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Please read this important safety information about DuoNeb®
DuoNeb® is indicated for the treatment of bronchospasm associated with COPD for patients requiring more than one bronchodilator. In a 12-week clinical study, the most common adverse reactions reported with DuoNeb® Inhalation Solution were chest pain, pharyngitis, diarrhea, bronchitis, nausea, and leg cramps.
Albuterol sulfate can have a significant cardiovascular effect, significant hypokalemia, and the potential life-threatening paradoxical bronchospasm. Caution is advised in patients with convulsive disorders, hyperthyroidism, diabetes mellitus, narrow-angle glaucoma, prostatic hypertrophy, or bladder-neck obstruction. Co-administration of DuoNeb® Inhalation Solution and other sympathomimetic agents may increase the risk of adverse cardiovascular effects.
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What is COPD?
Diagnosing COPD
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Do I Have COPD?
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Doctors often discuss COPD in 3 different degrees of illness:
MILD
  • Often no symptoms
  • Shortness of breath with moderate activity
  • Frequent cough and regular sputum when chronic bronchitis is present
MILD TO MODERATE
  • Occasionally no symptoms
  • Shortness of breath with mild to moderate activity
  • Regular, often thick and yellow sputum
  • Frequent exacerbations with increased cough, sputum, and shortness of breath
  • Wheezing when breath is forced out
  • Too much inflation of the lungs
SEVERE
  • All the symptoms of moderate COPD plus:
  • Shortness of breath and tightening of chest at rest or with minimal activity
  • Inactive lifestyle
  • Frequent exacerbations with respiratory failure and heart complications, requiring oxygen therapy and/or hospitalization
  • Heart complications
  • Swelling of ankles
  • Pink or blue skin color
Are there other conditions with some of the signs and symptoms of COPD?
Yes. Asthma shares some signs and symptoms with COPD. Doctors can rule out asthma by doing a simple test. If a bronchodilator relieves breathing problems quickly, then it is asthma. A bronchodilator will help people with COPD, but not reverse the signs and symptoms.
Congestive heart failure (CHF) can also present many of the same signs and symptoms. Doctors take steps to rule out CHF, including x-rays and spirometry.