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Duolin® Inhaler, manufactured by Cipla, combines 2 active ingredients with bronchodilatory effects - Levosalbutamol and Ipratropium.
Levosalbutamol is a short-acting β2 adrenergic receptor agonist that works by relaxing the muscles in the walls of the airways, opening them and thereby, easing breathing.
Ipratropium bromide is a type of anticholinergic medication that helps open the airways to the lungs, making breathing easier and providing relief from asthma and associated conditions.
Duolin® Inhaler also contains the CFC-free propellant HFC 227, which delivers Levosalbutamol and Ipratropium together as an aerosol into your lungs each time you actuate (press down) your inhaler.
Duolin® Inhaler makes breathing easier by relaxing the breathing tubes or air passages that carry air to and from the lungs.
It begins to act quickly (in approximately 15 minutes) after use and its effect usually lasts for 4 to 6 hours after use.
Each puff of Duolin® Inhaler contains:
Shake the inhaler for at least 10 seconds before each spray.
Keep your eyes closed while spraying Duolin® Inhaler.
Breathe in slowly while spraying the medication into your mouth.
Hold your breath for 10 seconds and then breathe out slowly.
To use more than one inhalation at a time, wait at least 2 minutes before the second one.
The recommended dose for adults is 2 puffs four times daily at regular intervals.
Maximally tolerated dosage of Duolin® Inhaler covers 12 puffs in 24 hours.
One puff should last for at least 4 or 5 hours.
You should use your Duolin® Inhaler continually for as long as your doctor recommends and you should not stop using your Duolin® Inhaler, even if you feel better.
Shake Duolin® Inhaler aerosol before using. This will mix the medicine evenly so that a correct dose is delivered.
When using the inhaler device for the first time, prime it by spraying 2 test sprays into the air, away from your face. Also prime the inhaler if you have not used it for 3 days or longer.
Each inhaler contains at least 200 actuations.
Do not take a double dose. If you miss a dose, you should take it as soon as you remember about your missed dose. If it is the time for the next dose, you should continue your regular dosing schedule.
Symptoms of overdose:
If an overdose occurs and you are not feeling well, you should seek emergency medical attention or contact your healthcare provider immediately.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) and away from excess moisture and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.
Patients using Duolin® Inhaler may encounter unwanted side effects:
Contact a doctor immediately if side effects persist or you encounter more severe side effects:
Side effect occurrence not only depends on medication you are taking, but also on your overall health and other factors.
Do not use Duolin® Inhaler if you are allergic to soybeans, peanuts, or other food products that contain soya lecithin.
Do not use Duolin® Inhaler if you are allergic to Levosalbutamol, Ipratropium, or any of the other ingredients in Duolin.
Do not use Duolin® Inhaler if you are pregnant or breastfeeding.
Duolin® Inhaler is not to be used by patients with hypertrophic obstructive cardiomyopathy and tachyarrhythmia.
Do not use Duolin® Inhaler if you have any of the following conditions without discussion with your doctor: heart disease, high blood pressure, congestive heart failure, epilepsy, diabetes, overactive thyroid, liver or kidney disease, glaucoma, enlarged prostate, or problems with urination.
Do not use Duolin® Inhaler if you are taking any medicines that may interact with the Duolin® (Cipla) inhalation solution, including: other beta-agonists like pseudoephedrine in cold medications; anticholinergics like atropine; diuretics like furosemide or hydrochlorothiazide; MAOIs like phenelzine; tricyclic antidepressants (TCAs) like amitriptyline; and beta-blockers like atenolol.
Q: How does Duolin® Inhaler work?
A: The Duolin® (Cipla) inhalation solution contains two bronchodilators, Levosalbutamol and Ipratropium, which work together to relax the muscles of the airways, reducing bronchospasm (contraction of the airways) and increasing air flow into the lungs.
Q: How should Duolin® Inhaler be used?
A: You should use your Duolin® Inhaler as recommended by your doctor. Shake the inhaler vigorously for at least 10 seconds before use and remove the mouthpiece cover. Then breathe out as far as it is comfortable and place the mouthpiece in your mouth. Start to inhale, pressing down on the top of the inhaler to release a dose of medication while still breathing in through your mouth until your lungs are full and hold your breath for a few seconds. Remove the inhaler and breathe normally. Replace the mouthpiece cover.
Q: What are the side effects of Duolin® Inhaler?
A: Duolin® Inhaler has common side effects, such as: headache, dizziness, nervousness, drowsiness or sleep problems (insomnia), cough, hoarseness, sore throat, runny or stuffy nose, dry mouth, unusual taste in your mouth, tremors, numbness or tingly feeling, nausea, vomiting, upset stomach, diarrhea, constipation, and blurred vision. Contact a doctor immediately if side effects persist or you encounter more severe side effects.
Q: How long should you use Duolin® Inhaler (Cipla)?
A: For the best effect, you should use your Duolin® Inhaler continually for as long as your doctor recommends. You should not stop using your Duolin® Inhaler, even if you feel better.
Q: Will I obtain better results if I take more than the recommended dosage?
A: Maximally tolerated dosage of Duolin® Inhaler covers 12 puffs in 24 hours. An overdose of this medicine can be fatal. Overdose symptoms may include chest pain or heavy feeling, rapid or uneven heart rate, pain spreading to the arm or shoulder, nausea, sweating, weakness, or general ill feeling. In case of Duolin® Inhaler overdose, visit your doctor or health care provider immediately.
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