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Ipratropium aerosol suspension

Pronunciation

Generic Name: ipratropium (IP-ra-TROE-pee-um)
Brand Name: Atrovent HFA

Ipratropium aerosol suspension is used for:

Maintenance treatment and prevention of bronchospasm (wheezing or difficulty breathing) associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. It can be used alone or in combination with other medicines. It may also be used to treat certain conditions as determined by your doctor.

Ipratropium aerosol suspension is an anticholinergic medicine. It works by relaxing the airways, making it easier to breathe.

Do NOT use ipratropium aerosol suspension if:

  • you are allergic to any ingredient in ipratropium aerosol suspension
  • you are allergic to atropine or similar medicines

Contact your doctor or health care provider right away if any of these apply to you.

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Before using ipratropium aerosol suspension:

Some medical conditions may interact with ipratropium aerosol suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have eye problems (eg, glaucoma), enlarged prostate, or urinary blockage or trouble urinating

Some MEDICINES MAY INTERACT with ipratropium aerosol suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Anticholinergic medicines (eg, benztropine, diphenhydramine) because the risk of their side effects may be increased by ipratropium aerosol suspension

This may not be a complete list of all interactions that may occur. Ask your health care provider if ipratropium aerosol suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use ipratropium aerosol suspension:

Use ipratropium aerosol suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet with detailed instructions for use is available with ipratropium aerosol suspension. Talk to your pharmacist if you have questions about this information.
  • Prime the inhaler before the first use and if it has not been used for more than 3 days. To prime the inhaler, point it away from yourself and others and spray 2 test sprays.
  • You do not have to shake ipratropium aerosol suspension before you use it.
  • Keep your eyes closed while using ipratropium aerosol suspension to avoid getting it in your eyes.
  • Before using ipratropium aerosol suspension, be sure that the canister is properly placed in the inhaler unit. Remove the green protective cap from the inhaler. Check to see that nothing is blocking the mouthpiece.
  • Before putting the inhaler in your mouth, breathe out completely. Do not breathe out into the inhaler. Hold the inhaler upright between your thumb and first 2 fingers. Place the mouthpiece in your mouth and close your lips around it. As you start to take a slow deep breath, press the canister and mouthpiece together at exactly the same time. This will release a dose of ipratropium aerosol suspension. Continue breathing in slowly and deeply. Hold your breath for 10 seconds, then remove the inhaler from your mouth. Breathe out slowly through pursed lips or your nose.
  • If you will be using more than 1 inhalation, wait at least 15 seconds and then repeat the above steps.
  • Replace the green protective cap after you use the inhaler.
  • If your doctor has told you to use your inhaler differently or to use a special spacing device, be sure you understand how to use ipratropium aerosol suspension properly. Ask your doctor any questions that you may have about how to use ipratropium aerosol suspension.
  • Clean the mouthpiece at least 1 time per week according to the mouthpiece cleaning instructions in the extra patient leaflet.
  • This inhaler contains 200 sprays. Throw away this inhaler after 200 sprays have been used (when the counter on the inhaler says "0"). After 200 sprays, the inhaler may not deliver the correct amount of medicine with each spray.
  • Do not use ipratropium aerosol suspension with any other mouthpiece. Do not use this mouthpiece with any other medicine.
  • Use ipratropium aerosol suspension on a regular schedule as directed by your doctor to get the most benefit from it.
  • If you miss a dose of ipratropium aerosol suspension, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use ipratropium aerosol suspension.

Important safety information:

  • Ipratropium aerosol suspension is for use in the mouth only. Do not get ipratropium aerosol suspension in your eyes. Getting it in your eyes may cause eye pain, redness, irritation, or discomfort; blurred vision or other vision changes; or new or worsening narrow-angle glaucoma. If you get ipratropium aerosol suspension in your eyes, rinse immediately with cool tap water. Check with your doctor if you develop any of these effects.
  • Ipratropium aerosol suspension may cause dizziness, blurred vision, or other vision changes. This effect may be worse if you take it with alcohol or certain medicines. Use ipratropium aerosol suspension with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Ipratropium aerosol suspension should work for up to 2 to 4 hours. Do not take more than the recommended dose or use ipratropium aerosol suspension more often than prescribed without checking with your doctor.
  • If your usual dose does not work well, your symptoms become worse, or you need to use it more often than normal, contact your doctor right away.
  • Ipratropium aerosol suspension should not be used to treat sudden breathing problems. Always have a rescue inhaler with you to treat sudden breathing problems. If you do not have a rescue inhaler medicine or you have any questions about which medicines should be used to treat sudden breathing problems, check with your doctor or pharmacist.
  • Ipratropium aerosol suspension may sometimes cause severe breathing problems right after you use a dose. If this happens, use your rescue inhaler. Seek medical care at once.
  • Talk with your doctor or pharmacist about all of your inhaled and/or COPD medicines and how to use them. Do not start, stop, or change the dose of any medicine unless your doctor tells you to.
  • When your medicine supply begins to run low (eg, the counter reaches "40" and the counter background changes from green to red), call your doctor or pharmacy as soon as possible for a refill.
  • Ipratropium aerosol suspension should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using ipratropium aerosol suspension while you are pregnant. It is not known if ipratropium aerosol suspension is found in breast milk. If you are or will be breast-feeding while you use ipratropium aerosol suspension, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of ipratropium aerosol suspension:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Back pain; bitter taste; cough; dizziness; dry mouth; flu-like symptoms; headache; indigestion; nausea; nose or throat irritation; runny or stuffy nose; sinus pain; sore throat.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness); difficult, frequent, or painful urination; eye pain or discomfort; fainting; fast or irregular heartbeat; new or worsening trouble breathing; severe or persistent dizziness; shortness of breath; swelling or soreness of the mouth or tongue; vision changes (eg, blurred vision, visual halos, seeing bright colors around lights); wheezing.

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. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of ipratropium aerosol suspension:

Store ipratropium aerosol suspension at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat and direct sunlight. Do not expose ipratropium aerosol suspension to temperatures above 120 degrees F (49 degrees C). Do not store or use near heat or an open flame. Do not puncture, break, or burn the canister even if it appears to be empty. Do not store in the bathroom. Keep ipratropium aerosol suspension out of the reach of children and away from pets.

General information:

  • If you have any questions about ipratropium aerosol suspension, please talk with your doctor, pharmacist, or other health care provider.
  • Ipratropium aerosol suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take ipratropium aerosol suspension or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about ipratropium aerosol suspension. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to ipratropium aerosol suspension. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using ipratropium aerosol suspension.

Issue Date: September 3, 2014
Database Edition 14.3.1.003
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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