If you experience a rash, swelling of the tongue, lips or face or your breathing gets worse after using your nebuliser you should speak to your doctor or go to the accident and emergency department of your local hospital immediately.
Do not allow the vapour from the nebuliser to get in your eyes, if you are using a mask to inhale through make sure that it fits properly.
About salbutamol and ipratropium
Type of medicine
Bronchodilator
Used for
Chronic obstructive pulmonary disease
Also called
Combivent®
Ipramol® Steri-Neb
Salipraneb®
Available as
Nebuliser solution
This is a combination medicine containing both salbutamol and ipratropium. This medicine can be used to treat symptoms of chronic bronchitis and in some cases 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.
Before using salbutamol and ipratropium
Before using salbutamol and ipratropium make sure your doctor or pharmacist knows:
If you are pregnant, trying for a baby or breast-feeding.
If you suffer from hyperthyroidism (an overactive thyroid).
If you suffer from heart disease or any other heart problems.
If you suffer high blood pressure, glaucoma or diabetes.
If you suffer from prostate problems.
If you suffer from phaeochromocytoma (a tumour near the adrenal gland).
How to use salbutamol and ipratropium
Use your medication exactly as directed by your doctor.
Always read the manufacturer's information leaflet, if possible, before beginning treatment.
Do not allow the vapour from the nebuliser to get in your eyes, if you are using a mask to inhale through make sure that it fits properly.
Getting the most from your treatment
Do not stop taking this medicine without speaking to your doctor first.
Keep your regular doctors appointments so your progress can be monitored.
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.
Can salbutamol and 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 with your doctor or pharmacist if any of the following side effects continue or become troublesome.
Common side-effects
What can I do if I experience this?
Dry mouth
Try chewing sugar-free gum, sucking pieces of ice or sugar-free sweets.
Feeling sick
Eat little and often. Stick to simple foods such as dry toast.
Constipation
Try to eat a well balanced diet containing plenty of fibre and drink 6-8 glasses of water each day.
Other less common side effects include cough, shakiness, nervous tension, headache, fast or fluttering heart beat, disturbed sleep, behaviour changes in children, throat irritation, sweating, muscle cramps or difficulty urinating.
Important: If you experience confusion, disorientation, eye problems, weakness or muscle cramps you should see your doctor as soon as possible.
Important: If you experience a rash, swelling of the tongue, lips or face or your breathing gets worse after using your inhaler or nebuliser you should speak to your doctor or go to the accident and emergency department of your local hospital immediately.
How to store salbutamol and ipratropium
Keep all medicines out of the reach of children.
Store in a cool, dry place, away from direct heat and light.
Important information about all medicines
Keep all medicines out of the sight and reach of children.
Make sure that the person prescribing this medicine knows about any other medicines that you are taking. This includes medicines you buy and herbal and homeopathic medicines.
If you buy any medicines check with a pharmacist that they are safe to take with your other medicines.
Before taking this medicine tell your doctor if you have ever had an allergic reaction after taking any medicine.
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. Always take the container with you, if possible, even if it is empty.
If you are having any treatment like an operation or dental treatment tell the person carrying out the treatment which medicines you are taking.
Always read the printed information leaflet that comes with your medicine.
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.
The authors and editors of this article are employed to create accurate and up to date content reflecting reliable research evidence, guidance and best clinical practice. They are free from any commercial conflicts of interest. Find out more about updating.
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