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For usage instructions, first check the label. Levosalbutamol and ipratropium are the two medications that make up Duolin LD Respules. After opening, it needs to be used right away. Ipratropium is an anticholinergic, whereas levosalbutamol is a bronchodilator. They function by loosening the airway muscles and making the airways wider. They facilitate easier breathing when combined. Squeeze all the liquid into the nebulizer by twisting off the top of the respule/transpule. Use this medicine in the dose and duration as advised by your doctor.

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Zyrtec, Cetirizine, Levolin, Astelin, Salmeterol, Desloratadine, Theophylline, Ketotifen, Seroflo, Levosalbutamol, Xyzal, Loratadine, Atarax


Do not exceed the total number of inhalations which is 12 in 24 hours. The combination drug Duolin is used to treat symptoms of chronic obstructive pulmonary disease (COPD), including wheezing, shortness of breath, chest tightness, breathing problems, coughing, etc. For usage instructions, refer to "How to use Duolin." According to your needs, the recommended uptake frequency and time are specific. Patients under the age of 12 are not advised to use this medication. Use this medication exactly as directed.


Utilize your rescue inhaler if you experience sudden shortness of breath. In the event that you stop taking it, your COPD might worsen. That indicates that it is carrying out its intended function. Although the full impact of this medication may not be felt for a few weeks, it may become apparent after a few days. Continue taking this medication even if you are symptom-free because it needs to be taken consistently to be effective. To treat sudden shortness of breath, do not use this medication. You must use the inhaler correctly in order for this medication to work effectively; otherwise, it will not. The frequency of inhaler use will be specified by your doctor.

Missed dose

Never double-up on your medication to make up for a dose that you missed. It is advisable to skip the missed dose if it is already time for your next scheduled dose. It is important to take the missed dose as soon as you remember.


Seek emergency medical treatment or contact the doctor in case of an overdose.


Do not freeze. Keep out of the sight and reach of children. Store below 30°C (86°F). After its expiration date, throw away any unused medication.

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Side effects

When you get there, keep taking it and consult your doctor. If you are concerned about them, talk to your doctor. The most typical adverse effects include dry mouth, shortness of breath, coughing, trembling, headaches, palpitations, and muscle cramps. Other, less common side effects can also be very harmful. By washing your mouth and throat after using your inhaler and brushing your teeth, you can avoid some of these symptoms.


Duolin is contraindicated in patients with a history of hypersensitivity to any of its components - Levosalbutamol and Ipratropium Bromide. Patients who have a history of soy lecithin or closely related food products, like soybean and peanut, or who are allergic to them, should not take duolin. Patients with tachyarrhythmia shouldn't be given duolin because there is a higher chance that their condition will get worse. Patients with atropine or its derivatives hypersensitivity should not take ipratropium bromide. Due to the increased risk of the patient's condition getting worse, this medication is not recommended for use in people with hypertrophic obstructive cardiomyopathy, an abnormal condition of the heart in which the heart cannot effectively pump blood.

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Shaun Swales Oct 10, 2014, 6:18:17 PM

In this case, consult your doctor before taking this medicine. Duolin respules are not suitable for lactating mothers; prior consult your doctor and then start this medicine. If a patient is suffering from any liver and kidney problem, including dialysis treatment or mental disorder such as depression, this drug is harmful in these conditions; therefore, it is advised to consult your doctor and let him know about your medical history before taking it this drug. Duolin respules should not be used in patients with known or suspected hypersensitivity to any of the ingredients present in the formulation. Take this drug only when needed during pregnancy; it may harm the unborn baby; therefore, it is advised to take this medicament under the doctor’s supervision with a regular check-up.

Raizul Sep 14, 2010, 11:53:25 AM

Levosalbutamol and Ipratropium Bromide is the main active pharmaceutical ingredient present in Duolin 200 mdi Inhaler. In this, the dry fine powdered drug is present in a capsule known as an inhaler. They produce rapid and fast relief action within five to twenty minutes of dosing. This type of dosage form offers maximum drug at the site of action and offers no side effects.

Raf 666 May 5, 2020, 4:34:29 AM

John JA Burke Nov 22, 2022, 8:59:23 AM

For the relief of acute bronchospasm, 1 or 2 inhalations of salbutamol 100 micrograms may be given from a conventional metered-dose aerosol as required, up to 4 times daily. When inhalation is ineffective, oral salbutamol may be given in a dose of 2 to 4 mg three or four times daily as the sulfate some patients may require doses of up to 8 mg three or four times daily, but such increased doses are unlikely to be tolerated or to provide much extra benefit. For children of all ages, 1 inhalation (100 micrograms) may be given every 15 to 30 seconds up to a maximum of 10 inhalations. It has been suggested that salbutamol and to a greater extent ritodrine may contribute to retinopathy in the premature infant when used for premature labour. However, such use is controversial: the effects of salbutamol may be inconsistent and some clinicians prefer to avoid the use of beta agonists because of fears that large doses may induce cardiac arrhythmias.

Terence Arcones Sep 8, 2015, 3:12:58 AM

Cintapro OD Tablet - ₹265.2 Kinpride Tablet - ₹98.32 Cintapro Tablet - ₹124.9 Kinpride SR Tablet - ₹237.6 Cinitide Sr 3 Mg Tablet - ₹190.0 Cinitapride Tablet - ₹131.0 Cinesta Tablet - ₹66.9 Cintaflux 1 Mg Tablet - ₹35.0 Progit 1 Tablet - ₹65.0 • No research has been done on this till date. • Cinitapride has very mild side effects on the liver.

Laila Bahij Mar 12, 2021, 10:03:12 PM

When this matter for permanent injunction was filed against the actions of the Defendant, three applications were filed on behalf of the Plaintiff, which prayed for granting an interim relief. In response to these applications and to the order of the court, three counter-applications were filed by Sun Pharma to quash the interim order passed by the Court. On the other hand, if the defendant is allowed to release the products in the market, it will result in incalculable damage to the proprietary rights of the plaintiff and by permitting the defendant to sell the good it will be allowing dilution of the proprietary rights of the plaintiff.” The bone of contention thus was whether or not the interim order previously granted by the Court should be rescinded on the grounds of urgency and public interest. Dapagliflozin Patent Receives Another Blow: Same Old Coverage-Disclosure Story Fear Won’t Take You Anywhere: Delhi HC Revisits Bolar Exception, Rules Apprehensions Cannot Deny Liberty under Section 107A Tags: COVID-19, Indian Pharma, Interim Injunction, Madras High Court, Pharma, Public Interest, Trade Dress, Trademark Infringement

Jirrold Roble Oct 28, 2019, 12:34:30 AM

People may develop severe breathing problems; if it is the case with you, please consult your doctor. Your doctor will monitor lung function during the treatment. The combination drug may cause dizziness, do not drive a car or operate machinery while taking medicine. It may cause a dry mouth or unpleasant taste in your mouth; rinse your mouth with water. Caution should be exercised in patients with irregular heartbeat, overactive thyroid, kidney impairment, seizures, diabetes, any allergy, taking other medications, children, elderly, during pregnancy, and breastfeeding.

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