WHAT IS THIS MEDICATION FOR?
Duolin Inhaler 200MD is a short-acting ß2-adrenergic receptor agonist, bronchodilator, opens the air passages to the lungs, making it easier to breathe. It is used on a regular schedule to prevent bronchospam caused by chronic bronchitis, emphysema, and other lung diseaes. It relaxes the smooth muscles in the airway, which allows air to flow in and out of the lungs more easily.
HOW DOES IT WORK?
Ipratropium bromide is not used to treat bronchospasm attacks when a rapid response is required. Levosalbutamol is in a class of medications called bronchodilators and works by relaxing and opening the air passages, calm the muscles in airways, and help the flow of oxygen.
HOW TO USE?
Ipratropium bromide: It comes as a nasal spray to inhale by mouth. Inhalation: The recommended dose (ipratropium bromide nasal spray 0.03%) is two sprays (42 mcg) per nostril two or three times daily (total dose 168 to 252 mcgday).
Levosalbutamol: It comes as a tablet, capsule and syrup to take by mouth, on an empty stomach. It also comes as a solution for injection to be administered by a healthcare provider either into the large muscle or under the skin.
Headache. Throat irritation. Nose stuffiness. Cough. Dry mouth. Nervousness. Shakiness. Dizziness. Muscle cramps. Sudden changes in mood. Nosebleed. Nausea. Increased or decreased appetite. Difficulty falling asleep. Pale skin.
WHAT TO DO IF I MISS A DOSE?
Take a missed dose as soon as you think about it. If it is close to the time for your next dose, skip the missed dose and go back to your normal time. Do not take 2 doses at the same time or extra doses. Do not change the dose or stop this drug. Many times this drug is taken on an as needed basis.
If you have an allergy to ipratropium or any other part of this drug. Make sure to tell about the allergy and what signs you had including telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs. Inform your doctor if you are pregnant, if you have or ever had an irregular heartbeat, high blood pressure, thyroid problems, diabetes, or seizures.
WHEN DO I NEED TO SEEK MEDICAL HELP?
If you think there was an overdose, call your local poison control center or ER right away. Signs of a very bad reaction to the drug include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat. Trouble breathing. Sudden change in eyesight, eye pain, or irritation. Any rash. Side effect or health problem is not better or you are feeling worse. Seek help if you are not able to get the breathing attack under control, experiencing chest pain or pressure or a fast heartbeat, have become very nervous and excitable.
CAN I TAKE IT WITH OTHER MEDICINES?
Sometimes drugs are not safe when you take them with certain other drugs and food. Taking them together can cause bad side effects. Be sure to talk to your doctor about all the drugs you take. Your doctor may need to change the doses of some of your medications when you take them with this drug.
Avoid Alcohol. Try to limit your intake of caffeine-containing drinks such as coffee, tea and certain soft drinks. This is because caffeine can increase some of the side effects of Salbutamol.
HOW TO STORE:
Store in a cool, dry place away from the reach of children. Medicines must not be used past the expiry date.
Antiasthmatic & COPD Preparations.