This system is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic pulmonary that is obstructive 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 that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school.
Read the Patient Suggestions Leaflet if available from your 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.
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 to make sure you don't get 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 physician, frequently 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 breathing. Follow your physician's instructions carefully. However, 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.
The dosage is founded on your condition that is medical and to therapy.
Avoid getting this medication into your eyes. It may 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 shut.
Rinse the mouth area after using the inhaler to stop dry mouth and throat irritation.
If you work with other inhalers at the time that is same wait at the least 1 minute between the application of each medication.
Use this medication regularly in order getting 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 regularly, or stop using it without first consulting your doctor.
Record how many inhalations you utilize, and throw away the canister after you purchased the labeled number of inhalations on the package.
Learn which of your inhalers you need to use every single day (controller drugs) and which you should utilize if your breathing suddenly worsens (quick-relief drugs). Ask your doctor in advance what you should do in the event that 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 by yourself and when you must get medical help right away.
Tell your doctor if your symptoms don't improve or if they worsen.
See also just how to utilize part.
Headache, dizziness, sickness, dry mouth, shaking (tremors), nervousness, or constipation may occur. If any of these effects persist or worsen, tell your pharmacist or doctor immediately.
Remember that your doctor has recommended 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 side that is serious.
This medicine may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total results are high.
Infrequently, this medication may cause severe sudden worsening of breathing problems right after use. If you have sudden worsening of breathing, get medical help right away.
Tell your physician appropriate away if you have serious side effects, 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, eyesight changes (such as seeing rainbows around lights at night, blurred vision).
A very 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 significant sensitive reaction, including: rash, itching/swelling (especially associated with face/tongue/throat), severe dizziness, difficulty respiration.
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 US -
Call your medical professional for medical advice about adverse effects. 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 unwanted effects. You may report side effects to Health Canada at 1-866-234-2345.
Before using this product, inform your physician or pharmacist in the event that you are allergic to ipratropium or albuterol (salbutamol); or to tiotropium; or to atropine or other belladonna-type drugs; or to levalbuterol; or if you have any other allergies. This product may contain inactive ingredients (such as for example soy lecithin from soybeans), which can cause allergy symptoms or other problems. Some people who are allergic to peanuts may be allergic to also soy. Talk to your pharmacist for more details.
Before applying this medication, tell your medical practitioner or pharmacist your medical history, especially of: hypertension, cardiovascular illnesses (such as for example chest pain, heart attack, irregular heartbeat), personal or family history of glaucoma (angle-closure type), difficulty urinating (for example, due to enlarged prostate), seizure, overactive thyroid (hyperthyroidism), diabetes.
This drug may 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 beverages that are alcoholic.
Before having surgery, tell your doctor or dentist about all the products you employ (including prescribed drugs, nonprescription drugs, and herbal items).
Older grownups may be more delicate to the relative side effects of this medication, specially problems urinating or constipation.
During pregnancy, this medicine should be utilized only when clearly required. Discuss the potential risks and benefits with your doctor.
It is unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Trackable Courier Service takes 5 - 9 days, Airmail service takes 14 - 21 days.