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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Santoshini Reddy G , M Pharmacy
Duolin Forte Inhaler is used for the treatment of Chronic Obstructive Pulmonary Disease (COPD), including emphysema and/or chronic bronchitis. This medicine contains ipratropium and levosalbutamol, which works by relaxing the muscles around the airways and making it easier to breathe. Common side effects include headache, sore throat, dry mouth, runny or stuffy nose, cough with mucous, sneezing, chest tightness, dizziness, nervousness, etc.
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Manufacturer/Marketer :

Cipla Ltd

Consume Type :

INHALATION

Return Policy :

Not Returnable

Expires on or after :

About Duolin Forte Inhaler

Duolin Forte Inhaler belongs to the class of medications called bronchodilators used to treat or prevent symptoms of chronic obstructive pulmonary disease (COPD), such as shortness of breath, coughing, and wheezing (whistling sound while breathing). COPD is a lung disorder that includes emphysema (breathing problems caused by a damaged air sac) and chronic bronchitis (inflammation and narrowing of the lining of airways or bronchial tubes).

Duolin Forte Inhaler contains Ipratropium and Levosalbutamol. Duolin Forte Inhaler works by relaxing muscles and widening the airways of the lungs. Thereby, it allows to breathe easily and provides relief from the symptoms of COPD such as coughing, wheezing, and shortness of breath.

Your doctor will advise the dosage and duration of Duolin Forte Inhaler based on your medical condition. Headache, sore throat, dry mouth, runny or stuffy nose, cough with mucous, sneezing, chest tightness, dizziness, nervousness, weariness, irregular heartbeats, and vomiting are the possible side effects. Most of the side effects of Duolin Forte Inhaler do not require medical attention and fade away with time. Please visit your doctor if the side effects persist or worsen.

If you are allergic to Duolin Forte Inhaler or any other medicines, pregnant or breastfeeding, or experience severe difficulty in breathing, please consult a doctor. Do not use Duolin Forte 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 Forte Inhaler for a prolonged time as it may cause low potassium levels in the blood. If you have high blood pressure, diabetes fits, enlarged prostate, glaucoma, thyroid or heart problems, bladder obstruction or other urinary problems, inform your doctor before taking Duolin Forte Inhaler. 

Uses of Duolin Forte Inhaler

Treatment of Chronic obstructive pulmonary disease (COPD)

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Directions for Use

• Follow your doctor’s recommendations on the dosage and timing of this medication to achieve optimal results.• Hold the inhaler with the mouthpiece downwards. Put the mouthpiece between your teeth and seal the lips around it. Press down the inhaler once to release the medicine, and hold your breath for 10 seconds. Repeat until you have inhaled the number of puffs as advised by your doctor.• Rinse your mouth with water and spit it out after using Duolin Forte Inhaler to avoid fungal infections in the mouth and throat.

Medicinal Benefits

Duolin Forte Inhaler is composed of two bronchodilators: ipratropium and levosalbutamol. Duolin Forte Inhaler works by relaxing muscles and widening the airways of the lungs. Thereby, it allows to breathe easily and provides relief from the symptoms of COPD such as coughing, wheezing, and shortness of breath.

How Duolin Forte Inhaler Works

Duolin Forte Inhaler contains Ipratropium and Levosalbutamol. Duolin Forte Inhaler works by relaxing muscles and widening the airways of the lungs. Thereby, it allows to breathe easily and provides relief from the symptoms of COPD such as coughing, wheezing, and shortness of breath.

Storage

• Store in a cool and dry place away from sunlight.• Keep Duolin Forte Inhaler out of reach and sight of children.• Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Duolin Forte 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 Forte Inhaler

Avoid exceeding the recommended dose as it might cause an overdose. Seek medical attention if you experience any unusual symptoms.

Drug Warnings

If you are allergic to Duolin Forte Inhaler or any other medicines, pregnant or breastfeeding, experience severe difficulty breathing, please consult a doctor. Do not use Duolin Forte 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 Forte Inhaler as it may cause low potassium levels in the blood. However, 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 taking Duolin Forte Inhaler. Please do not use or store Duolin Forte Inhaler near open flame or heat as it may burst the container.

Drug-Drug Interactions

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SalbutamolPindolol
Severe

Drug-Drug Interactions

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How does the drug interact with Duolin Forte Inhaler:
The combined use of Papaverine and Duolin Forte 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 Forte 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.
SalbutamolPindolol
Severe
How does the drug interact with Duolin Forte Inhaler:
Using pindolol and Duolin Forte Inhaler together can increase the risk of narrowing of the airways.

How to manage the interaction:
The combined use of pindolol and Duolin Forte 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.
How does the drug interact with Duolin Forte Inhaler:
Coadministration of mifepristone and Duolin Forte 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 Forte 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.
How does the drug interact with Duolin Forte Inhaler:
Co-administration of Salbutaml with Labetalol, the effectiveness of Duolin Forte Inhaler might be reduced.

How to manage the interaction:
Although taking Labetalol and Duolin Forte 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.
SalbutamolPenbutolol
Severe
How does the drug interact with Duolin Forte Inhaler:
Coadministration of Penbutolol and Duolin Forte Inhaler can reduce the effects of both medications and can cause narrowing of the airways.

How to manage the interaction:
Taking Penbutolol and Duolin Forte 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.
How does the drug interact with Duolin Forte Inhaler:
Coadministration of Carvedilol and Duolin Forte Inhaler may reduce the effects of both medications.

How to manage the interaction:
Although there is a possible interaction between Carvedilol and Duolin Forte 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.
How does the drug interact with Duolin Forte Inhaler:
Using levobunolol and Duolin Forte 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 Forte 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.
How does the drug interact with Duolin Forte Inhaler:
Using propranolol and Duolin Forte 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 Forte 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.
How does the drug interact with Duolin Forte Inhaler:
Co-administration of Duolin Forte Inhaler with timolol can increase the risk of narrowing of the airways.

How to manage the interaction:
Although taking Duolin Forte 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.

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

  • Consume potassium-rich foods such as tomatoes, bananas, asparagus, oranges, potatoes, avocados, dark leafy greens, and beetroots because potassium is essential for lung function and a potassium deficiency can cause breathing problems.
  • Drink plenty of fluids every day to thin mucus and make coughing easier.
  • Consume complex carbohydrates such as lentils, beans, barley, oats, quinoa, bran, peas, and potatoes with skin.
  • Limit or avoid caffeinated beverages such as tea, coffee, soda, and energy drinks such as Red Bull.
  • Consume protein-rich foods like meat, fish (especially salmon, sardines, and mackerel), eggs, and poultry.
  • Exercise on a regular basis to strengthen your breathing muscles and strengthen your immune system. Learning breathing exercises will assist you in moving more air into and out of your lungs.
  • Quit smoking because it can reduce the effectiveness of the Duolin Forte Inhaler and irritate the lungs, exacerbating the breathing problem.

Habit Forming

No

Therapeutic Class

BRONCHODILATOR
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Alcohol

Caution

Consuming alcohol along with Duolin Forte Inhaler is not advisable as it may cause unpleasant side effects, or you also may become more sensitive to the effects of alcohol.

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Pregnancy

Caution

Please consult the doctor as there are no adequate and well-controlled studies on pregnant women. Your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Caution

Consult your doctor as there is no substantial research yet on the use of Duolin Forte Inhaler in breastfeeding/nursing mothers.

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Driving

Caution

Duolin Forte 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 Forte Inhaler.

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Liver

Caution

Limited information was available about the use of Duolin Forte Inhaler in patients suffering from liver impairment. Please consult your doctor if you have any concerns. Your doctor will prescribe only if the benefits outweigh the risks.

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Kidney

Caution

Limited information was available about the use of Duolin Forte Inhaler in patients suffering from kidney impairment. Please consult your doctor if you have any concerns. Your doctor will prescribe only if the benefits outweigh the risks.

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Children

Caution

Please consult a doctor before giving Duolin Forte Inhaler to children.

FAQs

Duolin Forte Inhaler works by relaxing muscles and widening the airways of the lungs. Thereby, it allows to breathe easily and provides relief from the symptoms of COPD such as coughing, wheezing, and shortness of breath.

Yes, some patients may experience blurred vision as a result of Duolin Forte Inhaler. This is not a requisite for everyone who takes Duolin Forte Inhaler to experience this side effect. If you notice any changes in your vision after taking Duolin Forte Inhaler, avoid driving.

In hyperthyroid (overactive thyroid) patients, Duolin Forte Inhaler should be used with caution as it may worsen the condition. If you have hyperthyroidism, tell your doctor before taking Duolin Forte Inhaler so that the dose can be adjusted appropriately. While taking Duolin Forte Inhaler, it is recommended that thyroid hormone levels be monitored on a regular basis.

Yes, Duolin Forte Inhaler may cause dry mouth as a temporary side effect in some people. It is not necessary for everyone taking Duolin Forte 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 Forte Inhaler without consulting your doctor as it may worsen the condition or cause recurring symptoms. Therefore, take Duolin Forte Inhaler for as long as your doctor has prescribed it, and if you experience any difficulty while taking Duolin Forte Inhaler, please consult your doctor.

No, Duolin Forte 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.

If prescribed by a doctor, Duolin Forte Inhaler should be used with caution in diabetic patients. Because Duolin Forte Inhaler may cause blood sugar levels to rise, it is best to monitor them on a regular basis.

To prevent any interactions, consult the doctor before taking Duolin Forte Inhaler with bronchodilators (salmeterol, albuterol, formoterol), steroid medicines (budesonide, prednisone), diuretic medicines (furosemide), anti-sickness medicines (ondansetron), or heart-related medicines (atropine).

No, Duolin Forte Inhaler will not be more effective if taken in higher doses. Avoid exceeding the recommended dose as it may cause an overdose. Take Duolin Forte Inhaler only as per the dose advised by the doctor.

Duolin Forte Inhaler may cause sleepiness or drowsiness in some people. Avoid driving or operating machinery if you experience these symptoms.

Store Duolin Forte Inhaler at room temperature, in a dry place. Keep it out of sight and reach of children.

Headache, sore throat, dry mouth, runny or stuffy nose, cough with mucous, sneezing, chest tightness, dizziness, nervousness, weariness, irregular heartbeats, and vomiting are the possible side effects. Most of the side effects of Duolin Forte Inhaler do not require medical attention and fade away with time. Please visit your doctor if the side effects persist or worsen.

Country of origin

India

Manufacturer/Marketer address

Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Other Info - DUO0171

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