Salbutamol and ipratropium

About salbutamol and ipratropium

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)
• If you have an allergy to peanuts or soya

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.
• Use your inhaler at regular intervals to get the best effects from your medicine.
• 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. Your doctor may want to check that you are using your inhaler device correctly.
• Aerosol inhalers are sometimes provided with a spacer device to help young children and those who have problems co-ordinating using the device with breathing in. Your doctor or pharmacist will be able to advise you on using the device.
• 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.

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