The product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). This product contains 2 medications: ipratropium and albuterol (also known as salbutamol). Both drugs work by relaxing the muscle tissue around the airways so you can breathe more easily that they open up and. Controlling symptoms of breathing problems can decrease time lost from work or school.
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.
Stick to 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 so that you don't get the medication into your eyes.
Prior to each inhalation, shake the inhaler well for at least 10 seconds. Breathe this medication by lips as directed by your medical professional, often 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 medication as needed for wheezing and shortness of breath. Follow your doctor's guidelines carefully. But, the manufacturer recommends you do not use more than 12 inhalations in a period that is 24-hour. Doing so may boost the risk of serious adverse effects.
The dosage is based on your medical condition and response to therapy.
Avoid getting this medicine into your eyes. It might probably cause eye pain/irritation, temporary blurred vision, 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 stop mouth that is dry throat irritation.
If you use other inhalers during the same time, wait at least 1 minute between the employment of each medicine.
Make use of this medication frequently in an effort to get 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, usage this medicine more often, or stop deploying it without first consulting your doctor.
Record how many inhalations you use, and throw the canister away after you have used the labeled number of inhalations regarding the package.
Learn which of your inhalers you need to use every single day (controller drugs) and which you should use if your breathing suddenly worsens (quick-relief drugs). Ask your doctor ahead of time what you need to do 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 if 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. Learn when you can treat sudden breathing problems you must get medical help right away by yourself and when.
Inform your physician if your symptoms usually do not improve or if they worsen.
See also exactly how to make use of area.
Headache, dizziness, nausea, dry mouth, shaking (tremors), nervousness, or constipation may occur. If any of these effects persist or worsen, tell your pharmacist or doctor quickly.
Remember that your medical practitioner has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have serious adverse effects.
This medicine 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 help that is medical away.
Tell your doctor appropriate away in the event that you have side that is serious, including: difficult/painful urination, muscle cramps.
Get medical help right away if you have actually any very serious negative effects, including: chest pain, fast/pounding/irregular heartbeat, rapid breathing, confusion, eye pain/swelling/redness, vision changes (such as seeing rainbows around lights at evening, blurred vision).
An extremely serious allergic reaction to this product is rare. However, get help that is medical away in the event that you notice any symptoms of a serious sensitive reaction, including: rash, itching/swelling (especially for the face/tongue/throat), serious dizziness, difficulty breathing.
This is not a complete list of possible adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the US -
Call your doctor for medical advice about side results. 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 negative effects. You may report effects that are side Health Canada at 1-866-234-2345.
Before using this product, inform your medical practitioner or pharmacist if you have any other allergies if you are allergic to ipratropium or albuterol (salbutamol); or to tiotropium; or to atropine or other belladonna-type drugs; or to levalbuterol; or. This product may contain inactive ingredients (such as for instance soy lecithin from soybeans), which can cause allergies or other problems. Some people who are allergic to peanuts may also be allergic to soy. Confer with your pharmacist for more information.
Before making use of this medication, tell your doctor or pharmacist your medical history, especially of: raised blood pressure, heart problems (such as for instance chest pain, coronary arrest, irregular heartbeat), personal or family history of glaucoma (angle-closure type), 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 dentist about all the products you utilize (including prescribed drugs, nonprescription drugs, and natural items).
Older grownups may be more delicate to the relative side effects of this drug, particularly problems urinating or constipation.
During pregnancy, this medicine must be utilized only once obviously needed. Discuss the risks and benefits with your doctor.
It's unknown if this medication passes into breast milk. Consult your medical professional before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.