Berodual 0.25 mg / 0.5 mg per ml (20 ml)

Indication

Bronchodilator for the prevention and treatment of symptoms of chronic obstructive airway disorders with reversible airflow obstruction, such as bronchial asthma and chronic bronchitis with or without emphysema, and for acute asthma attacks.

Ingredients

• Ipratropium bromide anhydrous 250 micrograms/ml (0.025% w/v)
• Fenoterol hydrobromide 500 micrograms/ml (0.05% w/v)

Direction

For oral inhalation only, with electric nebulisers and respirators (1 ml = 20 drops). Dilute the prescribed dose with physiological saline to 3–4 ml and nebulise. Usual adult dose for acute episodes: 1 ml (20 drops); in severe cases up to 2.5 ml (50 drops), or as directed by a doctor. Children 6–12 years: 0.5–2 ml as directed by a doctor. Read the enclosed leaflet carefully before use.

Side effects

• Tremor
• nervousness
• headache and dizziness.
• Fast heart rate or palpitations.
• Dry mouth
• throat irritation and cough.
• Nausea
• low blood potassium may occur at high doses.
• Rarely
• allergic reactions or paradoxical bronchospasm
• stop use and seek medical help.
• Consult a doctor or pharmacist before use and stop if irritation or allergy occurs.

Precautions

• Do not use if allergic to ipratropium
• fenoterol
• atropine
• like substances
• or in hypertrophic obstructive cardiomyopathy or tachyarrhythmia.
• Use with caution in heart disease
• hyperthyroidism
• diabetes
• narrow
• angle glaucoma
• or prostatic hypertrophy/bladder
• neck obstruction.
• Avoid getting the nebulised solution or mist into the eyes.
• Seek medical advice immediately if breathing difficulty worsens or the usual dose is less effective.
• Use during pregnancy or breastfeeding only on medical advice.