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Duolin Forte Inhaler

Manufactured byCIPLA LTD
ContainsIpratropium (40 mcg) + Levosalbutamol (50 mcg)
Description
Duolin Forte Inhaler is a combination medicine which is used to relieve symptoms such as wheezing, shortness of breath, chest tightness, breathing difficulties, coughing, etc. caused by chronic obstructive pulmonary disease (COPD). This medicine is not recommended for use in patients less than 12 years of age.

Side effects

Major & minor side effects for Duolin Forte Inhaler

  • Dizziness
  • Bladder pain
  • Wheezing
  • Shortness of breath
  • Constipation
  • Back pain
  • Low blood pressure
  • Cough
  • Headache
  • Viral infections
  • Blocked or runny nose
  • Sore throat and hoarseness
  • Shaking and trembling of arms and feet
  • Decreased appetite
  • Muscle pain and cramps
  • Nervousness
  • Swelling of eyelids, face, lips, tongue
  • Nausea
  • Skin rash and spotting
  • Chest pain and discomfort
  • Increased heartbeat
  • Difficulty in swallowing
  • Unusual tiredness and weakness
  • Visual disturbances

Uses of Duolin Forte Inhaler

What is it prescribed for?

  • Chronic obstructive pulmonary disease
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The effect of this medicine can be observed within 1-3 minutes of an oral inhalation.
  • How long do the effects of this medicine last?
    The effect of this medicine lasts for an average duration of 4 to 12 hours.
  • Is it safe to consume alcohol while taking this medicine?
    Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
  • Is this a habit forming medicine?
    No habit-forming tendencies were reported.
  • Can this medicine be taken during pregnancy?
    This medicine is not recommended for use in pregnant women unless necessary. All the risks and benefits should be discussed with the doctor before using this medicine.
  • Can this medicine be taken while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine. Your doctor may advise you to discontinue the drug or to discontinue breastfeeding based on your clinical condition.

Allergy

This medicine is not recommended for use in patients with a known allergy to levosalbutamol, salbutamol, ipratropium, atropine or its derivatives, or any other inactive ingredients present along with these medicines.

Hypertrophic obstructive cardiomyopathy

This medicine is not recommended for use in patients with hypertrophic obstructive cardiomyopathy (an abnormal condition of the heart, where the heart muscles become thickened and the heart is not able to pump the blood effectively) due to the increased risk of worsening of the patient’s condition.

Tachyarrhythmias

This medicine is not recommended for use in patients with tachyarrhythmia due to the increased risk of worsening of the patient’s condition.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless necessary. All the risks and benefits should be discussed with the doctor before using this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before using this medicine. Your doctor may advise you to discontinue the drug or to discontinue breastfeeding based on your clinical condition.
General warnings

Driving or Operating machinery

Use of this medicine may cause symptoms such as blurred vision, dizziness, drowsiness, confusion, etc. in some patients. It is advised that you do not perform any activities such as driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.

Glaucoma

This medicine should be used with caution in patients suffering from glaucoma due to the increased risk of worsening of the patient's condition. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Urinary Retention

This medicine should be used with caution in patients suffering from benign prostatic hyperplasia due to the increased risk of urinary retention. Close monitoring of kidney function tests, appropriate dose adjustments, or replacement with a suitable alternative may be required based on the clinical condition.

Use in children

This medicine is not recommended for use in patients less than 12 years of age since the safety and efficacy of use are not clinically established.

Other medicines

This combination medicine may interact with many other medicines and may cause severe adverse effects. Hence, it is advised that you inform the doctor about all your current medicines including any herbs and supplements before beginning treatment with this medicine.

Other diseases

Report the past/present incidence of all diseases including heart and blood vessels disorders, electrolyte imbalances, any disease associated with thyroid and other glands, etc. to the doctor. All disease conditions should be considered before therapy with this medicine is initiated.

Hypokalemia

Use of this medicine may cause a decrease in blood potassium levels and hence, it should be administered with caution in patients suffering from hypokalemia. Report any unusual symptoms to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Paradoxical bronchospasm

Use of this medicine has been associated with worsening of asthma symptoms in some instances. Contact your doctor immediately if breathing becomes more difficult after using this medicine. It is advised to discontinue this medicine immediately in such cases.

Excessive use

This medicine is strictly recommended for use in the prescribed quantities only; excessive use may cause severe adverse effects and may prove fatal in extremely rare cases.

Use in elderly

This medicine should be used with caution in elderly patients since the risk of severe adverse effects is significantly high.

Missed Dose

The missed dose should be taken as soon as possible. It is advisable to skip the missed dose if it is already time for your next scheduled dose. Do not use extra medicine to make up for the missed dose.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Instructions

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Medicine

Amitriptyline

Atenolol

Ketoconazole

Propranolol

Xylometazoline

Furosemide

Hydrochlorothiazide

Atropine

Formoterol

Pseudoephedrine

Aripiprazole

Clozapine

Chlorpheniramine

Tiotropium

Disease interactions

Kidney Disease

This medicine should be used with caution in patients suffering from kidney diseases due to the increased risk of severe adverse effects. Regular monitoring of kidney function tests is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Liver Disease

This medicine should be used with caution in patients suffering from liver diseases due to the increased risk of severe adverse effects. Regular monitoring of liver function tests is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Heart Disease

Use of this medicine has been associated with an increase in heart rate and changes in blood pressure. It should be used with caution in patients with an active or historic case of heart diseases. Patients should also be screened for the risk factors of heart disease before starting the treatment course. Close monitoring of clinical condition, appropriate dose adjustments, or replacement with a suitable alternative may be necessary in some cases based on the clinical condition of the patient.

Diabetes

Use of this medicine has been associated with a mild to moderate rise in blood sugar levels in most patients. Hence, caution should be exercised in patients with diabetes. Regular monitoring of blood glucose levels is necessary while receiving this medicine. Appropriate dose adjustments of either this medicine or the anti-diabetic medicine or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Hypokalemia

Use of this medicine has been associated with a decrease in blood potassium levels (hypokalemia). Hence, it should be used with extreme caution in patients suffering from hypokalemia, a disorder where potassium levels in the body are very low. Regular monitoring of blood potassium levels is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Seizure disorders

This medicine should be administered with caution in patients with seizure disorders since the risk of increased frequency and severity of convulsions is significantly high. Report any unusual symptoms to the doctor on priority. An alternative treatment option may be necessary in some cases based on the clinical condition.
Food interactions
Information not available.
Lab interactions
Information not available.
Use this medicine exactly as prescribed. The prescribed frequency and duration of uptake are specific as per your needs. Do not use this medicine in larger or smaller quantities or for longer than recommended. Consult the doctor if you experience any undesirable side effects. Do not stop the use of this medicine without consulting your doctor.
Miscelleneous

Usage does not depend on food timings

To be taken as instructed by doctor

May cause sleepiness

How it works
This medicine works by relaxing and opening the blocked air passages leading to the lungs. It improves the amount of air flow to the lungs and makes breathing easier.
Legal Status

Unknown

Unknown

Unknown

Unknown

Classification

Category

Bronchodilator combinations

Schedule

Schedule H

[Internet]. CiplaMed. 2018 [cited 14 August 2018]. Available from:

https://ciplamed.com/content/duolin-inhaler

[Internet]. Drugbank.ca. 2018 [cited 14 August 2018]. Available from:

https://www.drugbank.ca/drugs/DB13139
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Information on this page was last updated on 26 Feb 2019

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