Before using ipratropium nasal spray

Before using ipratropium nasal 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.

How to use ipratropium nasal spray

Before beginning treatment, read the manufacturer's printed information leaflet. The usual dose is two sprays in each nostril, two to three times a day.

1. Blow your nose gently.
2. Remove the cap from the container. (If this is the first time you have used the spray, or if you have not used your spray for more than seven days, press the pump several times until you see a fine spray.)
3. Keep your head upright and insert the nozzle of the spray into one nostril.
4. Push down firmly on the pump to administer one spray.
5. Repeat steps 3 and 4 in the other nostril.
6. Wipe the nozzle with a clean tissue and replace the cap after use.

Getting the most from your treatment

• Avoid spraying ipratropium nasal spray near your eyes. If any of the spray accidentally gets into your eyes, wash it out with cold tap water for several minutes.
• Do not use this nasal spray more often than your doctor or pharmacist recommends. This can increase the risk of side-effects.
• If you buy any medicines, check with a pharmacist that they are safe to take with ipratropium nasal spray.

Can ipratropium nasal spray cause problems?

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.

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

How to store ipratropium nasal spray

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

Important information about all medicines

References

• Manufacturer's PIL, Rinatec® Nasal Spray, Boehringer Ingelheim Limited, electronic Medicines Compendium. Dated January 2009.
• British National Formulary; 61st Edition (March 2011) British Medical Association and Royal Pharmaceutical Society of Great Britain, London (link to current BNF)