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Atrovent Hfa

Atrovent Hfa

Ipratropium-inh

Ipratropium belongs to the class of medications called bronchodilators. It is used to treat spasms in the lungs associated with COPD (Chronic Obstructive Pulmonary Disease) (COPD), including chronic Bronchitis and emphysema.

Available form

Spray

Dosage

0.06%, 0.03%, 20mcg

Manufacturers

Aa Pharma, Boehringer Ingelheim, Dominion Pharmacal, Ratiopharm, Sanofi-aventis

Generic brand of

Ipratropium-nasal

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Atrovent Hfa information

Dosage

Side Effects

Available Form

Contraindications

Precautions

Warnings

The recommended dosage of ipratropium inhalation aerosol is 2 metered doses 3 or 4 times daily. The most beneficial dose must be determined individually. Some people may need up to 4 metered doses at a time to obtain the best benefit when first starting treatment. The maximum daily dose should not be more than 12 metered doses, and doses must be at least 4 hours apart.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.

It is important to use Atrovent HFA (Ipratropium-inh) exactly as prescribed by your doctor. If you miss a dose of scheduled medication, skip the missed dose and carry on with your regular schedule. Do not double a dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Your doctor or pharmacist should instruct you on proper use of the medication. Also refer to the information pamphlet provided with the medication. Always shake the unit well before using. If you have been instructed to use 2 inhalations per dose, wait one minute between inhalations.

Store the aerosol canister at room temperature and do not place in hot water or near radiators, stoves, or other sources of heat. Protect it from light and moisture and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

There may be an interaction between ipratropium bromide aerosol and any of the following:

aclidinium
amantadine
antihistamines (e.g,. cetirizine, doxylamine, Diphenhydramine, Hydroxyzine, Loratadine)
antipsychotics (e.g., Chlorpromazine, Clozapine, Haloperidol, Olanzapine, Quetiapine, Risperidone)
atropine
azelastine
belladonna
Benztropine
beta-adrenergic medications (e.g., formoterol, salbutamol, terbutaline)
botulinum toxin
cannabis
Darifenacin
Disopyramide
Domperidone
Donepezil
Flavoxate
Galantamine
Glucagon
glycopyrrolate
ketotifen
Metoclopramide
Mirabegron
Moclobemide
muscle relaxants (e.g., Baclofen, Cyclobenzaprine, orphenadrine)
Nabilone
narcotic pain relievers (e.g., Codeine, Fentanyl, Morphine, Oxycodone)
Nitroglycerin
Oxybutynin
Phenelzine
potassium chloride
quinidine
Rivastigmine
scopolamine
Solifenacin
theophyllines (e.g., Aminophylline, oxytriphylline, Theophylline)
thiazide diuretics (water pills; e.g., Hydrochlorothiazide, Indapamide, Metolazone)
tiotropium
Tolterodine
Topiramate
Tranylcypromine
tricyclic antidepressants (e.g., Amitriptyline, Clomipramine, Desipramine, Trimipramine)
umeclidinium

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

stop taking one of the medications,
change one of the medications to another,
change how you are taking one or both of the medications, or
leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Atrovent HFA (Ipratropium-inh). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Atrovent HFA (Ipratropium-inh).

Acute breathing problems: Atrovent HFA (Ipratropium-inh) is not for use as a "reliever" medication. If you get a sudden attack of breathlessness, be sure to use your "reliever" medication for rapid relief of your symptoms. It is very important that you have your "reliever" medication available with you at all times. If you persistently use more of your "reliever" medication, contact your doctor.

Eye problems: Take care to ensure that ipratropium bromide aerosol does not reach the eye. There have been reports of eye complications (e.g., tearing, increased eye pressure, Glaucoma, and eye pain) when Atrovent HFA (Ipratropium-inh) has been released into the eyes. Eye problems have occurred when the aerosol was used with the standard mouthpiece or with a spacing device. If you experience eye pain, blurred vision, or vision changes, talk to your doctor as soon as possible.

Glaucoma: Ipratropium can make symptoms of glaucoma worse. If you have glaucoma, discuss with your doctor how Atrovent HFA (Ipratropium-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Atrovent HFA (Ipratropium-inh), and whether any special monitoring is needed. You will probably need to have regular eye examinations while you are using Atrovent HFA (Ipratropium-inh).

Prostate or urinary problems: Ipratropium can make symptoms of prostate enlargement or urinary problems worse. If you have a urinary tract problem, discuss with your doctor how Atrovent HFA (Ipratropium-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Atrovent HFA (Ipratropium-inh), and whether any special monitoring is needed.

If you experience difficulty passing urine or pain when urinating, contact your doctor.

Pregnancy: Atrovent HFA (Ipratropium-inh) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while using Atrovent HFA (Ipratropium-inh), contact your doctor immediately.

Breast-feeding: It is not known if ipratropium bromide passes into breast milk. If you are a breast-feeding mother and are using Atrovent HFA (Ipratropium-inh), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using Atrovent HFA (Ipratropium-inh) have not been established for children less than 18 years of age.

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