Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Duoneb (ipratropium/albuterol) and Combivent Respimat (ipratropium/albuterol) are both used to treat chronic obstructive pulmonary disease (COPD) and contain the same active ingredients, but they differ in their form and administration. Duoneb is an inhalation solution that you use with a nebulizer, while Combivent Respimat is an inhaler, making it more convenient. Duoneb typically requires 4 doses a day, with each session taking up to 15 minutes, while Combivent Respimat also requires 4 doses a day but only takes a few seconds per dose. Both medications can cause similar side effects, such as lung problems and heart issues. Duoneb is available as a generic, making it a more affordable option, whereas Combivent Respimat is only available as a brand medication and can be expensive.
Ipratropium/albuterol solution
Combivent respimat (ipratropium / albuterol)
Ipratropium/albuterol solution
Combivent respimat (ipratropium / albuterol)
Summary of Duoneb vs. Combivent
Summary for SAMA / SABA
Prescription only
Ipratropium bromide/albuterol sulfate is a combination inhalation solution made up of two different bronchodilators. This combination is used to treat chronic obstructive pulmonary disease (COPD) in adults. It's inhaled through a nebulizer, typically 4 times a day. Side effects of this medication include lung problems, sore throat, and chest pain. The brand name Duoneb has been discontinued, so ipratropium/albuterol solution is only available as a generic.
Summary for SAMA / SABA
Prescription only
Combivent Respimat is an inhaler that's used to treat chronic obstructive pulmonary disease (COPD) in adults. It's a combination medication that contains two different bronchodilators: ipratropium, a short-acting muscarinic antagonist (SAMA), and albuterol, a short-acting beta agonist (SABA). The medication is inhaled through the mouth 4 times a day, but up to 6 times per day if instructed. Combivent Respimat (ipratropium / albuterol) isn't a rescue inhaler; it's used regularly rather than as needed for sudden breathing problems. Side effects aren't common but can include upper respiratory tract infections and cough.