Berodual/Berodual Forte Dosage & Drug Information

Concise Prescribing Info Full Prescribing Info Contents Description Action Indications/Uses Dosage/Direction for Use Overdosage Contraindications Special Precautions Use In Pregnancy & Lactation Side Effects Drug Interactions Caution For Usage MIMS Class ATC Classification Thai FDA Category Presentation/Packing

Concise Prescribing Info

Contents

Per puff of Berodual MDI Ipratropium Br 0.02 mg, fenoterol HBr 0.05 mg. Per mL Berodual soln Ipratropium Br 0.25 mg, fenoterol HBr 0.5 mg. Per Berodual Forte unit dose vial (UDV) Ipratropium Br 0.5 mg, fenoterol HBr 1.25 mg

Indications/Uses

To prevent & treat symptoms of COPD w/ reversible bronchospasm eg, bronchial asthma & especially chronic bronchitis w/ or w/o emphysema. Anti-inflammatory therapy may be used concomitantly in patients w/ bronchial asthma & steroid responsive COPD.

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Dosage/Direction for Use

Berodual MDI Adult & childn >6 yr Acute asthma episodes 2 actuations for prompt symptom relief. In more severe cases, if breathing has not noticeably improved after 5 min, 2 further actuations may be taken. Intermittent & long-term treatment 1-2 puffs tid, up to a max 8 puffs/day. Berodual soln for inhalation Acute episodes of bronchospasm Adult & childn >12 yr 1-2.5 mL. Dose may be increased to 4 mL in severe cases. Childn 6-12 yr Acute asthma episodes 0.5-2 mL, depending on the severity. Childn <6 yr, <22 kg Ipratropium Br 25 mcg & fenoterol Br 50 mg per kg/dose, up to 0.5 mL (10 drops). Berodual Forte UDV Adult & childn >14 yr Treatment of attacks 1 vial. Severe cases: 2 vials.

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Overdosage

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Contraindications

Hypertrophic obstructive cardiomyopathy, tachyarrhythmia. Hypersensitivity to fenoterol or atropine-like substances.

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Special Precautions

Underlying severe heart disease, recent MI, hypokalemia, insufficiency control DM, severe organic heart or vascular disorders, hyperthyroidism, phaeochromocytoma, prostatic hypertrophy or bladder-neck obstruction, patients receiving digoxin, MAOIs, TCA, patients predisposed to narrow-angle glaucoma, cystic fibrosis. Pregnancy & lactation. Berodual Forte: Not recommended to use in childn <14 yr.

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Use In Pregnancy & Lactation

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Adverse Reactions

Fine tremor of skeletal muscles, nervousness, palpitations; less frequently tachycardia, dizziness or headache. Dry mouth, throat irritation or allergic reactions, cough, paradoxical bronchoconstriction (rare). Urinary retention may occur in particular, in patients w/ preexisting outflow tract obstruction.

Drug Interactions

Effects enhanced by other β-adrenergics, anticholinergics or xanthine derivatives. Glucocorticoids, steroids, diuretics, digoxin, β-blockers, MAOIs, TCA, halogenated hydrocarbon anesth.

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Caution For Usage

For caution against possible variation of physical aspect of medicine... Click to view Berodual/Berodual Forte detailed prescribing information

Description

View Berodual/Berodual Forte description for details of the chemical structure and excipients (inactive components).

Action

View Berodual/Berodual Forte mechanism of action for pharmacodynamics and pharmacokinetics details.

MIMS Class

Antiasthmatic & COPD Preparations

ATC Classification

R03AL01 - fenoterol and ipratropium bromide ; Belongs to the class of combination of adrenergics with anticholinergics, that may also include a corticosteroid. Used in the treatment of obstructive airway diseases.

Thai FDA Category

Presentation/Packing

Form

Berodual MDI

Packing/Price

10 mL x 1's

Form

Berodual Forte nebuliser soln

Packing/Price

(unit dose vial) 4 mL x 20 × 1's

Form

Berodual soln for inhalation

Packing/Price

20 mL x 1's

Berodual/Berodual Forte

ipratropium + fenoterol

Manufacturer:

Boehringer Ingelheim

Distributor:

Zuellig Pharma