📋 Indications & Clinical Dosage
*Reversible bronchospasm in chronic obstruction pulmonary disease and chronic asthma:*
Adults: Inhaler: 1 or 2 puffs 3 or 4 times daily. Children 3-6 yr: 1 puff 3 times daily; 6-12 yr:1 or 2 puffs 3 times daily.
Adults: Nebulizer Soln: 0.4-2 ml by nebulizer up to four times daily.
Children aove3 yr: 0.4-2 ml by nebulizer up to three times daily.
⚠️ Precautions & Warnings
Cardiovascular disorder, bladder outflow obstruction, glaucoma, prostatic hypertrophy.First dose should be inhaled under close medical supervision. Protect eyes from nebulised drug or
powder.
⚠️ Adverse Reactions / Side Effects
Headache, nausea, constipation, dry mouth,urinary retention, occasional paradoxical bronchospasm, tachycardia, arrhythmias.
📚 Official Regulatory & Clinical References
- Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
- World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
- Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.