
Aknegate Ac Gel
Inex Medicaments Private Limited - Gel - 20 G
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Ipratropium (500mcg/2.5ml) + Levosalbutamol (1.25mg/2.5ml)
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Same composition, in stock now. Check with your doctor or pharmacist before you switch.
Duonex 2 Tablet is used for salbair I Neb 1.25 Transpules 2.5ml is used in the treatment of chronic obstructive pulmonary disease.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Duonex 2 Tablet contains Ipratropium (500mcg/2.5ml) + Levosalbutamol (1.25mg/2.5ml). It belongs to the Inhaled bronchodilator / corticosteroid class of medicines.
Salbair I Neb 1.25 Transpules 2.5ml is used in the treatment of chronic obstructive pulmonary disease.
Salbair I Neb 1.25 Transpules 2.5ml is a combination of two medicines: Levosalbutamol/Levalbuterol and Ipratropium. Levosalbutamol/Levalbuterol is a bronchodilator while Ipratropium is an anticholinergic. They work by relaxing the muscles in the airways and widen the airways. Together, they make breathing easier.
Swallow the tablet whole with a glass of water. Do not chew, crush or break it unless your doctor has told you to. Taking it at about the same time each day helps you remember. Follow the dose and the duration written on your prescription.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
An overdose of this medicine can cause a racing heart, marked tremor, headache and a fall in blood potassium. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Duonex 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 | Salbair I Neb 1.25 Transpules 2.5ml may be unsafe to use during pregnancy.<br>Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor. |
|---|---|
| Breastfeeding | Salbair I Neb 1.25 Transpules 2.5ml is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby. |
| Alcohol | Salbair I Neb 1.25 Transpules 2.5ml may cause excessive drowsiness and calmness with alcohol. |
| Driving | Not expected to affect your ability to drive. |
| Kidney | No dose change is usually needed in kidney disease. |
| Liver | Use with caution if you have liver disease — your doctor may adjust the dose or monitor your liver function. |
| Habit forming | No |
Know which of your inhalers is the reliever and which is the preventer. A preventer must be used every day even when you feel well; a reliever is for symptoms. Seek emergency care if your reliever is not working, if you cannot speak a full sentence, or if you are using the reliever far more often than usual. Rinse your mouth with water and spit it out after every steroid inhaler dose to prevent thrush and hoarseness. Ask your doctor or pharmacist to watch your technique — poor technique is the commonest reason an inhaler seems not to work. Use a spacer if one has been advised, particularly for children.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for anyone with a known allergy to the propellant used in the inhaler.
Beta blockers, including eye drops for glaucoma, can tighten the airways and reduce the effect of your reliever.
Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.
Keep a spare reliever and check the counter so you are not caught with an empty one. Follow your written asthma action plan if you have one. Do not stop a preventer because you feel better — that is the medicine working.
Medicines with the same active ingredient (Ipratropium (500mcg/2.5ml) + Levosalbutamol (1.25mg/2.5ml)). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Duonex 2 Tablet |
|---|---|---|---|
| Iprasure PulmulesALKEM LAB | 2.5ML | ₹18 | 76% cheaper |
| Asthacare Respules 2.5 ml | 1 | ₹27 | 64% cheaper |
| Asthacare Respules | 1X5 | ₹27 | 64% cheaper |
| New Duoprl Ld RespulesPRISTINE PEARL PHARMA | respule · 5X2.5ML | ₹80 | 7% more |

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The information on Duonex 2 Tablet 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.