This system is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD which includes bronchitis and emphysema). This product contains 2 medications: albuterol and ipratropium(also understood as salbutamol). Both medications work by relaxing the muscles 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 before you start using this product and each time you get a refill. 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 if you are using it for the first time or if you have not used it for more than 24 hours. When priming the inhaler, make sure to spray away from the real face so you aren't getting the medication into your eyes.
Before every inhalation, shake the inhaler well for at least 10 seconds. Breathe this medication by mouth as directed by your physician, often 4 times daily. If two inhalations at a right time are prescribed, wait at least 2 minutes between them. Your doctor may also direct you to utilize this medication as needed for wheezing and shortness of breath. Follow your physician's guidelines carefully. Nevertheless, the manufacturer recommends that you do not use more than 12 inhalations in a 24-hour period. Doing this may boost the risk of serious side effects.
The dosage is founded on your condition that is medical and to treatment.
Avoid getting this medication into the eyes. It may cause eye pain/irritation, short-term vision that is blurred and other vision changes. Therefore, when using the inhaler, tightly put your lips around the mouthpiece and keep your eyes shut.
Rinse the mouth area after using the inhaler to stop dry mouth and throat discomfort.
If you use other inhalers at the time that is same wait at the very least 1 minute between the utilization of each medicine.
Utilize this medication regularly to be able to have the benefit that is most from it. This medication works best if used at evenly spaced intervals. Each day to help you remember, use it at the same times. Do not increase your dose, use this medication more frequently, or stop utilizing it without first consulting your doctor.
Keep an eye on the amount of inhalations you use, and throw the canister away after you purchased the labeled number of inhalations on the package.
Learn which of your inhalers you should utilize each day (controller drugs) and which you should use if your breathing suddenly worsens (quick-relief drugs). Ask your physician ahead of time what you should do in the event that 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 doctor if your symptoms do not enhance or if they worsen.
See also just how to Use section.
Headache, dizziness, sickness, dry mouth, shaking (tremors), nervousness, or constipation may occur. If any of these effects persist or worsen, tell your pharmacist or doctor promptly.
Remember that your doctor has recommended this medicine she has judged that the benefit to you is greater than the risk of side effects because he or. Many people using this medication do not have serious adverse effects.
This medicine might raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total results are high.
Infrequently, this medication could cause severe sudden worsening of breathing problems right after use. If you have sudden worsening of breathing, get medical help right away.
Tell your doctor right away if you have side that is serious, including: difficult/painful urination, muscle tissue 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).
An extremely serious reaction that is allergic this product is rare. However, get help that is medical away if you notice any symptoms of a critical allergic response, including: rash, itching/swelling (especially associated with 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 pharmacist or doctor.
In the US -
Call your doctor 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 adverse effects. You may report effects that are side Health Canada at 1-866-234-2345.
Before using this product, tell your medical practitioner or pharmacist in the event that 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 example soy lecithin from soybeans), which can cause allergic reactions or other problems. Some individuals who are allergic to peanuts may also be allergic to soy. Confer with your pharmacist for more information.
Before by using this medication, tell your doctor or pharmacist your medical history, especially of: high blood pressure, heart problems (such as for instance chest pain, heart attack, irregular heartbeat), personal or family history of glaucoma (angle-closure kind), difficulty urinating (for example, due to enlarged prostate), seizure, overactive thyroid (hyperthyroidism), diabetes.
This drug may 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 alcoholic beverages.
Before having surgery, tell your physician or dental practitioner about all the products you use (including prescription drugs, nonprescription drugs, and organic items).
Older grownups may be more painful and sensitive to the relative negative effects of this medication, specially problems urinating or constipation.
During pregnancy, this medicine should really be utilized only if demonstrably needed. Discuss the risks and benefits with your doctor.
Its unknown if this medication passes into breast milk. Consult your physician before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
Airmail: 2-3 business weeks, EMS: 3-8 business days.