Punol

Punol

ipratropium + fenoterol

Manufacturer:

Biolab

Distributor:

Biopharm
Concise Prescribing Info
Contents
Per mL Ipratropium Br 0.25 mg, fenoterol HBr 0.5 mg
Indications/Uses
Prevention & symptomatic treatment of chronic obstructive airway disorders w/ reversible bronchospasm eg, bronchial asthma & especially chronic bronchitis w/ or w/o emphysema.
Dosage/Direction for Use
Acute asthma Adult & adolescent >12 yr 1 mL in mild to moderate exacerbations or 2.5-4 mL in severe cases. Intermittent & long-term treatment: 1-2 mL up to qid. Childn 6-12 yr 0.5-1 mL in mild to moderate exacerbations or 3 mL in severe cases. Intermittent & long-term treatment: 0.5-1 mL up to qid, <6 yr weighing <22 kg Ipratropium Br 25 mcg & fenoterol HBr 50 mcg/kg up to tid.
Contraindications
Hypersensitivity to ipratropium Br, fenoterol HBr, or atropine or its derivatives. Hypertrophic obstructive cardiomyopathy, tachycardia.
Special Precautions
Immediate hypersensitivity reactions. Acute rapidly worsening dyspnea; temporary blurred vision, mydriasis, ocular pain, or precipitation or worsening of angle-closure glaucoma. Patients w/ CV disease (especially coronary insufficiency, cardiac arrhythmias or HTN), seizure disorder, hyperthyroidism, DM & unusual response to β-adrenergic agents; narrow-angle glaucoma, prostatic hyperplasia or bladder-neck obstruction & who are receiving anticholinergic via another route. Pregnancy & lactation.
Adverse Reactions
Chest pain, HTN, aggravated HTN, tachycardia, palpitation; dizziness, headache, insomnia, nervousness, tremor; constipation, dry mouth, nausea; arthritis, skeletal muscle tremor; bronchitis, bronchospasm, coughing, dyspnea, pharyngitis, rhinitis, increased sputum, URTI; back & eye pain, flu-like syndrome, pain, urinary retention, UTI, urticaria.
Drug Interactions
Potentiated anticholinergic effect w/ anticholinergics. Inhibited bronchodilating effects w/ β-blockers. Increased pressor response w/ methyldopa; TCAs. Potentiated β-adrenergic agonist actions w/ MAOIs. Decreased theophylline levels.
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.
Presentation/Packing
Form
Punol inhalation soln
Packing/Price
20 mL x 1's
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