DuoNeb

Generic name: Albuterol And Ipratropium (inhalation)
Drug class: Bronchodilator combinations

Usage of DuoNeb

DuoNeb is a sterile inhalation solution containing a combination of albuterol and ipratropium. Albuterol and ipratropium are bronchodilators that relax muscles in the airways and increase air flow to the lungs.

DuoNeb inhalation solution is used to prevent bronchospasm in people with chronic obstructive pulmonary disease (COPD) who are also using other medicines to control their condition.

DuoNeb may also be used for purposes not listed in this medication guide.

DuoNeb side effects

Get emergency medical help if you have signs of an allergic reaction to DuoNeb: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

wheezing, choking, or other breathing problems after using this medicine;

chest pain;

fast or pounding heartbeats, fluttering in your chest;

tremors, nervousness;

swelling of your ankles or feet;

blurred vision, tunnel vision, eye pain, or seeing halos around lights;

painful or difficult urination; or

low potassium - leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling.

Common DuoNeb side effects may include:

headache;

trouble breathing; or

cold symptoms such as stuffy nose, sneezing, cough, or sore throat.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Before taking DuoNeb

You should not use DuoNeb if you are allergic to albuterol, ipratropium, or atropine.

To make sure DuoNeb is safe for you, tell your doctor if you have ever had:

heart disease, high blood pressure, coronary artery disease, or heart rhythm disorder;

a seizure disorder such as epilepsy;

diabetes;

overactive thyroid;

glaucoma;

liver or kidney disease; or

enlarged prostate, problems with urination.

Tell your doctor if you are pregnant or breastfeeding.

This medicine is not approved for use by anyone younger than 18 years old.

Relate drugs

How to use DuoNeb

Usual Adult Dose for Chronic Obstructive Pulmonary Disease -- Inhalation solution: One 3 mL vial (albuterol-ipratropium bromide 2.5 mg-0.5 mg) four times a day via nebulization Maximum dose: Up to 2 additional 3 mL doses per day, if needed Comments: -The inhalation solution can be continued as medically indicated to control recurring bouts of bronchospasm. -If a previously effective regimen fails to provide the usual relief, medical advice should be sought immediately, as this is often a sign of worsening COPD and may require reassessment of therapy. Use: In patients with chronic obstructive pulmonary disease (COPD) on a regular aerosol bronchodilator who continue to have evidence of bronchospasm and who require a second bronchodilator

Warnings

Seek medical attention if you think DuoNeb inhalation solution is not working as well as usual. Overuse of DuoNeb may increase the risk of death. It is critical that you use only the prescribed dose of this medicine.

Before you use DuoNeb, tell your doctor if you have heart disease, high blood pressure, coronary artery disease, a heart rhythm disorder, seizures, diabetes, overactive thyroid, glaucoma, an enlarged prostate, urination problems, liver disease, or kidney disease.

You should not use DuoNeb if you are allergic to albuterol (Proventil, Ventolin), ipratropium (Atrovent), or atropine (Atreza, Lomotil, Vi-Atro, Sal-Tropine).

What other drugs will affect DuoNeb

Tell your doctor about all your other medicines, especially:

a diuretic or "water pill";

heart or blood pressure medicine;

other beta-blockers; or

an antidepressant.

This list is not complete. Other drugs may interact with DuoNeb, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Disclaimer

Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.