Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)
Last updated:
Overview
Berodual N 20/50mcg Metered Dose Inhaler is an inhaler with Ipratropium Bromide 20mcg per actuation declared as its active content. It is supplied in a pack size of 200 doses.
This is a non-prescription product and can be purchased without a prescription. Only product, safety and handling details are published on this page.
An online consultation with a DoctorOnCall doctor or pharmacist is available for this product, and a registered pharmacist reviews each order before dispatch to Malaysia or Singapore. Follow the directions on the label and on the leaflet inside the pack.
Directions for Use
Use Berodual N exactly as directed by your prescribing doctor. Before first use or after a period of non-use, the inhaler should be primed with test sprays as per the accompanying instructions; shake the inhaler well before each use, breathe out gently, place the mouthpiece between the lips, and press the canister down while inhaling slowly and deeply, then hold the breath for a few seconds before breathing out slowly. Correct technique is essential for the medicine to reach the airways effectively.
Dosage
The dose is individualised by the prescribing doctor according to the severity of symptoms and response to treatment; a typical starting dose for adults is one to two inhalations for acute relief of symptoms, repeated as needed up to a maximum number of inhalations per day as advised by the doctor, and the maximum recommended daily dose should never be exceeded without medical guidance.
Storage Instructions
Store below 25°C, away from direct sunlight, heat sources, and open flames, as the canister is pressurised; do not puncture, break, or burn the canister even when it appears empty, and keep out of the reach of children.
Side Effects
Dry mouth
Cough
Headache
Dizziness
Nausea
Blurred vision
Throat irritation
Mild constipation
Contraindications
Known hypersensitivity to ipratropium bromide, fenoterol hydrobromide, atropine-like compounds, or any excipient in the inhaler
Hypertrophic obstructive cardiomyopathy
Tachyarrhythmia (fast, irregular heart rhythms)
Uncontrolled or severe underlying heart disease
Use with caution in patients with narrow-angle glaucoma, prostatic hyperplasia, or bladder outlet obstruction
Drug / Food Interactions
Other beta-adrenergic bronchodilators may increase the risk of side effects such as tremor and palpitations if used together
Beta-blocker medicines may reduce the bronchodilator effect of fenoterol
Monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants may increase the risk of cardiovascular side effects
Concurrent use with other anticholinergic medicines may increase anticholinergic side effects such as dry mouth and urinary retention
Xanthine derivatives such as theophylline may increase the risk of cardiac side effects when combined
Quick Tips
Have your inhaler technique checked periodically by your doctor or pharmacist to ensure the medicine reaches your lungs effectively
Do not exceed the maximum number of inhalations per day advised by your doctor
Carry the inhaler with you at all times if it is used for relief of sudden symptoms
Rinse your mouth after use to reduce dryness and throat irritation
Seek urgent medical attention if breathlessness suddenly worsens or does not respond to the usual dose
Attend regular follow-up appointments to monitor heart rate and overall treatment response
This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.
Breastfeeding
Limited Data
Limited data on excretion in breast milk. Consult a doctor before use.
Kidney
Generally Safe
Generally safe, but caution may be required in some patients.
Liver
Generally Safe
Generally safe, but caution may be required in some patients.
Alcohol
Use With Care
Caution is advised when consuming alcohol with this medicine.
Driving
Use With Care
Use caution while driving until you know how this medicine affects you.
Relevant Information
Berodual N 20/50mcg Metered Dose Inhaler is a prescription-only combination bronchodilator intended for use under ongoing medical supervision as part of a broader treatment plan for COPD or asthma. Patients using this inhaler should be monitored for cardiovascular effects given the stimulant action of fenoterol, and should not use it as a substitute for their regular maintenance treatment without their doctor’s specific advice.
Frequently Asked Questions
No. Berodual N 20/50mcg Metered Dose Inhaler is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.
Berodual N 20/50mcg Metered Dose Inhaler is an inhaler containing Ipratropium Bromide 20mcg per actuation. The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.
It is supplied in a pack size of 200 doses. Choose the pack size you need from the options shown on this page before adding the item to your cart.
This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.
Use it exactly as stated on the pack label, without changing the amount or how often you use it. If anything on the label is unclear, check with a pharmacist before the first use, and read the Directions for Use section on this page.
Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.
Store below 25°C, away from direct sunlight, heat sources, and open flames, as the canister is pressurised; do not puncture, break, or burn the canister even when it appears empty, and keep out of the reach of children. Keep it in its original pack and do not use it after the expiry date printed on the packaging.
Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.
Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.
Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.
Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.
FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.
Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.
Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.
Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.
An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.
DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.
For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.
Use Berodual N Metered Dose Inhaler before the expiry date printed on the canister and carton, and do not use the product beyond this date even if some doses remain in the canister.
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Important Medical Information
💊 Recommended Dosage:
The dose is individualised by the prescribing doctor according to the severity of symptoms and response to treatment; a typical starting dose for adults is one to two inhalations for acute relief of symptoms, repeated as needed up to a maximum number of inhalations per day as advised by the doctor, and the maximum recommended daily dose should never be exceeded without medical guidance.
🛑 Contraindications (Do not use if):
Known hypersensitivity to ipratropium bromide, fenoterol hydrobromide, atropine-like compounds, or any excipient in the inhaler
Hypertrophic obstructive cardiomyopathy
Tachyarrhythmia (fast, irregular heart rhythms)
Uncontrolled or severe underlying heart disease
Use with caution in patients with narrow-angle glaucoma, prostatic hyperplasia, or bladder outlet obstruction
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
Dry mouth
Cough
Headache
Dizziness
Nausea
Blurred vision
Throat irritation
Mild constipation
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
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IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.