Indications 

Atrovent Inhaler is a prescribed medication for managing and preventing wheezing, shortness of breath, coughing, and chest tightness in individuals with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. 

Classified as an anticholinergic bronchodilator, Atrovent Inhaler exerts its therapeutic effect by relaxing and widening the air passages to the lungs to facilitate easier breathing. 

Uses and Dosage 

Before using Atrovent Inhaler and with each prescription refill, carefully read its medication guide and information leaflet. Do not hesitate to ask your doctor or pharmacist for any questions or concerns. 

Atrovent dosage is determined based on the patient’s medical condition and response to the treatment.  

Typically, two inhalations are administered four times daily. Additional inhalations may be taken, if necessary, but the maximum number of inhalations within 24 hours should not exceed 12. 

To properly use Atrovent Inhaler, follow these steps: 

1. Hold the inhaler with the clear end pointing upward and place the metal canister inside the clear end of the inhaler. Ensure that the canister is firmly and completely inserted into the mouthpiece. To optimize its effectiveness, ensure it is at room temperature before use. 
2. Take off the protective dust cap. Before using, check the mouthpiece for any obstructions, particularly if the cap is absent. 
3. For initial use or if unused for 3 days, prime the inhaler by pressing down on the canister to release two sprays into the air, away from your face. Be cautious not to spray the medication into your eyes during priming. 
4. Exhale deeply through your mouth. 
5. Hold the inhaler with the mouthpiece facing you, between your thumb and two fingers. Insert the open end of the mouthpiece into your mouth and seal your lips tightly around it. Ensure your eyes are closed while using the inhaler. 
6. Breathe in slowly and deeply through the mouthpiece while pressing down firmly on the canister. 
7. Hold your breath for 10 seconds, remove the inhaler, and breathe out slowly. 
8. If instructed to use two puffs, wait at least 15 seconds before repeating steps 4 to 7. 
9. After using the inhaler, replace the protective dust cap. 

Clean the inhaler mouthpiece weekly by washing it with water, shaking off excess water, and allowing it to air dry completely before the next use. 

For optimal efficacy, use Atrovent inhaler at evenly spaced intervals as directed, and establish a routine of taking it around the same time each day.  

Do not increase your dose, use this inhaler more often, or stop using it without consulting your doctor first. 

Side Effects 

Listed below are the side effects associated with the use of Atrovent Inhaler. If any of them last or worsen, inform your doctor promptly. 

Common Side Effects 

• Difficulty breathing 
• Cough 
• Headache 
• Dry mouth 
• Bitter taste after using the inhaler 

Serious Side Effects 

• Wheezing 
• Choking 
• Breathing problems after using the inhaler 
• Little or no urination 
• Blurred vision 
• Tunnel vision 
• Eye pain 
• Seeing halos around lights 
• Worsening breathing problems 

Call your doctor right away if any of the serious side effects listed above are experienced. 

Allergic Reactions 

A severe allergic reaction to Atrovent Inhaler is uncommon; however, seek medical assistance immediately if you observe any symptoms of a severe allergic reaction, such as: 

• Rash 
• Swelling or itching (especially of the face/tongue/throat) 
• Difficulty breathing 
• Severe dizziness 

This list does not contain all the potential side effects of Atrovent Inhaler. If you observe other effects not listed above, inform your doctor promptly.  

Cautions 

Before using Atrovent Inhaler, inform your doctor and pharmacist if you have any known hypersensitivities, especially to: 

• Ipratropium 
• Tiotropium 
• Atropine 
• Other belladonna-type drugs 
• Other medicines 
• Any ingredients present in Atrovent Inhaler 

To ensure Atrovent Inhaler is safe for you, disclose your medical history to your doctor, especially of:  

• A personal or family history of glaucoma (angle-closure type) 
• Difficulty urinating (e.g., due to enlarged prostate) 

To minimize the risk of drug interactions that may impact the effectiveness of Atrovent Inhaler or increase the probability of severe side effects, inform your healthcare provider of all your current medications, such as prescription and over-the-counter drugs, dietary supplements, and herbal products. 

To prevent any potential harm, refrain from operating hazardous machinery or driving while using the Atrovent Inhaler, as it could lead to blurry vision and delayed reaction time. Observe first how this medicine will affect you before performing such activities. 

The use of Atrovent Inhaler during pregnancy should be considered only if the potential benefits outweigh the risks. Discuss the potential risks and benefits with a healthcare provider before use. 

Ipratropium bromide’s excretion in human milk is unknown. Prior to breastfeeding, consult with your doctor.