Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent. The side effects listed below are not experienced by everyone who takes Teva Ipratropium (Ipratropium-inh). If you are concerned about side effects, discuss the risks and benefits of Teva Ipratropium (Ipratropium-inh) with your doctor.

The following side effects have been reported by at least 1% of people taking Teva Ipratropium (Ipratropium-inh). Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

• Constipation
• cough
• Diarrhea
• Dry Mouth
• dizziness
• headache
• hoarseness
• nausea
• nervousness
• throat irritation
• trembling
• unpleasant taste
• vomiting

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

• difficulty swallowing
• difficulty or pain when urinating
• fast or irregular heart beat
• blurred vision or eye pain
• skin rash

Stop taking the medication and seek immediate medical attention if any of the following occur:

• symptoms of a Anaphylaxis (severe allergic reaction) (e.g., sudden wheezing, chest pain or chest tightness; Hives; swelling of the eyelids, face, tongue or throat)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Teva Ipratropium (Ipratropium-inh).

Each bottle of clear, colourless or almost colourless, odourless solution contains ipratropium bromide 250 µg/mL (0.025%) in isotonic, normal saline solution. Preserved with benzalkonium chloride 250 µg/mL and EDTA-disodium 500 µg/mL at a pH of 3.4. Nonmedicinal ingredients: benzalkonium chloride, edetate disodium, hydrochloric acid, purified water, and sodium chloride.

Ipratropium inhalation solution should not be used by anyone with an allergy or sensitivity to ipratropium, to atropine-like medications in general, or to any of the ingredients of the medication.

There may be an interaction between ipratropium inhalation solution and any of the following:

• anticholinergic medications (e.g., tiotropium, Benztropine, Diphenhydramine)
• beta-adrenergic medications (e.g., salbutamol, salmeterol)
• potassium chloride tablets

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.

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 Teva Ipratropium (Ipratropium-inh).

Allergy: In rare cases, immediate allergic reactions may occur after using ipratropium inhalation solution, causing hives, swelling around the throat and tongue, rash, and worsening of breathing problems. If this occurs, get emergency medical help at once.

Asthma attack: Do not use ipratropium alone for the relief of an asthma attack since Teva Ipratropium (Ipratropium-inh) works slower than other types of medications used for asthma attacks. If it is used for an asthma attack, it should be used together with other medications (e.g., salbutamol) that help open up the airways quickly.

Cystic Fibrosis: If you have cystic fibrosis, you may be more likely to experience certain side effects such as constipation. Talk to your doctor about how Teva Ipratropium (Ipratropium-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Teva Ipratropium (Ipratropium-inh), and whether any special monitoring is needed.

Eye concerns: Make sure the nebulizer mask fits the user's face properly and that nebulized solution does not escape into the eyes. There have been rare reports of eye complications (e.g., tearing, increased eye pressure, Glaucoma, and eye pain) when Teva Ipratropium (Ipratropium-inh) has been released into the eyes.

If you have glaucoma, talk to your doctor about how Teva Ipratropium (Ipratropium-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Teva Ipratropium (Ipratropium-inh), and whether any special monitoring is needed.

Mixing with other medications: Do not mix ipratropium solution with preservatives (i.e., from the 20 mL multidose bottle) and sodium cromoglycate, as this produces a cloudy solution caused by an interaction between the preservatives and the sodium cromoglycate. If sodium cromoglycate needs to be used, use ipratropium solution without preservatives (the unit dose vials).

Preservatives: Ipratropium solution in the 20 mL multidose bottle contains preservatives (benzalkonium chloride, disodium ethylene diamine tetraacetic acid (EDTA) disodium). It has been reported that these preservatives may cause a worsening of breathing in some patients with very sensitive airways.

The unit dose vials do not contain preservatives.

Urination problems: If you have a medical condition (e.g., prostate problems, urinary retention, or obstruction) that affects your ability to urinate, discuss with your doctor how Teva Ipratropium (Ipratropium-inh) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Teva Ipratropium (Ipratropium-inh), and whether any special monitoring is needed.

Pregnancy: The safety of using ipratropium during pregnancy has not been established. Teva Ipratropium (Ipratropium-inh) should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking Teva Ipratropium (Ipratropium-inh), contact your doctor.

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

Children: The efficacy and safety of Teva Ipratropium (Ipratropium-inh) have not been established for children under 5 years of age.

Ipratropium belongs to the group of medications called bronchodilators. It is used to treat COPD (Chronic Obstructive Pulmonary Disease) (COPD), including chronic Bronchitis and emphysema.

It is also used along with other medications to treat Asthma attacks.

Ipratropium works by opening the air passages, making breathing easier. This solution is given with the help of compressed air or nebulizers.

Teva Ipratropium (Ipratropium-inh) may be available under multiple brand names and/or in several different forms. Any specific brand name of Teva Ipratropium (Ipratropium-inh) may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of Teva Ipratropium (Ipratropium-inh) may not be used for all of the conditions discussed here.

Your doctor may have suggested Teva Ipratropium (Ipratropium-inh) for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are being given Teva Ipratropium (Ipratropium-inh), speak to your doctor. Do not stop using Teva Ipratropium (Ipratropium-inh) without consulting your doctor.

Do not give Teva Ipratropium (Ipratropium-inh) to anyone else, even if they have the same symptoms as you do. It can be harmful for people to use Teva Ipratropium (Ipratropium-inh) if their doctor has not prescribed it.