Shipping Update - May 1 2022

Shipping times are now closer to normal. However, due to the latest outbreak of the highly contagious Omicron strain, some delays in shipping times may still occasionally occur. We will provide updates as the situation changes.

Our normal shipping time averages 1 - 2 weeks. Shipments may sometimes take an additional 2 weeks to arrive, depending on the source country of your order.

Please note that these times are averages and individual shipping times will vary. We recommend that you place your order at least 2 - 4 weeks or more ahead of your normal reorder time to avoid running out of your medication.

We offer a shipping guarantee when you place an order with us. If your order does not arrive within 6 weeks from the date it was shipped, we will re-ship your order to you at no additional cost.

Call Center - New Hours effective April 1, 2022

Our call center hours of operation are now 6:00 am - 9:00 pm Central Time on Monday to Friday, and 7:00 am - 7:00 pm Central Time on Saturday and Sunday.

If you are experiencing increased hold times or are calling outside of these hours, please leave us a message or send us an email and we will get back to you as soon as we can. Due to increased demand on telephone networks worldwide, you may experience some intermittent connection problems. If this happens our agents will call you back.

Our Commitment

If you have any questions about any changes in our service please do not hesitate to contact us. Our staff are working tirelessly to ensure the timely fulfillment and delivery of all orders. The health and safety of our customers and staff is our highest priority and we remain committed to providing service at the highest level.

We appreciate your business and thank you for your continued support.

Management and Staff
Medix Pharmacy

(Ipratropium Bromide/Albuterol (Salbutamol) Sulfate)

Prescription Settings Edit

Brand Name Choices

Duoneb Nebule 0.5mg/2.5mg/2.5mL
Duoneb Nebule 0.5mg/2.5mg/2.5mL Inhalation Solution

Marketed as Combivent UDV in United Kingdom

Ipratropium Bromide/Albuterol (Salbutamol) Sulfate

Manufactured by Boehringer Ingelheim Ltd

Product of United Kingdom

Dispensed by a licensed pharmacy in the United Kingdom

Prescription Required

Parallel Import

Generic Choices

Ipratropium Bromide/Albuterol (Salbutamol) Sulfate 0.5mg/2.5mg/2.5mL
Ipratropium Bromide/Albuterol (Salbutamol) Sulfate 0.5mg/2.5mg/2.5mL Inhalation Solution

Marketed as Teva-Ipra Sal in Canada

Generic Equivalent of Duoneb 0.5mg/2.5mg/2.5mL

Manufactured by Teva

Product of Canada

Dispensed by an approved Canadian pharmacy partner

Prescription Required

What Duoneb is and what it is used for

The name of your medicine is COMBIVENT UDVs. You use it with a device called a ‘nebuliser’. This changes your medicine into a mist for you to breathe in. COMBIVENT contains two different medicines called:
• Ipratropium bromide and
• Salbutamol sulfate Both belong to a group of medicines called bronchodilators. They are used to make breathing easier in an illness called ‘chronic obstructive pulmonary disease’ or COPD. They work by opening up your airways.

How to take Duoneb

Always use COMBIVENT exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure. Follow these instructions to get the best results. If anything is unclear after reading this leaflet, ask your doctor, pharmacist or practice nurse. How many dose units The usual dose is the contents of 1 single dose unit, three or four times a day for: Adults (including the elderly) and children over 12 years. COMBIVENT is not recommended for children under 12 years. Do not swallow or give this medicine by injection. Do not use more than your doctor has told you See your doctor straight away if:
• You feel that your medicine is not working as well as usual
• You need to use the nebuliser more than your doctor has recommended Your doctor may need to check how well your medicine is working. In some cases your doctor may need to change your medicin How to use your nebuliser Read through numbers 1 to 6 first, before starting to use your nebuliser. 1. Get your nebuliser ready by following the manufacturer’s instructions. Ask your doctor if you are not sure how to use it. 2.
• Open the pouch and remove the strip of unit dose vials
• Carefully separate a new dose unit from the strip
• Do not use if it is already open or if the liquid inside is discoloured 3.
• Twist off the top
• Always hold it upright while you do this 4.
• Squeeze all the contents of the dose unit into the nebuliser chamber
• Your doctor will tell you if you need to use a different amount
• If your doctor has told you that your medicine needs to be diluted, you will be given ‘sterile sodium chloride 0.9%’ solution. Your doctor will tell you how to do this 5. Use your nebuliser as directed by your doctor. 6.
• After you have finished, dispose of any leftover medicine carefully
• Follow the manufacturer’s instructions on how to clean your nebuliser
• It is important to keep your nebuliser clean If any of the liquid or mist accidentally gets into your eyes you may get painful, stinging or red eyes, dilated pupils, blurred vision, see colours or lights. If this happens, talk to your doctor for advice. If you get problems with your eyes at any other time, talk to your doctor for advice. If you use more COMBIVENT than you should If you use more of this medicine than you should, talk to a doctor or go to a hospital straight away. If you forget to take COMBIVENT
• If you forget a dose, take it as soon as you remember it
• However, if it is time for the next dose, skip the missed dose
• Do not take a double dose to make up for a forgotten dose If you have any further questions, ask your doctor or pharmacist

Possible side effects

Like all medicines, COMBIVENT can cause side effects, although not everybody gets them. Tell your doctor straight away if you notice any of the following serious side effects
•you may need urgent medical treatment:
• If after taking COMBIVENT you are wheezy or have other difficulties in breathing, do not take any more (unless you have been told to by your doctor)
• Allergic reactions
•the signs may include skin rash, itching and nettle rash. In severe cases the signs include swelling of your tongue, lips and face, sudden difficulties in breathing and a fall in your blood pressure that may cause dizziness. See your doctor straight away if you have any of these side effects. The following side effect can also happen but the frequency of this is not known:
• A condition known as lactic acidosis which may cause stomach pain, hyperventilation, shortness of breath even though there may be improvement in your wheezing, cold feet and hands, irregular heartbeat or thirst. The side effects described below have been experienced by people taking COMBIVENT.

Uncommon (affects less than 1 in 100 people)
• Feeling nervous, shaky or dizzy
• Dry mouth
• Cough, headache
• Feeling sick (nausea)
• Throat irritation
• Increase in blood pressure
• Increased heart rate or uneven heart beats (palpitations)
• Voice problems (‘dysphonia’)
• Skin reactions

Rare (affects less than 1 in 1,000 people)
• Irregular heart beat
• Regular but abnormally fast heart rate (supraventricular tachycardia)
• Chest pain (due to heart problems such as angina). Tell your doctor or pharmacist if this occurs but do not stop taking this medicine unless told to do so
• Blurred vision, dilated pupils, glaucoma, painful, stinging, or red eyes, swelling of the eyes, see colours or lights
• Increased sweating
• Unexpected tightening of the chest immediately after inhaling the medicine
• Dry throat, swelling of the throat
• Difficulty in breathing or speaking due to a brief spasm of your vocal muscles
• Diarrhoea, constipation, being sick (vomiting) or other problems with your digestive system
• Inflammation of the mouth
• Muscle cramps, muscle weakness and pain
• Difficulty in passing water (urine)
• Feeling weak
• Fall in blood pressure
• Mood changes You may also get unusually low levels of potassium in your blood (called ‘hypokalemia’). If this happens, your doctor will keep checking your potassium levels. If any of the liquid or mist accidentally gets into your eyes you may get painful, stinging or red eyes, dilated pupils, blurred vision, see colours or lights. If this happens, talk to your doctor for advice. If you get problems with your eyes at any other time, talk to your doctor for advice.

Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at By reporting side effects you can help provide more information on the safety of this medicine.

How to Store Duoneb

Do not use this medicine after the expiry date which is stated on the carton and the vial label. The expiry date refers to the last day of the month. Store below 25°C. Do not freeze. Do not use if the liquid is discoloured. Keep vials in the outer carton in order to protect from light. Keep out of the sight and reach of children

Fast Shipping

Fast Shippings

2 to 3 weeks on average

The average shipping time is 2 weeks in North America and 4 weeks internationally. We offer free shipping on all orders shipped to North America. Shipping is a flat rate of $20.00 for all other countries.

Price Match Guarantee

Price Match Guarantees

If you have been prescribed medication by your doctor and cannot afford the high price at your local pharmacy, Medix Pharmacy is the solution for you. All orders are backed with a price match and satisfaction guarantee.

Your Trusted Pharmacy Referral Service

Medix Pharmacy is an international pharmacy referral service. With a network of licensed pharmacy partners in Canada, United Kingdom, Australia, and New Zealand, we are able to help you lower the costs of your medications.

Our pharmacy partners are all thoroughly vetted and qualified to ensure that the medication you receive is cost effective, safe and effective. Because we only work with licensed pharmacies, you can rest assured that your medication is safe, effective, and genuine.

  • Free standard delivery to your door, to any international address
  • Option to add Tracked Deliveries
  • Handy reminders to re-order so you do not run out
  • Professional & Knowledgeable Customer Services Team
  • Save time, with no need for repeated trips to your physician or local drugstore

With a dedicated customer service team, free standard shipping, and a record of providing significant saving for our customers, we believe that you do not need to compromise quality or safety in your search for value.

If you are unable to find your prescribed medicine on our website, please fill out the form below and we will confirm pricing and availability within 1 business day. You may also call us at 1-866-500-6633 and one of our patient care representatives will be happy to assist you.