Generic Name: ipratropium (IP-ra-TROE-pee-um)
Brand Name: Generic only. No brands available.
Ipratropium solution 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 solution is an anticholinergic medicine. It works by relaxing the airways, making it easier to breathe.
Do NOT use ipratropium solution if:
- you are allergic to any ingredient in ipratropium solution
- you are allergic to atropine or similar medicines
Contact your doctor or health care provider right away if any of these apply to you.
Before using ipratropium solution:
Some medical conditions may interact with ipratropium solution. 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 prostrate, or urinary blockage or trouble urinating
Some MEDICINES MAY INTERACT with ipratropium solution. 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 solution
This may not be a complete list of all interaction that may occur. Ask your health care provider if ipratropium solution 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 solution:
Use ipratropium solution 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 solution. Talk to your pharmacist if you have questions about this information.
- Do not use ipratropium solution if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
- Twist open the top of 1 unit-dose vial and squeeze the contents into the nebulizer reservoir.
- Connect the nebulizer reservoir to the mouthpiece or face mask.
- Connect the nebulizer to the compressor.
- Sit in a comfortable, upright position; place the mouthpiece in your mouth or put on the face mask and turn on the compressor. If a face mask is used, take care to avoid leakage around the mask to prevent direct contact with the eyes.
- Breathe as calmly, deeply, and evenly as possible until no more mist is formed in the nebulizer chamber (about 5 to 15 minutes). At this point, the treatment is finished.
- Clean the nebulizer (see manufacturer's instructions).
- If your doctor has also prescribed albuterol or metaproterenol for you, they can be mixed in the nebulizer with ipratropium solution if used within 1 hour. Do not mix ipratropium solution with any other medicines.
- Use ipratropium solution on a regular schedule as directed by your doctor to get the most benefit from it.
- If you miss a dose of ipratropium solution, 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 solution.
Important safety information:
- Ipratropium solution is for oral inhalation only. Do not get it 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. Use of a nebulizer with mouthpiece rather than face mask may decrease the chance of getting ipratropium solution in your eyes. If you get ipratropium solution in your eyes, rinse immediately with cool tap water. Check with your doctor if you develop any of these effects.
- Ipratropium solution may cause dizziness, blurred vision, or other vision changes. These effects may be worse if you take it with alcohol or certain medicines. Use ipratropium solution with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Ipratropium solution should work for up to 2 to 4 hours. Do NOT take more than the recommended dose or use 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 solution 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 solution 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 inhalers 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, call your doctor or pharmacy as soon as possible for a refill.
- Ipratropium solution should be used with extreme caution in CHILDREN younger than 12 years old; safety and effectiveness in these 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 solution while you are pregnant. It is not known if ipratropium solution is found in breast milk. If you are or will be breast-feeding while you use ipratropium solution, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of ipratropium solution:
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:
Seek medical attention right away if any of these SEVERE side effects occur:
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.
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 and 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 solution:
Store ipratropium solution at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store unused vials in the foil pouch until you are ready to use a dose. Store away from heat, moisture, and light. Do not store in the bathroom. Keep ipratropium solution out of the reach of children and away from pets.
- If you have any questions about ipratropium solution, please talk with your doctor, pharmacist, or other health care provider.
- Ipratropium solution 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 solution 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 solution. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to ipratropium solution. 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 solution.
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.