Albuterol/ipratropium (DuoNeb) nebs is our formulary short-acting Beta-agonist/anticholinergic combination agent. Orders for this type of metered dose inhalers will be converted to DuoNeb.
Per policy, use of these medications is restricted as noted below:
generic (Brand)
Restrictions
albuterol-ipratropium (Combivent)
Inhalers restricted to ventilator patients only. Inpatient/SNF orders will be converted to albuterol-ipratropium (DuoNeb) nebs.
Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent
Formulary Equivalent
albuterol-ipratropium (Combivent Respimat) IDBH
albuterol (Ventolin) MDI same dose and frequency plus tiotropium (Spiriva Respimat) 2 INH daily
Per policy, these hazardous drugs have special waste requirements.
Inpatient/SNF orders will be converted to albuterol-ipratropium (DuoNeb) nebs.
tiotropium (Spiriva Respimat) 2 INH daily