Docopa 200 is a prescription bronchodilator containing Doxofylline 200 mg. It is a new-generation methylxanthine derivative used for the treatment of reversible airway obstruction. Unlike older medications in this class (like Theophylline), Docopa’s unique chemical structure allows it to relax airway muscles with significantly fewer side effects on the heart and central nervous system. Produced by Aristopharma Ltd., this guide reflects the updated data for 2026.
What is Docopa 200 Used For?
Docopa 200 mg is primarily used for the maintenance and long-term relief of:
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Bronchial Asthma: Preventing and managing symptoms of chronic asthma in adults and children.
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COPD: Relief of airway obstruction in patients with Chronic Obstructive Pulmonary Disease.
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Bronchospasm: Treatment of chest tightness and difficulty breathing caused by various pulmonary diseases with a spastic bronchial component.
Clinical Note: Docopa 200 is a maintenance bronchodilator and is not indicated for the emergency treatment of an acute asthma attack. For immediate relief of sudden breathlessness, a short-acting rescue inhaler should always be available. For more details on the molecular mechanism, you can visit the Doxofylline Profile on DrugBank.
Dosage
The dosage for Docopa depends on the patient’s age and the severity of the condition. It can be taken with or without food.
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Adults & Adolescents (>12 years): One 200 mg tablet two or three times daily.
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Elderly Patients: Often started at 200 mg twice daily, adjusted based on clinical response and existing cardiovascular or liver conditions.
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Children (6–12 years): The dosage is usually calculated by weight (6–9 mg/kg) twice daily. For a child weighing 20kg, this typically equates to one 200 mg tablet once or twice daily as prescribed.
Common Side Effects
Docopa 200 is known for its superior safety profile, but some users may still experience caffeine-like side effects, including:
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Nausea or vomiting
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Headache
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Heartburn or upset stomach
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Insomnia (difficulty sleeping)
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Irritability
Professional Research Review: Comparative Safety
Clinical reviews in 2026, including pooled analyses from the DOROTHEO studies, confirm that Doxofylline has a significantly lower risk of cardiac arrhythmias and tremors compared to traditional xanthines. This is because it lacks affinity for adenosine $A_{1}$ and $A_{2}$ receptors, which typically trigger heart-related side effects.
Important Warnings & Precautions
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Heart Health: Contraindicated in patients with acute myocardial infarction (heart attack) or unstable hypotension.
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Liver/Kidney Impairment: Clearance of the drug may be slower in patients with liver or heart failure; a lower dose may be required.
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Interaction with Antibiotics: Certain antibiotics (like Erythromycin) and anti-flu vaccines can increase Docopa levels in the blood, potentially increasing side effects.
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Nursing Mothers: Docopa is generally contraindicated for women who are breastfeeding.
Docopa 200 vs. Monas 10: Key Differences and Usage
While both help with asthma, they target different biological triggers.
| Feature | Docopa 200 (Doxofylline) | Monas 10 (Montelukast) |
| Drug Class | Methylxanthine / Bronchodilator | Leukotriene Receptor Antagonist |
| Primary Use | Direct airway relaxation | Long-term inflammation control |
| Action Mechanism | Inhibits Phosphodiesterase (PDE) | Blocks inflammatory chemicals |
| Acute Effect | Faster bronchodilation | No immediate bronchodilation |
| Unit Price | ৳8.00 | ৳17.50 |
Docopa 200 Price in Bangladesh (February 2026 Update)
The following pricing represents the current retail rates for the Docopa range by Aristopharma Ltd.
| Product Name | Strength | Unit Price (BDT) | Strip Price (10 Tablets) |
| Docopa 200 | 200 mg | ৳8.00 | ৳80.00 |
| Docopa 400 | 400 mg | ৳12.00 | ৳120.00 |
| Docopa Syrup | 100 mg / 5 ml | ৳110.00 (100ml) | N/A |
Docopa 200 Alternative Brands & Prices
Doxofylline is widely available under various brand names in Bangladesh. Here are the top 10 alternatives as of 2026.
| Brand Name | Company Name | Price per Unit (BDT) |
| Brezofil 200 | Incepta Pharmaceuticals | ৳8.00 |
| Flindof 200 | Square Pharmaceuticals | ৳7.50 |
| Doxiva 200 | NIPRO JMI Pharma | ৳8.00 |
| Doxoven 200 | Beacon Pharmaceuticals | ৳6.50 |
| Fylox 200 | Radiant Pharmaceuticals | ৳8.00 |
| Doxoma 200 | Drug International | ৳8.00 |
| Ascova 200 | Labaid Pharmaceuticals | ৳6.00 |
| Pulmodox 200 | UniMed UniHealth | ৳8.00 |
| Doxofyl 200 | Popular Pharmaceuticals | ৳5.00 |
| Ventofil 200 | Eskayef (SK+F) | ৳6.00 |
Frequently Asked Questions (FAQ) About Docopa 200
1. What is the Docopa 200 mg price in Bangladesh?
As of February 2026, the retail price for Docopa 200 is ৳8.00 per tablet. A strip of 10 tablets costs ৳80.00.
2. What is Docopa 200 used for?
It is used to treat and prevent bronchial asthma, COPD, and general chest tightness (bronchospasm) by relaxing the muscles in the lungs.
3. What are the common side effects?
Most side effects are mild and include nausea, headache, and heartburn. Unlike older asthma pills, it is less likely to cause heart palpitations or severe tremors.
4. Is Docopa 200 safe during pregnancy?
Animal studies show no fetal harm, but human data is limited. It should only be used if clearly necessary. It is not recommended for nursing mothers.
5. What is the recommended Docopa 200 dose?
For adults and children over 12, the typical dose is one 200 mg tablet taken 2 to 3 times daily.
6. Can I take Docopa 200 during an asthma attack?
No. Docopa is for maintenance. If you are having an active, emergency breathing crisis, use your rescue inhaler (salbutamol) and seek medical help.
7. Does Docopa 200 cause heart palpitations?
It is much less likely than theophylline to cause palpitations because of its selective action, but patients with high blood pressure or heart disease should still use it with caution.
8. Who should avoid taking Docopa 200?
Anyone who has recently had a heart attack, has very low blood pressure, or is currently breastfeeding should avoid this medication.
9. What are the best alternatives to Docopa 200 in Bangladesh?
High-quality alternatives include Brezofil 200 (Incepta), Flindof 200 (Square), and Doxiva 200 (Nipro JMI).
Disclaimer: This information is for educational purposes only (updated February 2026) and is not a substitute for professional medical advice. Always consult a qualified physician before starting any new respiratory treatment.
