For treatment Bronchial obstruction by e.g. Chronic obstructive bronchitis and bronchial asthma.
The bronchodilation after inhalation of ipratropium bromide is local and specific to the lungs and not of a systemic nature.
Does not affect secretion production in the airways, mucociliary transport or gas exchange.
Can be used in combination with adrenergic
The result is a stronger and longer-lasting bronchodilation. The effect occurs within 15 minutes, max. effect after approx. 1-2 hours with a duration of up to 4-6 hours.
.How To Use:
The dose is adjusted individually.
If the dose does not produce the usual effect or the patient’s symptoms worsen, a doctor must be contacted for assessment of the treatment.
Inhalation liquid:
Daily doses >1 mg for children <12 years or >2 mg for adults and children >12 years should only be given under close medical supervision. Children: 0.25 mg ipratropium bromide 3-4 times a day.
Adults:
25-0.5 mg ipratropium bromide 3-4 times a day.
Preparation/Handling
Inhalation liquid:
Can be used undiluted.
The 1 ml dose containers are diluted with physiological saline to a total volume of 2-4 ml or used in combination with a β 2 agonist.
Warnings And Precautions:
Acute hypersensitivity reactions may occur in rare cases after inhalation, and may manifest as rash, urticaria , angioedema , bronchospasm, edema of the mouth and pharynx as well as anaphylaxis .
Medicines that are inhaled can cause paradoxical bronchospasm which can be life-threatening. The treatment must then be discontinued immediately and replaced with alternative treatment. Use with caution in patients who are predisposed to narrow-angle glaucoma.
In some cases , eye problems (e.g. Mydriasis , increased intraocular pressure, narrow-angle glaucoma and eye pain) have been reported in patients who have received ipratropium bromide alone or in combination with adrenergic β 2 agonistin the eyes.
Pain or discomfort from the eyes, blurred vision, halo or color phenomenon, together with red eyes due to swelling of the conjunctiva or cornea, can be signs of narrow-angle glaucoma.
In the event of such symptoms, treatment with a miotic should be initiated and an eye specialist should be contacted immediately.
he patient is instructed in the correct use of the preparation and warned against letting the preparation get into the eyes.
If it gets in the eyes, the eyes should be rinsed with running water.
Use with caution in prostatic hyperplasia or bladder neck obstruction.
Patients with cystic fibrosismay have an increased risk of gastrointestinal motility disorders when treated with ipratropium bromide.
The patient should be encouraged to contact a doctor when the desired effect is not achieved. In case of acute deterioration of lung function, a doctor must be contacted immediately.
Side effects such as dizziness, accommodation disturbances, mydriasis and blurred vision may occur during treatment, and caution is therefore recommended when driving or using machinery.
Ingredients:
INHALATION LIQUID, single-dose containers 0.25 mg/ml and 0.5 mg/ml.
1 ml contents:
Ipratropium bromide 0.25 mg.
OR:
Ipratropium bromide 0.5 mg
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