Duolin Metered-Dose Inhaler

• If you are allergic to ipratropium or levosalbutamol or any other ingredients of Duolin inhaler
• If you are allergic to atropine or its derivatives
• If you have any problems with your heart
• If you are below 12 years of age (as there is no information on safety)

• Headache
• Dizziness
• Cough
• Runny nose
• Nausea
• Vomiting
• Stomach pain
• Indigestion
• Constipation
• Dry mouth
• Sore throat
• Muscle pain or cramps

Other General Warnings

• You are suffering from any heart problems.
• You have problems with your liver or kidney.
• You have diabetes.
• You have glaucoma.
• You have high blood pressure.
• You had or have fits.
• You have an overactive thyroid gland.
• You have difficulty passing urine due to bladder problems or an enlarged prostate (mostly in men).
• You are suffering from a condition called cystic fibrosis. It increases the chances of getting stomach disturbances if you use Duolin with it.
• The chances of side effects increase significantly in the elderly population, so elderly patients should be cautious while using this medicine.
• Duolin inhaler is not recommended for use in children less than 12 years old.

• Use Duolin inhaler exactly as directed by your doctor. Check with your doctor or pharmacist if you are not sure.
• Read the instructions on the label or leaflet before use.
• Shake the inhaler.
• You should not take more puffs than that told by your doctor.

• Store Duolin inhaler below 25°C in a clean and dry place, protected from moisture, sunlight and heat.
• Keep the medicine away from children and pets.

• Duolin inhaler is used to treat the signs and symptoms of chronic obstructive pulmonary disease (COPD), such as wheezing, coughing and difficulty breathing.
• Duolin inhaler should always be used as described by your doctor. Do not swallow this medicine, use inhaler in a proper manner.
• Clean the inhaler after every use as per the instructions mentioned.
• It is recommended to rinse your mouth with water after inhalation of this medicine.
• You may develop oral fungal infection and an increase in wheezing after using this medicine
• Do not stop taking Budecort without consulting your doctor, even if you feel relieved after taking a few doses.
• Antifungal medicines such as Ketoconazole and Itraconazole should not be taken along with Duolin inhaler.

Overdose

Missed a Dose

How Does It Work?

• COPD is a common lung problem that produces damage to the lungs over the period. This condition produces symptoms like coughing with mucous for a long time and eventually leading to breathing difficulties.
• Duolin inhaler works by the anticholinergic effect of Ipratropium and the bronchodilator effect of Salbutamol.
• Few chemical substances (Acetylcholine) released in the body are responsible for the tightness of breathing tubes.
• Ipratropium blocks the effect of this substance and decreases the tone of breathing tubes, thus making breathing easier.
• Salbutamol acts mainly on smaller lung tubes and dilates them by relaxing the muscles.

Interactions with other medicines

• Concomitant use of Duolin inhaler along with medicines used to treat psychiatric illness (Amitriptyline, selegiline, etc.) or medicines used to treat asthma (Albuterol, Epinephrine) should be avoided as it may alter the effects of this medicine.
• Concomitant use of this medicine with beta-blockers like Propranolol, Labetalol, etc. (used to treat high blood pressure and heart problems), may decrease the effectiveness of Duolin inhaler.
• Concomitant use of this medicine with water pills like Furosemide, Hydrochlorothiazide may decrease the potassium level in the body which leads to heart rhythm abnormalities. Your doctor may advise the monitoring of blood potassium levels.
• Other medicines like Digoxin (used to treat heart problems), Xanthine preparations like Theophylline (used in asthma) and should be used cautiously.

Interactions with food items