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General Medication Fact Sheet for Ipratropium
| Field | Information |
|---|---|
| Generic Name | Ipratropium |
| Brand Name Versions | Atrovent HFA |
| Purpose | Bronchodilator used to prevent wheezing, shortness of breath, coughing, and chest tightness in people with COPD, including bronchitis and emphysema. Also used to treat runny nose due to colds or allergies. |
| Mechanism of Action | Blocks acetylcholine receptors in the airways, which leads to bronchodilation (widening of the airways). |
| Dosage Forms | Inhalation solution, nasal spray |
| Available Strengths | Inhalation solution: 0.02%, 0.5 mg/2.5 mL; Nasal spray: 0.03%, 0.06% |
| Dosage Frequency | Inhalation: Typically 3-4 times daily; Nasal Spray: Typically 2-3 times daily in each nostril |
| Common Side Effects | Dry mouth, cough, sore throat, blurred vision, headache, nosebleeds (with nasal spray) |
| Serious Side Effects | Eye pain, vision changes, difficulty urinating, severe allergic reaction (rash, itching, swelling, difficulty breathing) |
| Drug Interactions | Other anticholinergic medications (e.g., tiotropium, oxybutynin) |
| Important Notes | Avoid spraying in eyes. Rinse mouth after inhalation to prevent dryness. Consult a doctor if symptoms worsen or do not improve. |
| Storage | Store at room temperature away from moisture and light. Keep inhaler canister away from open flame or high heat. |
| Missed Dose | Use as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue your regular dosing schedule. Do not double the dose. |
| Alternatives | Albuterol, Tiotropium, Ipratropium/Albuterol Combination |
Ipratropium Alternatives
| Medication | Mechanism of Action | Notes |
|---|---|---|
| Albuterol (ProAir HFA, Ventolin HFA) | Beta-2 adrenergic agonist | Relaxes airway muscles, providing quick relief of bronchospasm. |
| Tiotropium (Spiriva) | Anticholinergic | Long-acting bronchodilator used for maintenance treatment of COPD. |
| Ipratropium/Albuterol (Combivent Respimat) | Combination anticholinergic and beta-2 agonist | Provides both short-acting and anticholinergic bronchodilation. |
Ipratropium Side Effects
| Common Side Effects | Serious Side Effects |
|---|---|
| Dry mouth | Eye pain |
| Cough | Vision changes |
| Sore throat | Difficulty urinating |
| Blurred vision | Severe allergic reaction (rash, itching, swelling, difficulty breathing) |
| Headache | Worsening of breathing problems |
| Nosebleeds (with nasal spray) |
Ipratropium Dosage Guide
| Condition | Starting Dose | Maintenance Dose | Administration Notes |
|---|---|---|---|
| COPD (Inhalation Solution) | 500 mcg (1 unit-dose vial) | 500 mcg (1 unit-dose vial) 3-4 times daily | Administered via nebulizer. Use as directed by a healthcare provider. |
| COPD (Inhaler) | 18 mcg (1 inhalation) | 18 mcg (1 inhalation) 3-4 times daily | Use with a proper inhaler technique |
| Runny Nose (Nasal Spray 0.03%) | 42 mcg (2 sprays per nostril) | 42 mcg (2 sprays per nostril) 2-3 times daily | Do not spray in the eyes. |
| Runny Nose (Nasal Spray 0.06%) | 84 mcg (2 sprays per nostril) | 84 mcg (2 sprays per nostril) 2-3 times daily | Do not spray in the eyes. |
Ipratropium Price With And Without Insurance
| Purchase Context | Estimated Price |
|---|---|
| With Insurance | $10 |
| Without Insurance (U.S.) | $25 |
| From Canada | $15 |
