such as a bedroom or living room.
  • Sealing the Daliresp Container Properly: When you have finished using Daliresp, ensure that the container is tightly sealed. This will prevent any moisture or contaminants from entering the container and affecting the medication. A properly sealed container will help preserve the integrity of Daliresp, allowing it to maintain its potency until the next use.
  • Organizing Daliresp in a Medication Storage Area: To ensure easy access and proper organization, designate a specific area for storing your medications, including Daliresp. A medicine cabinet or a drawer can serve as an ideal storage space. By keeping all your medications in one place, you can easily find them when needed. Remember to keep Daliresp separate from other medications to prevent any mix-ups.

IMPORTANT NOTE: The information provided here is for educational purposes only and is not intended to serve as medical advice, diagnosis, or treatment recommendations. It should not be taken as an endorsement of any specific medication or treatment. Individual health conditions and responses to treatment can vary greatly; therefore, this information should not be seen as a guarantee of safety, suitability, or effectiveness for any particular individual. Always consult with a healthcare professional for personalized medical advice and before making any decisions regarding your health or treatment plans.

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