ipratropium breath activated inhaler - inhalation, Atrovent (cont.)

HOW TO USE: Read the Patient Information Leaflet that comes with this product. Learn how to use this medication properly. Consult your doctor or pharmacist if you have any questions.Shake the canister well before using. If using the ipratropium HFA inhaler, you do not need to shake the canister. It is recommended that you use a spacer device with this medication. Ask your doctor or pharmacist for more information.You should do some test sprays before using a canister for the first time or if it hasn't been used for more than a day.Inhale this medication by mouth usually 4 times a day, or as directed by your doctor. Close your eyes and place your lips tightly around the mouthpiece to avoid spraying any of this medication into your eyes. This will minimize the risk of temporary blurred vision, other vision changes, and eye irritation.If two inhalations/puffs are prescribed, wait at least one minute between them. If you are using other inhalers at the same time, wait several minutes between each medication.Rinse your mouth after using this inhaler to prevent dry mouth and throat irritation.If you are directed to take this medication regularly, it works best if used consistently at evenly spaced intervals. Remember to use it at the same times each day. Do not increase your dose, use it more frequently, or stop using this medication without first consulting your doctor. Dosage is based on your medical condition and response to therapy.Keep track of the number of inhalations you use, and throw away the canister after you have used the labeled number of inhalations on the package.Be sure you understand which of your inhalers you should use on a regular daily basis and which you should use for acute attacks. Consult your doctor about what you should do in case of worsening shortness of breath or cough, increased sputum, or worsening peak flow meter readings (whether you can self-medicate and when you must seek immediate medical attention).Inform your doctor if your symptoms do not improve or worsen.

SIDE EFFECTS: See also How to Use.Dry mouth, dry throat, a bad taste in your mouth, or cough may occur as your body adjusts to this drug. Nervousness, dizziness, headache, nausea, constipation, or stomach upset may also occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: fast/pounding/irregular heartbeat, vision changes, eye pain, increased wheezing/trouble breathing, trouble urinating.A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

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