I've been having some issues and I'm a bit concerned. I have asthma and a couple of years back it was pretty bad, but after moving I hadn't had an attack for about two years. Last week, though, I started wheezing and coughing again. My ENT prescribed DUOLIN for nebulization, and I started using it twice a day for the last two days. But Ive noticed that right after using it, my heart races, and my hands tremble. I looked it up and saw that these can be side effects of DUOLIN. Ive used Foracort 200 and Asthalin in the past without any problems. I'm just worried if I should stop using it or not. What should I do?

Answered by 1 Apollo Doctors

Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

Consult Now

Based on your symptoms of increased heart rate and tremors in your hands after using DUOLIN nebulization, it is important to consult your healthcare provider for further evaluation. These symptoms can be potential side effects of DUOLIN, which contains a combination of ipratropium and salbutamol. In the meantime, you may consider stopping the use of DUOLIN and discussing alternative treatment options with your doctor. For your asthma management, you can consider using Foracort 200 (budesonide and formoterol) as a maintenance inhaler and Asthalin (salbutamol) as a rescue inhaler for acute symptoms. However, it is crucial to seek medical advice before making any changes to your asthma treatment regimen.

Dr. Ibrahim Suggests...

Consult a Pulmonology Respiratory Medicine Specialist

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Answered 04/07/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.