Ipratropium

About ipratropium

This belongs to the group of medicines known as antimuscarinic bronchodilators.

Ipratropium can be used to treat symptoms of chronic bronchitis and some cases of asthma.

Bronchodilators work by opening up the air passages in the lungs so that air can flow into the lungs more freely. In doing so they help to relieve symptoms such as coughing, wheezing and shortness of breath.

Ipratropium is available in nebuliser solution, metered dose inhaler and inhalation powder form.

It is also sometimes known as: Atrovent; Respontin; Steri-Neb Ipratropium. You may notice the use of any of these names on the packaging of your medicine.

Before using ipratropium

Before using 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 suffer from prostate problems
• if you suffer from cystic fibrosis
• if you have ever had an allergic reaction to this or any other medicine
• if you are taking any other medicines, including those available to buy without a prescription, herbal or complementary medicines

How to use ipratropium

• Use your medication exactly as directed by your doctor.
• Always read the manufacturer's information leaflet, if possible, before beginning treatment.
• Use your inhaler at regular intervals to get the best effects from your medicine.
• Never take more than the prescribed dose. If you suspect that you or someone else has taken an overdose of ipratropium contact your doctor or go to the accident and emergency department of your local hospital at once. Always take the container with you, if possible, even if empty.
• This medicine is for you. Never give it to others even if their condition appears to be the same as yours.

Getting the most from your treatment

• Before taking any 'over-the-counter' medicines, check with your pharmacist which medicines are safe for you to take alongside ipratropium.
• Do not stop taking ipratropium without speaking to your doctor first.
• Keep your regular appointments with your doctor so your progress can be monitored.
• Avoid getting any ipratropium in your eyes. If you accidentally get any ipratropium in your eyes rinse them with water immediately.
• 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 have diabetes: Check your blood glucose levels regularly as this preparation can affect the levels of sugar in your blood.
• Ipratropium aerosols now contain CFC free propellants, which may feel and taste different to inhalers which contain CFCs. If you experience any problems with this type of inhaler you should speak with your doctor.
• Ipratropium can cause a dry mouth. If you experience this, try chewing sugar-free gum, sucking sugar-free sweets or a piece of ice. Alternatively a saliva substitute is available to purchase from your pharmacist. If your mouth becomes too dry, discuss the problem with your doctor.
• Ipratropium can cause constipation. Constipation can often be eased by eating plenty of fibre, such as fruit, vegetables, potatoes and bran and by drinking plenty of water.

Can ipratropium cause problems?

Along with their useful effects, all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak to your doctor or pharmacist if any of the following side effects continue or become troublesome:

Difficulty urinating, nausea, headache, dry mouth, constipation, fast or fluttering heartbeat.

If you experience any eye pain or blurred vision speak to your doctor for advice.

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

How to store ipratropium

• Keep all medicines out of the reach of children.
• Store in a cool dry place, away from direct heat and light.
• Never keep out of date or unwanted medicines. Discard them safely out of the reach of children or take them to your local pharmacist who will dispose of them for you.

© EMIS and Cegedim Pharmacy Services Ltd 2005   Updated: 20/10/2005