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Salbutamol and Ipratropium
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About salbutamol and ipratropium
| Type of medicine | Bronchodilator |
| Used for | Chronic obstructive pulmonary disease |
| Also called | Combivent Ipramol Steri-Neb |
| 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
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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.
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