Combimist L Inhaler 200Md

Asthma/COPD (705)Rx required

Key Information

Generic Name

Generic Name Ipratropium 20 mcg+Levosalbutamol 50 mcg

Manufacturer

Zydus Healthcare Ltd

Country of Origin

India

Detailed Information

Introduction

INTRODUCTION ABOUT COMBIMIST L INHALERCOMBIMIST L INHALER is a combination of Ipratropium and Levosalbutamol which belongs to the group of medicines called Bronchodilator agents and Adrenergic beta-agonists, respectively. COMBIMIST L INHALER is used in adults, adolescents, and children (aged 4 years and above) to manage/prevent bronchospasm (tightening of airway muscles) with reversible obstructive airway diseases such as asthma, COPD (inflammatory lung disease), bronchitis (inflammation of airways), and/or emphysema (lung disease that cause shortness of breath). COMBIMIST L INHALER is not recommended for use in patients allergic to ipratropium, levosalbutamol, and/or atropine. Before using COMBIMIST L INHALER, inform your doctor if you have high blood pressure, seizures, diabetes, narrow angle glaucoma (increased eye pressure), lung problems (such as asthma), heart problems (such as coronary insufficiency, cardiac arrhythmias), kidney problems (such as renal impairment), and/or liver problems (such as hepatic impairment). COMBIMIST L INHALER is generally not recommended for use in pregnant women unless it is clearly necessary. It is advised to be used with caution in breastfeeding women only if necessary since it is not known whether the medicine passes through breast milk. COMBIMIST L INHALER should be used with caution in children and adolescents (aged 4 to 18 years) and is advised to be used with caution in elderly patients (aged above 65 years) after consulting the doctor. The most common

Uses

OF COMBIMIST L INHALER Manages/prevents bronchospasm with reversible obstructive airway diseases such as asthma, COPD, bronchitis, and/or emphysema in affected individuals

How It Works

COMBIMIST L INHALER provides ease in breathing from bronchospasm (constricted airway muscles), where Ipatropium and Levosalbutamol work together to relax airway muscles which results in widening of airways providing relief from obstructive airflow and easy in breathing from bronchospasm associated with reversible obstructive airway diseases (such as asthma, COPD) in affected individuals.

Directions for Use

Take COMBIMIST L INHALER as advised by your physician. It is for inhalation use only. Remove the cap and shake the inhaler. Insert the inhaler into spacer and breath out. Press down the inhaler and breath in slowly through the inhaler. Hold your breath for a count of 10 and slowly breath out. Close the inhaler after use. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

Side Effects

these symptoms worsens. USES OF COMBIMIST L INHALER Manages/prevents bronchospasm with reversible obstructive airway diseases such as asthma, COPD, bronchitis, and/or emphysema in affected individuals HOW COMBIMIST L INHALER WORKSCOMBIMIST L INHALER provides ease in breathing from bronchospasm (constricted airway muscles), where Ipatropium and Levosalbutamol work together to relax airway muscles which results in widening of airways providing relief from obstructive airflow and easy in breathing from bronchospasm associated with reversible obstructive airway diseases (such as asthma, COPD) in affected individuals. DIRECTIONS FOR USETake COMBIMIST L INHALER as advised by your physician. It is for inhalation use only. Remove the cap and shake the inhaler. Insert the inhaler into spacer and breath out. Press down the inhaler and breath in slowly through the inhaler. Hold your breath for a count of 10 and slowly breath out. Close the inhaler after use. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition. SIDE EFFECTS OF COMBIMIST L INHALERCOMMON dry mouth, sore throat, stuffy nose, throat irritation dizziness, headache, weakness abdominal pain, nausea, vomiting, diarrhoea, constipation muscle pain/cramps, back pain stuffy nose, shortness of breath, cough, sinusitis (inflammation of sinus) altered taste stomach flu, urinary tract infection conjunctivitis, ear pain, blurred vision, acne dysmenorrhoea (menstrual cramps) high blood pressure nosebleed skin rash, itching, red itchy welts swelling of face/mouth/throat UNCOMMON dysphonia (disorders of voice) indigestion RAREStop taking COMBIMIST L INHALER and contact your doctor immediately if you experience any of the following side effects: signs of paradoxical bronchospasm (sudden constriction of airways after using medicine) such as shortness of breath, coughing, and/or wheezing signs of sudden hypersensitivity reaction (immune mediated allergic reaction) such as red itchy welts, swelling of face/mouth/tongue, bronchospasm (tighten airways), and/or rash signs of acute narrow angle glaucoma (rapid/sudden increase in eye pressure) such as eye pain/discomfort, blurred vision, visual halos, and/or colored images in association with red eyes signs of prostatic hyperplasia/urinary bladder neck obstruction such as difficulty in passing urine, painful urination signs of significant cardiovascular effects measured by pulse rate, blood pressure, and/or other symptoms

Warnings & Precautions

& PRECAUTIONSPREGNANCYCOMBIMIST L INHALER is generally not recommended for use in pregnant women unless it is clearly necessary. Consult your doctor before using COMBIMIST L INHALER. BREASTFEEDINGCOMBIMIST L INHALER should be used with caution in breastfeeding women only if clearly necessary since it is unknown whether the medicine passes through breast milk. Consult your doctor before using the medicine. DRIVING AND USING MACHINESDo not drive/operate machines if you feel dizzy, and/or experience accommodation disorder, dilated pupils/blurred vision while using COMBIMIST L INHALER. KIDNEYCOMBIMIST L INHALER should be used with caution in patients with kidney problems such as renal impairment. Consult your doctor before using COMBIMIST L INHALER. LIVERCOMBIMIST L INHALER should be used with caution in patients with liver problems such as hepatic impairment. Consult your doctor before using COMBIMIST L INHALER. ALLERGYDo not take COMBIMIST L INHALER if you are allergic to ipratropium, levosalbutamol, atropine, and/or any other ingredients of the medicine. LUNGSCOMBIMIST L INHALER should be used with caution in patients with lung problems such as asthma. Consult your doctor before using the medicine. HEART DISEASECOMBIMIST L INHALER should be used with caution in patients with heart problems such as coronary insufficiency, cardiac arrhythmias. Consult your doctor before using COMBIMIST L INHALER. OTHERSBefore using COMBIMIST L INHALER inform your doctor if you: have high blood pressure have seizures suffer from hyperthyroidism (overactive thyroid) have diabetes have narrow angle glaucoma (increased eye pressure) suffer from prostatic hypertrophy (enlarged prostate gland) suffer from bladder-neck obstruction Use in Paediatrics: COMBIMIST L INHALER is advised to be used with caution in children and adolescents (aged 4 to 18 years). Consult your doctor before using the medicine. Use in Geriatrics: COMBIMIST L INHALER should be used with caution in elderly patients (aged above 65 years). Consult your doctor before using the medicine.

Drug Interactions

SA. Drug-Drug interactions: Before using COMBIMIST L INHALER, inform your doctor if you are taking any of the following medicine: medicines used to manage high blood pressure such as beta-adregenic/receptor blocking agents (Ex. propanolol, metoprolol, atenolol) anticholinergic agents (medicines used to block acetylcholine) Ex. atropine, benztropine diuretics (used to manage high blood pressure) Ex. chlorothiazide, chlorthalidone monoamine oxidase inhibitors/tricyclic antidepressants (medicines used to manage depression) Ex. selegiline, phenelzine, amitriptyline, imipramine B. Drug–Food interactions: COMBIMIST L INHALER is not recommended for use in patients allergic to soyabean, and/or other related food products such as peanut. Overdosage: If you or anyone else accidentally take too much of COMBIMIST L INHALER, then consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are seizures, chest pain, high/low blood pressure, fast heartbeat, irregular heartbeats, nervousness, headache, tremor, dry mouth, palpitation, nausea, dizziness, fatigue, weakness, sleeplessness, hypokalaemia (low potassium level in blood), and/or visual accommodation disorder. SYNOPSIS Drug : Ipratropium bromide, Levosalbutamol Pharmacological Category : Bronchodilator agents, Adrenergic beta-agonists Therapeutic Indication : Bronchospasm with reversible obstructive airway diseases (such as asthma, COPD, bronchitis, and/or emphysema) Dosage Forms : Rotacap, Inhalation Capsule, Inhaler, Respules, Smartule, Mistpules, Transpule MORE INFORMATION Keep COMBIMIST L INHALER out of reach of children Do not store COMBIMIST L INHALER above 30°C

Article Information

DW

Written By

DETAILS Written By Dr. K .AZEEM HUSSAIN

Medical Content Writer

DS

Reviewed By

Dr. Sankara Babu Gorle

Medical Expert

Last Updated

26 Nov 2022

Tags

#asthma/copd (705)#generic name ipratropium 20 mcg+levosalbutamol 50 mcg