Atrovent HFA
Generic Name: ipratropium inhalation (IP ra TRO pee um)
Brand Names: Atrovent, Atrovent HFA
What is Atrovent HFA (ipratropium inhalation)?
Ipratropium inhalation is used to prevent bronchospasm, or narrowing airways in the
lungs, in people with bronchitis, emphysema, or COPD (chronic obstructive pulmonary disease).
Ipratropium inhalation may also be used for purposes other than those listed here.
What is the most important information I should know about Atrovent HFA (ipratropium inhalation)?
Before using this medication, tell your doctor if you have narrow-angle glaucoma, or an
enlarged prostate or bladder obstruction. If you have any of these conditions, you may not be able
to use ipratropium inhalation or you may need a dosage adjustment or special tests during
treatment.
Ipratropium inhalation is used to prevent bronchospasm attacks. This medication will not
treat bronchospasm while it is happening. You may still have difficulty breathing and may need
to use one of your other medicines to treat the attack. To best control your condition, use
ipratropium inhalation regularly, and continue using all your other medicines as directed by your
doctor.
Use this medication exactly as it was prescribed for you. Do not use it in larger doses or
for longer than recommended by your doctor.
Call your doctor right away if you feel that this medicine is not working as well as usual,
or if it makes your condition worse. If it seems like you need to use more of any of your
medications in a 24-hour period, talk with your doctor.
Extreme heat can cause the ipratropium inhalation canister to burst. Do not store
your inhaler in your car on hot days. Do not throw an empty canister into open flame.
Keep track of the number of sprays you have used and throw away the inhaler canister
after 200 sprays, even if it feels like there is still medicine in it.
What should I discuss with my healthcare provider before using Atrovent HFA (ipratropium inhalation)?
Ipratropium inhalation is used to prevent bronchospasm attacks. This medication will not
treat bronchospasm while it is happening. You may still have difficulty breathing and may need
to use one of your other medicines to treat the attack. To best control your condition, use
ipratropium inhalation regularly, and continue using all your other medicines as directed by your
doctor.
Before using this medication, tell your doctor if you have:
If you have any of these conditions, you may not be able to use
ipratropium inhalation or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category B: This medication is not expected to be harmful to an
unborn baby. Do not use ipratropium inhalation without telling your doctor if you are pregnant
or plan to become pregnant during treatment.
It is not known if ipratropium passes into breast milk or if it could harm a nursing
baby. Do not use ipratropium inhalation without telling your doctor if you are breast-feeding a
baby.
Ipratropium inhalation should not be used by a child younger than 12 years of age.
How should I use Atrovent HFA (ipratropium inhalation)?
Use this medication exactly as it was prescribed for you. Do not use it in larger doses or
for longer than recommended by your doctor.
This medication comes with patient instructions for safe and effective use. Follow these
directions carefully. Ask your doctor or pharmacist if you have any questions.
When using the inhaler device for the first time, prime it by spraying 2 test sprays into the
air, away from your face. Also prime the inhaler if you have not used it for 3 days or longer.
The instructions below are for standard use of the inhaler and nebulizer devices.
Your doctor may want you to use your device differently. Be sure you understand all instructions
that are specific to your use of ipratropium inhalation.
To use the inhaler:
-
Uncap the mouthpiece of the inhaler. Breathe out fully. Put the
mouthpiece into your mouth and close your lips. Keep your eyes closed to prevent spraying any
medicine into your eyes. Breathe in slowly while pushing down on the canister. Hold your
breath for 10 seconds, then breathe out slowly.
-
If you use more than one inhalation at a time, wait at least
15 seconds before using the second inhalation.
-
Keep your inhaler clean and dry, and store it with the cap
on the mouthpiece. Clean your inhaler once a week by removing the canister and placing the
mouthpiece under warm running water for at least 30 seconds. Allow the parts to dry before
putting the inhaler back together.
To use the solution with a nebulizer:
-
Measure the correct amount of medicine using the dropper
provided, or use the proper number of ampules. Place the liquid into the medication chamber of
the nebulizer. If using a medicine dropper, do not allow the dropper to touch any surface
including your hands or the nebulizer.
-
Attach the mouthpiece or face mask to the drug chamber.
Then, attach the drug chamber to the compressor. Sit upright in a comfortable position. Place
the mouthpiece into your mouth or put the face mask on, covering your nose and mouth. Breathe
in slowly and evenly until you have inhaled all of the medicine (usually 5 to 15 minutes). The
treatment is complete when no more mist is formed by the nebulizer and the drug chamber is
empty.
-
Clean the nebulizer after each use. Follow the cleaning
directions that came with your nebulizer.
Call your doctor right away if you feel that this medicine is not
working as well as usual, or if it makes your condition worse. If it seems like you need to use
more of any of your medications in a 24-hour period, talk with your doctor.
To be sure this medication is helping your condition, your lung function will need to be
tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.
Store ipratropium inhalation at room temperature away from moisture and heat.
Extreme heat can cause the canister to burst. Do not store it in your car on hot days. Do not
throw an empty canister into open flame.
Keep track of the number of sprays you have used and throw away the inhaler canister
after 200 sprays, even if it feels like there is still medicine in it.
What happens if I miss a dose?
Use the medication as soon as you remember. If it is almost time for the next dose, skip
the missed dose and wait until your next regularly scheduled dose. Do not use
extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine.
Ipratropium inhalation is not expected to cause overdose symptoms.
What should I avoid while using Atrovent HFA (ipratropium inhalation)?
Avoid getting this medication in your eyes. If this happens, rinse with water.
Atrovent HFA (ipratropium inhalation) side effects
Stop using ipratropium inhalation and get emergency medical help if you have any of
these signs of an allergic reaction: hives; difficulty breathing; swelling of
your face, lips, tongue, or throat.
Call your doctor at once if you have a fast, pounding heartbeat.
Other less serious side effects are more likely to occur, such as:
-
headache, dizziness;
-
dry mouth, cough, hoarseness;
-
nausea, upset stomach; or
-
blurred vision.
If you switch from Atrovent to Atrovent HFA, you may notice a
slightly different taste or feel after inhaling the medication.
Side effects other than those listed here may also occur. Talk to your doctor about any
side effect that seems unusual or that is especially bothersome.
What other drugs will affect Atrovent HFA (ipratropium inhalation)?
Before using ipratropium inhalation, tell your doctor if you are using any of the following
medicines:
-
atropine (Donnatal, and others),
-
belladonna,
-
clidinium (Quarzan),
-
dicyclomine (Bentyl),
-
glycopyrrolate (Robinul),
-
hyoscyamine (Anaspaz, Cystospaz, Levsin, and others)
-
mepenzolate (Cantil),
-
methantheline (Provocholine),
-
methscopolamine (Pamine), and
-
propantheline (Pro-Banthine), or
-
scopolamine (Transderm-Scop).
If you are using any of these drugs, you may not be able to use
ipratropium inhalation, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect ipratropium inhalation. Tell your
doctor about all the prescription and over-the-counter medications you use. This includes
vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a
new medication without telling your doctor.
Where can I get more information?
-
Your pharmacist has more information about ipratropium inhalation written for health
professionals that you may read.
What does my medication look like?
Ipratropium inhalation is available with a prescription under the brand name Atrovent.
Other brand or generic formulations may also be available. Ask your pharmacist any questions
you have about this medication, especially if it is new to you.
-
Atrovent 18 mcg per inhalation--white mouthpiece, clear colorless
sleeve, green cap
-
Atrovent HFA 21 mcg per inhalation--white mouthpiece,
clear colorless sleeve, green cap
-
Remember, keep this and all other medicines out of the reach of children, never share
your medicines with others, and use this medication only for the indication prescribed.
- Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate,
up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum
information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not
warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does
not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist
licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not
a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or
drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any
given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information
Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug
interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse
or pharmacist.
Copyright 1996-2006 Cerner Multum, Inc. Version: 7.01. Revision Date: 8/1/06 3:21:39 PM.
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