DUOLIN Inhaler 200md


DUOLIN Inhaler 200md


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Duolin Inhaler

What is DUOLIN?

  • DUOLIN contains Ipratropium bromide and Levosalbutamol which belong to bronchodilators
  • It works by opening your airways

What DUOLIN is used for?

  • It is used to treat Chronic Obstructive Pulmonary Disease(COPD)

Warning & Precautions

Talk to Doctor

Talk to your doctor before using this medicine, if you:

  • Are allergic to Ipratropium, Levosalbutamol, Atropine or any of the other ingredients
  • Have a heart problem called hypertrophic obstructive cardiomyopathy
  • Have a very fast heart beat
  • Have glaucoma (increased pressure in the eye)
  • Have diabetes
  • Have an over-active thyroid gland
  • Have problems passing urine
  • Are undergoing surgery

Pregnancy & Breast Feeding

  • Do not use this medicine if you are pregnant, likely to get pregnant or are breast-feeding

Children & Adolescents

  • DUOLIN is not recommended for children under 12 years of age

Driving & Using Machines

  • You may feel dizzy, or have difficulty in focusing, or blurred vision while taking this medicine
  • If this happens do not drive or use tools or machines


Tell your doctor if you are taking,

  • Other medicines used for treating lung problems
  • Steroid medicines such as prednisolone
  • Diuretics such as furosemide, thiazides
  • Fluoxetine used for depression
  • Medicines called anti-cholinergic used to treat colic pain, parkinson’s disease, problems passing urine or lack of control of your bladder or bowels
  • Propranolol used to treat heart problems, high blood pressure, anxiety or migraine
  • Fenoterol used for breathing problems
  • Digoxin used for heart failure

Directions & For Use

  • Always take this medicine exactly as your doctor has told you
  • Shake the Inhaler vigorously up and down three to five times, to allow proper powder flow and a correct dose
  • After shaking, hold the Inhaler in the upright position
  • Press the Inhaler once between your finger and thumb until you hear a click and let it click back again, to deliver powder into the inhalation channel inside the mouthpiece
  • Keep holding the Inhaler in the upright position
  • In the sitting or standing position breathe out normally (but not into the inhaler)
  • Place the mouthpiece in your mouth between your teeth and seal your lips tightly around it
  • Take a strong and deep breath through the inhaler
  • Remove the Inhaler from your mouth
  • Hold your breath for at least 5 seconds, then breathe normally
  • Rinse your mouth and throat and spit out the water, this reduces the risk of fungal infection
  • Clean the mouthpiece at least once a week with a clean dry cloth or tissue
  • Do not use water or other liquids, the powder is sensitive to moisture
  • If you use the protective cover, you can take the Inhaler out of it to wipe it
  • When putting it back into its protective cover, put the dust cap on the mouthpiece to stop it going off accidentally

If you take more DUOLIN

  • If you use more of this medicine than you should, talk to a doctor or go to a hospital straight away

If you forget to take DUOLIN

  • If you forget a dose, take it as soon as you remember it
  • However, if it is time for the next dose, skip the missed dose
  • Do not take a double dose to make up for a forgotten dose

If you stop taking DUOLIN

  • Talk to your doctor before stopping this medicine

Side Effects Of Duolin Inhaler 200md


Like all medicines, this medicine can cause side effects, although not everybody gets them

  • Wheezing, difficulty in breathing
  • Allergic reactions such as rash, itching, swelling of face, lips and throat


Like all medicines, this medicine can cause side effects, although not everybody gets them

  • Lactic acidosis which may cause hyperventilation
  • Shortness of breath
  • Cold feet and hands
  • Irregular heartbeat
  • Thirst


Like all medicines, this medicine can cause side effects, although not everybody gets them

  • Feeling nervous, shaky or dizzy
  • Dry mouth
  • Cough, headache
  • Nausea
  • Throat irritation
  • Increase in blood pressure
  • Increased heart rate or uneven heart beats (palpitations)
  • Voice problems (‘dysphonia’)
  • Skin reactions


Like all medicines, this medicine can cause side effects, although not everybody gets them

  • Irregular heart beat
  • Regular but abnormally fast heart rate (supraventricular tachycardia)
  • Chest pain (due to heart problems such as angina)
  • Blurred vision, dilated pupils, glaucoma, painful, stinging, or red eyes, swelling of the eyes, see colours or lights
  • Increased sweating
  • Unexpected tightening of the chest immediately after inhaling the medicine
  • Dry throat, swelling of the throat
  • Difficulty in breathing or speaking due to a brief spasm of your vocal muscles
  • Muscle cramps, muscle weakness and pain
  • Difficulty in passing urine
  • Fall in blood pressure
  • Mood changes
  • Unusually low levels of potassium in your blood (called ‘hypokalemia’)

More Information


  • Store at room temperature (15-25°C)
  • Do not freeze
  • Keep out of reach of children
  • Do not use this medicine after the expiry date


Duolin Inhaler is used for the treatment of chronic obstructive pulmonary disorder (a lung disorder in which the flow of air to the lungs is blocked).

It helps in relaxing the muscles of the air passages and making it easier to breathe. It relieves coughing, wheezing and feeling short of breath.

Your doctor will tell you how often you need to use your inhaler. The effect of this medicine may be noticeable after a few days but will only reach its maximum after a few weeks.

DUOLIN Inhaler 200md
This medicine must be used regularly to be effective, so go on taking it even if you don’t have any symptoms. That means it’s doing its job. If you stop taking it your COPD may get worse.This medicine should not be used to relieve sudden shortness of breath. If sudden shortness of breath occurs, use your rescue inhaler.

To get the benefit from this medicine you need to make sure you get your inhaler technique right, otherwise, it Does not work as well. click here : Duolin Inhaler

Most common side effects

The most common side effects are dryness in mouth, shortness of breath, cough, tremor, headache, palpitations, and muscle cramp.

If you get there, don’t stop taking it but do talk to your doctor. You can prevent some of these symptoms by rinsing your mouth and throat with water or brushing your teeth after using your inhaler. There are other, rarer side effects which can be serious.
Talk to your doctor if you’re worried about them.

Before taking it, you should tell your doctor if you have any kidney or liver diseases so that your doctor can prescribe a suitable dose for you. Also tell your doctor if you are pregnant, planning pregnancy or breastfeeding.


  • Treatment of Chronic obstructive pulmonary disease (COPD)


In Treatment of Chronic obstructive pulmonary disease (COPD)

Duolin Inhaler is a combination of medicines that helps the airways in your lungs stay open. They work by relaxing the muscles of these airways. This makes it easier for air to get in and out.

It will relieve symptoms such as tightness in your chest, shortness of breath, wheezing and coughing and help you carry out your daily activities more easily.

Duolin Inhaler is a safe and effective medicine. It usually starts to work within a few minutes and the effects can last up to several hours.

Do not stop using it unless you are advised to by your doctor. You need to use your inhaler correctly for it to work properly. If you are not sure, ask your doctor or nurse.


Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Duolin

  • Dryness in mouth
  • Breathlessness
  • Cough
  • Tremors
  • Headache
  • Palpitations
  • Muscle cramp


Check the label for directions before use. Shake the inhaler. While you are breathing in from mouth, press down on the inhaler one time to release the medication and hold your breath for 10 seconds. Repeat until you have inhaled the number of puffs as suggested by the doctor. Afterwards, rinse your mouth thoroughly with water and spit it out.


Duolin Inhaler is a combination of two medicines: Levosalbutamol and Ipratropium. Levosalbutamol 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.




Duolin Inhaler may cause excessive drowsiness with alcohol.


Duolin Inhaler may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

Duolin Inhaler is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.


No interaction found/established


No interaction found/established


No interaction found/established


If you miss a dose of Duolin Inhaler, use it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.


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