ipratropium/albuterol (salbutamol) solution - inhalation, DuoNeb (cont.)

HOW TO USE: Read the Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. This medication is used with a special machine called a nebulizer. Consult your healthcare professional for how to properly use the nebulizer and read the manufacturer's instructions. If you have any questions, consult your doctor or pharmacist.This medication does not require any mixing before use. Inhale this medication into your lungs using the nebulizer and mouthpiece/face mask, usually 4 times a day or as directed by your doctor.Avoid getting any medication into your eyes. It may help to close your eyes during use. This will reduce the risk of temporary blurred vision, other vision changes, eye pain, and worsening of narrow-angle glaucoma. If you do get some medication into your eyes, rinse them with water and call your doctor promptly if symptoms persist.Each treatment should last about 5-15 minutes. Rinse your mouth after treatment to prevent dry mouth and throat irritation. To prevent infections, clean the nebulizer according to the manufacturer's directions.Use this medication exactly as prescribed. Remember to use it at the same times each day. Do not increase your dose or use it more often than prescribed because serious side effects may occur. Dosage is based on your medical condition and response to therapy.Inform your doctor if your symptoms do not improve or if they worsen. Consult your doctor about what you should do in case this medication stops working well, or if you have worsening shortness of breath/cough, increased sputum, or worsening peak flow meter readings.

SIDE EFFECTS: Nausea, diarrhea, constipation, blurred vision, dizziness, headache, nervousness, dry mouth, dry/sore throat, or voice changes may 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: muscle cramps, vision changes, eye pain, trouble urinating, fast/pounding/irregular heartbeat.Seek immediate medical attention if any of these rare but very serious side effects occur: chest pain.Rarely, this medication has caused severe (possibly fatal), sudden worsening of breathing problems (paradoxical bronchospasm). Seek immediate medical attention if you experience increased wheezing/trouble breathing.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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