This product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic pulmonary that is obstructive which includes bronchitis and emphysema). This product contains 2 medications: albuterol and ipratropium(also understood as salbutamol). Both medications work by relaxing the muscle tissue around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from school or work.
Read the Patient Information Leaflet if available from your pharmacist you get a refill before you start using this product and each time. Learn how to use this inhaler properly. If you have any relevant questions, ask your doctor or pharmacist.
Follow the instructions for "test-spraying" (priming) the inhaler for the first time or if you have not used it for more than 24 hours if you are using it. When priming the inhaler, make sure to spray away from the real face so you aren't getting the medication into the eyes.
Prior to each inhalation, shake the inhaler well for at least 10 seconds. Breathe this medication by lips as directed by your physician, usually 4 times daily. If two inhalations at a right time are prescribed, wait at least 2 minutes between them. Your doctor may direct you to also use this medicine as needed for wheezing and shortness of breathing. Follow your doctor's directions carefully. Nonetheless, the manufacturer recommends that you do not use significantly more than 12 inhalations in a 24-hour period. Doing so may raise the threat of serious side effects.
The dosage is dependant on your condition that is medical and to therapy.
Avoid getting this medication into your eyes. It could cause eye pain/irritation, short-term vision that is blurred and other vision changes. Therefore, when using the inhaler, put your lips tightly around the mouthpiece and keep your eyes closed.
Rinse the mouth area after using the inhaler to avoid mouth that is dry throat discomfort.
If you work with other inhalers during the same time, wait at the least 1 minute between the usage of each medication.
Make use of this medication regularly in order getting the most benefit from it. This medication works best if used at evenly spaced intervals. To help you remember, use it at the same times each day. Do not increase your dose, use this medication more regularly, or stop using it without first consulting your doctor.
Record the amount of inhalations you use, and throw away the canister after you used the labeled number of inhalations in the package.
Learn which of your inhalers you need to use every single day (controller medications) and which you should use if your breathing suddenly worsens (quick-relief drugs). Ask your doctor in advance what you should do if you have new or worsening cough or shortness of breath, wheezing, increased sputum, worsening peak flow meter readings, waking up at night with trouble breathing, if you use your quick-relief inhaler more often (more than 2 days a week), or if your quick-relief inhaler does not seem to be working well. Learn when you can treat sudden breathing problems by yourself and when you must get medical help right away.
Inform your physician if your symptoms usually do not improve or if they worsen.
See also just how to make use of section.
Headache, dizziness, sickness, dry mouth, shaking (tremors), nervousness, or constipation may occur. If any of these effects persist or worsen, tell your doctor or pharmacist quickly.
Remember that your doctor has prescribed this medication she has judged that the benefit to you is greater than the risk of adverse effects because he or. Many people using this medication do not have serious side effects.
This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total results are high.
Infrequently, this medication might cause severe sudden worsening of breathing problems right after use. If you have sudden worsening of breathing, get help that is medical away.
Tell your physician right away if you have serious adverse effects, including: difficult/painful urination, muscle mass cramps.
Get medical help right away if you have any very serious negative effects, including: upper body pain, fast/pounding/irregular heartbeat, rapid breathing, confusion, eye pain/swelling/redness, eyesight changes (such as for example seeing rainbows around lights at night, blurred vision).
A very serious allergic reaction to this product is rare. However, get help that is medical away in the event that you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially associated with face/tongue/throat), severe dizziness, difficulty respiration.
This is simply not a list that is complete of adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In america -
Call your medical professional for medical advice about adverse results. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about unwanted effects. You may report side effects to Health Canada at 1-866-234-2345.
Before making use of this product, inform your medical practitioner or pharmacist if you have any other allergies if you are allergic to ipratropium or albuterol (salbutamol); or to tiotropium; or to atropine or other belladonna-type drugs; or to levalbuterol; or. This product may contain inactive ingredients (such as for instance soy lecithin from soybeans), which can cause allergy symptoms or other problems. Some individuals who are allergic to peanuts may also be allergic to soy. Speak to your pharmacist for additional information.
Before making use of this medication, tell your doctor or pharmacist your medical history, especially of: hypertension, heart disease (such as chest discomfort, coronary attack, irregular heartbeat), personal or family history of glaucoma (angle-closure type), difficulty urinating (for instance, due to enlarged prostate), seizure, overactive thyroid (hyperthyroidism), diabetes.
This drug might make you dizzy or cause blurred vision or other vision changes. 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 beverages that are alcoholic.
Before having surgery, tell your physician or dentist about all the products you use (including prescription drugs, nonprescription drugs, and organic services and products).
Older adults may be more delicate to the relative unwanted effects of this drug, especially problems urinating or constipation.
During pregnancy, this medication must be used only when clearly needed. Discuss the potential risks and advantages with your doctor.
Its unknown if this medication passes into breast milk. Consult your doctor before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Trackable Courier Service takes 5 - 9 days, Airmail service takes 14 - 21 days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.