Albuterol / Ipratropium (DuoNeb / Combivent)

Pulmonology (SABA + SAMA)

Dosing & Administration

Adult Dose

Inhalation solution: 3 mL (2.5 mg/0.5 mg) via nebulizer QID. Respimat: 1 inhalation QID.

Pediatric Dose

1 nebulizer treatment every 20 mins x 3 for acute asthma exacerbation.

Renal Adjustment

No adjustment necessary.

Hepatic Adjustment

No adjustment necessary.

Safety & Special Populations

Pregnancy Category

C

Lactation Safety

Compatible.

Contraindications & Adverse Effects

Contraindications

  • Hypersensitivity to atropine derivatives
  • Peanut/soy allergy (older MDI formulations only)

Common Adverse Effects

  • Dry mouth
  • Tachycardia
  • Urinary retention
  • Glaucoma exacerbation (if mask leaks into eyes)