Duavent Dosage/Direction for Use

Pulmoneb: Dosage: Each 2.5 mL ampoule of Ipratropium bromide-Salbutamol contains 2500 mcg of Salbutamol base (with each drop containing 50 mcg). (See table.)

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Directions for Use: The solution is intended only for inhalation with a suitable nebulizing device and should not be taken orally: 1. Prepare the nebulizer for use.
2. Remove the ampoule from the labeled strip by twisting and pulling.
3. Hold the ampoule upright and twist off the cap, transfer the contents to the reservoir of the nebulizer.
4. Use the nebulizer, as instructed by the manufacturer.
5. After use, discard any remaining solution and thoroughly clean the nebulizer.
Other Information: Since the solution contains no preservatives, it is important to use the content soon after opening. A new ampoule should be used for each administration to avoid microbial contamination. Discard partly used, opened or damaged ampoule.
Do not mix the inhalation solution with other drugs in the same nebulizer.
Metered-Dose Inhaler: Adults and children ≥12 years: 2 actuations every 6 hrs.
Patients may have additional inhalations as required but should not exceed 12 actuations in 24 hrs.
Directions for Use: 1. Before using the inhaler for the 1st time, or if it has not been used for a week or longer, shake it well and then "test fire" by releasing 1 actuation into the air. Avoid spraying in the eyes.
2. Shake the inhaler well before each use.
3. Remove the mouthpiece cover, and check if it is clean.
4. Hold the inhaler between the index and thumb. Breathe out deeply through the mouth and immediately place the mouthpiece in the mouth between the teeth and close lips around it.
5. Tilt head slightly backwards. Keep the eyes closed because ocular undesirable effects (ie, temporary blurring of vision, precipitation or worsening of narrow-angle glaucoma, eye pain) may result after contact of the aerosol with the eyes.
6. Start breathing in slowly and deeply through the mouth. Press down the canister while breathing in to release 1 dose while continuing to breathe in steady and deeply.
7. Remove the inhaler from the mouth and hold breath for 10 seconds, or for as long as comfortable. Breathe out slowly.
8. For the 2nd dose, wait for at least 1 min and repeat steps 4-7.
9. After use, replace the mouthpiece cover.
Cleaning Instructions: Clean inhaler at least once a week.
1. Gently pull the metal canister out of the inhaler's adapter. Remove the mouthpiece cover.
2. Rinse the adapter and the mouthpiece cover in warm water. Do not put the metal canister in water.
3. Shake well to remove excess water.
4. Leave to dry in warm place. Avoid excess heat.
5. Replace the canister and mouthpiece cover correctly.