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compositionComposition:IPRATROPIUM BROMIDE-20MCG+LEVOSALBUTAMOL-50MCG
prescriptionPrescription Medicine
Duolin Inhaler
Duolin Inhaler
Duolin Inhaler
Duolin Inhaler
Duolin Inhaler
Duolin Inhaler
Duolin Inhaler

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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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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Health Queries

I have had asthma since childhood and use the Duolin inhaler and nebuliser, but it is quite expensive. What effective and affordable substitutes are available?

Dr. S Aneela

Dr. S Aneela

M. Pharm (Pharmacology)., PhD

You can discuss with your doctor about using Salbutamol and Ipratropium inhalers separately, as generic versions of these medicines are widely available and usually much cheaper than branded combination inhalers. Your doctor may also suggest a generic Duolin (Levosalbutamol and Ipratropium bromide), which has the same effect at a lower cost. Do not change medicines without consulting your doctor.

Can Duolin inhaler be used before or after food?

Bayyarapu Mahesh Kumar

Bayyarapu Mahesh 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.

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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.

Drug-Drug Interactions

verifiedApollotooltip
SalbutamolPenbutolol
Severe
SalbutamolPropranolol
Severe

Drug-Drug Interactions

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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.
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.
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.
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.
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.
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.
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.

Drug-Food Interactions

verifiedApollotooltip
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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Author Details

Veda MaddalaDoctor badge

Written By

Veda Maddala

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Apr 6, 2026 | 11:31 AM IST

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