The product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic pulmonary that is obstructive which includes bronchitis and emphysema). This product contains 2 medications: ipratropium and albuterol (also known as salbutamol). Both medications work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from school or work.
Read the Patient Ideas Leaflet if available from your own pharmacist you get a refill before you start using this product and each time. Learn how to use this inhaler properly. If you have any relevant questions, ask your doctor or pharmacist.
Follow the instructions for "test-spraying" (priming) the inhaler if you are using it for the first time or if you have not used it for more than 24 hours. When priming the inhaler, make sure to spray away from the real face to make sure you don't get the medication into the eyes.
Prior to each inhalation, shake the inhaler well for at least 10 seconds. Inhale this medication by mouth as directed by your doctor, frequently 4 times daily. If two inhalations at a right time are prescribed, wait at least 2 minutes between them. Your doctor may direct you to also use this medicine as needed for wheezing and shortness of breathing. Follow your doctor's guidelines carefully. Nonetheless, the manufacturer recommends you do not use a lot more than 12 inhalations in a 24-hour period. Doing this may increase the risk of serious side effects.
The dosage is based on your condition that is medical and to treatment.
Avoid getting this medicine into the eyes. It could cause eye pain/irritation, temporary vision that is blurred and other vision changes. Therefore, when using the inhaler, tightly put your lips around the mouthpiece and keep your eyes shut.
Rinse the mouth area after using the inhaler to prevent mouth that is dry throat discomfort.
If you work with other inhalers at the time that is same wait at least 1 minute between the use of each medicine.
Make use of this medication frequently in an effort to have the benefit that is most from it. This medication works best if used at evenly spaced intervals. To help you remember, use it at the same times each day. Do not increase your dose, use this medication more regularly, or stop utilizing it without first consulting your medical professional.
Keep an eye on the amount of inhalations you utilize, and throw away the canister after you used the labeled number of inhalations in the package.
Learn which of your inhalers you should use every single day (controller medications) and which you should use if your breathing suddenly worsens (quick-relief drugs). Ask your physician in advance what you should do in the event that you have new or worsening cough or shortness of breath, wheezing, increased sputum, worsening peak flow meter readings, waking up at night with trouble breathing, if you use your quick-relief inhaler more often (more than 2 days a week), or if your quick-relief inhaler does not seem to be working well. Learn when you can treat sudden breathing problems you must get medical help right away by yourself and when.
Tell your doctor if your symptoms do not improve or if they worsen.
See also How to Use section.
Headache, dizziness, nausea, dry mouth, shaking (tremors), nervousness, or constipation may occur. If any of these effects persist or worsen, tell your doctor or pharmacist immediately.
Remember that your doctor has prescribed this medication she has judged that the benefit to you is greater than the risk of adverse effects because he or. Many people using this medication do not have serious side effects.
This medication might raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total results are high.
Infrequently, this medication might cause severe worsening that is sudden of problems right after use. If you have sudden worsening of breathing, get medical help right away.
Tell your physician right away in the event that you have any adverse that is serious, including: difficult/painful urination, muscle tissue cramps.
Get medical help right away if you have any very serious side-effects, including: upper body pain, fast/pounding/irregular heartbeat, rapid breathing, confusion, eye pain/swelling/redness, vision changes (such as for instance seeing rainbows around lights at night, blurred vision).
A really serious allergic reaction to this product is rare. However, get medical help right away in the event that you notice any symptoms of a critical allergic response, including: rash, itching/swelling (especially of this face/tongue/throat), severe dizziness, trouble respiration.
This is simply not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the usa -
Call your medical professional for medical advice about side impacts. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about unwanted effects. You may report effects that are side Health Canada at 1-866-234-2345.
Before using this product, inform your doctor or pharmacist if you are allergic to ipratropium or albuterol (salbutamol); or to tiotropium; or to atropine or other belladonna-type drugs; or to levalbuterol; or if you have any other allergies. This product may contain inactive ingredients (such as soy lecithin from soybeans), which can cause allergy symptoms or other problems. Some people who are allergic to peanuts may be allergic to also soy. Talk to your pharmacist for more details.
Before using this medication, tell your medical practitioner or pharmacist your medical history, especially of: high blood pressure, heart problems (such as for example chest pain, coronary arrest, irregular heartbeat), personal or family history of glaucoma (angle-closure kind), difficulty urinating (as an example, due to enlarged prostate), seizure, overactive thyroid (hyperthyroidism), diabetes.
This drug might make you dizzy or cause blurred vision or other vision changes. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit beverages that are alcoholic.
Before having surgery, tell your medical professional or dental practitioner about all the products you employ (including prescription drugs, nonprescription drugs, and herbal services and products).
Older grownups may be more sensitive to the relative unwanted effects of this medication, especially problems urinating or constipation.
During pregnancy, this medication should be used only once demonstrably required. Discuss the potential risks and benefits with your medical professional.
It really is unknown if this medication passes into breast milk. Consult your physician before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.