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Duoneb (Ipratropium/Salbutamol Inhalation Solution)
Manufactured by: Boehringer Ingelheim  This product requires a valid prescription
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It is very important that the Combivent inhaler or nebulized solution is used properly, so that the medicine gets into the lungs. Your doctor may want you to use a spacer with the inhaler. Talk to your doctor about proper inhaler or nebulizer use. Combivent is used to treat chronic obstructive pulmonary disease (COPD). Do not use the Combivent Inhaler if you have a soya lecithin allergy (e.g., an allergy to soybeans or peanuts). Before using this medication, tell your doctor if you have
· heart disease or high blood pressure,
· epilepsy or another seizure disorder,
· diabetes,
· an overactive thyroid (hyperthyroidism),
· glaucoma (the narrow-angle form),
· an enlarged prostate or a bladder obstruction, or
· liver or kidney disease.
You may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. To use the inhaler:
· You may want to "test-spray" the inhalation unit three times before using it for the first time and if it has not been used for 24 hours or more. Doing so will ensure that your first dose will deliver the proper amount of medication.
· Shake the inhaler several times and uncap the mouthpiece. Breathe out fully. Put the mouthpiece of the inhaler or spacer into your mouth. Be sure the mouthpiece is above the tongue and past the teeth. Alternatively, place the inhaler (not spacer) several inches in front of your open mouth, if directed to do so by your doctor. Take a deep, slow breath as you push down on the canister. Hold your breath for 10 seconds, then exhale slowly.
· If your doses consist of more than one puff each, wait approximately 2 minutes, shake the inhaler again, then repeat the inhalation procedure.
· Throw the inhaler away after 200 inhalations. The amount of medication in each inhalation cannot be assured after 200 sprays. If you also use a steroid inhaler, use the Combivent inhaler first to open up the airways, then use the steroid inhaler as directed unless otherwise directed by your doctor. Seek medical attention if you notice that you require more than your usual or more than the maximum amount of any medication for chronic obstructive pulmonary disease (COPD) in a 24-hour period. An increased need for medication could be an early sign of worsening lung function.
Combivent (Ipratropium/Salbutamol) Inhalation Solution contains ipratropium and salbutamol. Combivent (Ipratropium/Salbutamol) is used to treat bronchospasm in COPD (e.g. chronic bronchitis and emphysema). Do not mix Combivent solution with other drugs in the same nebulizer. Combivent (Ipratropium/Salbutamol) inhalation solution is a combination of 2 bronchodilators (salbutamol and ipratropium). Combivent (Ipratropium/Salbutamol) is meant for inhalation only via a nebulizer.
Your doctor, pharmacist or health care provider will instruct you on the proper use and care of the nebulizer. Make sure you understand exactly how to use it before proceeding. Discard any unused solution. Unopened unit dose vials should be stored away from direct sunlight and kept between 15 to 25 degrees Centigrade. Do not use if the solution has changed color or become cloudy. For adults and children over 12 years of age, the recommended dose is one unit dose vial by nebulizer 3 or 4 times daily.
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