Hi, I had gone through your question and understand your concerns. The combination of Levosalbutamol / Albuterol Sulfate and Ipratropium Bromide inhalation (Duolin) usually don t give exitement,hyperactivity, but it can cause insomnia and it can be individual hypersensitivity. Continue using this medication and talk with your doctor if she has any of these less serious side effects: headache, dizziness, nervousness; drowsiness or sleep problems (insomnia); cough, hoarseness, sore throat, runny or stuffy nose; dry mouth, unusual taste in your mouth; tremors, numbness or tingly feeling; nausea, vomiting, upset stomach, diarrhea, constipation; or blurred vision. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual. Please let me know if you have further questions before meeting your primary care Doctor.