Ipratropium nasal (for the nose) works by reducing mucus secretions in the nose.

Ipratropium nasal is used to treat runny nose caused by seasonal allergies (hay fever). ipratropium nasal will not treat stuffy nose, sneezing, or cough.

Ipratropium nasal may also be used for purposes not listed in this medication guide.

Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.

Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended.

This medicine comes with patient instructions for safe and effective use, and directions for priming the nasal spray pump. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Ipratropium nasal is usually used for only a short time, such as 4 days for the common cold or 3 weeks for allergy symptoms. Follow your doctor's dosing instructions very carefully.

Store at room temperature away from moisture and heat. Keep the cap tightly closed when not in use. Do not allow the medicine to freeze.

Usual Adult Dose for Rhinorrhea:

Rhinorrhea Associated with Allergic and Nonallergic Perennial Rhinitis:
0.03%: 2 sprays per nostril 2 to 3 times a day

Rhinorrhea Associated with Seasonal Allergic Rhinitis:
0.06%: 2 sprays per nostril 4 times a day

Rhinorrhea Associated with the Common Cold:
0.06%: 2 sprays per nostril 3 to 4 times a day

Usual Pediatric Dose for Rhinorrhea:

Rhinorrhea Associated with Allergic and Nonallergic Perennial Rhinitis:
6 years or older:
0.03%: 2 sprays per nostril 2 to 3 times a day

Rhinorrhea Associated with Seasonal Allergic Rhinitis:
5 years or older:
0.06%: 2 sprays per nostril 4 times a day

Rhinorrhea Associated with the Common Cold:
0.06%:
5 to 11 years: 2 sprays per nostril 3 times a day
12 years or older: 2 sprays per nostril 3 to 4 times a day

You should not use ipratropium nasal if you are allergic to ipratropium or atropine.

To make sure ipratropium nasal is safe for you, tell your doctor if you have:

• narrow-angle glaucoma;

• bladder obstruction or other urination problems;

• an enlarged prostate; or

• liver or kidney disease.

FDA pregnancy category B. Ipratropium nasal is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Ipratropium nasal can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Ipratropium nasal should not be used by a child younger than 5 years old.

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Avoid getting ipratropium nasal in your eyes.

This medicine may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

Get emergency medical help if you have any of these signs of an allergic reaction: hives, rash; wheezing, difficult breathing; swelling of your face, lips, tongue, or throat.

Ipratropium nasal may cause serious side effects. Call your doctor at once if you have:

• blurred vision, tunnel vision, eye pain, or seeing halos around lights;

• nosebleeds, severe dry nose; or

• painful or difficult urination.

Common side effects of ipratropium nasal may include:

• headache;

• dry nose, mouth, or throat;

• minor nosebleed;

• sore throat;

• blurred vision; or

• unusual or unpleasant taste in the mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Other drugs may interact with ipratropium nasal, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.