Different brands may not work the same way. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine.
If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty. It is very important that your doctor check your progress closely while you are using this medicine to see if it is working properly and to help reduce any unwanted effects.
Check with your doctor at once if your symptoms do not improve within 30 minutes after using a dose of this medicine or if your condition gets worse. This medicine may cause serious types of allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention.
Stop using this medicine and call your doctor right away if you have a rash; itching; hives; hoarseness; trouble with breathing; trouble with swallowing; or any swelling of your hands, face, mouth, or throat while you are using this medicine. This medicine may cause paradoxical bronchospasm, which means your breathing or wheezing will get worse. Paradoxical bronchospasm may be life-threatening. Stop using this medicine and check with your doctor right away if you have coughing, difficulty breathing, shortness of breath, or wheezing after using this medicine.
This medicine may cause dizziness, blurred vision, or trouble in seeing clearly. Make sure you know how you react to this medicine before you drive, use machines, or do other jobs that require you to be alert, well-coordinated, or able to see well. Take all of your COPD medicines as your doctor ordered.
If you use any type of corticosteroid medicine to control your breathing, keep using it as ordered by your doctor. If any of your COPD medicines do not seem to be working as well as usual, call your doctor right away.
Do not change your doses or stop using your medicines without asking your doctor. Do not take other medicines unless they have been discussed with your doctor.
This includes prescription or nonprescription over-the-counter [OTC] medicines for appetite control, asthma, colds, cough, hay fever, or sinus problems, and herbal or vitamin supplements. Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine.
Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:. Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. All rights reserved.
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Call your doctor if you have any unusual problems while using this medication. Keep this medication in the container it came in, tightly closed, and out of reach of children. Store unused vials of the solution in the foil pack until you are ready to use them. Store the medication at room temperature and away from excess heat and moisture not in the bathroom. Do not puncture the aerosol canister, and do not discard it in an incinerator or fire. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them.
However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program.
In case of overdose, call the poison control helpline at If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital.
It is also important information to carry with you in case of emergencies. Ipratropium Oral Inhalation pronounced as i pra troe' pee um. Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication?
Brand names. To use the inhaler, follow these steps: Hold the inhaler with the clear end pointing upward. Place the metal canister inside the clear end of the inhaler. Be sure that it is fully and firmly in place and that the canister is at room temperature. Remove the protective dust cap from the end of the mouthpiece. If the dust cap was not placed on the mouthpiece, check the mouthpiece for dirt or other objects If you are using the inhaler for the first time or if you have not used the inhaler in 3 days, prime it by pressing down on the canister to release two sprays into the air, away from your face.
Be careful not to spray medication into your eyes while you are priming the inhaler. Breathe out as completely as possible through your mouth. Hold the inhaler between your thumb and your next two fingers with the mouthpiece on the bottom, facing you.
Place the open end of the mouthpiece into your mouth. Close your lips tightly around the mouthpiece. Close your eyes. Breathe in slowly and deeply through the mouthpiece. At the same time, press down firmly on the canister. Hold your breath for 10 seconds. Then remove the inhaler, and breathe out slowly. If you were told to use two puffs, wait at least 15 seconds and then repeat steps 4 to 7. Replace the protective cap on the inhaler.
To inhale the solution using a nebulizer, follow these steps; Twist off the top of one vial of ipratropium solution and squeeze all of the liquid into the nebulizer reservoir. Connect the nebulizer reservoir to the mouthpiece or face mask. Connect the nebulizer to the compressor. Place the mouthpiece in your mouth or put on the face mask. Sit in an upright, comfortable position and turn on the compressor.
Breathe in calmly, deeply, and evenly for about 5 to 15 minutes until mist stops forming in the nebulizer chamber. Other uses for this medicine. What special precautions should I follow? Before using ipratropium inhalation, tell your doctor and pharmacist if you are allergic to ipratropium, atropine Atropen , or any other medications. Be sure to mention any of the following: antihistamines; or medications for irritable bowel disease, motion sickness, Parkinson's disease, ulcers, or urinary problems.
Your doctor may need to change the doses of your medications or monitor you carefully for side effects. If you are using a nebulizer, ask your doctor if you can mix any of your other medications with ipratropium in the nebulizer. If you become pregnant while using ipratropium, call your doctor.
If this happens, call your doctor right away.
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