Duolin Inhaler (Levosalbutamol/Ipratropium)

What Is Duolin Inhaler?

Duolin Inhaler is a combination of two different medicines, ipratropium bromide, and salbutamol sulfate, used for the treatment of obstructive pulmonary diseases.

Duolin Inhaler is indicated for patients who suffer from “chronic obstructive pulmonary disease,” COPD, and for patients who need a second bronchodilator due to persistent bronchospasm.

The combined effect of these two medicines, ipratropium bromide, and salbutamol, will relieve severe breathing problems,  lack of breath, and pressure in the breasts.

Duolin Inhaler is intended for inhalation and ought to be administered through a suitable inhalation therapy device, an inhalator.

The inhalator is a breathing medical device, which enables the appropriate medicine to get to the lungs.  It is used for treating obstructive lung disorders.

Dublin Inhaler Should Not Be Used In Case:

If you are allergic to similar drugs containing atropine or similar atropine

you know that you have an enlarged heart or condition known as “hypertrophic obstructive cardiomyopathy.”

you suffer from a rapid heart rate (tachyarrhythmia)

Before Starting The Treatment, Inform Your Doctor If:

You are suffering from an eye disease known as glaucoma (increased eye pressure) or from any other eye disease.

You have recently had a heart attack (myocardial infarction)

You have widening veins problems in the lower part of your legs

you have, in the history of the disease, heart disease, irregular heartbeat, or angina pectoris

You suffer from the diabetes mellitus, a metabolic disorder of glucose in the blood

You have hyperactivity of the thyroid gland

Do you have problems with your prostate or difficulty urinating

You have cystic fibrosis

you have learned that you have an adrenal gland tumor

The use of salbutamol can cause decay in teeth known as caries.

Therefore, it is recommended, especially in children, to pay attention to proper oral hygiene and to carry out regular dental check-ups.

What Are The Recommended Dose To Use Duolin Inhaler?

The Duolin Inhaler dosage is prescribed by the specialist for lung disorders and asthma, on the age and the health condition of the patients.

Duolin Inhaler form is prescribed for patients older than four years.

A dosing scheme is two inhalations taken four times a day.

The total number of inhalation for 24 hours, should not exceed 12.

What Are Special Warning And Precautions While Using Duolin Inhaler?

Due to the effects of two active ingredients, Duolin Inhaler can cause the following disorders:

• Paradoxical bronchospasm,- a condition when breathing or wheezing are getting worse, which can  endanger  life,
• coronary insufficiency,
• diabetes mellitus,
• cardiac arrhythmias
• hypertension, in patients with convulsive disorders, hyperthyroidism,
• Allergic hypersensitivity reactions such as urticaria, skin rash, breathing problems, throat edema (laryngospasm)
• Eye disorders like increased intraocular pressure, blurred vision, and eye pain) 

What If You Have Taken More Duolin Inhaler Than Prescribed?

If you take more than you need, talk to your doctor or go to the hospital immediately.

If You Forgot To Take Duolin Inhaler?

• If you forget to take a prescribed dose of medicine, take it as soon as you remember
• Never take a double dose to make up for a missed dose

If You Suddenly Stop Using Duolin Inhaler?

Do not stop the therapy with medicine without consulting your doctor.

Your doctor will tell you how long you should use Duolin Inhaler.

What Are the Recommendations For Using Duolin Inhalator During Pregnancy And Lactation?

• Pregnancy:

During pregnancy, Duolin Inhaler can be used only if your doctor estimates it is secure for both mother and baby.

• Lactation:

Duolin Inhaler should not be used during lactation.

What Are Possible Side Effects During Duolin Inhaler Therapy?

• Mouth dryness
• Nausea
• the irritation of a throat
• Serious allergic reactions that result in breathing difficulties or dizziness
• Allergic reactions followed by such as rash or itching
• Swelling of face, lips, and tongue
• Mental disorders
• Pain in the eyes or other eye problems including blurred vision, enlarged pupils, and glaucoma
• Increased sweating
• Improper heart function
• heart failure when a heart function is reduced
• Dry throat, swelling of the throat
• Breathing difficulty and shortness of breath
• Diarrhea, constipation, vomiting, or other problems with the digestive system
• Muscle cramps, muscle weakness, and pain
• Urinary retention
• Feeling sick (asthenia)
• Blood pressure drop
• Dental caries
• Stomatitis
• Changes in taste

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