ALBUTEROL AND IPRATROPIUM ORAL INHALER (cont.)
PRECAUTIONS: Before taking ipratropium, tell your doctor or pharmacist if you are allergic to it; or to peanuts, soybean, soya lecithin, atropine, other belladonna-type drugs; or if you have any other allergies. Before using this drug, tell your doctor your medical history, especially of: heart/liver/kidney diseases, high blood pressure, narrow-angle glaucoma, prostate enlargement or bladder problems, seizures, thyroid problems, diabetes. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known whether this drug is excreted into human milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: Tell your doctor of all over-the-counter or prescription medication you may use, including: all asthma drugs, blood pressure or chest pain medications, beta-blockers (e.g., propranolol), levodopa, digoxin, certain antidepressants (e.g., amitriptyline, doxepin), MAO inhibitors (e.g., furazolidone, phenelzine, selegiline, tranylcypromine), ritodrine, other "adrenalin" drugs, thyroid drugs, caffeine, antihistamines (often found in cough/cold preparations), antispasmodics (e.g., atropine, clidinium, propantheline), drugs used to treat Parkinson's disease, diuretics (e.g., hydrochlorothiazide). Do not start or stop any medicine without doctor or pharmacist approval.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include chest pain, fast or irregular heartbeat, headache, tremors, nervousness, weakness, and dizziness.
NOTES: Do not share this inhaler with anyone else.
MISSED DOSE: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.
STORAGE: Store at room temperature between 59 and 86 degrees F (15-30 degrees C) away from sunlight and moisture. Exposure to temperatures above 120 degrees F may cause bursting.
MEDICAL ALERT: Your condition can cause complications in a medical emergency. For enrollment information call MedicAlert at 1-800-854-1166 (USA), or 1-800-668-1507 (Canada).
Last Editorial Review: 3/2/2005
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You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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