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<DOCUMENT author="perl program" datec=020199 title="leaflet" book="ABPI" edition="1996-97" section="company">
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Patient's leaflet
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Duovent Inhaler
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To obtain the best results from your Duovent Inhaler, read this leaflet carefully and follow the simple instructions given overleaf.  If you are unclear about how to use your inhaler, ask your doctor or pharmacist to explain.
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Treatment in children should be supervised by an adult.
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Use your Duovent Inhaler as often as your doctor tells you.  If your treatment is less effective that usual, contact your doctor.
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The 10ml vial contains 20mg of fenoterol hydrobromide and 8mg of ipratopium bromide in 200 metered doses.
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Each metered dose contains fenoterol hydrobromide 100 micrograms and ipratopium bromide 40 micrograms.
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Testing your Inhaler:
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To make sure that your inhaler is working, test fire it into the air before using it for the first time and whenever it has not been used for a week or more.
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Warning:
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The container is pressurised; keep it away from heat including the sun.  Do not puncture or incinerate it even when it is apparently empty.
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Duovent  
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Cleaning:
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It is important to clean your inhaler regularly, otherwise it may not work properly.
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Remove the canister and dust cap, wash and clean the grey mouthpiece in warm soapy water, rinse in warm water, dry.
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The two small holes in the valve stem sometimes become blocked during use.  They can easily be cleared with a pin.
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Precautions regarding the use of Duovent Inhaler:
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Duovent should not be used by people who are hypersensitive or "allergic" to atropine.
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People with glaucoma, an enlarged prostate gland, an overactive thyroid, high blood pressure, angina or severe heart complaint should follow their doctor's instructions very closely and not take more than the prescribed dose.  If you are suffering from any of the above and have any queries or would like to discuss your treatment than please consult your doctor.
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When using your Duovent Inhaler take care not to let any of the spray into your eyes.  Like all medicines, Duovent should be used during pregnancy only after discussion with your doctor.
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Boehringer Ingelheim Ltd.
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Bracknell, Berkshire.
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Correct use of your inhaler
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 <CB n=2> Duovent <PB n=5> <CB n=1> <FIGURE></FIGURE> <CB n=2> <FIGURE></FIGURE> <PB n=6> <CB n=1>
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Remove the dustcap from the mouthpiece and shake the inhaler vigorously.
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Holding the inhaler as shown, breathe out gently (but not fully) and then immediately...
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Place the mouthpiece in the mouth and close your lips around it.  After starting to breathe in slowly and deeply through your mouth, press the inhaler firmly, as shown, to release the Duovent 
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and continue to breathe in.
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Hold your breath for 10 seconds, or as long as is comfortable, before breathing out slowly.
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