
8X Cream
Cipla Limited - Cream - 30 G
Prescription required
Levosalbutamol (as Levalbuterol) 50 mcg + Ipratropium bromide 20 mcg per metered dose inhalation (MDI)
Duolin Inhaler 200Md is used for relief and prevention of bronchospasm in chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; adjunct bronchodilation in asthma when prescribed.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Duolin Inhaler 200Md contains Levosalbutamol (as Levalbuterol) 50 mcg + Ipratropium bromide 20 mcg per metered dose inhalation (MDI). It belongs to the Beta-2 agonist + Anticholinergic (SABA + SAMA combination) class of medicines.
Relief and prevention of bronchospasm in chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; adjunct bronchodilation in asthma when prescribed.
Levosalbutamol is a selective beta-2 agonist that relaxes airway smooth muscle to open the airways. Ipratropium is an anticholinergic that blocks muscarinic receptors in the lungs, reducing bronchoconstriction and mucus-related narrowing. Together they provide complementary bronchodilation.
For inhalation use only. Use exactly as prescribed; commonly 1–2 puffs 3–4 times daily for COPD. Shake well before use, exhale fully, seal lips around mouthpiece, inhale slowly while pressing canister, hold breath ~10 seconds, then exhale. Use a spacer if advised; rinse mouth after use. Not for immediate severe attacks unless advised by a doctor.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take the missed dose of Duolin as soon as you remember. If it is almost time for the next dose, skip the missed one and carry on with the usual schedule. Do not take two doses together to make up for a missed dose.
Taking more Duolin than prescribed can be harmful. If you suspect an overdose, contact a doctor or go to the nearest emergency department at once, and carry the pack or strip with you. In India the emergency number is 112.
Most side effects of Duolin are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Use with caution / Consult doctor |
|---|---|
| Alcohol | No known interaction |
| Habit forming | No |
Do not exceed prescribed doses. Use with caution in heart disease, arrhythmias, hypertension, hyperthyroidism, diabetes, glaucoma (may worsen narrow-angle glaucoma if sprayed into eyes), prostatic hypertrophy/urinary retention. Seek urgent care if breathing worsens or if you need the inhaler more often (paradoxical bronchospasm can occur). Keep away from eyes; use spacer if needed. Not a substitute for inhaled corticosteroid if one is prescribed for asthma control.
Other beta-agonists or sympathomimetics (additive cardiac/CNS effects), beta-blockers (may reduce bronchodilation), diuretics/corticosteroids/xanthines like theophylline (risk of hypokalemia), MAO inhibitors or tricyclic antidepressants (enhanced cardiovascular effects), anticholinergic drugs (increased anticholinergic side effects), digoxin (arrhythmia risk with low potassium)
Store below 25°C, protect from heat and direct sunlight. Do not freeze. Pressurised container—do not puncture or expose to temperatures >50°C. Keep cap closed and keep out of reach of children.
Medicines with the same active ingredient (Levosalbutamol (as Levalbuterol) 50 mcg + Ipratropium bromide 20 mcg per metered dose inhalation (MDI)). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Duolin Inhaler 200Md |
|---|---|---|---|
| Airz Fb MdiGLENMARK PHARMACEUTICALS | 1`S | ₹841 | 98% more |

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The information on Duolin Inhaler 200Md is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.