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 known 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 Suggestions Leaflet if available from your own 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 do not get the medication into your eyes.
Prior to each inhalation, shake the inhaler well for at least 10 seconds. Breathe this medication by lips as directed by your doctor, frequently 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 make use of this medicine as needed for wheezing and shortness of breathing. Follow your physician's guidelines carefully. Nonetheless, the manufacturer recommends you do not use a lot more than 12 inhalations in a 24-hour period. Doing so may increase the threat of serious side effects.
The dosage is founded on your medical condition and response to therapy.
Avoid getting this medicine into the eyes. It might probably cause eye pain/irritation, temporary blurred vision, 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 utilizing the inhaler to avoid dry mouth and throat discomfort.
If you use other inhalers during the time that is same wait at the least 1 minute between the employment of each medication.
Utilize this medication frequently in an effort 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, use this medication more often, or stop using it without first consulting your doctor.
Record how many inhalations you utilize, and throw away the canister after you have used the labeled number of inhalations regarding the package.
Learn which of your inhalers you need to use each day (controller medications) and which you need to use if your breathing suddenly worsens (quick-relief drugs). Ask your doctor in advance what you ought to do 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 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. 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 do not improve or if they worsen.
See also How to Use area.
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 immediately.
Remember that your physician has recommended 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 adverse that is serious.
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 could potentially 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 doctor right away if you have any serious side effects, including: difficult/painful urination, muscle mass cramps.
Get medical help right away if you have any very serious side-effects, including: chest pain, fast/pounding/irregular heartbeat, rapid breathing, confusion, eye pain/swelling/redness, eyesight changes (such as seeing rainbows around lights at night, blurred vision).
A really serious reaction that is allergic this product is rare. However, get medical help right away if you notice any symptoms of a critical allergic effect, including: rash, itching/swelling (especially of this face/tongue/throat), serious dizziness, difficulty breathing.
This is simply not a complete list of possible adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
In the usa -
Call your physician for medical advice about side 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 negative effects. You may report side effects to Health Canada at 1-866-234-2345.
Before utilizing this product, inform 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 instance soy lecithin from soybeans), which can cause allergy symptoms or other problems. Some individuals who are allergic to peanuts may be allergic to also soy. Confer with your pharmacist for additional information.
Before by using this medication, tell your physician or pharmacist your medical history, especially of: high blood pressure, cardiovascular disease (such as chest discomfort, coronary attack, irregular heartbeat), personal or family history of glaucoma (angle-closure kind), difficulty urinating (as an 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 you can perform such activities safely until you are sure. Limit alcoholic beverages.
Before having surgery, tell your doctor or dental practitioner about all the products you use (including prescribed drugs, nonprescription drugs, and natural products).
Older grownups may be more delicate to the relative unwanted effects of this medication, especially problems urinating or constipation.
During pregnancy, this medicine should be used only when obviously needed. Discuss the risks and advantages with your doctor.
It is 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.
Airmail: 2-3 business weeks, EMS: 3-8 business days.