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Fenoterol hydrobromide/ipratropium bromide (Berodual F UDV) is a bronchodilator for the prevention and treatment of symptoms in chronic obstructive airway disorders with reversible airflow limitation such as bronchial asthma and especially chronic bronchitis with or without emphysema. Concomitant anti-inflammatory therapy should be considered for patients with bronchial asthma and steroid responsive chronic obstructive pulmonary disease (COPD).
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Treatment should be initiated and administered under medical supervision, e.g. in the hospital setting. Home based treatment can be recommended in exceptional cases (severe symptoms or experienced patients requiring higher doses) when a low dose rapid acting beta-agonist bronchodilator such as Berodual pressurised inhalation solution has been insufficient in providing relief after consultation with an experienced physician.
The treatment with the nebuliser solution in UDVs should always be started with the lowest recommended dose (1 UDV). In very severe cases two unit dose vials may be required for symptom relief. Administration should be stopped when sufficient symptom relief is achieved.
The following dosages are recommended for adults (including elderly patients) and adolescents
>, 12 years
1 unit dose vial contains 1.25 mg fenoterol hydrobromide and 500 mcg ipratropium bromide
Hypertrophic obstructive cardiomyopathy
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