The product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic pulmonary that is obstructive which includes bronchitis and emphysema). This product contains 2 medications: albuterol and ipratropium(also understood as salbutamol). Both medications work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school.
Read the Patient Ideas Leaflet if available from your pharmacist before you start using this product and each time you get a refill. Learn how to use this inhaler properly. If you have any relevant questions, ask your doctor or pharmacist.
Follow the instructions for "test-spraying" (priming) the inhaler if you are using it for the first time or if you have not used it for more than 24 hours. When priming the inhaler, make sure to spray away from the real face to make sure you don't get the medication into your eyes.
Prior to each inhalation, shake the inhaler well for at least 10 seconds. Inhale this medication by mouth as directed by your medical professional, usually 4 times daily. If two inhalations at a right time are prescribed, wait at least 2 minutes between them. Your doctor may also direct you to use this medicine as needed for wheezing and shortness of breath. Follow your doctor's directions carefully. But, the manufacturer recommends you do not use more than 12 inhalations in a 24-hour period. Doing so may boost the threat of serious adverse effects.
The dosage is based on your medical condition and response to therapy.
Avoid getting this medicine into the eyes. It would likely cause eye pain/irritation, short-term vision that is blurred and other vision changes. Therefore, when using the inhaler, tightly put your lips around the mouthpiece and keep your eyes shut.
Rinse your mouth after using the inhaler to avoid dry mouth and throat discomfort.
If you work with other inhalers at the time that is same wait at the least 1 minute between the application of each medication.
Use this medication regularly in an effort to get the benefit that is most from it. This medication works best if used at evenly spaced intervals. To help you remember, use it at the same times each day. Do not increase your dose, use this medication more often, or stop deploying it without first consulting your medical professional.
Keep track of how many inhalations you use, and throw away the canister after you used the labeled number of inhalations in the package.
Learn which of your inhalers you need to use each day (controller medications) and which you need to use if your breathing suddenly worsens (quick-relief drugs). Ask your doctor ahead of time what you should do if you use your quick-relief inhaler more often (more than 2 days a week), or if your quick-relief inhaler does not seem to be working well if you have new or worsening cough or shortness of breath, wheezing, increased sputum, worsening peak flow meter readings, waking up at night with trouble breathing. Learn when you can treat sudden breathing problems you must get medical help right away by yourself and when.
Inform your medical professional if your symptoms usually do not improve or if they worsen.
See also just how to Use section.
Headache, dizziness, sickness, dry mouth, shaking (tremors), nervousness, or constipation may occur. If any of these effects persist or worsen, tell your pharmacist or doctor immediately.
Remember that your physician has prescribed this medicine she has judged that the benefit to you is greater than the risk of adverse effects because he or. Many people using this medication do not have adverse that is serious.
This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total results are high.
Infrequently, this medication could potentially cause severe worsening that is sudden of problems right after use. If you have sudden worsening of breathing, get medical help right away.
Tell your doctor appropriate away in the event that you have side that is serious, including: difficult/painful urination, muscle tissue cramps.
Get medical help right away if you have actually any very serious side-effects, including: chest pain, fast/pounding/irregular heartbeat, rapid breathing, confusion, eye pain/swelling/redness, vision changes (such as seeing rainbows around lights at evening, blurred vision).
An extremely serious reaction that is allergic this product is rare. However, get medical help right away in the event that you notice any symptoms of a serious sensitive reaction, including: rash, itching/swelling (especially of this face/tongue/throat), serious dizziness, trouble respiration.
It is not a list that is complete of adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the usa -
Call your physician for medical advice about adverse results. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about negative effects. You may report effects that are side Health Canada at 1-866-234-2345.
Before using this product, tell your physician or pharmacist if you have any other allergies if you are allergic to ipratropium or albuterol (salbutamol); or to tiotropium; or to atropine or other belladonna-type drugs; or to levalbuterol; or. This product may contain ingredients that are inactivesuch as for instance soy lecithin from soybeans), which can cause allergic reactions or other problems. Some individuals who are allergic to peanuts may be allergic to also soy. Talk to your pharmacist for additional information.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: raised blood pressure, heart problems (such as chest pain, heart attack, irregular heartbeat), personal or family history of glaucoma (angle-closure kind), difficulty urinating (for instance, due to enlarged prostate), seizure, overactive thyroid (hyperthyroidism), diabetes.
This drug might make you dizzy or cause blurred vision or other vision changes. Do not drive, use machinery, or do any activity that requires alertness or clear vision you can perform such activities safely until you are sure. Limit beverages that are alcoholic.
Before having surgery, tell your doctor or dental practitioner about all the products you utilize (including prescription drugs, nonprescription drugs, and herbal items).
Older adults may be more painful and sensitive to the relative side effects of this medication, particularly problems urinating or constipation.
During pregnancy, this medication should be utilized only once plainly required. Discuss the potential risks and advantages with your doctor.
It is unknown if this medication passes into breast milk. Consult your physician before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Trackable Courier Service takes 5 - 9 days, Airmail service takes 14 - 21 days.