Ipratropium


  • Make sure you know how to use your inhaler properly. If you are not sure, ask your nurse, doctor or pharmacist to show you.
  • Ipratropium is a reliever medication. It is usually used three or four times a day.
  • The most common side-effect from ipratropium is a dry mouth.
Type of medicine Antimuscarinic bronchodilator
Used for Treatment of chronic obstructive pulmonary disease (often referred to as chronic bronchitis) and some cases of asthma
Also called Atrovent®
Respontin®
Steri-Neb®
Available as Aerosol inhaler, dry powder capsules for inhalation, nebules

Ipratropium works by opening up the air passages in the lungs so that air can flow into the lungs more easily. In doing so it can relieve symptoms such as coughing, wheezing and shortness of breath. When ipratropium is used for nebulisation, it can be used alongside other bronchodilators such as salbutamol or fenoterol. There is a separate information leaflet called Salbutamol and ipratropium.

Before taking ipratropium make sure your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you have glaucoma.
  • If you have prostate problems.
  • If you have cystic fibrosis.
  • If you are taking other medicines, including those available to buy without a prescription, herbal or complementary medicines.
  • If you have ever had an allergic reaction to this or any other medicine.
  • Before beginning treatment, read the manufacturer's printed information leaflet.
  • Follow your doctor's instructions carefully and make sure you know how to use your inhaler properly. If you are not sure, ask your nurse, doctor or pharmacist to show you.
  • Ipratropium is a reliever medication. It is usually used three or four times a day.
  • Try to use this inhaler at the same times each day to avoid missing any doses.
  • It is particularly important that your breathing is well controlled if you are pregnant. Make sure your doctor knows if you are expecting or trying for a baby.
  • Keep your regular appointments with your doctor. Your doctor will want to review your condition on a regular basis.
  • If you find that your symptoms are getting worse or that you need to use reliever medication more regularly, contact your doctor or nurse for advice straight away.
  • Do not smoke. Smoking causes severe irritation and damage to the lungs. It will make your condition worse and will reduce the beneficial effects of your medication.
  • If you buy any medicines, check with a pharmacist that they are safe to take with your other medicines.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. These usually improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following side-effects continue or become troublesome.

Possible side-effects What can I do if I experience this
Dry mouth Try chewing sugar-free gum or sweets
Constipation Try to eat a well balanced diet containing plenty of fibre and drink 6-8 glasses of water each day. If constipation continues to be a problem speak to your pharmacist or doctor
Headache Ask your pharmacist to recommend a suitable painkiller. If the headache continues speak with your doctor
Dizziness Make sure your reactions are normal before doing any jobs which could be dangerous if you were not fully alert
Nausea and vomiting Eat little and often and stick to simple foods
Blurred vision (if you are using the dry powder capsules or nebules) Take care to protect your eyes

If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.

  • Keep all medicines out of the reach and sight of children.
  • Store in a cool, dry place, away from direct heat and light.

  • Never take more than the prescribed dose. If you suspect that you or someone else has taken an overdose of this medicine, go to the accident and emergency department of your local hospital at once. Take the container with you, even if it is empty.
  • If you are having an operation or any dental treatment, tell the person carrying out the treatment which medicines you are taking.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • Never keep out of date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.

Further reading & references

  • British National Formulary; 62nd Edition (Sep 2011) British Medical Association and Royal Pharmaceutical Society of Great Britain, London
  • Manufacturer's PIL, Atrovent Inhaler®; Manufacturer's PIL, Atrovent Inhaler®, Boehringer Ingelheim Limited, electronic Medicines Compendium. Dated November 2010 .
Original Author: Helen Allen Current Version:
Last Checked: 07/06/2011 Document ID: 3598  Version: 22 © EMIS

Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. EMIS has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.

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