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Ipratropium and Albuterol

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Notes
Related terms
Uses
Dosing
Safety
Author information

Notes

    Related terms
    • Brand Names: U.S.: Combivent®;Combivent® Respimat®;DuoNeb®
    • Brand Names: Canada: CO Ipra-Sal;Combivent UDV;Gen-Combo Sterinebs;ratio-Ipra Sal UDV;Teva-Combo Sterinebs

    Uses
    • It is used to open the airways in lung diseases where spasm may cause breathing problems.
    • Ipratropium and albuterol works in the airways to calm the muscles and help the flow of oxygen.

    Dosing

    How to take

    • All products:
    • Have your puffer (inhaler) use checked with your doctor at each visit. Read and follow facts on how to use the puffer. Make sure you use the puffer the right way.
    • A spacer may be used with the puffer (inhaler) for easy use.
    • If you are using more than 1 type of puffer (inhaler), ask your doctor which puffer to use first.
    • Rinse out mouth after each use.
    • Combivent® puffer (inhaler):
    • Shake puffer (inhaler) for 10 seconds before use.
    • Prepare puffer (inhaler) before first use or when puffer has not been used for more than 24 hours. Spray 3 test sprays into the air.
    • Combivent® Respimat® puffer (inhaler):
    • Prepare before first use or when puffer has not been used for more than 21 days. Spray towards the ground until mist is seen. Once the mist is seen, repeat 3 more times. If it has been more than 3 days since it has been used, spray once at the ground.

    Missed Dose

    • Take a missed dose as soon as you think about it.
    • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
    • Do not take 2 doses at the same time or extra doses.
    • Do not change the dose or stop this drug. Talk with the doctor.

    Storage

    • Store at room temperature.
    • Protect from light.
    • Combivent® puffer (inhaler):
    • Throw away the puffer (inhaler) after the most number of sprays have been used, even if it feels like there is more drug in the can.
    • Combivent® Respimat® puffer (inhaler):
    • Throw away after 3 months from first use or after the most number of sprays have been used, whichever comes first, even if it feels like there is more drug in the can.

    Safety



    Warnings

    • Sometimes drugs are not safe when you take them with certain other drugs. Taking them together can cause bad side effects. This is one of those drugs. Be sure to talk to your doctor about all the drugs you take.

    Avoid

    • If you have an allergy to ipratropium, albuterol, or any other part of this drug.
    • If you are allergic to soya lecithin or alike food products such as soybeans or peanuts, talk with the doctor.
    • Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

    Precautions

    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Wear disease medical alert ID (identification).
    • If you have an allergy to any type of nuts or seeds, talk with your doctor. Some products have nuts in them.
    • If you have high blood sugar (diabetes), talk with your doctor.
    • If you have heart disease, talk with your doctor.
    • If you have high blood pressure, talk with your doctor.
    • If you have an overactive thyroid, talk with your doctor.
    • If you have prostate disease, talk with your doctor.
    • Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
    • Avoid driving and doing other tasks or actions until you see how this drug affects you.
    • Limit your use of caffeine (for example, tea, coffee, cola) and chocolate. Use with this drug may cause nervousness, shakiness, and a fast heartbeat.
    • Tell your doctor if you are pregnant or plan on getting pregnant.
    • Tell your doctor if you are breast-feeding.

    Side Effects

    • Nervous and excitable.
    • Headache.
    • Upset stomach or throwing up. Many small meals, good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help.
    • Dry mouth. Good mouth care, sucking hard, sugar-free candy, or chewing sugar-free gum may help. See a dentist often.
    • Cough.
    • Not able to sleep.

    Contact a healthcare provider

    • If you think there was an overdose, call your local poison control center or ER right away.
    • Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat.
    • Chest pain or pressure or a fast heartbeat.
    • If you are not able to get the breathing attack under control. Get help right away.
    • Peak flow measurement low.
    • Very nervous and excitable.
    • Sudden change in eyesight, eye pain, or irritation.
    • Any rash.
    • Side effect or health problem is not better or you are feeling worse.

    General Statements

    • If you have a very bad allergy, wear an allergy ID at all times.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep all drugs out of the reach of children and pets.
    • Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
    • In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
    • Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

    Author information
    • Copyright © 1978-2013 Lexi-Comp Inc. All rights reserved.

    Copyright © 2011 Natural Standard (www.naturalstandard.com)


    The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

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