Atrovent Inhaler (Ipratropium)
Medication information written by Dr. Larisa Roybal, PharmD
Updated - January 14, 2021
Atrovent (Ipratropium Bromide) Product Information
Atrovent Inhaler is the medication your doctor may prescribe you to prevent and control COPD symptoms, and can also be used for asthma attacks. It is classified as an antimuscarinic bronchodilator which help with wheezing and shortness of breath.
Buy Atrovent or Generic Ipratropium Online
Atrovent Inhaler is manufactured by Boehringer Ingelheim.
We offer the 20 mcg strength starting at $36.00 USD price. The generic for Atrovent is called Ipratropium, which we have available in the same dose as the brand, but it is manufactured by a different company. Generic Ipratropium is available at a cost of 22 USD for one inhaler. Both options are available from our licensed pharmacy in the United Kingdom.
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Atrovent Inhaler (Ipratropium) Medication Information
Uses
Atrovent HFA is an anticholinergic indicated for the maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema
Dosage
Atrovent Inhaler is available in one strength and each actuation of Atrovent HFA delivers 21 mcg of ipratropium bromide from the valve and 17 mcg from the mouthpiece.
Side Effects
The most common side effects of Atrovent include:
- Bronchitis
- COPD exacerbation
- Dyspnea
- Headache
Speak with your doctor or pharmacist for a full list of side effects that applies to you.
Precautions
Not indicated for the initial treatment of acute episodes of bronchospasm where rescue therapy is required for rapid response.
Hypersensitivity reactions including anaphylaxis: Discontinue Atrovent HFA at once and consider alternative treatments.
Paradoxical bronchospasm: Discontinue Atrovent HFA and consider other treatments if paradoxical bronchospasm occurs.
Ocular effects: Use with caution in patients with narrow-angle glaucoma and instruct patients to consult a physician immediately if signs or symptoms of narrow-angle glaucoma develop.
Urinary retention: Use with caution in patients with prostatic hyperplasia or bladder-neck obstruction and instruct patients to consult a physician immediately if signs or symptoms of urinary retention develop.
Interactions
Some of the common drug interactions with Atrovent:
- Anticholinergics
For a more complete list speak with your doctor or pharmacist
Storage
Store at controlled room temperature (77ºF) and for optimal results the canister should be at room temperature before use.
Pharmacist Tips
- Do not puncture canister and do not store near heat or open flame
- Atrovent should last 2-4 hours
- Do not increase the dose or frequency of Atrovent without consulting a physician
- Seek immediate medical attention if treatment with Atrovent HFA becomes less effective for symptomatic relief, symptoms become worse, and/or you need to use the product more frequently than usual.
- The usual starting dose of Atrovent HFA is two inhalations four times a day. Patients may take additional inhalations as required; however, the total number of inhalations should not exceed 12 in 24 hours.
Atrovent FAQs
How do I use this inhaler?
Atrovent HFA is a solution aerosol that does not require shaking. However, as with any other metered-dose inhaler, some coordination is required between actuating the canister and inhaling the medication.
Patients should "prime" or actuate Atrovent HFA before using for the first time by releasing 2 test sprays into the air away from the face. In cases where the inhaler has not been used for more than 3 days, prime the inhaler again by releasing 2 test sprays into the air away from the face. Patients should avoid spraying Atrovent HFA into their eyes.
Can I take this if I am pregnant?
There are no adequate and well-controlled studies of Atrovent HFA (ipratropium bromide) Inhalation Aerosol in pregnant women. Atrovent HFA should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Can I take this while breastfeeding?
It is not known whether the active component, ipratropium bromide, is excreted in human milk. Because lipid-insoluble quaternary cations pass into breast milk, caution should be exercised when Atrovent HFA is administered to a nursing mother.
Do I have to shake Atrovent before use?
You do not have to shake Atrovent HFA before using it.
When should I get a new inhaler?
The indicator will stop moving at “0”. Discard the inhaler once the dose indicator displays “0”. Even though the canister may not be empty, you cannot be sure of the amount of medicine in each actuation (spray) once the dose indicator displays “0”.
What is Atrovent used for?
This medication is used for the treatment of COPD.
Related Drugs
Reference:
Atrovent Inhaler {package insert}. Ridgefield, CT: Boehringer Ingelheim Pharmaceuticals, Inc.; 2012.
https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/021527s021lbl.pdf
Author: Dr. Larisa Roybal, PharmD
Dr. Roybal is a board-certified pharmacotherapy specialist who has practiced in both ambulatory and acute care settings. Her pharmacy interests include oncology and general inpatient pharmacy.
The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.