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What is Duoneb
IpratropiumThe Generic name of this drug
Treatment SummaryIpratropium is a medication used to prevent airway muscles from tightening. It is usually inhaled and has very little absorption into the bloodstream. Ipratropium was developed by Boehringer Ingelheim and was first approved by the FDA in 1986. A combination of Ipratropium and albuterol was approved in 1996.
Atroventis the brand name
Duoneb Overview & Background
Brand Name
Generic Name
First FDA Approval
How many FDA approvals?
Atrovent
Ipratropium
1986
115
Approved as Treatment by the FDA
Ipratropium, otherwise known as Atrovent, is approved by the FDA for 1 uses such as Chronic Obstructive Pulmonary Disease .Chronic Obstructive Pulmonary Disease
Used to treat Chronic Obstructive Pulmonary Disease (COPD) in combination with Salbutamol
Effectiveness
How Duoneb Affects PatientsIpratropium is a short-acting medication that helps to relax the breathing tubes in the lungs, relieving symptoms like wheezing, chest tightness, and coughing. It usually takes 1-2 hours for the drug to take effect, and its effects last 4-6 hours. Studies have found that ipratropium can help to improve breathing in those with asthma attacks, but it has not been proven to be beneficial for long-term use or for preventing asthma attacks.
How Duoneb works in the bodyIpratropium works by blocking the effects of the parasympathetic nervous system on the airways. This system normally causes airways to become narrower due to muscle contractions, but when Ipratropium blocks it, airways can stay relaxed and wide. This also decreases the production of bronchial secretions. On a cellular level, Ipratropium blocks acetylcholine from binding to muscle cells, which prevents them from contracting and allowing airways to remain relaxed.
When to interrupt dosage
The dosage of Duoneb is contingent upon the diagnosed condition, such as Chronic Obstructive Pulmonary Disease (COPD), Asthma and Non-Allergic Rhinitis. The measure of dosage is contingent upon the mode of delivery outlined in the table hereunder.Condition
Dosage
Administration
Chronic Obstructive Pulmonary Disease
, 0.5 mg/mL, 0.021 mg, 0.042 mg, 0.017 mg, 0.5 mg, 0.02 mg, 0.018 mg, 0.25 mg/mL, 0.125 mg/mL, 0.3 mg/mL, 0.042 mg/pump actuation, 0.02 mg/pump actuation, 0.021 mg/pump actuation
, Respiratory (inhalation), Solution, Solution - Respiratory (inhalation), Spray, metered, Nasal, Spray, metered - Nasal, Aerosol, metered, Aerosol, metered - Respiratory (inhalation), Spray, Spray - Nasal, Liquid, Liquid - Respiratory (inhalation), Nasal; Respiratory (inhalation), Solution - Nasal, Aerosol, Aerosol - Nasal; Respiratory (inhalation), Solution - Nasal; Respiratory (inhalation), Spray, metered - Respiratory (inhalation), Inhalant, Inhalant - Respiratory (inhalation), Spray - Respiratory (inhalation)
Non-Allergic Rhinitis
, 0.5 mg/mL, 0.021 mg, 0.042 mg, 0.017 mg, 0.5 mg, 0.02 mg, 0.018 mg, 0.25 mg/mL, 0.125 mg/mL, 0.3 mg/mL, 0.042 mg/pump actuation, 0.02 mg/pump actuation, 0.021 mg/pump actuation
, Respiratory (inhalation), Solution, Solution - Respiratory (inhalation), Spray, metered, Nasal, Spray, metered - Nasal, Aerosol, metered, Aerosol, metered - Respiratory (inhalation), Spray, Spray - Nasal, Liquid, Liquid - Respiratory (inhalation), Nasal; Respiratory (inhalation), Solution - Nasal, Aerosol, Aerosol - Nasal; Respiratory (inhalation), Solution - Nasal; Respiratory (inhalation), Spray, metered - Respiratory (inhalation), Inhalant, Inhalant - Respiratory (inhalation), Spray - Respiratory (inhalation)
Emphysema
, 0.5 mg/mL, 0.021 mg, 0.042 mg, 0.017 mg, 0.5 mg, 0.02 mg, 0.018 mg, 0.25 mg/mL, 0.125 mg/mL, 0.3 mg/mL, 0.042 mg/pump actuation, 0.02 mg/pump actuation, 0.021 mg/pump actuation
, Respiratory (inhalation), Solution, Solution - Respiratory (inhalation), Spray, metered, Nasal, Spray, metered - Nasal, Aerosol, metered, Aerosol, metered - Respiratory (inhalation), Spray, Spray - Nasal, Liquid, Liquid - Respiratory (inhalation), Nasal; Respiratory (inhalation), Solution - Nasal, Aerosol, Aerosol - Nasal; Respiratory (inhalation), Solution - Nasal; Respiratory (inhalation), Spray, metered - Respiratory (inhalation), Inhalant, Inhalant - Respiratory (inhalation), Spray - Respiratory (inhalation)
Bronchitis, Chronic
, 0.5 mg/mL, 0.021 mg, 0.042 mg, 0.017 mg, 0.5 mg, 0.02 mg, 0.018 mg, 0.25 mg/mL, 0.125 mg/mL, 0.3 mg/mL, 0.042 mg/pump actuation, 0.02 mg/pump actuation, 0.021 mg/pump actuation
, Respiratory (inhalation), Solution, Solution - Respiratory (inhalation), Spray, metered, Nasal, Spray, metered - Nasal, Aerosol, metered, Aerosol, metered - Respiratory (inhalation), Spray, Spray - Nasal, Liquid, Liquid - Respiratory (inhalation), Nasal; Respiratory (inhalation), Solution - Nasal, Aerosol, Aerosol - Nasal; Respiratory (inhalation), Solution - Nasal; Respiratory (inhalation), Spray, metered - Respiratory (inhalation), Inhalant, Inhalant - Respiratory (inhalation), Spray - Respiratory (inhalation)
Rhinitis, Allergic
, 0.5 mg/mL, 0.021 mg, 0.042 mg, 0.017 mg, 0.5 mg, 0.02 mg, 0.018 mg, 0.25 mg/mL, 0.125 mg/mL, 0.3 mg/mL, 0.042 mg/pump actuation, 0.02 mg/pump actuation, 0.021 mg/pump actuation
, Respiratory (inhalation), Solution, Solution - Respiratory (inhalation), Spray, metered, Nasal, Spray, metered - Nasal, Aerosol, metered, Aerosol, metered - Respiratory (inhalation), Spray, Spray - Nasal, Liquid, Liquid - Respiratory (inhalation), Nasal; Respiratory (inhalation), Solution - Nasal, Aerosol, Aerosol - Nasal; Respiratory (inhalation), Solution - Nasal; Respiratory (inhalation), Spray, metered - Respiratory (inhalation), Inhalant, Inhalant - Respiratory (inhalation), Spray - Respiratory (inhalation)
Chronic Obstructive Airway Disease
, 0.5 mg/mL, 0.021 mg, 0.042 mg, 0.017 mg, 0.5 mg, 0.02 mg, 0.018 mg, 0.25 mg/mL, 0.125 mg/mL, 0.3 mg/mL, 0.042 mg/pump actuation, 0.02 mg/pump actuation, 0.021 mg/pump actuation
, Respiratory (inhalation), Solution, Solution - Respiratory (inhalation), Spray, metered, Nasal, Spray, metered - Nasal, Aerosol, metered, Aerosol, metered - Respiratory (inhalation), Spray, Spray - Nasal, Liquid, Liquid - Respiratory (inhalation), Nasal; Respiratory (inhalation), Solution - Nasal, Aerosol, Aerosol - Nasal; Respiratory (inhalation), Solution - Nasal; Respiratory (inhalation), Spray, metered - Respiratory (inhalation), Inhalant, Inhalant - Respiratory (inhalation), Spray - Respiratory (inhalation)
Allergic Rhinitis
, 0.5 mg/mL, 0.021 mg, 0.042 mg, 0.017 mg, 0.5 mg, 0.02 mg, 0.018 mg, 0.25 mg/mL, 0.125 mg/mL, 0.3 mg/mL, 0.042 mg/pump actuation, 0.02 mg/pump actuation, 0.021 mg/pump actuation
, Respiratory (inhalation), Solution, Solution - Respiratory (inhalation), Spray, metered, Nasal, Spray, metered - Nasal, Aerosol, metered, Aerosol, metered - Respiratory (inhalation), Spray, Spray - Nasal, Liquid, Liquid - Respiratory (inhalation), Nasal; Respiratory (inhalation), Solution - Nasal, Aerosol, Aerosol - Nasal; Respiratory (inhalation), Solution - Nasal; Respiratory (inhalation), Spray, metered - Respiratory (inhalation), Inhalant, Inhalant - Respiratory (inhalation), Spray - Respiratory (inhalation)
Bronchial Spasm
, 0.5 mg/mL, 0.021 mg, 0.042 mg, 0.017 mg, 0.5 mg, 0.02 mg, 0.018 mg, 0.25 mg/mL, 0.125 mg/mL, 0.3 mg/mL, 0.042 mg/pump actuation, 0.02 mg/pump actuation, 0.021 mg/pump actuation
, Respiratory (inhalation), Solution, Solution - Respiratory (inhalation), Spray, metered, Nasal, Spray, metered - Nasal, Aerosol, metered, Aerosol, metered - Respiratory (inhalation), Spray, Spray - Nasal, Liquid, Liquid - Respiratory (inhalation), Nasal; Respiratory (inhalation), Solution - Nasal, Aerosol, Aerosol - Nasal; Respiratory (inhalation), Solution - Nasal; Respiratory (inhalation), Spray, metered - Respiratory (inhalation), Inhalant, Inhalant - Respiratory (inhalation), Spray - Respiratory (inhalation)
Asthma
, 0.5 mg/mL, 0.021 mg, 0.042 mg, 0.017 mg, 0.5 mg, 0.02 mg, 0.018 mg, 0.25 mg/mL, 0.125 mg/mL, 0.3 mg/mL, 0.042 mg/pump actuation, 0.02 mg/pump actuation, 0.021 mg/pump actuation
, Respiratory (inhalation), Solution, Solution - Respiratory (inhalation), Spray, metered, Nasal, Spray, metered - Nasal, Aerosol, metered, Aerosol, metered - Respiratory (inhalation), Spray, Spray - Nasal, Liquid, Liquid - Respiratory (inhalation), Nasal; Respiratory (inhalation), Solution - Nasal, Aerosol, Aerosol - Nasal; Respiratory (inhalation), Solution - Nasal; Respiratory (inhalation), Spray, metered - Respiratory (inhalation), Inhalant, Inhalant - Respiratory (inhalation), Spray - Respiratory (inhalation)
Nasal Congestion Associated With the Common Cold
, 0.5 mg/mL, 0.021 mg, 0.042 mg, 0.017 mg, 0.5 mg, 0.02 mg, 0.018 mg, 0.25 mg/mL, 0.125 mg/mL, 0.3 mg/mL, 0.042 mg/pump actuation, 0.02 mg/pump actuation, 0.021 mg/pump actuation
, Respiratory (inhalation), Solution, Solution - Respiratory (inhalation), Spray, metered, Nasal, Spray, metered - Nasal, Aerosol, metered, Aerosol, metered - Respiratory (inhalation), Spray, Spray - Nasal, Liquid, Liquid - Respiratory (inhalation), Nasal; Respiratory (inhalation), Solution - Nasal, Aerosol, Aerosol - Nasal; Respiratory (inhalation), Solution - Nasal; Respiratory (inhalation), Spray, metered - Respiratory (inhalation), Inhalant, Inhalant - Respiratory (inhalation), Spray - Respiratory (inhalation)
Asthma
, 0.5 mg/mL, 0.021 mg, 0.042 mg, 0.017 mg, 0.5 mg, 0.02 mg, 0.018 mg, 0.25 mg/mL, 0.125 mg/mL, 0.3 mg/mL, 0.042 mg/pump actuation, 0.02 mg/pump actuation, 0.021 mg/pump actuation
, Respiratory (inhalation), Solution, Solution - Respiratory (inhalation), Spray, metered, Nasal, Spray, metered - Nasal, Aerosol, metered, Aerosol, metered - Respiratory (inhalation), Spray, Spray - Nasal, Liquid, Liquid - Respiratory (inhalation), Nasal; Respiratory (inhalation), Solution - Nasal, Aerosol, Aerosol - Nasal; Respiratory (inhalation), Solution - Nasal; Respiratory (inhalation), Spray, metered - Respiratory (inhalation), Inhalant, Inhalant - Respiratory (inhalation), Spray - Respiratory (inhalation)
Warnings
Duoneb has a single contraindication, and thus should not be employed when dealing with the ailments listed in the table below.Duoneb ContraindicationsCondition
Risk Level
Notes
Pulse Frequency
Do Not Combine
Common Duoneb Drug Interactions
Drug Name
Risk Level
Description
Aclidinium
Major
The risk or severity of adverse effects can be increased when Ipratropium is combined with Aclidinium.
Cimetropium
Major
The risk or severity of adverse effects can be increased when Ipratropium is combined with Cimetropium.
Eluxadoline
Major
The risk or severity of constipation can be increased when Ipratropium is combined with Eluxadoline.
Glycopyrronium
Major
The risk or severity of adverse effects can be increased when Ipratropium is combined with Glycopyrronium.
Macimorelin
Major
The therapeutic efficacy of Macimorelin can be decreased when used in combination with Ipratropium.
Duoneb Toxicity & Overdose RiskThe lowest toxic dose of ipratropium in mice is 1500mg/kg, and it is unlikely to be overdosed due to its poor absorption. There are no known effects of ipratropium on cancer, birth defects, or mutations, however high doses may reduce the rate of conception.
Duoneb Novel Uses: Which Conditions Have a Clinical Trial Featuring Duoneb?
282 active studies are currently being conducted to examine the possible benefits of Duoneb in ameliorating Asthma, Bronchospasm and Perennial Allergic Rhinitis (PAR).Condition
Clinical Trials
Trial Phases
Asthma
96 Actively Recruiting
Phase 4, Not Applicable, Early Phase 1, Phase 2, Phase 3, Phase 1
Chronic Obstructive Pulmonary Disease
87 Actively Recruiting
Phase 3, Not Applicable, Phase 1, Phase 2, Early Phase 1, Phase 4
Chronic Obstructive Airway Disease
0 Actively Recruiting
Bronchial Spasm
0 Actively Recruiting
Bronchitis, Chronic
0 Actively Recruiting
Asthma
0 Actively Recruiting
Allergic Rhinitis
0 Actively Recruiting
Rhinitis, Allergic
0 Actively Recruiting
Emphysema
4 Actively Recruiting
Phase 2
Nasal Congestion Associated With the Common Cold
0 Actively Recruiting
Non-Allergic Rhinitis
0 Actively Recruiting
Duoneb Reviews: What are patients saying about Duoneb?
5Patient Review
9/9/2012 I appreciate the convenience of this treatment, but unfortunately it gives me really bad muscle spasms that are incredibly painful. I'll be bringing it up with my doctor next week.
5Patient Review
8/2/2012 I had at least four exacerbations before being prescribed DuoNeb. My breathing problems were due to pneumonia, so I can't really say how these other patients have recovered. You can't believe all that they write, because everyone responds differently yo various types of medications. If a drug works for you, use it. If not try something else.
5Patient Review
2/17/2014 It relieved my breathing restrictions without making my heart beat too fast or making me nervous.
5Patient Review
3/29/2012 I rapidly developed a fever, headache, and trembling after taking this medication. My heart rate also increased significantly.
4.3Patient Review
1/20/2022 I've been on DuoNeb since 2018 and it's really helped me a lot. Not only does it help me to get sputum up, but it also improves wheezing significantly. Plus, I don't have to worry about raising my heart rate or getting palpitations like I do with my stand alone Albuterol solution. The only downside is the frequency of doses.
3.7Patient Review
4/18/2008 I was given this medicine during a bad asthma flare to see if it would work better than albuterol alone. The first few doses worked great, although I lost my voice. The last two doses actually made me worse. The first of these I took during an attack, and got much worse, chest was very tight, and wheezing increased. The second dose I took when feeling fine to see what would happen, and within 1 minute, I was having an asthma attack.
3.7Patient Review
11/2/20073Patient Review
7/5/2017 While Albuterol did help with my A fib at first, after awhile it started to make my heart race uncontrollably. I had to stop taking it and ended up getting a pacemaker.
3Patient Review
3/15/2010 This treatment helps me to get up the phlegm that's been clogging my breathing.
Patient Q&A Section about duoneb
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.What is DuoNeb solution used for?
"What is DuoNeb used for? DuoNeb is used to help treat airway narrowing (bronchospasm) that happens with chronic obstructive pulmonary disease (COPD). It is for adult patients who need to use more than one bronchodilator medicine. The active ingredients are albuterol sulfate and ipratropium bromide."
Answered by AI
What type of bronchodilator is DuoNeb?
"DuoNeb is a bronchodilator that is a combination of albuterol and ipratropium. This medication relaxes the muscles in the airway and increases air flow to the lungs to help with breathing."
Answered by AI
What is the difference between DuoNeb and albuterol?
"Duoneb (ipratropium / albuterol) is a combination of ipratropium, a short-acting muscarinic antagonist, and albuterol, a short-acting beta-agonist, that help you breathe."
Answered by AI