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- What is ipratropium bromide inhaler, and how does it work (mechanism of action)?
- What brand names are available for ipratropium bromide inhaler?
- Is ipratropium bromide inhaler available as a generic drug?
- Do I need a prescription for ipratropium bromide inhaler?
- What are the side effects of ipratropium bromide inhaler?
- What is the dosage for ipratropium bromide inhaler?
- Which drugs or supplements interact with ipratropium bromide inhaler?
- Is ipratropium bromide inhaler safe to take if I'm pregnant or breastfeeding?
- What else should I know about ipratropium bromide inhaler?
What is ipratropium bromide inhaler, and how does it work (mechanism of action)?
Ipratropium bromide is a bronchodilator that dilates (enlarges) airways (bronchi) in the lungs. It is used in treating, symptoms of asthma, colds, allergies, and chronic obstructive pulmonary disease (COPD) due to emphysema or chronic bronchitis. Ipratropium blocks the effect of acetylcholine on airways (bronchi) and nasal passages. Acetylcholine is a chemical that nerves use to communicate with muscle cells. In asthma and chronic obstructive pulmonary disease, cholinergic nerves going to the lungs cause narrowing of the airways by stimulating muscles surrounding the airways to contract. The "anti-cholinergic" effect of ipratropium blocks the effect of cholinergic nerves, causing the muscles to relax and airways to dilate. Mucus glands in the nose also are controlled by nerves that use acetylcholine to communicate. By blocking acetylcholine, ipratropium helps relieve symptoms of allergies and the common cold by preventing secretion of mucus by mucus glands in the nose. When inhaled, ipratropium travels directly to airways, and very little is absorbed into the body. The FDA approved ipratropium in October 1995.
What are the side effects of ipratropium bromide inhaler?
The most common side effects associated with ipratropium are:
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What is the dosage for ipratropium bromide inhaler?
- The recommended dose for allergies is 2 sprays (0.03%) in each nostril 2 or 3 times daily.
- The dose for treating symptoms of the common cold is 2 sprays (0.06%) in each nostril 3 to 4 times daily.
- The dose for treating asthma is 8 inhalations every 20 minutes as needed for up to 3 hours.
- The dose for treating bronchospasms associated with COPD is 2 puffs 4 times daily and additional puffs if needed but not to exceed 12 puffs per day.
Is ipratropium bromide inhaler safe to take if I'm pregnant or breastfeeding?
Studies of ipratropium in animals have not demonstrated negative effects on the fetus. There have been no studies in humans.
It is not known if ipratropium is secreted in breast milk. Other medications in the same class of drugs are secreted into breast milk. It is not known whether the small amounts that may appear in the milk are of any consequence to the infant.
What else should I know about ipratropium bromide inhaler?
What preparations of ipratropium bromide inhaler are available?
Nasal Inhaler: 0.03 or 0.06%. Oral Inhaler (aerosol): 0.021 mg/spray
How should I keep ipratropium bromide inhaler stored?
Ipratropium should be kept at room temperature, 15 C-30 C (59 F-86 F). Excessive humidity should be avoided.
Reference: FDA Prescribing Information
Quick GuideCOPD Lung Symptoms, Diagnosis, Treatment
Ipratropium bromide inhaler (Atrovent, Atrovent HFA) is a medication prescribed for the treatment of allergic or nonallergic rhinitis and rhinitis due to the common cold. Oral ipratropium is prescribed for the treatment of acute asthma flares and bronchospasms that result from COPD (chronic obstructive pulmonary disease) and emphysema. Side effects, drug interactions, dosing, storage, and pregnancy and breastfeeding safety information is provided.
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Chronic bronchitis is a cough that occurs daily with production of sputum that lasts for at least three months, two years in a row. Causes of chronic bronchitis include cigarette smoking, inhaled irritants, and underlying disease processes (such as asthma, or congestive heart failure). Symptoms include
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Treatments include bronchodilators and steroids. Complications of chronic bronchitis include COPD and emphysema.
Chronic cough is a cough that does not go away and is generally a symptom of another disorder such as
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- sinus infection,
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Chronic cough treatment is based on the cause, but may be soothed natural and home remedies.
Chronic rhinitis and post-nasal drip symptoms include:
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- Itchy ears, eyes, and throat
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Common ColdThe common cold (viral upper respiratory tract infection) is a contagious illness that may be caused by various viruses. Symptoms include a stuffy nose, headache, cough, sore throat, and maybe a fever. Antibiotics have no effect upon the common cold, and there is no evidence that zinc and vitamin C are effective treatments.
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Hay FeverHay fever (allergic rhinitis) is an irritation of the nose caused by pollen and is associated with the following allergic symptoms: nasal congestion, runny nose, sneezing, eye and nose itching, and tearing eyes. Avoidance of known allergens is the recommended treatment, but if this is not possible, antihistamines, decongestants, and nasal sprays may help alleviate symptoms.
How to Stop Coughing
Coughing is a reflex that helps a person clear their airways of irritants. There are many causes of an excessive or severe cough including:
- Irritants like
- cigarette and secondhand smoke
- air fresheners
- Medications like beta blockers and ACE inhibitors
- Medical conditions like
- the common cold
- lung cancer
- heart disease
Natural and home remedies that help cure and soothe a cough are:
Natural and home remedies to help cure and soothe a cough are:
- Stay hydrated
- Gargle saltwater
- Use cough drops or lozenges
- Use herbs and supplements like ginger, mint, licorice, and slippery elm
- Don't smoke
Over-the-counter products (OTC)to cure and soothe a cough include
- cough suppressants and expectorants, and
- anti-reflux drugs.
Prescription drugs that help cure a cough include
- narcotic medications,
- inhaled steroids, and
- anti-reflux drugs like proton pump inhibitors or PPIs, for example,
- omeprazole (Prilosec),
- rabeprazole (Aciphex), and
- pantoprazole (Protonix).
- Irritants like
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