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Drugs group	Short description
IPRAVENT (Atrovent, Generic Ipratropium Bromide)	dfxg
Apo-IPRAVENT Nasal Spray ( Atrovent, Generic Ipratropium ) - Product Origin: New Zealand	APO-IPRAVENT NASAL SPRAY 0.03% is a clear colourless solution and contain 300mcg/mL or ipratropium bromide. The solution is filled into a white opaque plastic bottle, closed with a white plastic pump and activator.IndicationsAPO-IPRAVENT NASAL SPRAY is indicated for the treatment and management of perennial rhinitis, allergic rhinitis and vasomotor rhinitis when characterised by watery rhinorrhoea.APO-IPRAVENT NASAL SPRAY is also indicated for the symptomatic relief of rhinorrhoea associated with the common cold.Dosage and AdministrationPriming of pump is required before first use.For the treatment and management of perennial rhinitis, allergic rhinitis and vasomotor rhinitis when characterised by watery rhinorrhoea:Regular TherapyAdults: Two sprays up each nostril 2 - 3 times a day. Some patients may need 3 - 4 sprays up each nostril during early therapy to obtain maximum benefit during early treatment. Children: 2 sprays up each nostril 2 times a day. Optimal dosage varies with the response of the individual patient.Intermittent TherapyPatients with occasional episodes of watery rhinorrhoea triggered by provocating factors, e.g. temperature changes, food and exercise, should administer 2 - 4 sprays up each nostril prior to exposure.For the symptomatic relief of rhinorrhoea associated with the common coldAdults 0.03% strength: Initial dose: Two sprays into each nostril, followed by two further sprays five minutes after the first spray. Subsequent doses (2-3 times per day) two sprays into each nostril. 0.06% strength Two sprays per nostril 3 or 4 times a day Treatment in the common cold has only been studied up to four days. Efficacy and safety of treatment beyond four days have not been established, although there has been no evidence of adverse safety effects with longer treatment in perennial rhinitis patients.
IPRAVENT Inhaler( Atrovent, Ipratop, Generic Ipratropium Bromide )	Ipratropium oral inhalation is used to prevent wheezing, difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways) such as chronic bronchitis (swelling of the air passages that lead to the lungs) and emphysema (damage to the air sacs in the lungs). Ipratropium is in a class of medications called bronchodilators. It works by relaxing and opening the air passages to the lungs to make breathing easier.Ipratropium comes as a solution (liquid) to inhale by mouth using a nebulizer (machine that turns medication into a mist that can be inhaled) and as an aerosol to inhale by mouth using an inhaler. The nebulizer solution is usually used three or four times a day, once every 6 to 8 hours. The aerosol is usually used four times a day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use ipratropium exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.Talk to your doctor about what you should do if you experience symptoms such as wheezing, difficulty breathing, or chest tightness. Your doctor will probably give you a different inhaler that acts more quickly than ipratropium to relieve these symptoms. Your doctor may also tell you to use additional puffs of ipratropium along with other medications to treat these symptoms. Follow these directions carefully and be sure you know when you should use each of your inhalers. Do not use extra puffs of ipratropium unless your doctor tells you that you should. Never use more than 12 puffs of ipratropium inhalation aerosol in a 24-hour period.Call your doctor if your symptoms worsen or if you feel that ipratropium inhalation no longer controls your symptoms. Also call your doctor if you were told to use extra doses of ipratropium and you find that you need to use more doses than usual.If you are using the inhaler, your medication will come in canisters. Each canister of ipratropium aerosol is designed to provide 200 inhalations. After the labeled number of inhalations has been used, later inhalations may not contain the correct amount of medication. You should keep track of the number of inhalations you have used. You can divide the number of inhalations in your inhaler by the number of inhalations you use each day to find out how many days your inhaler will last. Throw away the canister after you have used the labeled number of inhalations even if it still contains some liquid and continues to release a spray when it is pressed. Do not float the canister in water to see if it still contains medication.Be careful not to get ipratropium into your eyes. If you are using the inhaler, keep your eyes closed when you use the medication. If you are using the nebulizer solution, you should use a nebulizer with a mouthpiece instead of a face mask. If you must use a face mask, ask your doctor how you can prevent the medication from leaking. If you get ipratropium in your eyes, you may develop narrow angle glaucoma (a serious eye condition that may cause loss of vision). If you already have narrow angle glaucoma, your condition may worsen. You may experience widened pupils (black circles in the center of the eyes), eye pain or redness, blurred vision, and vision changes such as seeing halos around lights. Call your doctor if you get ipratropium into your eyes or if you develop these symptoms.The inhaler that comes with ipratropium aerosol is designed for use only with a canister of ipratropium. Never use it to inhale any other medication, and do not use any other inhaler to inhale ipratropium.

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