Pulmonary - Critical Care Associates
of East Texas

Jeffrey M. Shea, M.D., F.C.C.P.
                              Catherine M. Martinez, M.D.

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ATROVENT 0.02% SOLUTION
IPRATROPIUM (ip-ruh-TROW-pee-um) - INHALATION SOLUTION

Atrovent Solution for Nebulization   COMMON BRAND NAME(S): Atrovent

    USES: This medication is inhaled into the lungs where it dilates breathing passages. It is used to treat breathing difficulties caused by chronic, obstructive disorders of the lungs such as chronic bronchitis or emphysema.

    HOW TO TAKE THIS MEDICATION: This medication is inhaled into the lungs using special breathing (nebulizer) equipment usually 3 to 4 times a day (6 to 8 hours apart) . A health care professional will demonstrate the proper way to measure the medication and use the equipment. Make sure you understand how to operate the machine and ask any questions you may have. Be sure to read and understand the patient instructions that come with the medication. Use this medication as directed. Do not increase your dose or take this more frequently than directed. Excessive use may lead to a loss of effectiveness while increasing the chance for side effects. Do not stop using this medication without first consulting your doctor.

    SIDE EFFECTS: This medication may cause dizziness, headache, nausea, dry mouth, cough, hoarseness, or blurred vision. These effects should disappear as your body adjusts to the medication. If they persist or become bothersome, inform your doctor. Notify your doctor if you experience a skin rash, itching, an irregular heartbeat, chest pains or a rapid heartbeat while taking this medication. If the drug comes in contact with the eye, temporary blurring of vision may occur.

    PRECAUTIONS: Before using this medication, tell your doctor your medical history especially of glaucoma, prostate trouble or any allergies especially to atropine or other belladonna derivatives.

    Tell your doctor if you are pregnant before using this medication. It is not known if the ipratropium is excreted into breast milk. Consult your doctor before breast-feeding.

    DRUG INTERACTIONS: Tell your doctor of all nonprescription or prescription medication you may take particularly antispasmodics (e.g., atropine, clidinium, propantheline), antihistamines (often found in cough/cold preparations) or medication for Parkinson's disease.

    NOTES: It may be preferable to use the nebulizer with a mouthpiece rather than a face mask to reduce the chance of the solution coming into contact with the eyes and causing blurred vision.

    MISSED DOSE: If used on a regular schedule, use as soon as remembered. Use remaining doses for the day at evenly spaced intervals.

    STORAGE: This medication should be stored at room temperature away from light. Avoid freezing.

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