Duolin Forte Rotacap 30?S Allschoolabs -

Specification

INTRODUCTION
DUOLIN FORTE ROTACAP is a combination of Ipratropium and Levosalbutamol which belongs to theroup of medicines called Bronchodilator agents and Adrenergic beta-agonists, respectively. DUOLIN FORTE ROTACAP is used to treat chronic obstructive pulmonary disease (inflammatory lung disease that obstructs airflow from lungs) in patients who are on regular bronchodilator (type of medication that makes breathing easy) or who suffer from an evident bronchospasm and require a second bronchodilator for ease of breathing.
DUOLIN FORTE ROTACAP is notenerally recommended for use in patients allergic to ipratropium, levosalbutamol, and/or atropine.
Before using DUOLIN FORTE ROTACAP, inform your doctor if you have high blood pressure, seizures, diabetes, narrow anglelaucoma (increased eye pressure), lung problems (such as asthma), heart problems (such as coronary insufficiency, cardiac arrhythmias), kidney problems (such as renal insufficiency/impairment), and/or liver problems (such as hepatic insufficiency/impairment).
DUOLIN FORTE ROTACAP isenerally not recommended for use in pregnant and breastfeeding women unless it is clearly necessary. The medicine is advised to be used with caution in children & adolescents (aged below 18 years) and in elderly patients (aged above 65 years) after consulting the doctor.
The most common side effects of taking DUOLIN FORTE ROTACAP are dry mouth, sore throat, stuffy nose, throat irritation, dizziness, headache, nausea, and/or vomiting. Consult your doctor if any of these symptoms worsens.
USES OF DUOLIN FORTE ROTACAP

Treats chronic obstructive pulmonary disease (COPD) in affected individuals

HOW DUOLIN FORTE ROTACAP WORKS
DUOLIN FORTE ROTACAP provides ease in breathing from chronic obstructive pulmonary disease, 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 chronic obstructive pulmonary disease in affected individuals.
DIRECTIONS FOR USE
Take DUOLIN FORTE ROTACAP as advised by your physician. It is for inhalation use only. Hold the revolizer at the base and pull back the mouthpiece of revolizer. Remove rotacap/inhalation capsule from its bottle and insert it in the rotacap chamber. Close the mouthpiece firmly and breath out fully through the mouth. Position the mouthpiece between the teeth and close the lips tightly around it. Sit/stand upright and keep your head straight and breath in through the mouth rapidly and deeply. Remove the revolizer from your mouth and hold your breath for 10 seconds/as long as its comfortable. After use, open the mouthpiece and discard the empty rotacap. Repeat this step after every use. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
SIDE EFFECTS OF DUOLIN FORTE ROTACAP

COMMON

Tremor, pain, nervousness

Dry mouth, sore throat, stuffy nose, throat irritation

Fast heartrate, irregular heartbeat, high blood pressure

Dizziness, headache, sweating, weakness

Signs of hypokalaemia (low potassium level in blood) such as muscle twitches, muscle cramps, light-headedness

Nausea, vomiting, constipation

Muscle pain/cramps

Stomach flu, urinary retention

Conjunctivitis, ear pain, acne

Dysmenorrhoea (menstrual cramps)

UNCOMMON

Signs of hypersensitivity (immune mediated allergic reaction) such as skin rash, red itchy welts, swelling

Signs of anaphylactic reaction (life threatening allergic reaction) such as feeling faint, wheezing, rapid heartbeats, breathing difficulties

Swelling of tongue/lips/face

Eye disorders such as blurred vision,laucoma, increased intraocular pressure, eye pain, dilated pupils, corneal oedema

Respiratory/thoracic/mediastinal disorders such as pharyngeal oedema, dry throat, bronchospasm, spasm of vocal cord

Skin rash, itching

Urinary retention

RARE
Stop taking DUOLIN FORTE ROTACAP 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 significant cardiovascular effects measured by pulse rate, blood pressure, and/or other symptoms

HOW TO MANAGE SIDE EFFECTS
Dry mouth:
Try to drink plenty of cold water and sip on cold unsweetened drinks and use lip balm if your lips are dry. Brush your teeth twice a day and use mouthwash. Consult and inform your doctor if the symptomets worse.
Dizziness:
Try to rest andet enough sleep. Try to avoid driving or operating any tools or machines while you feel dizzy. Limit consumption of alcohol, as it can aggravate dizziness. Consult and inform your doctor if the symptom worsens.
Headache:
If DUOLIN FORTE ROTACAP causes headache, then take rest and drink plenty of fluids. Try to avoid drinking alcohol. Ask your doctor to recommend a painkiller. Headaches should usuallyo away after the first week of taking DUOLIN FORTE ROTACAP. If it lasts more than a week or severe, inform your doctor.
Nausea and vomiting:
Take DUOLIN FORTE ROTACAP with or just after a meal. Stick to simple meals. Avoid eating oil rich or spicy foods, sugary snacks and drinks. Avoid drinking too much liquid along with your meals, drink slowly in between meals. Inform your doctor if the condition worsens.
Constipation:
Try to eat high-fiber foods such as vegetables, cereals, fresh fruit, and drink plenty of water. Involve in regular exercise (going for a daily walk or run) and if this does not help, consult and inform your doctor for receiving alternate treatments for constipation.
WARNING & PRECAUTIONS

PREGNANCY
DUOLIN FORTE ROTACAP isenerally not recommended for use during pregnancy unless it is clearly necessary. ?Consult your doctor before using DUOLIN FORTE ROTACAP.
BREASTFEEDING
DUOLIN FORTE ROTACAP isenerally not recommended for use in breastfeeding women unless clearly necessary since it is unknown whether the medicine passes through breast milk. Consult your doctor before using the medicine.
KIDNEY
DUOLIN FORTE ROTACAP should be used with caution in patients with kidney problems such as renal insufficiency/impairment. Consult your doctor before taking DUOLIN FORTE ROTACAP.
LIVER
DUOLIN FORTE ROTACAP should be used with caution in patients with liver problems such as hepatic insufficiency/impairment. Consult your doctor before taking DUOLIN FORTE ROTACAP.
ALLERGY
Do not take DUOLIN FORTE ROTACAP if you are allergic to ipratropium, levosalbutamol, atropine, and/or any other ingredients of the medicine.
LUNGS
DUOLIN FORTE ROTACAP should be used with caution in patients with lung problems such as asthma. Consult your doctor before using the medicine.
HEART DISEASE
DUOLIN FORTE ROTACAP should be used with caution in patients with heart problems such as coronary insufficiency, cardiac arrhythmias. Consult your doctor before taking DUOLIN FORTE ROTACAP.
OTHERS
Before using DUOLIN FORTE ROTACAP inform your doctor if you:
Have high blood pressure

Have seizures

Suffer from hyperthyroidism (overactive thyroid)

Have diabetes

Have narrow anglelaucoma (increased eye pressure)

Suffer from prostatic hypertrophy (enlarged prostateland)

Suffer from bladder-neck obstruction
Use in Paediatrics:
DUOLIN FORTE ROTACAP should be used with caution in children and adolescents (aged below 18 years). Consult your doctor before taking DUOLIN FORTE ROTACAP.
Use ineriatrics:
DUOLIN FORTE ROTACAP should be used with caution in elderly patients (aged above 65years of age). Consult your doctor before taking DUOLIN FORTE ROTACAP.
INTERACTIONS
A. Drug-Drug interactions:
Before taking DUOLIN FORTE ROTACAP, inform your doctor if you are taking any of the following medicine:
Medicines used to treat 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 treat high blood pressure) Ex. chlorothiazide, chlorthalidone

Monoamine oxidase inhibitors/tricyclic antidepressants (medicines used to treat depression) Ex. selegiline, phenelzine, amitriptyline, imipramine

Digoxin (medicine used to treat congestive heart failure)
B. Drug?food interactions:
DUOLIN FORTE ROTACAP 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 took more of DUOLIN FORTE ROTACAP, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are seizures, chest pain, high/low blood pressure, fast heartbeat, metabolic acidosis (serious electrolyte disorder), exaggeration of irregular heartbeat, nervousness, headache, tremor, dry mouth, palpitation, nausea, dizziness, fatigue, weakness, sleeplessness, visual accommodation disorder. hypokalaemia (low potassium level in blood), and/or cardiac arrest.
SYNOPSIS

Drug :?? Ipratropium bromide, Levosalbutamol

Pharmacological Category :?? Bronchodilator agents, Adrenergic beta-agonists

Therapeutic Indication :?? Chronic obstructive pulmonary disease (COPD)

Dosage Forms :?? Rotacap, Inhalation Capsule, Inhaler, Respules, Smartule, Mistpules, Transpule

MORE INFORMATION

Keep DUOLIN FORTE ROTACAP out of reach of children

Do not store DUOLIN FORTE ROTACAP above 30?C

FAQs ABOUT DUOLIN FORTE ROTACAP
What is DUOLIN FORTE ROTACAP used for?
DUOLIN FORTE ROTACAP is used to treat chronic obstructive pulmonary disease (inflammatory lung disease that obstructs airflow from lungs) in patients who are on regular bronchodilator (type of medication that makes breathing easy) or who suffer from an evident bronchospasm and require a second bronchodilator for ease of breathing.
What are the side effects of DUOLIN FORTE ROTACAP?
The most common side effects of taking DUOLIN FORTE ROTACAP are dry mouth, sore throat, stuffy nose, throat irritation, dizziness, headache, nausea, and/or vomiting. Consult your doctor if any of these symptoms worsens.
How DUOLIN FORTE ROTACAP works?
DUOLIN FORTE ROTACAP provides ease in breathing from chronic obstructive pulmonary disease, 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 chronic obstructive pulmonary disease in affected individuals.
How DUOLIN FORTE ROTACAP should be administered?
Take DUOLIN FORTE ROTACAP as advised by your physician. It is for inhalation use only. Hold the revolizer at the base and pull back the mouthpiece of revolizer. Remove rotacap from its bottle and insert it in the rotacap chamber. Close the mouthpiece firmly and breath out fully through the mouth. Position the mouthpiece between the teeth and close the lips tightly around it. Sit/stand upright and keep your head straight and breath in through the mouth rapidly and deeply. Remove the revolizer from your mouth and hold your breath for 10 seconds/as long as its comfortable. After use, open the mouthpiece and discard the empty rotacap. Repeat this step after every use. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
Can DUOLIN FORTE ROTACAP be used in pregnant and breastfeeding women?
No, DUOLIN FORTE ROTACAP isenerally not recommended for use in pregnant and breastfeeding women unless it is clearly necessary.? Consult your doctor before using DUOLIN FORTE ROTACAP.
REFERENCES
1. K.D. Tripathi. Anticholinergic Drugs and Drugs Acting on Autonomicanglia. Essentials of medical pharmacology. Seventh edition. 2013. Page- 116.
2. Kabra. Management of Acute Severe Asthma. Allergy and Asthma. Edition. 2009.? Page- 35.
3. Hongzhen Xu,?Lin Tong,?Pengao,??Yan Hu,?Huijuan Wang,?Zhimin Chen,?Luo Fang. Combination of ipratropium bromide and salbutamol in children and adolescents with asthma: A meta-analysis. NIH National Library of Medicine. National Center for Biotechnology Information. PMC PubMed Central. [Revised in February 2021] [Accessed on 27th May 2022]?https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7901745/
4. CiplaMed. DUOLIN Rotacaps. [Revised in August 2018] [Accessed on 27th May 2022]?https://www.ciplamed.com/content/duolin-rotacaps
5. CiplaMed. DUOLIN Rotacaps. [Revised in October 2015] [Accessed on 27th May 2022]?https://www.ciplamed.com/content/duolin-forte-rotacaps
USEFUL DIAGNOSTIC TESTS