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Inform your doctor of any other medical conditions, including liver disease, high blood pressure, osteoporosis, stomach ulcers, cataracts, glaucoma, allergies, pregnancy, or breast-feeding.

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Ipratropium is available in metered-dose inhalers and as a nebulizer solution.

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Follow the instructions carefully before taking the inhaler.

Also, the drug's maker, Roche, sent out a Dear Doctor letter outlining the changes, which arose after more than 100 new cases of delirium, hallucinations, and other unusual psychiatric behaviors were reported in children treated with the drug, mostly in Japan, where it is widely used.

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The medication starts to act 4-5 minutes after inhalation and does for 4-6 hours.

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Prescribing Information and Patient Instructions for Use.

At the time of their report, two phase II studies and two phase III studies in patients with asthma, and a phase III study in patients with COPD had evaluated the efficacy and safety of delivering an ipratropium and fenoterol combination (Berodual; Boehringer Ingelheim, Ingelheim, Germany) by Respimat or by a chlorofluorocarbon-containing pressurized metered dose inhaler.

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Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); chest pain; clammy skin; difficulty urinating; fast or irregular heartbeat; new or worsening breathing problems; numbness of an arm or leg; pain, tightness, or pressure in the jaw, neck, or chest; pounding in the chest; severe headache, nausea, vomiting, or dizziness; severe stomach pain; shortness of breath; swelling of the arms or legs; tremors; vision changes; wheezing.

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Put the cap back on the mouthpiece after every time you use the inhaler.

Exposure to heat above 120 degrees F (50 degrees C) may cause bursting.

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Aminofilin (also known as Aminophylline) is a drug from the group of medicines called bronchodilators.

Even a severe form of mental health problem called psychosis may, rarely, be triggered by a steroid inhaler.

Huhti and Poukkula observed that subjective adverse effects were more common with fenoterol, 400 μg, than with Duovent or 80 μg ipratropium alone ().

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The researchers speculate that delivery of two agents from one device results in better codeposition and hence increased opportunity for synergistic interaction.

It is known that combining drug classes, especially the bronchodilators, is useful in the treatment of COPD.

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Gruppo Educazionale Associazione Italiana Pnemologi Ospedalieri (AIPO) Inhaler mishandling remains common in real life and is associated with reduced disease control.

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The inhaler comes with a dose indicator you can see through a small window on the plastic mouthpiece (See Figure 1).

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Berodual is a fixed combination of the anticholinergic agent ipratropium bromide (IB) and the beta2-adrenergic agonist fenoterol hydrobromide (FEN).

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Tashkin DP, Pearle J, Iezzoni D, Varghese ST: Formoterol and tiotropium compared with tiotropium alone for treatment of COPD.

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This leaflet does not take the place of talking with your healthcare provider about your medical condition or your treatment.

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The following table lists the incidence of adverse reactions that occurred at a rate of greater than or equal to 3% in any ipratropium bromide group and greater than placebo in the 12-week study.

What are the possible side effects of albuterol and ipratropium inhalation (Combivent, Combivent Respimat, DuoNeb)?

The safety and efficacy of HFA and CFC formulations were shown to be comparable.

Prevention methods include getting a flu shot, staying away from ill friends and family, taking medications as prescribed and contacting a doctor immediately when cold or flu symptoms appear.

Only two nonsmokers died of the disease.

The second time each device is used full instructions will be provided on the correct usage with pat ients practising with placebo either from the Respimat?

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This is sometimes done for young children and babies who can then use the inhaler simply by breathing in and out normally through the mask.

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In patients with asthma and with COPD, studies with the metered aerosol have shown that a combination of ipratropium and fenoterol is as efficacious as double the dose of fenoterol administered without ipratropium.

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