A preservative free generic alternative to DuoNeb® (Ipratropium Bromide Bar Coded; Available in the following package configurations per box. Mylan Specialty: DuoNeb is indicated for the treatment of bronchospasm associated with COPD in patients requiring more than one. Prescription Drug Information: Duoneb. Ritedose Pharmaceuticals DUONEB- ipratropium bromide and albuterol sulfate solution. Ritedose.

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Patients may take additional inhalations as required. Additional doses and increased frequency of administration beyond these guidelines have not been studied. Minor Some quinolones, including lomefloxacin, have been associated with QT prolongation and infrequent cases of arrhythmia.

Minor Ezogabine has been associated with QT prolongation.

The choice of using a mouthpiece versus a face mask must be made based on the skills and understanding of each individual patient. Although there are no studies examining the effects of artemether; lumefantrine in patients receiving other QT prolonging drugs, coadministration of such drugs may result in additive QT prolongation and should be avoided. Minor Potential QT prolongation has been reported in limited case reports with metronidazole.

DuoNeb Inhalation Solution (Dey), Drug Reference Encyclopedia

Inserrt Beta-agonists should be used cautiously and with close monitoring with lenvatinib. The clinical significance of these findings for patients with obstructive airway disease who are receiving albuterol or levalbuterol and digoxin on a chronic basis is unclear.

Acetaminophen; Chlorpheniramine; Phenylephrine; Phenyltoloxamine: The inhaler should be discarded 3 months after insertion of cartridge into inhaler, even if all the medicine has not been used, or when the inhaler is locked after 60 or puffswhichever comes first. Drugs with a possible risk for QT prolongation ppackage should be used cautiously with maprotiline include the beta-agonists.

The action of DuoNeb should last up to 5 hours.

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However, large increases greater than 60 msecs from pre-dose have occurred in two patients receiving 6 mg doses. Safe and effective use of Combivent Respimat inhalation spray not established; 1. The Combivent albuterol; ipratropium aerosol contains flammable ingredients under pressure.


At least one case of hypertension occurred in a patient with previous episodes of high blood pressure who was receiving albuterol and selegiline concurrently. Caution is, therefore, advised in the co-administration of DuoNeb with other drugs having anticholinergic properties. Moderate Linezolid may enhance the hypertensive effect of beta-agonists.

Large doses of intravenous albuterol have been reported to aggravate pre-existing diabetes mellitus and ketoacidosis. Recipient’s Email Separate multiple email address with a comma Please enter valid email address Recipient’s email is required. The manufacturer of osimertinib recommends avoiding coadministration with other drugs that prolong the QT, if possible; if unavoidable, periodically monitor ECGs for QT prolongation and monitor electrolytes.

Sunitinib can cause dose-dependent QT prolongation, which may increase the risk for ventricular arrhythmias, including torsades de points TdP. The use of albuterol; ipratropium has not been adequately studied in patients with renal impairment including renal failure, renal disease or hepatic disease.

In a double blind, double period, crossover study, 15 male and female subjects were administered single doses of DuoNeb or albuterol sulfate inhalation solution at two times the recommended single doses as two inhalations separated by 15 minutes.

IPRATROPIUM BROMIDE and ALBUTEROL SULFATE Inhalation Solution (DuoNeb) 05 mg30 mg | Mylan

Minor Phenothiazines like prochlorperazine have been associated with a risk of QT prolongation. The potential for proarrhythmic events with ibutilide increases with the coadministration of other drugs that prolong the QT interval.

At least one case of hypertension occurred in a patient with previous episodes of high blood pressure who was receiving albuterol and selegiline, a selective MAOI related to rasagiline, concurrently. Effects Seen with Sympathomimetic Drugs: Treatment consists of discontinuation of DuoNeb together with appropriate symptomatic therapy.

Beta-blockers will block the pulmonary effects of inhaled beta-agonists, and in some cases may exacerbate bronchospasm in patients with reactive airways.

Procainamide administration is associated with QT prolongation and torsades de pointes TdP. Drugs with a possible risk for QT prolongation that should be used cautiously and with close insrrt with degarelix include the beta-agonists.


Although inhaled ipratropium is only minimally absorbed into the systemic circulation, the effects of ipratropium may be additive to other anticholinergic medications.

Minor Paliperidone has been associated with QT prolongation; however, torsade de pointes TdP has not been reported. Other beta-agonist medications, like terbutaline, are duooneb in breast milk in small amounts and are generally considered compatible with breast-feeding by the American Academy of Pediatrics. This risk may pacmage more clinically significant with long-acting beta-agonists as compared to short-acting beta-agonists such as albuterol, levalbuterol, metaproterenol, pirbuterol, and terbutaline.

Minor Solifenacin has been associated dose-dependent prolongation of the QT interval. Acetaminophen; Caffeine; Magnesium Salicylate; Phenyltoloxamine: Avoid concurrent use of quinine with other drugs that may cause QT prolongation and TdP including beta-agonists.

The likelihood of QTc packahe may increase with increasing dose of packagge drug; therefore, the recommended dose should not be exceeded especially in patients with renal or hepatic impairment where the Cmax and AUC are slightly higher.

Albuterol crosses the blood-brain barrier and placenta. The World Health Organization recommended name for albuterol base is salbutamol.

Minor Granisetron has been associated with QT prolongation. Drugs with a possible risk for QT prolongation and torsade de pointes TdP that should be used cautiously and with close monitoring with granisetron include the beta-agonists.

Exercise caution if beta-agonists and atomoxetine are coadministered; consider monitoring heart rate and blood pressure initially. If bronchospasm occurs, the albuterol; ipratropium inhalation should be discontinued immediately and appropriate treatment measures instituted. Albuterol; ipratropium combinations are contraindicated in patients with atropine hypersensitivity, albuterol hypersensitivity, or their respective derivatives e.