This combination medication contains beta-adrenergic (sympathomimetic) and anticholinergic bronchodilator, prescribed to prevent wheezing, difficulty breathing, chest tightness, and coughing in chronic obstructive pulmonary disease (COPD) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). It relaxes airway muscles that result in easy breathing. It relaxes airway muscles that result in easy breathing.
Contraindicated in patients with a history of hypersensitivity
It is available as 90/18 mcg or 100/20 mcg (albuterol/ipratropium) per actuation of the inhaler. The recommended dose is one 3 mL vial administered 4 times per day.
It comes as a solution (liquid) to inhale by mouth using a nebulizer, as directed by your physician.
Caution should be exercised in patients with history of increased eye pressure, difficulty in urinating, enlarged prostate, seizures, overactive thyroid, high blood pressure, irregular heartbeat, diabetes, heart, liver or kidney disease, who are taking other medications, any allergy, elderly, pediatric, during pregnancy and breastfeeding.
Do not use more than 12 puffs of the inhalation aerosol in 24 hours.
It is recommended to test-spray three times before using for the first time.
It may cause dizziness, blurred vision, or drowsiness, do not drive a car or operate machinery while taking this medication.
It may cause severe breathing problems, if it is so consult with your healthcare provider.
Avoid contact with eyes.
Body As A Whole :
Pain, headache, uncontrollable shaking of a part of the body and nervousness.
Heart : Chest pain, fast heart rate, elevated blood pressure, nausea, dizziness, heartburn.
Gastrointestinal : Diarrhea, indigestion, nausea.
Skin Hives, Rash, swelling of the eyes, face, lips, tongue, throat, hands, feet, ankles, or lower legs and itching.
Musculoskeletal : Leg cramps.
Respiratory: Lung inflammation, lung disease, inflammation of pharynx, pneumonia.
Genitourinary : Urinary tract infection.
♦ Eye: Mydriasis(dilation of the pupil).
Avoid excess dosage.
Store between (2°C and 25°C). Protect from light and moisture.
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