Description
রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন।
Combiver MDI 20/100 Inhaler is indicated for the management of reversible bronchospasm associated with asthma and chronic obstructive pulmonary disease (COPD). It provides rapid relief from symptoms like wheezing, shortness of breath, and chest tightness.
Pharmacology
Combiver MDI is a combination of two bronchodilators:
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Ipratropium Bromide (20 mcg): An anticholinergic agent that relaxes airway muscles by blocking acetylcholine receptors.
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Salbutamol (100 mcg): A beta-2 adrenergic agonist that stimulates airway smooth muscle relaxation, providing quick symptom relief.
Dosage & Administration
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Adult Dose: 1-2 puffs, 3-4 times daily, or as directed by a physician.
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Administration: Shake well before use. Inhale the medication through the mouth using the inhaler device. Avoid spraying into eyes.
Interaction
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Drug Interactions:
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May interact with beta-blockers, other bronchodilators, or diuretics.
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Caution when used with anticholinergic agents.
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Food Interactions: Generally safe; no significant food interactions noted.
Contraindications
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Hypersensitivity to Ipratropium Bromide, Salbutamol, or any excipients in the formulation.
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Patients with severe cardiac disorders should use with caution.
Side Effects
Common side effects include:
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Dry mouth
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Dizziness
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Headache
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Palpitations
Rare side effects:
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Allergic reactions such as rash or hives
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Increased heart rate
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Paradoxical bronchospasm
Pregnancy & Lactation
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Pregnancy: Use only if the potential benefits outweigh the risks (Category C).
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Lactation: Use with caution; consult a physician before use.
Precautions & Warnings
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Do not exceed the prescribed dose.
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Regular monitoring is recommended for patients with cardiovascular disease, hyperthyroidism, or diabetes.
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If paradoxical bronchospasm occurs, discontinue immediately and seek medical advice.
Therapeutic Class
Combination bronchodilator therapy for asthma and COPD.
Storage Conditions
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Store below 30°C in a dry place.
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Protect from direct sunlight and excessive heat.
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Keep out of reach of children.
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