DUOLIN FORTE 100 mcg/80 mcg 30 Rotacaps

Prescription status:

Prescription required

Manufacturer Name: 

Cipla Ltd

Drug classification: 

Bronchodilators, Adrenergic receptor agonist 

What is this used for:

• Bronchospasm
• COPD (Chronic Obstructive Pulmonary Disease)
• Prevention of bronchospasam
• Emphysema

When to not take this medicine:

• Hypersensitivity/Known Allergy to Levosalbutamol or Ipratropium
• Hypersensitivity ot food related to peanut or soybean

How should I take the medicine?

Take this medicine as directed by the physician. Do not take this medicine in small or larger amounts than recommended.

How this medicine works:

This medicine helps in relieving the signs and symptoms like chest tightness, or any breathing difficutlies, wheezing etc.

Side effects

• Dizziness (Unknown)
• Headache (Unknown)
• Blocked or runny nose (Unknown)
• Sore throat and hoarseness (Unknown)
• Shaking and trembling of arms and feet (Unknown)
•  Decreased appetite (Unknown)
• Low blood pressure (Unknown)
• Nausea (Unknown)
• Difficulty in swallowing (Unknown)
• Unusual tiredness and weakness (Unknown)
• Visual disturbances (Unknown)
• Skin rash (Unknown)
• Shortness of breath (Unknown)
• Constipation (Unknown)
• Back pain (Unknown)
• Bladder pain (Unknown)
• Cough (Unknown)

Pregnancy warning: Category not assigned.

This medicine is not recommended to use in pregnant women unless it is absolutely necessary. Before taking this medicine, it is necessary to discuss it with the doctor.

Lactation warning:

The use of this medicine is not recommended for lactating and breastfeeding mothers unless absolutely necessary. Inform your doctor about the use of this medicine. All the risks and benefits should be discussed with the doctor before taking this medicine.

Renal dose adjustments:

Care must be taken for individuals with kidney disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative on the basis of creatinine clearance values.

Hepatic dose adjustments:

Care must be taken for individuals with liver disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative.

Drug interactions:

• Albuterol: Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together may increase cardiovascular side effects such as elevations in heart rate and blood pressure or irregular heart rhythm. If you experience any signs and symptoms like high blood pressure, arrhythmia, or heart disease then inform the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Bedaquiline: Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a rare side effect. If you experience any signs and symptoms like dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations then inform the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Carvedilol: Major

Inform your doctor about the use of either medicines. When these medicines are taken or used together may worsen your breathing problems or trigger severe asthmatic attacksIf you experience any signs of uneasiness then inform the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Ibutilide: Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together can increase the risk of an irregular heart rhythm that may be serious and potentially life-threatening, although it is a rare side effect. If you experience any signs and symptoms like dizziness, lightheadedness, fainting, shortness of breath then inform the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

 Alcohol interactions:

Consumption of alcohol is not recommended while taking this medicine as it may cause interactions and lead to serious adverse effects and may worsen the health condition.

Food interactions:

Hypersensitivity to foods or extracts like soybean or peanuts.

Expert Advice:

1. Follow all the instructions given by your doctor
2. This medicine should be used with caution in patients with prostatic hyperplasia. Close monitoring is required for kidney function
3. This medicine is not recommended to use in children under 12 years of age. The safety and efficacy is not clinically established.
4. Patients with glaucoma, when they take this medicine it may worsen the condition of the patient. Appropriate changes to be considered while treating with it. 

Missed dose instructions:

Take this medicine as soon as you remember. However, if it is almost the for your next dose skip the dose and go back to your regular dosing schedule. Do not double dose to make up for the missed dose.

Overdose Instructions:

Seek emergency treatment or contact your physician in case if you experience any unusual signs and symptoms during the treatment with this medicine.

Storage Instructions:

Store the medicine in a cool and dry place. Keep the medicine away from the reach of the children

References:

1. [Internet]. CiplaMed. 2018 [cited 5 November 2020]. Available from: https://ciplamed.com/content/duolin-inhaler
2. [Internet]. Drugbank.ca. 2018 [cited 5 November 2020]. Available from:https://www.drugbank.ca/drugs/DB13139
3. Drugs H. Ipratropium Oral Inhalation: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2020 [cited 6 November 2020]. Available from: https://medlineplus.gov/druginfo/meds/a695021.html

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Keep away from direct sunlight

Store in a dry place