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Atrovent Inhaler (ipratropium bromide)

Indications

• Atrovent Inhaler is used to treat and prevent symptoms of chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema.
• It helps relieve symptoms such as wheezing, shortness of breath, and chest tightness.
• Atrovent Inhaler can also be used as a maintenance treatment for asthma in some cases.

Dosage and Administration

• Use Atrovent Inhaler exactly as prescribed by your doctor, usually 2 puffs four times a day.
• Prime the inhaler before the first use by releasing 2 test sprays into the air, away from your face.
• Shake the inhaler well before each use.
• Breathe out fully, place the mouthpiece in your mouth, and close your lips around it. Inhale deeply while pressing down on the canister to release the medication.
• Hold your breath for 10 seconds, then exhale slowly.
• Clean the mouthpiece once a week with warm water to prevent blockage.
• Do not exceed the recommended dose without consulting your doctor.
• Avoid spraying Atrovent into your eyes.
• Do not use Atrovent Inhaler if you are allergic to ipratropium or any of its ingredients.
• Avoid using other inhaled medications without your doctor’s advice.

Mechanism of Action

Atrovent Inhaler contains ipratropium bromide, an anticholinergic agent. It works by blocking the action of acetylcholine, a neurotransmitter that causes the airways to constrict. By inhibiting acetylcholine, Atrovent helps relax and widen the airways, making it easier to breathe.

Contraindications

• Do not use Atrovent Inhaler if you are allergic to ipratropium or any of its ingredients.
• Avoid using Atrovent if you have a history of hypersensitivity to atropine or its derivatives.
• Do not use Atrovent Inhaler in acute episodes of bronchospasm where rapid response is required.

Side Effects

Common Side Effects

• Dry mouth
• Cough
• Throat irritation
• Nausea
• Dizziness

Serious Side Effects

• Severe allergic reactions, including rash, itching, swelling, severe dizziness, and trouble breathing
• Eye pain or discomfort
• Blurred vision
• Difficulty urinating
• Fast or irregular heartbeat

Precautions

• Notify your doctor if you have a history of narrow-angle glaucoma, prostate problems, or bladder issues.
• Use caution if you are pregnant, planning to become pregnant, or breastfeeding, and discuss the risks and benefits with your doctor.
• Avoid driving or operating heavy machinery immediately after using Atrovent, as it may cause dizziness or blurred vision.
• Monitor your symptoms regularly and report any worsening or new symptoms to your doctor.
• If you experience severe side effects or signs of an allergic reaction, seek medical attention immediately.

Storage Instructions

• Store Atrovent Inhaler at room temperature, between 15°C to 30°C (59°F to 86°F).
• Keep the inhaler in its original container, tightly closed.
• Store Atrovent Inhaler out of reach of children and pets.
• Protect the inhaler from moisture, light, and heat.
• Do not puncture or incinerate the canister, even when empty.
• Do not use Atrovent Inhaler after the expiration date on the package.

References

https://www.accessdata.fda.gov/drugsatfda_docs/label/2006/021527s005lbl.pdf