Ipratropium (Oral Inhalation)

Use the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not use a double dose to make up for a missed one.

Keep all appointments with your doctor.

Do not let anyone else use your medication. Ask your pharmacist any questions you have about refilling your prescription.

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Aerosol Solution, Inhalation, as bromide:

Atrovent HFA: 17 mcg/actuation (12.9 g) [contains alcohol, usp]

Solution, Inhalation, as bromide:

Generic: 0.02% (2.5 mL)

Solution, Inhalation, as bromide [preservative free]:

Generic: 0.02% (2.5 mL)

• Atrovent HFA

Hypersensitivity to ipratropium, atropine (and its derivatives), or any component of the formulation

Refer to adult dosing.

There are no dosage adjustments provided in the manufacturer's labeling (has not been studied).

Metered-dose inhaler: Store at 25°C (77°F). Do not store near heat or open flame.

Nebulization solution: Store at 15°C to 30°C (59°F to 86°F). Protect from light.

• Discuss specific use of drug and side effects with patient as it relates to treatment. (HCAHPS: During this hospital stay, were you given any medicine that you had not taken before? Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? How often did hospital staff describe possible side effects in a way you could understand?)

• Patient may experience back pain, headache, flu-like symptoms, nasal irritation, pharyngitis, or rhinitis. Have patient report immediately to prescriber vision changes, eye pain, severe eye irritation, urinary retention, painful urination, polyuria, severe dizziness, passing out, tachycardia, arrhythmia, mouth sores, difficulty breathing, wheezing, or cough (HCAHPS).

• Educate patient about signs of a significant reaction (eg, wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat). Note: This is not a comprehensive list of all side effects. Patient should consult prescriber for additional questions.

Intended Use and Disclaimer: Should not be printed and given to patients. This information is intended to serve as a concise initial reference for healthcare professionals to use when discussing medications with a patient. You must ultimately rely on your own discretion, experience and judgment in diagnosing, treating and advising patients.