Ipratropium Bromide Nasal spray, solution

What is this medicine?

IPRATROPIUM (i pra TROE pee um) is used to relieve a runny nose due to seasonal allergies or non allergic causes, like a cold. This medicine does not help with nasal congestion or sneezing.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• bladder problems, difficulty passing urine

• glaucoma

• prostate trouble

• an unusual or allergic reaction to ipratropium, atropine, bromides, soya flour or protein, soybeans or peanuts, peanut oil, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

This medicine is for use only in the nose. Follow the directions on the prescription label. Do not use more often than directed. Do not share this medicine with anyone else. Make sure that you are using your nasal spray correctly. Ask you doctor or health care provider if you have any questions.

Talk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for children as young as 6 years of age for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What may interact with this medicine?

• atropine, hyoscyamine, and related medications

• medicines for motion sickness or dizziness

• medicines for overactive bladder

• some medicines for colds

• some medicines for stomach problems

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Tell your doctor or health care professional if your symptoms do not improve. Do not use extra medicine. This medicine should start to work within a day or two of treatment.

Do not get this spray in your eyes. It can cause irritation, pain, or blurred vision. If you do get any in your eyes, rinse out with plenty of cool tap water and call your health care provider.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue or difficulty breathing

• chest pain or fast heartbeat

• dizziness or fainting spell

• eye pain or change in vision

• infection

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• dry eyes, mouth or nose

• irritation in the nose or throat

• nausea

• nosebleeds

• trouble passing urine

• unusual taste

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Avoid excessive humidity. Do not freeze. Throw away any unused medicine after the expiration date.

Ipratropium Bromide Nebulizer solution

What is this medicine?

IPRATROPIUM (i pra TROE pee um) is a bronchodilator. It helps open up the airways in your lungs to make it easier to breathe. This medicine is used to treat chronic obstructive pulmonary disease (COPD), including emphysema and chronic bronchitis. Do not use this medicine alone for an acute attack.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of the following conditions:

• bladder problems or difficulty passing urine

• glaucoma

• heart disease or irregular heartbeat

• prostate trouble

• an unusual or allergic reaction to ipratropium, atropine, bromides, soya protein, peanut oil, soybeans or peanuts, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

This medicine is used in a nebulizer. Nebulizers make a liquid into an aerosol that you breathe in through your mouth or your mouth and nose into your lungs. You will be taught how to use your nebulizer. Follow the directions on your prescription label. Do not use more often than directed. Do not stop taking except on your doctor's advice.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Ask your health care professional before you mix any medicines in the same dose of your nebulizer.

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor for regular checks on your progress. Tell your doctor or health care professional if your symptoms do not improve. Do not use extra medicine. If your breathing gets worse or if you need short acting inhalers more often, call your doctor right away.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• difficulty breathing or wheezing that increases or does not go away

• dizziness

• eye pain

• fast or irregular heartbeat

• infection or fever

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• blurred vision

• cough

• dry mouth

• headache

• nausea or constipation

• trouble passing urine

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Keep the vials in the carton until you are ready to use. Throw away any unused medicine after the expiration date.

Ipratropium Bromide Pressurized inhalation, solution

What is this medicine?

IPRATROPIUM (i pra TROE pee um) is a bronchodilator. It helps open up the airways in your lungs to make it easier to breathe. This medicine is used to treat chronic obstructive pulmonary disease (COPD), including emphysema and chronic bronchitis. Do not use this medicine for an acute attack.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of the following conditions:

• bladder problems or difficulty passing urine

• glaucoma

• heart disease or irregular heartbeat

• prostate trouble

• an unusual or allergic reaction to ipratropium, atropine, bromides, soya protein, peanut oil, soybeans or peanuts, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

This medicine is inhaled through the mouth. Follow the directions on your prescription label. Do not use more often than directed. Do not stop taking except on your doctor's advice. Make sure that you are using your inhaler correctly. Ask you doctor or health care provider if you have any questions.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

What may interact with this medicine?

• atropine, hyoscyamine, and related medications

• medicines for motion sickness or dizziness

• medicines for overactive bladder

• some medicines for colds

• some medicines for stomach problems

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor for regular checks on your progress. Tell your doctor or health care professional if your symptoms do not improve. Do not use extra medicine. If your breathing gets worse or if you need short acting inhalers more often, call your doctor right away.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• chest pain or fast heartbeat

• difficulty breathing or wheezing that increases or does not go away

• dizziness or fainting spell

• eye pain or change in vision

• low blood pressure

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• cough

• dry eyes, mouth or nose

• headache

• stomach upset

• trouble passing urine

• unusual taste or metallic taste in your mouth

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at a room temperature between 15 and 30 degrees C (59 and 86 degrees F). Avoid excessive humidity. The contents may burst when exposed to heat or flame. Do not freeze. Throw away the canister after 200 uses or after the expiration date, whichever comes first.