Uses of Ipratropium and Albuterol Inhalation Solution:

• It is used to open the airways in lung diseases where spasm may cause breathing problems.

What do I need to tell my doctor BEFORE I take Ipratropium and Albuterol Inhalation Solution?

• If you have an allergy to ipratropium, albuterol, or any other part of ipratropium and albuterol inhalation solution.
• If you are allergic to ipratropium and albuterol inhalation solution; any part of ipratropium and albuterol inhalation solution; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.
• If you take other drugs called anticholinergics, like ipratropium or oxybutynin. Ask your doctor if you are not sure if any of your drugs are anticholinergic.
• If you are breast-feeding or plan to breast-feed.

This is not a list of all drugs or health problems that interact with ipratropium and albuterol inhalation solution.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take ipratropium and albuterol inhalation solution with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take Ipratropium and Albuterol Inhalation Solution?

• Tell all of your health care providers that you take ipratropium and albuterol inhalation solution. This includes your doctors, nurses, pharmacists, and dentists.
• Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how ipratropium and albuterol inhalation solution affects you.
• Do not take more of ipratropium and albuterol inhalation solution or use it more often than you have been told. Deaths have happened when too much of ipratropium and albuterol inhalation solution was taken. Talk with your doctor.
• Call your doctor right away if your normal dose does not work well, if your signs get worse, or if you need to use ipratropium and albuterol inhalation solution more often than normal.
• If you have high blood sugar (diabetes), you will need to watch your blood sugar closely.
• Do not get ipratropium and albuterol inhalation solution in the eyes.
• If ipratropium and albuterol inhalation solution gets in the eyes, rinse with water right away. Call the doctor right away if ipratropium and albuterol inhalation solution gets in the eyes and blurred eyesight, worsened glaucoma, or eye pain happens.
• Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using ipratropium and albuterol inhalation solution while you are pregnant.

How is this medicine (Ipratropium and Albuterol Inhalation Solution) best taken?

Use ipratropium and albuterol inhalation solution as ordered by your doctor. Read all information given to you. Follow all instructions closely.

• For breathing in only as a liquid (solution) by a special machine (nebulizer) into the lungs.
• Do not use if the solution is cloudy, leaking, or has particles.
• Do not use if solution changes color.
• Do not mix other drugs in nebulizer.

What do I do if I miss a dose?

• If you use ipratropium and albuterol inhalation solution on a regular basis, use a missed dose as soon as you think about it.
• If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
• Do not use 2 doses at the same time or extra doses.
• Many times ipratropium and albuterol inhalation solution is used on an as needed basis. Do not use more often than told by the doctor.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
• Signs of low potassium levels like muscle pain or weakness, muscle cramps, or a heartbeat that does not feel normal.
• Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight.
• Chest pain or pressure or a fast heartbeat.
• A heartbeat that does not feel normal.
• Change in eyesight, eye pain, or very bad eye irritation.
• Seeing halos or bright colors around lights.
• Red eyes.
• Trouble passing urine, pain when passing urine, passing urine in a weak stream or drips, or passing urine more often.
• Very bad dizziness or passing out.
• This medicine can cause very bad breathing problems right after you take a dose. Sometimes, this may be life-threatening. If you have trouble breathing, breathing that is worse, wheezing, or coughing after using ipratropium and albuterol inhalation solution, use a rescue inhaler and get medical help right away.

What are some other side effects of Ipratropium and Albuterol Inhalation Solution?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

• Feeling nervous and excitable.
• Headache.
• Shakiness.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch.

If OVERDOSE is suspected:

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

How do I store and/or throw out Ipratropium and Albuterol Inhalation Solution?

• Store at room temperature. Do not freeze.
• Protect from light.
• Store unused containers in foil pouch until use.
• Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
• Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

Consumer Information Use and Disclaimer

• If your symptoms or health problems do not get better or if they become worse, call your doctor.
• Do not share your drugs with others and do not take anyone else's drugs.
• Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about ipratropium and albuterol inhalation solution, please talk with your doctor, nurse, pharmacist, or other health care provider.
• If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.