HOW TO USE: Read the Patient Information Leaflet that comes with this medication and the instructions for how to use the nebulization equipment. A healthcare professional will teach you the proper way to measure out the medication and use the machine. Consult your healthcare professional if you have any questions.Inhale this medication into your lungs using the nebulizer, usually 3 or 4 times a day (6 or 8 hours apart), or as directed by your doctor. It is recommended that you use a mouthpiece rather than a face mask with the nebulizer or that you close your eyes during use to avoid getting any medication into your eyes. This will minimize the risk of temporary blurred vision, other vision changes, and eye irritation.Ipratropium may be mixed with other prescribed medications such as albuterol or metaproterenol in the nebulizer and used within 1 hour of mixing. If this medication is mixed with saline, use immediately. Check with your doctor or pharmacist before mixing any other medications. Once a vial is opened, throw away any remaining unused solution.Each treatment should last about 5-15 minutes. Rinse your mouth after treatment to prevent dry mouth and throat irritation. Clean the nebulizer according to the manufacturer's directions.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.Be sure you understand which of your inhalers and nebulized solutions 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, or cough may occur as your body adjusts to this drug. Dizziness, headache, nausea, or constipation 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: chest pain, fast/pounding 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.

Report Problems to the Food and Drug Administration 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. Need help identifying pills and medications? Use the pill identifier tool on RxList.