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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Instead, the drug is conjugatively metabolized in the liver to albuterol 4′-O-sulfate.

Treatment consists of discontinuation of DuoNeb together with appropriate symptomatic therapy. Minor There may be an increased risk packafe QT prolongation and torsade de pointes TdP during concurrent use of mirtazapine and short-acting beta-agonists.

DuoNeb Inhalation Solution (Dey), Drug Reference Encyclopedia

Drugs with a possible risk for QT prolongation and TdP that should be used cautiously with ciprofloxacin include the beta-agonists. Drugs with a possible risk for QT prolongation and TdP that should be used cautiously with goserelin include beta-agonists.

Acetaminophen; Chlorpheniramine; Dextromethorphan; Phenylephrine: The action of beta-agonists on the cardiovascular system may be potentiated by a halogenated anesthetic. Drugs with a possible risk for QT prolongation and TdP include beta-agonists. Ipratropium, when administered by aerosol, is also excreted into breast-milk in minimal amounts. Minor Therapeutic 10 mg and supratherapeutic 80 mg doses of vardenafil produce an increase in QTc interval e.

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If metabolic acidosis occurs or persists, consider reducing the dose or discontinuing dichlorphenamide therapy. This risk may be more clinically significant with long-acting beta-agonists compared to short-acting beta-agonists. Although there are no studies examining the effects of dronedarone in patients receiving other QT prolonging drugs, coadministration of such drugs may result in additive QT prolongation.


Because no consistent pattern of defects can be discerned, a relationship between albuterol use and congenital anomalies has not been established. Advise patients receiving albuterol; ipratropium to use caution when driving or operating machinery or when engaged in other activities that require balance and visual acuity as this medication may cause dizziness, accommodation disorder, mydriasis, and blurred vision.

Drugs with a possible risk for QT prolongation and TdP that should be used cautiously with fluconazole include the beta-agonists. Therefore, linezolid has the potential for interaction with adrenergic agents, such as the beta-agonists.

Severe Dronedarone administration is associated with a dose-related increase in the QTc interval. Belladonna Alkaloids; Ergotamine; Phenobarbital: It is partially metabolized to inactive ester hydrolysis products.

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Risperidone should be used cautiously with other agents that might prolong the QT interval, taking into account the patient’s underlying disease state s and additional potential risk factors. Minor Mifepristone has been associated with dose-dependent prolongation of the QT interval. The safety and effectiveness of albuterol; ipratropium fixed-dose combinations has not been established in infants and children. No mixing or dilution duonsb needed.

Then, flip the orange cap until it snaps fully open. The interaction may be less likely with inhaled beta-agonists versus pxckage given systemically. Hypokalemia due to beta agonists appears to be dose related and is more likely with high dose therapy. Fatalities have been reported in association with excessive use of inhaled products containing sympathomimetic amines and with the home use of nebulizers.


Agents associated with a low, but possible risk for QT prolongation and TdP based on varying levels of documentation include the beta-agonists.

Moderate Use dichlorphenamide and albuterol together with caution.

Inhalation spray Combivent Respimat: Drugs with a possible risk for QT prolongation and TdP that should be used cautiously and with close monitoring with donepezil include the beta-agonists. Although no data are available, procarbazine may interact similarly. In animals, a small increase in craniofacial defects has been seen with systemically administered albuterol.

Simultaneous administration paxkage both an duoeb and a beta 2 -sympathomimetic is designed to produce greater bronchodilation effects than when either drug is utilized alone at its recommended dosage. Prescribers need to weigh the potential benefits and risks of abarelix use in patients with prolonged QT syndrome or in patients taking other drugs that may prolong the QT interval. Major Itraconazole has been associated with prolongation of the QT interval.