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 muscles 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 Information Leaflet if available from your pharmacist before you start using this product and each time you get a refill. 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 so you aren't getting 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, usually 4 times daily. If two inhalations at a right time are prescribed, wait at least 2 minutes between them. Your doctor may also direct you to use this medication as needed for wheezing and shortness of breath. Follow your doctor's instructions carefully. Nonetheless, the manufacturer recommends that you do not use significantly more than 12 inhalations in a period that is 24-hour. Doing so may raise the threat of serious adverse effects.
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The dosage is based on your medical condition and response to treatment.
Avoid getting this medication into your eyes. It would likely cause eye pain/irritation, short-term blurred vision, and other vision changes. Therefore, when using the inhaler, put your lips tightly around the mouthpiece and keep your eyes closed.
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Rinse your mouth after making use of the inhaler to avoid mouth that is dry throat discomfort.
If you are using other inhalers at the same time, wait at least 1 minute between the employment of each medication.
Make use of this medication regularly so as to obtain the benefit that is most from it. This medication works best if used at evenly spaced intervals. Each day to help you remember, use it at the same times. Do not increase your dose, use this medication more often, or stop using it without first consulting your medical professional.
Keep an eye on the number of inhalations you utilize, and throw the canister away after you have used the labeled number of inhalations regarding the package.
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Learn which of your inhalers you should utilize each day (controller medications) and which you should utilize if your breathing suddenly worsens (quick-relief drugs). Ask your physician ahead of time what you ought 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.
Tell your physician if your symptoms usually do not enhance or if they worsen.
See also exactly how to Use section.
Headache, dizziness, sickness, dry mouth, shaking (tremors), nervousness, or constipation may occur. If any of these effects persist or worsen, tell your doctor or pharmacist quickly.
Remember that your medical practitioner has prescribed this medicine she has judged that the benefit to you is greater than the risk of side effects because he or. Many people using this medication do not have serious side effects.
This medicine may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total results are high.
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Infrequently, this medication could cause severe sudden worsening of breathing problems right after use. If you have sudden worsening of breathing, get help that is medical away.
Tell your physician appropriate away if you have any serious adverse effects, including: difficult/painful urination, muscle cramps.
Get medical help right away if you have any very serious unwanted effects, including: upper body pain, fast/pounding/irregular heartbeat, rapid breathing, confusion, eye pain/swelling/redness, eyesight changes (such as seeing rainbows around lights at night, blurred vision).
A very serious reaction that is allergic this product is rare. However, get medical help right away if you notice any symptoms of a serious allergic effect, including: rash, itching/swelling (especially of this face/tongue/throat), severe dizziness, difficulty breathing.
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This is simply not a complete list of possible adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the usa -
Call your doctor 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 side-effects. You may report effects that are side Health Canada at 1-866-234-2345.
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Before utilizing this product, inform your doctor 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 example soy lecithin from soybeans), which can cause allergies or other problems. Some individuals who are allergic to peanuts may also be allergic to soy. Speak to your pharmacist for more details.
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Before using this medication, tell your medical practitioner or pharmacist your medical history, especially of: high blood pressure, heart problems (such as chest pain, heart attack, irregular heartbeat), personal or family history of glaucoma (angle-closure type), difficulty urinating (for instance, 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 you can perform such activities safely until you are sure. Limit alcoholic beverages.
Before having surgery, tell your medical professional or dental practitioner about all the products you utilize (including prescribed drugs, nonprescription drugs, and herbal services and products).
Older adults may be more sensitive to the relative negative effects of this medication, particularly problems urinating or constipation.
During pregnancy, this medication is used only when plainly required. Discuss the potential risks and advantages with your physician.
It's unknown if this medication passes into breast milk. Consult your physician before breast-feeding.
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