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<DOCUMENT author="perl program" datec=020199 title="leaflet" book="ABPI" edition="1996-97" section="company">
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How to use your Duovent Autohaler
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Breath Actuated Inhaler
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To obtain the best results from your Duovent Autohaler Device please read this leaflet carefully and follow the simple instructions (overleaf).  If you are still unclear about how to use the device ask your doctor or pharmacist.
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Always follow the instructions for use given by your doctor.
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The 10ml vial contains 8mg ipratropium bromide and 20mg fenoterol hydrobromide in 200 metered doses.  Each metered dose contains 40 micrograms of ipratropium bromide and 100 micrograms of fenoterol hydrobromide .
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Ipratropium bromide and fenoterol hydrobromide are both bronchodilators which relax the air passages in your lungs to help you breathe more easily.
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Dosage
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The standard dose for adults is one or two puffs, three or four times a day, but your doctor may wish to alter this to suit your individual needs.
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Children
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Duovent should be administered to children only under the supervision of a responsible adult and strictly as recommended by the doctor.
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‘Autohaler’ 
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is a registered trade mark of the 3M Company <CB n=2> <FIGURE></FIGURE> <PB n=2> <CB n=1>
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How to use your Duovent Inhaler
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 <PB n=3> <CB n=2> <FIGURE></FIGURE> <PB n=4> <CB n=1> To remove the mouthpiece cover, pull down on the lip at the back <CB n=2>
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With the lever down, shake the device well.
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<FIGURE></FIGURE>
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Hold the device upright as shown.  Push the lever up so that it stays up.
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Make sure your hand is not blocking the air vents at the bottom of your Duovent Autohaler Device and that you are still holding it upright.
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Breathe out normally.
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Put the mouthpiece in your mouth and close your lips firmly around it.
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Suck in through the mouthpiece.
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DO NOT STOP
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 when the puff is released, but continue sucking until your lungs refill, then hold your breath for 10 seconds.
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Breathe normally.
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The lever must be pushed down after each puff.  If your doctor has prescribed additional puffs, wait one minute before repeating steps 2 - 6.
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Replace mouthpiece cover after use.
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How to Clean and Care for your Duovent Inhaler
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 <PB n=8> <CB n=1> <FIGURE></FIGURE> <PB n=9> <CB n=2>
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Rinse the mouthpiece in lukewarm water.
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Shake out excess water and leave to dry in the air.
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CAUTION: Do not push a drying cloth or anything else into any part of the device since it may cause damage to its operating parts. Do not take the device apart.
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Replace the mouthpiece cover.
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When you are not using your Duovent Autohaler Device, make sure that the lever is down and that the mouthpiece is in place.
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Consult your doctor immediately if:
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your inhaler is less effective than usual  or
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<ITEM>

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you feel the need to use your inhaler more often than your doctor has recommended.
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</ITEM>

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PRECAUTIONS REGARDING THE USE OF THE DUOVENT AUTOHALER DEVICE
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Duovent should not be used by people who are hypersensitive or "allergic" to atropine, ipratropium bromide or fenoterol hydrobromide.
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People with glaucoma, an enlarged prostate gland, an overactive thyroid, high blood pressure, angina or a severe heart complaint should follow their doctor's instructions very closely and not take more than the prescribed dose.
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Like all medicines, Duovent should be used during pregnancy only after discussion with your doctor.
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CAUTION
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It is dangerous to exceed the recommended dosage.
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The metal vial within is pressurised. Store in a cool, dry place. Protect from heat, including the sun. Do not attempt to open, puncture or burn the canister, even when apparently empty. Protect from frost.
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IMPORTANT:
</EMPH>
 The Duovent Autohaler Device is non-refillable and should be discarded when empty.
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The Product Licence is held by:
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Boehringer Ingelheim Limited, Bracknell, Berkshire.
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Product Licence Number: PL 0015/0162
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