Combiver Inhaler (100 mcg + 20 mcg)/puff is a combination bronchodilator inhaler containing Salbutamol and Ipratropium. This inhaler is designed to provide rapid and effective relief from breathing difficulties associated with obstructive airway diseases.

It is commonly prescribed for patients suffering from conditions like asthma and chronic obstructive pulmonary disease (COPD), where airway narrowing leads to difficulty in breathing.

রেজিস্টার্ড চিকিৎসকের পরামর্শ অনুযায়ী ঔষধ সেবন করুন

Composition

Each puff delivers:

• Salbutamol 100 mcg
• Ipratropium 20 mcg

It is administered via an inhalation device, delivering medication directly to the lungs for fast action.

Mechanism of Action

Combiver Inhaler works through a dual mechanism:

• Salbutamol:
  • Stimulates beta-2 adrenergic receptors in the airways
  • Relaxes bronchial smooth muscles
  • Provides quick relief from bronchospasm
• Ipratropium:
  • Blocks muscarinic receptors in the airways
  • Reduces bronchoconstriction and mucus secretion
  • Helps maintain open airways

The combination results in enhanced bronchodilation and improved airflow.

Indications

Combiver Inhaler is indicated for:

• Asthma
• Chronic Obstructive Pulmonary Disease
• Relief of bronchospasm and wheezing
• Acute episodes of breathlessness

Dosage and Administration

• Typically 1–2 puffs as needed or as prescribed
• Shake the inhaler well before use
• Inhale deeply while pressing the canister
• Hold breath for a few seconds after inhalation

Use a spacer if recommended, especially for children or elderly patients.

Benefits

Combiver Inhaler offers several benefits:

• Rapid relief from breathing difficulty
• Dual-action bronchodilation for better effectiveness
• Direct delivery to lungs ensures fast onset
• Reduces wheezing and improves airflow
• Convenient and easy to use

Possible Side Effects

Common side effects include:

• Dry mouth
• Tremors
• Headache
• Palpitations

Less common but serious side effects:

• Increased heart rate (tachycardia)
• Allergic reactions
• Paradoxical bronchospasm (rare)

রেজিস্টার্ড চিকিৎসকের পরামর্শ অনুযায়ী ঔষধ সেবন করুন

Precautions

• Use cautiously in patients with heart disease or high blood pressure
• Avoid overuse to prevent side effects
• Inform your doctor about other medications
• Rinse mouth after use to reduce dryness
• Not intended as the sole maintenance therapy for severe asthma unless advised

Storage

Store in a cool, dry place, away from direct sunlight and heat. Do not puncture or expose the inhaler to high temperatures.