Ipratropium bromide

Questions | Reviews **~

What are the side effects of Ipratropium bromide?

After taking Ipratropium bromide I feel very drained, yet it makes me feel very strange. My insides seem to jumping. Could you please send me informattopm that would explain these symtoms while taking Ipratropium bromide or if there are any side effec...
by Bryan B in USA, 02/26/2006

long side effect of ipratropium bromide

last winter i used 160 amp of ipratropium bromide in 21 days after that i have chronic cough i dont have sound and my right food is bigger than left 4 cm in bronchoscopy my cough is finished but the others not are they the side effect of drugs? includ...
by maryam khodadadeh in iran, 06/17/2007

Ipratropium bromide
Ipratropium bromide (Atrovent)
Ipratropium bromide
(eye-prah- TROH-pee-um)
Pregnancy Category: B Alti-Ipratropium Bromide Apo-Ipravent Atrovent Novo-Ipramide PMS-Ipratropium (Rx)

Classification: Anticholinergic, quaternary ammonium compound

See Also: See also Cholinergic Blocking Agents .

Action/Kinetics: Chemically related to atropine. Antagonizes the action of acetylcholine. Prevents the increase in intracellular levels of cyclic guanosine monophosphate, which is caused by the interaction of acetylcholine with muscarinic receptors in bronchial smooth muscle; this leads to bronchodilation which is primarily a local, site-specific effect. Poorly absorbed into the systemic circulation. About 50% of unchanged drug excreted through the urine. t 1/2, elimination: 2 hr after inhalation.

Uses: Aerosol or solution: Bronchodilation in COPD, including chronic bronchitis and emphysema. Nasal spray: Symptomatic relief (using 0.03%) of rhinorrhea associated with allergic and nonallergic perennial rhinitis in clients over 6 years of age. Symptomatic relief (using 0.06%) of rhinorrhea associated with the common cold in those aged 5 and older. NOTE: The use of ipratropium with sympathomimetic bronchodilators, methylxanthines, steroids, or cromolyn sodium (all of which are used in treating COPD) are without side effects.

Contraindications: Hypersensitivity to atropine, ipratropium, or derivatives. Hypersensitivity to soy lecithin or related food products, including soy bean or peanut (inhalation aerosol). Use for initial treatment of acute bronchospasms.

Special Concerns: Use with caution in clients with narrow-angle glaucoma, prostatic hypertrophy, or bladder neck obstruction and during lactation. Safety and efficacy of the aerosol and solution have not been determined in children less than 12 years of age, of the nasal spray, 0.03%, in children less than 6 years of age, and of the nasal spray, 0.06%, in children less than 5 years of age. Use of ipratropium as a single agent for the relief of bronchospasm in acute COPD has not been studied adequately.

Side Effects: Inhalation aerosol. CNS: Cough, nervousness, dizziness, headache, fatigue, insomnia, drowsiness, difficulty in coordination, tremor. GI: Dryness of oropharynx, GI distress, dry mouth, nausea, constipation. CV: Palpitations, tachycardia, flushing. Dermatologic: Itching, hives, alopecia. Miscellaneous: Irritation from aerosol, worsening of symptoms, rash, hoarseness, blurred vision, difficulty in accommodation, drying of secretions, urinary difficulty, paresthesias, mucosal ulcers.
Inhalation solution. CNS: Dizziness, insomnia, nervousness, tremor, headache. GI: Dry mouth, nausea, constipation. CV: Hypertension, aggravation of hypertension, tachycardia, palpitations. Respiratory: Worsening of COPD symptoms, coughing, dyspnea, bronchitis, bronchospasm, increased sputum, URI, pharyngitis, rhinitis, sinusitis. Miscellaneous: Urinary retention, UTIs, urticaria, pain, flu-like symptoms, back or chest pain, arthritis.

Nasal spray. CNS: Headache, dizziness. GI: Nausea, dry mouth, taste perversion. CV: Palpitation, tachycardia. Respiratory: URI, epistaxis, pharyngitis, nasal dryness, miscellaneous nasal symptoms, nasal irritation, blood-tinged mucus, dry throat, cough, nasal congestion, nasal burning, coughing. Ophthalmic: Ocular irritation, blurred vision, conjunctivitis. Miscellaneous: Hoarseness, thirst, tinnitis, urinary retention.
All products. Allergic: Skin rash; angioedema of the tongue, throat, lips, and face; urticaria, laryngospasm, oropharyngeal edema, bronchospasm, anaphylaxis. Anticholinergic reactions: Precipitation or worsening of narrow angle glaucoma, prostatic disorders, tachycardia, urinary retention, constipation, bowel obstruction, blurred vision, difficulty in accommodation..

How Supplied: Aerosol: 0.018 mg/inh; Nasal Spray: 0.03%, 0.06%; Solution for Inhalation: 0.02%

?Respiratory Aerosol Treat bronchospasms.
Adults: 2 inhalations (36 mcg) q.i.d. Additional inhalations may be required but should not exceed 12 inhalations/day.
?Solution for Inhalation Treat bronchospasms.
Adults: 500 mcg (1-unit-dose vial) given t.i.d.-q.i.d. by oral nebulization with doses 6-8 hr apart.
?Nasal Spray, 0.03% Perennial rhinitis.
Children, 6 years and older: 2 sprays (42 mcg) per nostril b.i.d.-t.i.d. for a total daily dose of 168-252 mcg/day. Optimum dose varies.
?Nasal Spray, 0.06% Rhinitis due to the common cold.
Children, 5 years and older: 2 sprays (84 mcg) per nostril t.i.d.-q.i.d. for a total daily dose of 504-672 mcg/day. The safety and efficacy for use for the common cold for more than 4 days have not been determined.

Ipratropium bromide Ratings

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Ipratropium bromide

Effectiveness: *

Ease of Use: ***

Overall Satisfaction: ***


Carlos, Carlos - 01/13/2014

it was to prevent us from herinag what the new psychiatrist was saying to his patients,(Oh boy, this is not good). I can't imagine that the patients heard anything but the music either. The appointment wasn't so good either-the doc hadn't read his chart, he couldn't find it (okay, this definitely isn't good). The twisted slinky describes that session perfectly got a new pdoc pretty quick. Have a good week. Cindy