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ATROVENT 500 UDVS 2ML NEBULISER SOLUTION

Active substance(s): IPRATROPIUM BROMIDE

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Patient Information Leaflet

Atrovent® 500 UDVs®, 2ml Nebuliser
Solution
(ipratropium bromide)
Read all of this leaflet carefully before you start using this
medicine

Keep this leaflet. You may need to read it again.

If you have any further questions, ask your doctor or
pharmacist.

This medicine has been prescribed for you. Do not pass it
on to others. It may harm them, even if their symptoms are
the same as yours.

If any of the side effects gets troublesome or serious, or if
you notice any side effects not listed in this leaflet, please
tell your doctor or pharmacist.
In this leaflet:
1. What Atrovent UDVs, 2 ml are and what they are used for
2. Before you use Atrovent UDVs, 2ml
3. How to use Atrovent UDVs, 2 ml
4. Possible side effects
5. How to store Atrovent UDVs, 2 ml
6. Further information
1. What Atrovent UDVs, 2 ml are and what they are used for
The name of your medicine is Atrovent UDVs, 2 ml (called
Atrovent in the rest of this leaflet). You use it with a device called
a ‘nebuliser’. This changes your medicine into a mist for you to
breathe in. Atrovent contains a medicine called ipratropium
bromide. This belongs to a group of medicines called
bronchodilators. It is used to make breathing easier for people
who have breathing difficulties, such as in chronic asthma or
chronic obstructive pulmonary disease (COPD).
Atrovent can be taken at the same time as medicines called
‘beta2-agonist bronchodilators’ such as salbutamol. Atrovent
works by opening up your airways.
2. Before you use Atrovent UDVs, 2 ml
Do not use Atrovent if:

You are allergic (hypersensitive) to ipratropium bromide or
any of the other ingredients in Atrovent (listed in Section 6
below)

You are allergic (hypersensitive) to medicines that are
similar to Atrovent, such as atropine
Do not use this medicine if any of the above apply to you. If you
are not sure, talk to your doctor or pharmacist before using
Atrovent.
Take special care with Atrovent
Check with your doctor or pharmacist before using your medicine
if:

You have cystic fibrosis

You have glaucoma or have been told that you may develop
it

You are a man who has prostate problems

You have problems passing water (urine)

You are pregnant, likely to get pregnant or if you are breastfeeding. If you are not sure if any of the above apply to you,
talk to your doctor or pharmacist before using Atrovent.
Using other medicines
Please tell your doctor or pharmacist if you are taking or have
recently taken any other medicines. This includes medicines
obtained without a prescription and herbal medicines. This is
because Atrovent can affect the way some other medicines work.
Also some other medicines can affect the way Atrovent works. In
particular, tell your doctor or pharmacist if you are taking any of
the following:

Medicines for breathing problems called ‘beta-agonists’ such
as salbutamol

Medicines for breathing problems called ‘xanthine
preparations’ such as theophylline or aminophylline
If you are not sure if any of the above apply to you, talk to your
doctor or pharmacist before using Atrovent.
Pregnancy and breast-feeding
Talk to your doctor before using this medicine if you are
pregnant, likely to get pregnant or are breast-feeding.
Driving and using machines
You may feel dizzy, or have difficulty in focusing, or blurred
vision while taking Atrovent. If this happens do not drive or use
any tools or machines.

3. How to use Atrovent UDVs, 2 ml
Always use Atrovent exactly as your doctor has told you. You
should check with your doctor or pharmacist if you are not sure.
Follow these instructions to get the best results. If anything is
unclear after reading this leaflet, ask your doctor or pharmacist.
How many dose units
Adults (including the elderly) and children over 12 years

The usual dose is the contents of ½ to 1 single dose unit
(250-500 micrograms), three to four times a day

For acute attacks of breathlessness use 1 single dose unit
(500 micrograms)

If breathlessness does not go away or gets worse consult
your doctor
Children under 12 years

Not recommended for use
When children are using this medicine they must be
supervised by a responsible adult.
Do not swallow or give this medicine by injection.
Do not use your nebuliser to take Atrovent and ‘disodium
cromoglycate inhalation solutions’ which have the preservative
‘benzalkonium chloride’ at the same time.
Do not use more than your doctor has told you
See your doctor straight away if:

You feel that your medicine is not working as well as usual

You need to use the nebuliser more than your doctor has
recommended
Your doctor may need to check how well your medicine is
working. In some cases your doctor may need to change your
medicine.
How to use your nebuliser
Read through numbers 1 to 6 first, before starting to use your
nebuliser.
1. Get your nebuliser ready by following the manufacturer’s
instructions. Ask your doctor if you are not sure how to use it.
2.


Open the pouch and remove the strip of unit
dose vials. Carefully separate a new dose unit
from the strip



Do not use it if it is already open

3.



Twist off the top
Always hold it upright while you do this

4.






Squeeze all the contents of the dose unit into
the nebuliser chamber
Your doctor will tell you if you need to use a
different amount
If you have also been prescribed a medicine
called a ‘short-acting beta2-agonist nebuliser
solution’ such as salbutamol the liquids can
be mixed in the same nebuliser
chamber
If your doctor has told you that your medicine
needs to be diluted, you will be given ‘sterile
sodium chloride 0.9%’ solution. Your doctor
will tell you how to do this

5. Use your nebuliser as directed by your doctor.
6. y After you have finished, dispose of any leftover medicine
carefully
y Follow the manufacturer’s instructions on how to clean your
nebuliser
y It is important to keep your nebuliser clean.
Use a mouthpiece or a tight fitting mask. If any of the liquid or
mist accidentally gets into your eyes you may get painful,
stinging or red eyes, dilated pupils, blurred vision, see colours or
lights. If this happens, talk to your doctor for advice. If you get
problems with your eyes at any other time, talk to your doctor for
advice.
If you use more Atrovent than you should
If you use more of this medicine than you should, talk to a doctor
or go to a hospital straight away. Take the medicine pack with
you.
PP2/1404/V1

If you forget to use Atrovent

If you forget a dose, use it as soon as you remember

However, if it is nearly time for the next dose, skip the
missed dose

Do not use a double dose to make up for a forgotten dose
4. Possible side effects
Like all medicines, Atrovent can cause side effects, although not
everybody gets them.
Stop using Atrovent and see a doctor straight away, if you
notice any of the following serious side effects - you may
need urgent medical treatment:

If after using Atrovent you are wheezy or have other
difficulties in breathing, do not use any more (unless you
have been told to by your doctor).

Allergic reactions – the signs may include skin rash and
itching (affects less than 1 in 100 people). In severe cases
the signs include swelling of your mouth and face, sudden
difficulties in breathing and reduction of your blood pressure.
Tightening of your throat (affects less than 1 in 100 people)

Palpitations (fast or uneven heart beats) or quickening of the
heart rate (affects less than 1 in 100 people)
Increased heart rate or irregular heart rhythm such as atrial
fibrillation (affects less than 1 in 1000 people) Stop using this
medicine and see your doctor straight away if you have any of
these side effects.

6. Further information
Atrovent UDVs, 2ml are low density polyethylene vials for single
use, containing aqueous clear, colourless solution and have a
twist-off top.
Atrovent UDVs, 2 ml contain a nebuliser solution. Each single
dose unit contains 500 micrograms of the active ingredient
ipratropium bromide as ipratropium Bromide monohydrate Ph.
Eur. in 2 ml of solution. The other ingredients are: sodium
chloride, hydrochloric acid and purified water.
Atrovent UDVs, 2 ml are available in cartons containing 20 and
60 single dose units.
PL 20774/1404

Atrovent UDVs, 2ml Nebuliser Solution

Manufactured by: Laboratoire Unither, Espace Industriel Nord,
151 rue Andre Durouchez – CS 28028, 80084 Amiens Cedex 2,
France. Procured from within the EU. Product Licence Holder:
Quadrant Pharmaceuticals Ltd, Lynstock House, Lynstock Way,
Lostock, Bolton, BL6 4SA. Repackaged by Maxearn Ltd, Bolton,
BL6 4SA.
Atrovent UDVs is a registered trademark of Boehringer Ingelheim
GmbH
POM

th
Leaflet revision Date: 8 June 2015

Other side effects include:
Common (affects less than 1 in 10 people)

Headache, dizziness

Dry mouth, feeling sick (nausea), stomach upset or
discomfort

Cough and throat irritation when you have just used Atrovent
Uncommon (affects less than 1 in 100 people)

Itching, skin rash

Unexpected tightness of the chest, swelling of the throat, dry
throat

Blurred vision, dilated pupils, glaucoma, painful, stinging, red
or swelling of the eyes, see colours or lights

Diarrhoea, constipation or being sick

Mouth or lip sores

Problems passing water (urine), especially if you already
have problems passing urine
Rare (affects less than 1 in 1000 people)

Difficulty focusing

Nettle rash (urticaria) if any of the liquid or mist accidentally
gets into your eyes you may get painful, stinging or red
eyes, dilated pupils, blurred vision, see colours or lights. If
this happens, talk to your doctor for advice. If affected, do
not drive or use any tools or machines. If you get problems
with your eyes at any other time, talk to your doctor for
advice.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or
nurse. This includes any possible side effects not listed in this
leaflet. You can also report side effects directly via the Yellow
Card Scheme at: www.mhra.gov.uk/yellowcard.
By reporting side effects, you can help provide more information
on the safety of this medicine.
5. How to store Atrovent UDVs, 2 ml
Keep out of the sight and reach of children.
Do not store above 25°C. Keep the vials in the outer carton to
protect from light.
Any unused vials should be discarded three months after
opening the foil overwrap.
Do not use this medicine after the expiry date which is stated on
the carton and the vial label. The expiry date refers to the last
day of the month.
If the solution shows any signs of discolouration or deterioration
consult your pharmacist for advice.
Medicines should not be disposed of via wastewater or
household waste. Ask your pharmacist how to dispose of
medicines no longer required. These measures will help to
protect the environment.

PP2/1404/V1

 

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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