* Generic Name: ipratropium bromide and albuterol sulfate
* Brand Name: Combivent
* What is albuterol and ipratropium inhalation (Combivent
Respimat, DuoNeb)?
* What are the possible side effects of albuterol and ipratropium
inhalation (Combivent Respimat, DuoNeb)?
* What is the most important information I should know about
albuterol and ipratropium inhalation (Combivent Respimat, DuoNeb)?
* What should I discuss with my healthcare provider before using
albuterol and ipratropium inhalation (Combivent Respimat, DuoNeb)?
* How should I use albuterol and ipratropium inhalation
(Combivent Respimat, DuoNeb)?
* What happens if I miss a dose (Combivent Respimat, DuoNeb)?
* What happens if I overdose (Combivent Respimat, DuoNeb)?
* What should I avoid while using albuterol and ipratropium
inhalation (Combivent Respimat, DuoNeb)?
* What other drugs will affect albuterol and ipratropium
inhalation (Combivent Respimat, DuoNeb)?
* Where can I get more information (Combivent Respimat, DuoNeb)?
What is albuterol and ipratropium inhalation (Combivent Respimat, DuoNeb)?
Albuterol and ipratropium are bronchodilators that relax
muscles in the airways and increase air flow to the lungs.
Albuterol and ipratropium inhalation is used to prevent bronchospasm in
people with chronic obstructive pulmonary disease (COPD) who
are also using other medicines to control their condition.
Albuterol and ipratropium inhalation may also be used for purposes not
listed in this medication guide.
What are the possible side effects of albuterol and ipratropium inhalation
(Combivent Respimat, DuoNeb)?
Get emergency medical help if you have signs of an allergic reaction:
hives; difficult breathing; swelling of your face, lips, tongue, or
throat.
Call your doctor at once if you have:
* wheezing, choking, or other breathing problems after using
this medicine;
* chest pain;
* fast or pounding heartbeats, fluttering in your chest;
* tremors, nervousness;
* swelling of your ankles or feet;
* blurred vision, tunnel vision, eye pain, or seeing halos
around lights;
* painful or difficult urination; or
* low potassium--leg cramps, constipation, irregular heartbeats,
fluttering in your chest, increased thirst or urination,
numbness or tingling, muscle weakness or limp feeling.
Common side effects may include:
* headache;
* trouble breathing; or
* cold symptoms such as stuffy nose, sneezing, cough, or
sore throat.
This is not a complete list of side effects and others may occur. Call
your doctor for medical advice about side effects. You may report side
effects to FDA at 1-800-FDA-1088.
What is the most important information I should know about albuterol and
ipratropium inhalation (Combivent Respimat, DuoNeb)?
Seek medical attention if you think this medication is not working as
well as usual. Overuse of albuterol and ipratropium may increase the
risk of death. It is critical that you use only the prescribed dose of
this medicine.
Combivent Patient Information including How Should I Take
Asthma:An Inflammatory Disorder of the Airways
Asthma Slideshow Pictures
RxList
Take the Asthma Quiz!
Asthma: 10 Worst Cities for Asthma
10 Worst Cities for Asthma Slideshow Pictures
What should I discuss with my healthcare provider before using albuterol and
ipratropium inhalation (Combivent Respimat, DuoNeb)?
You should not use this medicine if you are allergic to albuterol
(Proventil, Ventolin), ipratropium (Atrovent), or atropine.
To make sure albuterol and ipratropium inhalation is safe for you, tell
your doctor if you have ever had:
* heart disease, high blood pressure, coronary artery
disease, or heart rhythm disorder;
* a seizure disorder such as epilepsy;
* diabetes;
* overactive thyroid;
* glaucoma;
* liver or kidney disease; or
* enlarged prostate, problems with urination.
It is not known whether this medicine will harm an unborn baby. Tell
your doctor if you are pregnant or plan to become pregnant.
Albuterol and ipratropium inhalation can pass into breast milk and may
harm a nursing baby. You should not breast-feed while using this
medicine.
Albuterol and ipratropium inhalation is not approved for use by anyone
younger than 18 years old.
How should I use albuterol and ipratropium inhalation (Combivent Respimat,
DuoNeb)?
Follow the directions on your prescription label. Do not use this
medicine in larger or smaller amounts or for longer than recommended.
Albuterol and ipratropium inhalation is usually used 4 times per day.
Follow your doctor's dosing instructions very carefully.
Overuse of this medicine may increase the risk of death. It is critical
that you use only the prescribed dose of this medicine.
Albuterol and ipratropium inhalation comes with patient instructions
for safe and effective use, and directions for priming the inhaler
device. Duoneb and Combivent Respimat have different patient
instructions. Follow these directions carefully. Ask your doctor or
pharmacist if you have any questions.
To use the inhaler (Combivent Respimat):
* You do not need to shake Combivent Respimat before use.
* Uncap the mouthpiece of the inhaler. Breathe out fully. Put the
mouthpiece into your mouth and close your lips. Keep your eyes
closed to prevent spraying any medicine into your eyes. Breathe in
slowly while pressing the dose-release button on the inhaler. Hold
your breath for 10 seconds, then breathe out slowly.
* Close the cap until you use your inhaler again.
* Carefully follow all directions for cleaning your specific inhaler
device once per week.
Keep track of the number of sprays you have used. Throw away the
Combivent Respimat inhaler canister after 3 months or 120 sprays,
whichever comes first.
To use the solution with a nebulizer (Duoneb):
* Open the foil pouch and remove one vial. Squeeze all of the
medicine out into the chamber of the nebulizer. Attach the
mouthpiece or face mask, then attach the drug chamber to the
compressor.
* Sit upright in a comfortable position. Place the mouthpiece into
your mouth or put on the face mask, covering your nose and mouth.
Turn on the compressor.
* Breathe in slowly and evenly until no more mist is formed by the
nebulizer and the drug chamber is empty.
* Clean the nebulizer after each use. Follow the cleaning directions
that came with your nebulizer.
Use albuterol and ipratropium regularly to get the most benefit. Get
your prescription refilled before you run out of medicine completely.
Seek medical attention if you think this medication is not working as
well as usual.
While using albuterol and ipratropium, you may need medical tests.
Store at room temperature away from moisture, heat, and light. Keep
each Duoneb vial in its foil pouch until you are ready to use it. Do
not store Combivent Respimat in your car on hot days. Extreme heat can
cause the medicine canister to burst. Do not throw an empty canister
into open flame.
Combivent Patient Information including If I Miss a Dose
Asthma:An Inflammatory Disorder of the Airways
Asthma Slideshow Pictures
RxList
Take the Asthma Quiz!
Asthma: 10 Worst Cities for Asthma
10 Worst Cities for Asthma Slideshow Pictures
What happens if I miss a dose (Combivent Respimat, DuoNeb)?
Use the missed dose as soon as you remember. Skip the missed dose if it
is almost time for your next scheduled dose. Do not use extra medicine
to make up the missed dose.
Do not use more than 6 inhalations in a 24-hour period.
What happens if I overdose (Combivent Respimat, DuoNeb)?
Seek emergency medical attention or call the Poison Help line at
1-800-222-1222. An overdose of albuterol and ipratropium can be fatal.
Overdose symptoms may include chest pain, fast or pounding heartbeats,
tremors, dry mouth, extreme thirst, muscle weakness or limp
feeling, severe headache, pounding in your neck or ears, or feeling
like you might pass out.
What should I avoid while using albuterol and ipratropium inhalation
(Combivent Respimat, DuoNeb)?
If this medication gets in your eyes, rinse with water and seek medical
attention.
This medication may cause blurred vision and may impair your thinking
or reactions. Be careful if you drive or do anything that requires you
to be alert and able to see clearly.
What other drugs will affect albuterol and ipratropium inhalation (Combivent
Respimat, DuoNeb)?
Tell your doctor about all your current medicines and any you start or
stop using, especially:
* a diuretic or "water pill";
* heart or blood pressure medicine;
* other beta-blockers; or
* an antidepressant.
This list is not complete. Other drugs may interact with albuterol and
ipratropium, including prescription and over-the-counter medicines,
vitamins, and herbal products. Not all possible interactions are listed
in this medication guide.
Where can I get more information (Combivent Respimat, DuoNeb)?
Your pharmacist can provide more information about albuterol and
ipratropium inhalation.
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