The product 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 known as salbutamol). Both drugs work by relaxing the muscle tissue around the airways so you can breathe more easily that they open up and. Controlling symptoms of breathing problems can decrease time lost from school or work.
Read the Patient Ideas 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 that you don't get the medication into your eyes.
Before every inhalation, shake the inhaler well for at least 10 seconds. Inhale this medication by mouth as directed by your medical professional, usually 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 make use of this medication as needed for wheezing and shortness of breath. Follow your physician's guidelines carefully. But, the manufacturer recommends you do not use more than 12 inhalations in a period that is 24-hour. Doing this may raise the danger of serious adverse effects.
The dosage is founded on your medical condition and response to therapy.
Avoid getting this medicine into your eyes. It would likely cause eye pain/irritation, temporary 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 making use of the inhaler to prevent dry mouth and throat irritation.
If you are using other inhalers at the same time, wait at the least 1 minute between the application of each medication.
Utilize this medication frequently so as to have 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, usage this medicine more regularly, or stop using it without first consulting your doctor.
Record how many inhalations you use, and throw away the canister after you purchased the labeled number of inhalations on the package.
Learn which of your inhalers you should utilize each day (controller medications) and which you should use if your breathing suddenly worsens (quick-relief drugs). Ask your physician ahead of time what you need to 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 you must get medical help right away by yourself and when.
Tell your medical professional if your symptoms usually do not enhance or if they worsen.
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Headache, dizziness, nausea, dry mouth, shaking (tremors), nervousness, or constipation may occur. If any of these effects persist or worsen, tell your doctor or pharmacist immediately.
Remember that your physician has recommended this medication 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 side effects.
This medication might 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 worsening that is sudden of problems right after use. If you have sudden worsening of breathing, get help that is medical away.
Tell your doctor appropriate away if you have adverse that is serious, including: difficult/painful urination, muscle mass cramps.
Get medical help right away if you have any very serious unwanted effects, including: chest pain, fast/pounding/irregular heartbeat, rapid breathing, confusion, eye pain/swelling/redness, eyesight changes (such as for example seeing rainbows around lights at evening, blurred vision).
A very serious reaction that is allergic this product is rare. However, get help that is medical away if you notice any symptoms of a significant allergic effect, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, difficulty breathing.
This is not a list that is complete of side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the usa -
Call your medical professional for medical advice about side effects. 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 negative effects. You may report effects that are side Health Canada at 1-866-234-2345.
Before utilizing 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 soy lecithin from soybeans), which can cause allergies or other problems. Some individuals who are allergic to peanuts may also be allergic to soy. Talk to your pharmacist for more information.
Before making use of this medication, tell your physician or pharmacist your medical history, especially of: hypertension, cardiovascular illnesses (such as for instance chest pain, coronary arrest, 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 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 alcoholic beverages.
Before having surgery, tell your doctor or dental practitioner about all the products you utilize (including prescribed drugs, nonprescription drugs, and natural services and products).
Older grownups may be more delicate to the relative negative effects of this medication, especially problems urinating or constipation.
During pregnancy, this medication ought to be used only when obviously needed. Discuss the potential risks and advantages with your doctor.
Its unknown if this medication passes into breast milk. Consult your medical professional 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.