Atrovent Side Effects

Generic name: ipratropium

Note: This document contains side effect information about ipratropium. Some of the dosage forms listed on this page may not apply to the brand name Atrovent.

Some side effects of Atrovent may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.

For the Consumer

Applies to ipratropium: inhalation aerosol, inhalation solution

Get emergency medical help if you have any of these signs of an allergic reaction while taking ipratropium (the active ingredient contained in Atrovent) hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using ipratropium and call your doctor at once if you have a side effect such as:

• bronchospasm (wheezing, chest tightness, trouble breathing), especially after starting a new canister of this medicine;

• blurred vision, eye pain, or seeing halos around lights;

• pain or burning when you urinate;

• urinating less than usual or not at all; or

• worsening of your symptoms.

Other common side effects may include:

• headache, dizziness;

• stuffy nose, sinus pain, dry mouth, cough, hoarseness;

• nausea, upset stomach, constipation;

• back pain; or

• fever, chills, body aches, flu symptoms.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects.

For Healthcare Professionals

Applies to ipratropium: compounding powder, inhalation aerosol, inhalation solution

General

Most common adverse reactions were bronchitis, COPD exacerbation, dyspnea, headache

Nervous system

Common (1% to 10%): Headache, dizziness

Hypersensitivity

Postmarketing reports: Skin rash, pruritus, angioedema (including that of tongue, lips and face), urticarial (including giant urticaria), laryngospasm and anaphylactic reactions

Ocular

Frequency not reported: Precipitation or worsening of narrow-angle glaucoma, glaucoma, halo vision, conjunctival hyperemia, corneal edema, acute eye pain, blurred vision
Postmarketing reports: Mydriasis, increased intraocular pressure

Genitourinary

Common (1% to 10%): Urinary tract infection
Postmarketing reports: Urinary retention

Respiratory

Very common (10% or more): Bronchitis, COPD exacerbation, sinusitis
Common (1% to 10%): Dyspnea, sinusitis, cough, rhinitis, upper respiratory infection
Postmarketing reports: Cough, bronchospasm (including paradoxical bronchospasm)

Cardiovascular

Frequency not reported: Hypotension, palpitations, tachycardia
Postmarketing reports: Supraventricular tachycardia, atrial fibrillation, increased heart rate

Gastrointestinal

Common (1% to 10%): Dyspepsia, dry mouth, nausea
Uncommon (0.1% to 1%): Taste perversion (bitter taste)
Frequency not reported: Dry throat, constipation, throat irritation, stomatitis, mouth edema
Postmarketing reports: Gastrointestinal distress (diarrhea, nausea, vomiting), pharyngeal edema, gastrointestinal motility disorders

Musculoskeletal

Common (1% to 10%): Back pain

Other

Common (1% to 10%): Influenza-like symptoms
Postmarketing reports: Accommodation disorder

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