COMBIMIST L INHALER

Drug Title

Combimist L Inhaler (Levosalbutamol and Ipratropium Bromide)

Common use

Combimist L Inhaler is composed out of the following active ingredients:
Levosalbutamol – 50 mg and Ipratropium bromide – 20 mg

Be aware that this cure might be available in various strengths for each of these two active ingredients.

Combimist L Inhaler works with the system in charge with relaxing the airways and muscles; it helps the lungs to open the air passages.

levosalbutamol is a short-acting ß2-adrenergic receptor agonist, asthma approved and it is part of the bronchodilators medication family. It helps relaxing the muscles of the airways and as a result, it allows the air to flow smoothly through the lungs.

Ipratropium bromide is part of the bronchodilator faimily as well and provides similar ways of action in relation with the disease. It may not be used in treating bronchospasms attacks  as a “blitz cure”

Dosage and direction

Combimist L Inhaler is available only in the form of a nasal spray but must be used through the mouth, inhaled.
The inhalation is recommended up to 3 times a day with a maximum dosage of 42 mcg per nostril (~two sprays)

Contraindications

Ipratropium bromide is not to be used on patients with knows hypersensitivity to atropine and all of its derivates.
Using Ipratropium bromide in relation with curing the bronchospasm in acute COPDS exacerbation if not firmly studied.

Other drugs with faster effect might be used as an alternative.

Combining Ipratropium bromide and beta agonists is not known as a better effective combination than when using the drug alone when it comes to curing the bronchospasm in association with the acute COPD exacerbation.

Some rapid hypersensitivity reaction might come after taking Ipratropium bromide, thing which is proved by rare cases of urticaria, angioedema, rash, oropharyngeal edema and bronchospasm.

Drug interraction

Ipratropium bromide is known to be a non toxic and very efficient solution when used in combination with beta adrenergic bronchodilators. Ipratropium bromide is also in use with other pulmonary medications, such as  methylxanthines and corticosteroids, without any adverse drug interactions.

Missed dose

Always take the missed dose when you remember. If that time is closer to the next dose than the forgotten one, skip the missed dose and proceed to the next one. Never take 2 doses in the same time and never take extra volume of this drug. Get in touch with your doctor if you feel insecure about your actions.

Overdose

In case you feel an overdose has occurred, always call your local poison control center or Hospital, first thing.

The following are signs of possible over dose reaction:

•     wheezing;
•     chest tightness;
•     fever;
•     itching;
•     bad cough;
•     blue or gray skin color;
•     seizures;
•     or swelling of face, lips, tongue, or throat;
•     trouble breathing;
•     sudden change in eyesight, eye pain, or irritation;
•     any rash.

Storage

Keep Combimist L Inhaler out of the reach of children and pets, in dry places and at temperatures not higher than 25 C/77 F. The product may be used at temperatures from 15 C to 30 C (59 F to 86F) but for short periods of time. Keep the product safe from extreme heat and moisture.