duonex respules 2.5ml - Uses, Price, Side Effects & Substitutes
What is duonex respules 2.5ml used for?
Combimist-L CFC Free Inhaler (Levosalbutamol + Ipratropium) is used to treat RESPIRATORY. It contains Levosalbutamol (1.25mg) + Ipratropium (500mcg), which Levosalbutamol stimulates beta-2 receptors causing bronchodilation; Ipratropium . Always consult your doctor before use. Take as prescribed.
- Generic Name: Levosalbutamol + Ipratropium
- Manufacturer: Edolf Healthcare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: C
- Prescription Required: Yes
๐ duonex respules 2.5ml Uses & Benefits
COPD, asthma (maintenance and acute exacerbations)
Off-label uses: Bronchiolitis, acute respiratory distress syndrome (limited evidence)
๐ Drug Information
| Generic Name(s) | Levosalbutamol + Ipratropium |
| Brand Name | Combimist-L CFC Free Inhaler |
| Manufacturer | Edolf Healthcare Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Bronchodilator (Beta-2 agonist + Anticholinergic) |
| Route of Administration | Inhalation (metered dose inhaler) |
| Storage | Store at room temperature (15-30ยฐC), protect from light and moisture |
| Shelf Life | As per manufacturer |
๐ฌ Pharmacology (PK/PD)
Pharmacokinetics
How It Works
Levosalbutamol stimulates beta-2 receptors causing bronchodilation; Ipratropium blocks muscarinic receptors reducing bronchoconstriction
Mechanism Steps
๐ก How to Take duonex respules 2.5ml
Follow your doctor's prescription exactly.
โ ๏ธ Side Effects of duonex respules 2.5ml
โ Common Side Effects
- Tremor
- Headache
- Cough
- Dry mouth
- Nausea
- Palpitations
๐จ Serious Side Effects
- Paradoxical bronchospasm
- Hypokalemia
- Cardiac arrhythmias
- Hypertension
โ ๏ธ Rare Side Effects
- Allergic reactions
- Angioedema
- Urinary retention
- Glaucoma exacerbation
Consult your doctor if you experience any unusual symptoms.
๐ฌ Drug Interactions
| โ ๏ธ Drug | Severity | Effect |
|---|---|---|
| Beta-blockers | Major | Antagonism of bronchodilator effect |
| MAOIs | Major | Increased risk of hypertensive crisis |
| Tricyclic antidepressants | Major | Enhanced cardiovascular effects |
| Diuretics | Major | Hypokalemia risk |
| Other beta-agonists | Major | Additive side effects |
| Xanthine derivatives | Moderate | Increased CNS stimulation |
| Corticosteroids | Moderate | Hypokalemia risk |
| Anticholinergics | Moderate | Additive anticholinergic effects |
| Digoxin | Minor | Hypokalemia may increase digoxin toxicity |
| Halogenated anesthetics | Minor | Increased risk of arrhythmias |
๐จ Major Interactions
- Beta-blockers
- MAOIs
- Tricyclic antidepressants
- Diuretics
- Other beta-agonists
โก Moderate Interactions
- Xanthine derivatives
- Corticosteroids
- Anticholinergics
โน๏ธ Minor Interactions
- Digoxin
- Halogenated anesthetics
๐ฝ๏ธ Food Interactions
No significant food interactions
๐ท Alcohol Interaction
No known interaction
๐ก๏ธ Safety & Warnings
๐ซ Contraindications
Hypersensitivity to any component, tachyarrhythmias, hypertrophic obstructive cardiomyopathy
๐ Monitoring Parameters
Lung function (FEV1, PEFR), heart rate, serum potassium, blood pressure
๐คฑ Lactation Safety
Caution; limited data
๐ Overdose Management
Supportive care; monitor cardiac function, electrolytes; consider beta-blockers cautiously
โฐ Missed Dose
Take as soon as remembered; if close to next dose, skip missed dose