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  3. Duolin Inhaler

Duolin Inhaler, Pack of 1 INHALER
Duolin Inhaler, Pack of 1 INHALER
Duolin Inhaler, Pack of 1 INHALER
Duolin Inhaler, Pack of 1 INHALER
Duolin Inhaler, Pack of 1 INHALER
Duolin Inhaler, Pack of 1 INHALER
Duolin Inhaler, Pack of 1 INHALER
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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Duolin Inhaler is used to treat or prevent chronic obstructive pulmonary disease (COPD). It contains Levosalbutamol and Ipratropium bromide, which work by relaxing muscles and widening the airways of the lungs. Some people may experience headaches, sore throat, dry mouth, tiredness, and vomiting. Before using this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Composition :

IPRATROPIUM BROMIDE-20MCG + LEVOSALBUTAMOL-50MCG

Manufacturer/Marketer :

Cipla Ltd

Consume Type :

INHALATION

Return Policy :

Not Returnable

Expires on or after :

About Duolin Inhaler

Duolin Inhaler is used to treat or prevent symptoms of chronic obstructive pulmonary disease (COPD), like shortness of breath, coughing or wheezing (whistling sound while breathing).

Duolin Inhaler contains Levosalbutamol and Ipratropium bromide, which work by relaxing muscles and widening the airways of the lungs. Thereby, it helps to breathe easily.

Duolin Inhaler may cause headache, sore throat, dry mouth, runny or stuffy nose, pain, cough with mucus, dizziness, nervousness, tiredness, and vomiting. If the side effects persist or worsen, please consult your doctor.

Do not use Duolin Inhaler if you are allergic to any of its components. If you are pregnant or breastfeeding, please consult a doctor. Keep your doctor informed about your health condition and medications to prevent any interactions.

Uses of Duolin Inhaler

Duolin Inhaler is used to treat chronic obstructive pulmonary disease (COPD). The detailed uses of Duolin Inhaler are as follows:

  • Chronic Obstructive Pulmonary Disease (COPD): Duolin Inhaler is used in the management of COPD, including chronic bronchitis and emphysema, to relieve breathing difficulty caused by airway narrowing.
  • Bronchospasm Relief: Provides quick and effective relief from bronchospasm (tightening of the muscles around the airways), helping reduce wheezing, coughing, and shortness of breath.
  • Add-on Therapy for Inadequate Response to Single Bronchodilator: Indicated for patients already using a regular bronchodilator but still experiencing symptoms, requiring a second bronchodilator for better control.
  • Improves Airflow in the Lungs: Helps to open up the airways, improving lung function and enhancing oxygen intake.

Directions for Use

  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Hold the inhaler with the mouthpiece facing downwards. Form a tight seal by placing your lips around the mouthpiece. Start breathing slowly with your mouth and push down the inhaler once. Remove the inhaler and breathe normally.
  • Duolin Inhaler is for inhalation purposes only.

Medicinal Benefits

  • Duolin Inhaler helps open up the airways, making it easier to breathe for people with obstructive airway conditions.
  • It provides quick relief from wheezing, shortness of breath, chest tightness, and coughing caused by constricted airways.
  • It is effective in managing long-term lung diseases such as chronic bronchitis and emphysema.
  • Duolin Inhaler contains Levosalbutamol (a beta-2 agonist) and Ipratropium Bromide (an anticholinergic), offering faster and more sustained bronchodilation than either drug alone.
  • It enhances oxygen intake and reduces airway resistance, improving overall respiratory performance.
  • Duolin Inhaler helps reduce airway sensitivity to allergens, cold air, or exercise, preventing sudden respiratory distress.

How Duolin Inhaler Works

Duolin Inhaler is a combination of two bronchodilators: Levosalbutamol and Ipratropium bromide. It works by relaxing muscles and widening the airways of the lungs. Thereby, it allows us to breathe easily.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Duolin Inhaler
Here are the steps to manage the medication-triggered Cough:
  • Tell your doctor about the cough symptoms you're experiencing, which may be triggered by your medication.
  • Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your cough symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids, such as water, tea, or soup, to help thin out mucus and soothe your throat.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your cough persists or worsens, consult your doctor for further guidance.
Here are the seven steps to manage medication-triggered Dyspnea (Difficulty Breathing or Shortness of Breath):
  • Tell your doctor immediately if you experience shortness of breath after taking medication.
  • Your doctor may adjust the medication regimen or dosage or give alternative medical procedures to minimize the symptoms of shortness of breath.
  • Monitor your oxygen levels and breathing rate regularly to track changes and potential side effects.
  • For controlling stress and anxiety, try relaxation techniques like deep breathing exercises, meditation, or yoga.
  • Make lifestyle changes, such as quitting smoking, exercising regularly, and maintaining a healthy weight.
  • Seek emergency medical attention if you experience severe shortness of breath, chest pain, or difficulty speaking.
  • Follow up regularly with your doctor to monitor progress, adjust treatment plans, and address any concerns or questions.
Managing Medication-Triggered Bronchitis (Inflammation of the bronchial tubes): A Step-by-Step Guide:
  • If you experience symptoms like coughing, wheezing, chest tightness, or difficulty breathing after taking medication, seek medical attention immediately.
  • Your healthcare provider will work with you to stop the medication causing the reaction, start alternative treatments, and provide supportive therapy.
  • To manage symptoms and prevent complications, follow your doctor's advice to use inhalers or nebulizers as prescribed, practice good hygiene, avoid irritants, stay hydrated, and get plenty of rest.
  • Regularly track your symptoms and report any changes or concerns to your healthcare provider.
Here are the steps to manage the medication-triggered Common Cold:
  • Inform your doctor about the common cold symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Drink plenty of fluids, such as warm water or soup, to help thin out mucus.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
Here are the steps to manage the medication-triggered Upper respiratory tract infection:
  • Inform your doctor about the symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids to help loosen and clear mucus from your nose, throat, and airways.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
  • Drink warm fluids such as warm water with honey, broth or herbal tea to soothe sore throat.
  • Gargle with warm salt water to decrease inflammation.
  • Suck on hard candies or lozenges to increase the production of saliva and soothe your throat.
  • Avoid smoking, spicy foods, and extremely hot fluids.
  • Rest your voice and get enough sleep.
  • Drink plenty of fluids like water to thin mucus.
  • Use a humidifier to moisten the air.
  • Lie down in specific positions to help drain mucus from different areas of the lungs.
  • Inhale steam from a bowl of hot water, it can help loosen mucus.
  • Gargling with a saltwater solution can soothe a sore throat and help clear mucus.
  • Gentle exercise can help mobilize mucus and clear airways.
  • Limit exposure to smoke, dust, and other airborne irritants that can worsen mucus production.
  • Consult your doctor if the issue persists or is accompanied by other concerning symptoms.

What if I have taken an overdose of Duolin Inhaler

An overdose of Duolin Inhaler may cause high/low blood pressure, seizures, high heart rate, nervousness, headache, tremor, dry mouth, irregular heartbeat, nausea, dizziness, fatigue, malaise, and sleeplessness. If you have taken an overdose or notice these symptoms, please consult a doctor immediately.

Drug Warnings

  • Do not use Duolin Inhaler if you are allergic to any of its components.
  • If you experience severe difficulty in breathing, please consult a doctor immediately.
  • Do not use Duolin Inhaler in more than the prescribed doses, as it may lead to severe heart or lung problems.
  • Regular monitoring of potassium levels is recommended while taking Duolin Inhaler, as it may cause low potassium levels in the blood.
  • If you experience irregular heartbeats, leg cramps, extreme thirst, constipation, increased urination, muscle weakness, numbness or tingling, please consult a doctor immediately, as these might be signs of low potassium.
  • If you have high blood pressure, diabetes, epilepsy (fits), enlarged prostate, glaucoma, thyroid or heart problems, bladder obstruction or other urinary problems, inform your doctor before starting Duolin Inhaler.
  • Consult your doctor if you are pregnant or breastfeeding.
  • Let your doctor know if you are taking any other medicines, including supplements and herbal products.

Drug-Drug Interactions

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SalbutamolLabetalol
Severe
SalbutamolPindolol
Severe

Drug-Drug Interactions

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SalbutamolLabetalol
Severe
How does the drug interact with Duolin Inhaler:
Co-administration of Salbutaml with Labetalol, the effectiveness of Duolin Inhaler might be reduced.

How to manage the interaction:
Although taking Labetalol and Duolin Inhaler together can possibly result in an interaction, it can be taken if a doctor has prescribed it. Do not discontinue any medications without a doctor's advice.
SalbutamolPindolol
Severe
How does the drug interact with Duolin Inhaler:
Using pindolol and Duolin Inhaler together can increase the risk of narrowing of the airways.

How to manage the interaction:
The combined use of pindolol and Duolin Inhaler can lead to an interaction, it can be taken if advised by your doctor. However, if you experience Coughing, wheezing, shortness of breath, and high-pitched breathing, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
SalbutamolMifepristone
Severe
How does the drug interact with Duolin Inhaler:
Coadministration of mifepristone and Duolin Inhaler can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Duolin Inhaler with mifepristone together is avoided as it can result in an interaction, it can be taken if a doctor has advised it. However, contact a doctor immediately if you experience any symptoms such as dizziness, lightheadedness, fainting, shortness of breath, or irregular heartbeat. Do not discontinue any medications without consulting a doctor.
SalbutamolLevobunolol
Severe
How does the drug interact with Duolin Inhaler:
Using levobunolol and Duolin Inhaler together can reduce the benefits of both drugs and can cause narrowing of the airways.

How to manage the interaction:
The combined use of levobunolol and Duolin Inhaler can lead to an interaction, it can be taken if advised by your doctor. Don't forget to inform if you have any history of asthma, or severe chronic obstructive pulmonary disease (COPD), consult the doctor immediately. Do not stop using any medications without a doctor's advice.
SalbutamolPapaverine
Severe
How does the drug interact with Duolin Inhaler:
The combined use of Papaverine and Duolin Inhaler can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Co-administration of Papaverine and Duolin Inhaler can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
SalbutamolTimolol
Severe
How does the drug interact with Duolin Inhaler:
Co-administration of Duolin Inhaler with timolol can increase the risk of narrowing of the airways.

How to manage the interaction:
Although taking Duolin Inhaler and timolol together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience Coughing, wheezing, shortness of breath, and high-pitched breathing, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
SalbutamolCarvedilol
Severe
How does the drug interact with Duolin Inhaler:
Coadministration of Carvedilol and Duolin Inhaler may reduce the effects of both medications.

How to manage the interaction:
Although there is a possible interaction between Carvedilol and Duolin Inhaler, they can be taken if your doctor advises. Consult your doctor if you experience shortness of breath, chest pain or any difficulties in breathing. Do not stop using any medications without a doctor's advice.
SalbutamolPenbutolol
Severe
How does the drug interact with Duolin Inhaler:
Coadministration of Penbutolol and Duolin Inhaler can reduce the effects of both medications and can cause narrowing of the airways.

How to manage the interaction:
Taking Penbutolol and Duolin Inhaler can lead to an interaction, it can be taken if advised by your doctor. However, if you experience Coughing, wheezing, shortness of breath, and high-pitched breathing, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
SalbutamolPropranolol
Severe
How does the drug interact with Duolin Inhaler:
Using propranolol and Duolin Inhaler together can reduce the effects or increase the risk of narrowing of the airways.

How to manage the interaction:
The combined use of propranolol and Duolin Inhaler can lead to an interaction, but they can be taken if advised by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Eat foods rich in potassium, such as tomatoes, bananas, asparagus, oranges, potatoes, avocados, dark leafy greens, and beetroots, as potassium is important for lung function and a potassium deficiency may cause breathing problems.
  • Drink plenty of fluids every day to thin mucus, which makes it easier to cough out.
  • Maintain a diet that includes complex carbohydrates such as lentils, beans, barley, oats, quinoa, bran, peas, and potatoes with skin.
  • Limit or avoid the intake of caffeinated drinks such as tea, coffee, soda, and energy drinks.
  • Eat protein-rich foods such as meat, fish (particularly salmon, sardines, and mackerel), eggs, and poultry.
  • Exercise regularly to strengthen your breathing muscles and boost your immune system. Learning breathing exercises will help you move more air in and out of your lungs.
  • Quit smoking as it may reduce the effectiveness of the Duolin Inhaler and irritate the lungs, worsening breathing problems.

Habit Forming

No

Therapeutic Class

BRONCHODILATOR

Duolin Inhaler Substitute

Substitutes safety advice

Product Substitutes

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Alcohol

Caution

The interaction of Duolin Inhaler with alcohol is unknown. Please consult a doctor before consuming alcohol with Duolin Inhaler.

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Pregnancy

Caution

The safety of Duolin Inhaler in pregnant women is unknown and is given to pregnant women only if the doctor thinks benefits outweigh risks.

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Breast Feeding

Caution

It is unknown whether Duolin Inhaler is excreted in human milk. It is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.

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Driving

Caution

Duolin Inhaler may cause blurred vision or dizziness in some people. Therefore, avoid driving if you notice any changes in vision or feel dizzy after taking Duolin Inhaler.

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Liver

Consult your doctor

If you have any concerns regarding the use of Duolin Inhaler in patients with Liver problems, please consult a doctor.

bannner image

Kidney

Consult your doctor

If you have any concerns regarding the use of Duolin Inhaler in patients with Kidney problems, please consult a doctor.

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Children

Caution

Please consult a doctor before giving Duolin Inhaler to children.

Health Queries

Duolin using before food or ofter food

Dr Bayyarapu Kumar

Dr Bayyarapu Kumar

M Pharmacy

Duolin (a combination of Levosalbutamol and Ipratropium) is taken through an inhaler. As the medicine is inhaled directly into the lungs and not swallowed, its effect is not influenced by food, so it can be used either before or after meals, whichever is convenient. The important point is to take it exactly as prescribed by your doctor and ensure the correct inhalation technique.

Have a query?

FAQs

Duolin Inhaler is used to treat or prevent symptoms of chronic obstructive pulmonary disease (COPD), like shortness of breath, coughing or wheezing (whistling sound while breathing). It works by relaxing muscles and widening the airways of the lungs.

Duolin Inhaler should be used with caution in diabetic patients if prescribed by a doctor. However, regular monitoring of blood sugar levels is recommended while taking Duolin Inhaler as it may increase blood sugar levels.

Yes, Duolin Inhaler may cause blurred vision in some patients. It is not necessary for everyone taking Duolin Inhaler to experience this side effect. Therefore, avoid driving if you notice any changes in vision after taking Duolin Inhaler.

Duolin Inhaler should be used with caution in hyperthyroid (overactive thyroid) patients as it may worsen the condition. Inform your doctor if you have hyperthyroidism before taking Duolin Inhaler so that the dose may be adjusted appropriately. However, regular monitoring of thyroid hormone levels is recommended while taking Duolin Inhaler.

Yes, Duolin Inhaler may cause dry mouth as a temporary side effect in some people. It is not necessary for everyone taking Duolin Inhaler to experience this side effect. However, to avoid such side effects, drink plenty of water, regularly rinse your mouth, practice good oral hygiene and suck on sugarless candy. However, if the condition persists or worsens, please consult a doctor.

No, you are not recommended to stop taking Duolin Inhaler without consulting your doctor, as it may worsen the condition or cause recurring symptoms. Therefore, take Duolin Inhaler for as long as your doctor has prescribed it, and if you experience any difficulty while taking Duolin Inhaler, please consult your doctor.

No, Duolin Inhaler does not relieve sudden symptoms such as shortness of breath. Therefore, it is advised to carry a rescue inhaler always to treat sudden symptoms.

No, Duolin Inhaler is not a steroid. It is a combination medication that contains levosalbutamol and ipratropium bromide. These ingredients work together to help relax the air passages' muscles, making breathing easier. Duolin Inhaler is commonly used to treat chronic obstructive pulmonary disease (COPD) and asthma.

Duolin Inhaler may cause side effects such as headache, sore throat, dry mouth, and respiratory issues like cough, sneezing, and difficulty breathing. Other possible side effects include dizziness, nervousness, tiredness, irregular heartbeats, and vomiting. In most cases, these side effects are temporary and resolve on their own. However, if they persist or worsen, it's essential to consult your doctor for proper guidance.

Yes, Duolin Inhaler nebulization is considered safe when used as prescribed by your doctor. It is commonly used to manage respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD). Duolin Inhaler contains two active ingredients: ipratropium bromide and salbutamol, which work together to relax the airways' muscles, making breathing easier.

When taking Duolin Inhaler, it's crucial to exercise caution with concomitant medications that may interact or exacerbate adverse effects. Certain medicines that stimulate the heart or increase blood pressure may potentiate the effects of Duolin Inhaler, while others may counteract its therapeutic benefits. To ensure safe and effective treatment, consult your doctor for personalised guidance on potential medication interactions.

No, taking higher doses of Duolin Inhaler will not necessarily make it more effective, and it can increase the risk of side effects like increased heart rate, tremors, and other complications. It is vital to use the medication exactly as prescribed by your doctor. If you feel that your current dosage is not providing adequate relief, consult your doctor for advice rather than adjusting the dose on your own.

No, Duolin Inhaler is not typically known to cause sleepiness or drowsiness. However, individual reactions to medications can vary, and if you experience any unusual symptoms, it is essential to consult your doctor.

Store Duolin Inhaler below 30°C. Please keep them in their original packaging to protect them from light and moisture. Do not freeze. Keep out of reach of children. Do not dispose of medications in household trash or wastewater. Follow local regulations for the disposal of medications.

Country of origin

India

Manufacturer/Marketer address

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Other Info - DUO0028

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Author Details

Veda MaddalaDoctor badge

Written By

Veda Maddala

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Aug 12, 2025 | 12:22 PM IST

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Reference

  1. https://www.drugs.com/mtm/levalbuterol-inhalation.html
  2. https://www.drugs.com/mtm/ipratropium-inhalation.html
  3. https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/021730s039lbl.pdf
  4. https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/021527s021lbl.pdf

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