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Written By Veda Maddala , M Pharmacy
Reviewed By Sunny S , MBBS

About Combimist L Inhaler

Combimist L Inhaler is a combination medication primarily used to treat or prevent symptoms of chronic obstructive pulmonary disease (COPD) likes shortness of breath, coughing or wheezing (whistling sound while breathing). COPD is a group of lung diseases with emphysema (shortness of breath due to damaged air sac) and chronic bronchitis (inflammation and narrowing of the lining of airways or bronchial tubes).

Combimist L Inhaler is a combination of two bronchodilators, namely: Levosalbutamol and Ipratropium bromide. Combimist L Inhaler belongs to the class of bronchodilators that works by relaxing muscles and widening the airways of the lungs. Thereby, it allows us to breathe easily.

Use Combimist L Inhaler as prescribed. Your doctor will recommend how often you use Combimist L Inhaler based on your medical condition. Some people may experience headache, sore throat, dry mouth, runny or stuffy nose, pain, cough with mucus, sneezing, chest tightness, difficulty in breathing, dizziness, nervousness, tiredness, irregular heartbeats and vomiting. Most of these side effects of Combimist L Inhaler do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Combimist L Inhaler or any other medicines, pregnant or breastfeeding, or experience severe difficulty in breathing, please consult a doctor immediately. Do not use Combimist L Inhaler in more than the prescribed doses as it may lead to severe heart or lung problems. Regular monitoring of potassium levels is recommended while taking a prolonged intake of Combimist L Inhaler may cause low potassium levels in the blood. If you have high blood pressure, diabetes fits, enlarged prostate, glaucoma, thyroid or heart problems, bladder obstruction or other urinary problems, inform your doctor before taking Combimist L Inhaler. Please do not use or store Combimist L Inhaler near open flame or heat as it may burst the container.

rxMedicinePrescription drug

Whats That

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Non returnable*
COD available

Online payment accepted

Manufacturer/Marketer

Zydus Cadila

Consume Type

INHALATION

Return Policy

3 Days Returnable

Expires on or after

Apr-24

for this medicine

Uses of Combimist L Inhaler

Chronic obstructive pulmonary disease (COPD)

Medicinal Benefits

Combimist L Inhaler is a combination of two bronchodilators, namely: Levosalbutamol and Ipratropium bromide. Combimist L Inhaler belongs to the class of bronchodilators that works by relaxing muscles and widening the airways of the lungs. Thereby, allowing to breathe easily and provide relief from symptoms such as shortness of breath, coughing or wheezing (whistling sound while breathing).

Side Effects of Combimist L Inhaler

  • Headache
  • Sore throat
  • Dry mouth
  • Runny or stuffy nose
  • Chest tightness
  • Dizziness
  • Nervousness
  • Tiredness
  • Vomiting

Directions for Use

Inhaler/Transhaler: Shake the inhaler/Transhaler well and check the label for directions before using it. Hold the inhaler/Transhaler with the mouthpiece downwards. Put the mouthpiece between your teeth and seal the lips around it. Then, press down the inhaler once to release the medication. Breathe in slowly and hold your breath for 5 to 10 seconds. Breathe out slowly. Repeat the process until you have inhaled the number of puffs prescribed by the doctor. Rinse your mouth with water and spit it out after using inhaler/Transhaler to avoid fungal infections in the mouth and throat.Rotacaps/Transcaps/Respicaps: The capsule should be placed at the base of the rotahaler/Lupihaler/Respihaler and completely twist the mouthpiece until you hear a click sound. Then, breathe in through the mouthpiece deeply and hold your breath for 10 seconds. It is for inhalation only. Do not swallow the capsule.Respules/Transpules: Check the label for directions before using it. Twist the respule/transpule top, squeeze all the liquid into the nebulizer and use immediately after opening.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

If you are allergic to Combimist L Inhaler or any other medicines, pregnant or breastfeeding, experience severe difficulty in breathing, please consult a doctor immediately. Do not use Combimist L Inhaler in more than the prescribed doses as it may lead to severe heart or lung problems. Regular monitoring of potassium levels is recommended while taking Combimist L Inhaler as it may cause low potassium levels in the blood. However, if you experience irregular heartbeats, leg cramps, extreme thirst, constipation, increased urination, muscle weakness, numbness or tingling, please consult a doctor immediately as these might be signs of low potassium. If you have high blood pressure, diabetes, epilepsy (fits), enlarged prostate, glaucoma, thyroid or heart problems, bladder obstruction or other urinary problems, inform your doctor before taking Combimist L Inhaler. Do not use or store Combimist L Inhaler near open flame or heat as it may burst the container.

Therapeutic Class

BRONCHODILATOR

Drug-Drug Interactions

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SalbutamolTimolol
Severe
SalbutamolPenbutolol
Severe

Drug-Drug Interactions

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SalbutamolTimolol
Severe
How does the drug interact with Combimist L Inhaler:
Co-administration of Combimist L Inhaler with timolol can increase the risk of narrowing of the airways.

How to manage the interaction:
Although taking Combimist L Inhaler and timolol together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience Coughing, wheezing, shortness of breath, and high-pitched breathing, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
SalbutamolPenbutolol
Severe
How does the drug interact with Combimist L Inhaler:
Coadministration of Penbutolol and Combimist L Inhaler can reduce the effects of both medications and can cause narrowing of the airways.

How to manage the interaction:
Taking Penbutolol and Combimist L Inhaler can lead to an interaction, it can be taken if advised by your doctor. However, if you experience Coughing, wheezing, shortness of breath, and high-pitched breathing, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
SalbutamolLevobunolol
Severe
How does the drug interact with Combimist L Inhaler:
Using levobunolol and Combimist L Inhaler together can reduce the benefits of both drugs and can cause narrowing of the airways.

How to manage the interaction:
The combined use of levobunolol and Combimist L Inhaler can lead to an interaction, it can be taken if advised by your doctor. Don't forget to inform if you have any history of asthma, or severe chronic obstructive pulmonary disease (COPD), consult the doctor immediately. Do not stop using any medications without a doctor's advice.
SalbutamolPindolol
Severe
How does the drug interact with Combimist L Inhaler:
Using pindolol and Combimist L Inhaler together can increase the risk of narrowing of the airways.

How to manage the interaction:
The combined use of pindolol and Combimist L Inhaler can lead to an interaction, it can be taken if advised by your doctor. However, if you experience Coughing, wheezing, shortness of breath, and high-pitched breathing, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
SalbutamolPapaverine
Severe
How does the drug interact with Combimist L Inhaler:
The combined use of Papaverine and Combimist L Inhaler can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Co-administration of Papaverine and Combimist L Inhaler can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
SalbutamolLabetalol
Severe
How does the drug interact with Combimist L Inhaler:
Co-administration of Salbutaml with Labetalol, the effectiveness of Combimist L Inhaler might be reduced.

How to manage the interaction:
Although taking Labetalol and Combimist L Inhaler together can possibly result in an interaction, it can be taken if a doctor has prescribed it. Do not discontinue any medications without a doctor's advice.
SalbutamolCarvedilol
Severe
How does the drug interact with Combimist L Inhaler:
Coadministration of Carvedilol and Combimist L Inhaler may reduce the effects of both medications.

How to manage the interaction:
Although there is a possible interaction between Carvedilol and Combimist L Inhaler, they can be taken if your doctor advises. Consult your doctor if you experience shortness of breath, chest pain or any difficulties in breathing. Do not stop using any medications without a doctor's advice.
SalbutamolPropranolol
Severe
How does the drug interact with Combimist L Inhaler:
Using propranolol and Combimist L Inhaler together can reduce the effects or increase the risk of narrowing of the airways.

How to manage the interaction:
The combined use of propranolol and Combimist L Inhaler can lead to an interaction, but they can be taken if advised by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
SalbutamolMifepristone
Severe
How does the drug interact with Combimist L Inhaler:
Coadministration of mifepristone and Combimist L Inhaler can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Combimist L Inhaler with mifepristone together is avoided as it can result in an interaction, it can be taken if a doctor has advised it. However, contact a doctor immediately if you experience any symptoms such as dizziness, lightheadedness, fainting, shortness of breath, or irregular heartbeat. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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Drug-Drug Interactions Checker List

  • SALMETEROL
  • ALBUTEROL
  • VILANTEROL
  • FORMOTEROL
  • TIOTROPIUM
  • BUDESONIDE
  • PREDNISONE
  • FUROSEMIDE
  • ONDANSETRON
  • ATROPINE

Diet & Lifestyle Advise

  • Eat foods rich in potassium such as tomatoes, bananas, asparagus, oranges, potatoes, avocados, dark leafy greens, and beetroots as potassium is important for lung function and a potassium deficiency may cause breathing problems.
  • Drink plenty of fluids every day to thin mucus which makes it easier to cough out.
  • Maintain a diet that includes complex carbohydrates such as lentils, beans, barley, oats, quinoa, bran, peas, and potatoes with skin.
  • Limit or avoid the intake of caffeinated drinks such as tea, coffee, soda, and energy drinks like red bull.
  • Eat protein-rich foods such as meat, fish (particularly salmon, sardines, and mackerel), eggs, and poultry.
  • Exercise regularly to strengthen your breathing muscles and boost your immune system. Learning breathing exercises will help you move more air in and out of your lungs.
  • Quit smoking as it may reduce the effectiveness of the Combimist L Inhaler and irritate the lungs worsening breathing problem.

Habit Forming

No

Special Advise

Avoid contact of Combimist L Inhaler with eyes, especially if you have glaucoma (damaged eye nerve due to increased eye pressure) as it may worsen the condition and cause eye irritation or blurred vision. A fungal infection might occur in your mouth and throat, so it is advisable to gargle with warm water after each inhalation of Combimist L Inhaler.

Author Details

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Disease/Condition Glossary

Chronic obstructive pulmonary disease (COPD): It is a group of lung diseases with emphysema (shortness of breath due to damaged air sacs) and chronic bronchitis (inflammation of the lining of bronchial tubes). The major cause of COPD is smoking tobacco and exposure to air pollutants like asbestos and chemicals/fumes. Also, long-term exposure to fumes and chemicals may lead to COPD. The symptoms include chronic cough, shortness of breath or wheezing (whistle sound while breathing).

Combimist L Inhaler Substitute

Substitutes safety advice
  • Duolin Inhaler

    2.04per tablet
  • Salbair I Transhaler

    1.88per tablet
  • Ipradin LS Inhaler 200 MDI

    1.48per tablet
  • Iprahaler-LS Inhaler 200 mdi

    1.75per tablet
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