Duolin Inhaler 200MD

Duolin Inhaler 200Md contains Levosalbutamol (as Levalbuterol) 50 mcg + Ipratropium bromide 20 mcg per metered dose inhalation (MDI). Prescription required.

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.

Dry mouth, throat irritation, cough, headache, dizziness, tremor, palpitations, nervousness, nausea, blurred vision

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.

Combimist-L Inhaler 200MD, Duolin Respules 2.5ml, Ipravent-L Inhaler, Levolin + Ipratropium combination inhaler (equivalent strength), Duolin Rotacaps (if prescribed)