What is DUOLIN?
- DUOLIN contains Ipratropium bromide and Levosalbutamol which belong to bronchodilators
- It works by opening your airways
What DUOLIN is used for?
- It is used to treat Chronic Obstructive Pulmonary Disease(COPD)
Warning & Precautions
Talk to Doctor
Talk to your doctor before using this medicine, if you:
- Are allergic to Ipratropium, Levosalbutamol, Atropine or any of the other ingredients
- Have a heart problem called ‘hypertrophic obstructive cardiomyopathy’
- Have a very fast heart beat
- Have glaucoma (increased pressure in the eye)
- Have diabetes
- Have an over-active thyroid gland
- Have problems passing urine
- Are undergoing surgery
Pregnancy & Breast Feeding
- Do not use this medicine if you are pregnant, likely to get pregnant or are breast-feeding
Children & Adolescents
- DUOLIN is not recommended for children under 12 years of age
Driving & Using Machines
- You may feel dizzy, or have difficulty in focusing, or blurred vision while taking this medicine
- If this happens do not drive or use tools or machines
Interactions
Tell your doctor if you are taking,
- Other medicines used for treating lung problems
- Steroid medicines such as prednisolone
- Diuretics such as furosemide, thiazides
- Fluoxetine used for depression
- Medicines called ‘anti-cholinergic’ used to treat colic pain, parkinson’s disease, problems passing urine or lack of control of your bladder or bowels
- Propranolol used to treat heart problems, high blood pressure, anxiety or migraine
- Fenoterol used for breathing problems
- Digoxin used for heart failure
Directions & For Use
- Always take this medicine exactly as your doctor has told you
- Shake the Inhaler vigorously up and down three to five times, to allow proper powder flow and a correct dose
- After shaking, hold the Inhaler in the upright position
- Press the Inhaler once between your finger and thumb until you hear a click and let it click back again, to deliver powder into the inhalation channel inside the mouthpiece
- Keep holding the Inhaler in the upright position
- In the sitting or standing position breathe out normally (but not into the inhaler)
- Place the mouthpiece in your mouth between your teeth and seal your lips tightly around it
- Take a strong and deep breath through the inhaler
- Remove the Inhaler from your mouth
- Hold your breath for at least 5 seconds, then breathe normally
- Rinse your mouth and throat and spit out the water, this reduces the risk of fungal infection
- Clean the mouthpiece at least once a week with a clean dry cloth or tissue
- Do not use water or other liquids, the powder is sensitive to moisture
- If you use the protective cover, you can take the Inhaler out of it to wipe it
- When putting it back into its protective cover, put the dust cap on the mouthpiece to stop it going off accidentally
If you take more DUOLIN
- If you use more of this medicine than you should, talk to a doctor or go to a hospital straight away
If you forget to take DUOLIN
- If you forget a dose, take it as soon as you remember it
- However, if it is time for the next dose, skip the missed dose
- Do not take a double dose to make up for a forgotten dose
If you stop taking DUOLIN
- Talk to your doctor before stopping this medicine
Side Effects Of Duolin Inhaler 200md
Serious
Like all medicines, this medicine can cause side effects, although not everybody gets them
- Wheezing, difficulty in breathing
- Allergic reactions such as rash, itching, swelling of face, lips and throat
Common
Like all medicines, this medicine can cause side effects, although not everybody gets them
- Lactic acidosis which may cause hyperventilation
- Shortness of breath
- Cold feet and hands
- Irregular heartbeat
- Thirst
Uncommon
Like all medicines, this medicine can cause side effects, although not everybody gets them
- Feeling nervous, shaky or dizzy
- Dry mouth
- Cough, headache
- Nausea
- Throat irritation
- Increase in blood pressure
- Increased heart rate or uneven heart beats (palpitations)
- Voice problems (‘dysphonia’)
- Skin reactions
Rare
Like all medicines, this medicine can cause side effects, although not everybody gets them
- Irregular heart beat
- Regular but abnormally fast heart rate (supraventricular tachycardia)
- Chest pain (due to heart problems such as angina)
- Blurred vision, dilated pupils, glaucoma, painful, stinging, or red eyes, swelling of the eyes, see colours or lights
- Increased sweating
- Unexpected tightening of the chest immediately after inhaling the medicine
- Dry throat, swelling of the throat
- Difficulty in breathing or speaking due to a brief spasm of your vocal muscles
- Muscle cramps, muscle weakness and pain
- Difficulty in passing urine
- Fall in blood pressure
- Mood changes
- Unusually low levels of potassium in your blood (called ‘hypokalemia’)
More Information
Storage
- Store at room temperature (15-25°C)
- Do not freeze
- Keep out of reach of children
- Do not use this medicine after the expiry date
