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

PRECAUTIONS: Before using 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. (For patients using the ipratropium HFA inhaler, the peanut/soybean/soya lecithin allergy warning does not apply.)Before using this medication, tell your doctor or pharmacist your medical history, especially of: narrow angle glaucoma, trouble urinating, enlarged prostate.Although unlikely, this medication may cause dizziness. It may also cause temporary blurred vision or other vision changes if accidentally sprayed into your eyes. If these effects occur, do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages.This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.It is not known if this medication passes into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: certain antihistamines (e.g., diphenhydramine, meclizine), anti-spasmodic drugs (e.g., dicyclomine, hyoscyamine), drugs used to treat Parkinson's disease (e.g., benztropine, trihexyphenidyl), muscle relaxants (e.g., cyclobenzaprine), certain psychiatric medicines (phenothiazines such as chlorpromazine), pramlintide, tricyclic antidepressants (e.g., amitriptyline, imipramine).This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

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