Learn more about usage, cautions, and possible side effects .
Chemical Name: IPRATROPIUM BROMIDE (IP-ra-TROE-pee-um BROE-mide) and ALBUTEROL (al-BUE-ter-ol)
This medicine is a combination of a beta-adrenergic (sympathomimetic) bronchodilator and an anticholinergic bronchodilator used for treating chronic obstructive pulmonary disease (COPD) in patients who require more than one bronchodilator.
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking diuretics (eg, furosemide, hydrochlorothiazide); anticholinergics (eg, bromocriptine, methscopolamine), catechol-O-methyltransferase (COMT) inhibitors (eg, tolcapone), monoamine oxidase inhibitors (MAOIs) (eg, phenelzine), sympathomimetics (eg, pseudoephedrine), tricyclic antidepressants (eg, amitriptyline); or beta-blockers (eg, propranolol). DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, including a history of heart problems (eg, irregular heartbeat), blood vessel problems, high blood pressure, other lung or breathing problems (eg asthma, hyperactive airway), overactive thyroid, diabetes, seizures, liver or kidney problems, an adrenal gland tumor (pheochromocytoma), enlarged prostate, blockage or narrowing of the bladder, glaucoma or a risk for glaucoma, low blood potassium levels, allergies, pregnancy, or breast-feeding. Tell your doctor if you have had an unusual reaction to other sympathomimetic medicines. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.
Follow the directions for taking this medicine provided by your doctor. AN EXTRA PATIENT LEAFLET is available with this medicine. Talk to your pharmacist if you have questions about this information. A health care provider will teach you how to use this medicine at home. Be sure you understand how to use this medicine. FOLLOW THE PROCEDURES you are taught when you use a dose. Contact your health care provider if you have any questions. INSERT the metal canister into the clear end of the mouthpiece. Make sure the canister is fully and firmly inserted into the actuator. The canister is only to be used with the mouthpiece provided. DO NOT use the mouthpiece with other medicines. TEST SPRAY this medicine 3 times before the first use of a new canister and when the canister has not been used for more than 24 hours. DO NOT SPRAY THIS MEDICINE IN THE EYES. REMOVE the orange dust cap from the mouthpiece before using this medicine and replace it after you are finished. SHAKE WELL for at least 10 seconds before each use. Keep your eyes closed while using this medicine to avoid getting it in your eyes. KEEP THE MOUTHPIECE CLEAN. Wash it with hot water. If soap is used, rinse well with plain water. Dry completely before using. KEEP TRACK of the number of sprays used. Throw the canister away after 200 sprays. After 200 sprays, the canister may not deliver the correct amount of medicine with each spray. CONTACT YOUR HEALTH CARE PROVIDER at once if you feel you have taken too much of this medicine. STORE THIS MEDICINE at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Avoid excessive humidity or direct sunlight. Contents are under pressure. Exposure to heat above 120 degrees F (50 degrees C) may cause bursting. DO NOT use or store near heat or open flame. Never throw the container into a fire or incinerator. Do not puncture, break, or burn the canister even if it appears to be empty. CONTINUE TO USE THIS MEDICINE even if you feel well. Do not miss any doses. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for the next dose, skip the missed dose. Go back to your regular dosing schedule. DO NOT take 2 doses at once.
DO NOT USE THIS MEDICINE IF you are allergic to any ingredient in this medicine, to atropine, similar medicines, soya lecithin, soybean, peanut, or related food products. This medicine is for use in the mouth only. DO NOT GET THIS MEDICINE IN YOUR EYES. Getting it in your eyes may cause eye pain, redness, irritation, or discomfort; blurred vision or other vision changes; or worsening of narrow-angle glaucoma. If you get this medicine in your eyes, rinse immediately with cool tap water. Check with your doctor if you develop any of these effects. THIS MEDICINE MAY CAUSE DIZZINESS, DROWSINESS, OR BLURRED VISION. These effects may be worse if you use it with alcohol or certain medicines. Use this medicine with caution. DO NOT DRIVE OR PERFORM OTHER POSSIBLY UNSAFE TASKS until you know how you react to it. DO NOT TAKE MORE THAN THE RECOMMENDED DOSE without checking with your doctor. The risk of severe heart problems and sometimes death may be increased with overuse of this medicine. IF THIS MEDICINE STOPS WORKING WELL, if your symptoms become worse, or if you need to use this medicine more often than usual, contact your doctor right away. This medicine may cause dry mouth or unpleasant taste in your mouth. TO PREVENT DRY MOUTH, rinse your mouth and gargle after using this medicine. If you experience dry mouth, use sugarless gum or candy, or melt bits of ice in your mouth. THIS MEDICINE MAY SOMETIMES CAUSE SEVERE BREATHING PROBLEMS right after you use a dose. When this problem occurs, it is often after the first use of a new canister. If this happens, seek medical care at once. BEFORE YOU BEGIN TAKING ANY NEW MEDICINES, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN: IF YOU BECOME PREGNANT, contact your doctor. You will need to discuss the benefits and risks of using this medicine while you are pregnant. IT IS NOT KNOWN IF THIS MEDICINE IS FOUND in breast milk. DO NOT BREAST-FEED while using this medicine.
SIDE EFFECTS that may occur while taking this medicine include coughing; dizziness; dry mouth; headache; nervousness; sinus inflammation; or sore throat. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience chest pain; difficulty urinating; fast or irregular heartbeat; new or worsening breathing problems; pounding in the chest; shortness of breath; swelling of the arms or legs; tremors; unexplained hoarseness; or wheezing. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions
IF OVERDOSE IS SUSPECTED, contact your local poison control center or emergency room immediately. Symptoms of overdose may include chest pain; fast or irregular heartbeat; seizures; severe or persistent dizziness, headache, or nervousness; tremor; or weakness.
If your symptoms do not improve or if they become worse, check with your doctor. Carry an identification card at all times that states you are taking this medicine. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children and pets. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.
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