Combivent Inhaler ® (Albuterol Sulfate / Ipratropium)		Combivent pricing
	Brand Combivent manufactured by:BOEHRINGER INGELHEIM
	Chemical name: Ipratropium Bromide / Salbutamol Sulfate

Bronchodilator

Combivent Information | Combivent Proper Use | Combivent Precautions

Combivent Common Use: Combivent is used to treat the wheezing or shortness of breath caused by COPD (chronic obstructive pulmonary disease which includes chronic bronchitis and emphysema).

IMPORTANT NOTE: The following information is intended to heighten awareness of health information and does not suggest diagnosis or treatment. This information is not a substitute for individual medical attention and should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. See your health care professional for medical advice and treatment.

What is Combivent Inhalation Aerosol? Combivent Inhalation Aerosol is an aerosol canister with a mouthpiece. Each puff delivers 20 µg ipratropium bromide and 120 µg salbutamol sulfate (equivalent to 100 µg salbutamol base).

Combivent is a combination of 2 bronchodilators (airways openers) in an aerosol that is inhaled using the standard mouthpiece or with a spacer device. You may already be familiar with one or both of these bronchodilators, since they are also available separately, with a prescription as Atrovent (ipratropium bromide) and Ventolin (salbutamol). Combivent can only be obtained with a prescription from your doctor.

Why has your doctor prescribed Combivent Inhalation Aerosol? Your doctor has prescribed Combivent to suit your condition. It is used to treat the wheezing or shortness of breath caused by COPD (chronic obstructive pulmonary disease which includes chronic bronchitis and emphysema). Combivent works by relaxing the muscle surrounding the bronchioles (airways to the lungs) and therefore helps to ease breathing problems.

What is COPD? COPD is a type of lung disease in which there is a permanent narrowing of the airways, leading to breathing difficulties. In many patients, this narrowing of the airways is a result of many years of cigarette smoking. In many patients that quit smoking, there are less symptoms and the course of the disease slows down or stops.

What you should tell your doctor before you use Combivent Inhalation Aerosol: You should tell your doctor the following before you use Combivent:

• if you are pregnant or intend to become pregnant;
• if you are breast-feeding;
• if you have any other health problems, including a thyroid condition, difficulty in urination, enlarged prostate and diabetes mellitus, raised blood pressure or a heart problem;
• if you have eye problems, such as glaucoma, or eye pain;
• if you are taking any other medications including eye drops or any medications you can buy without a prescription;
• if you have any allergies or reactions to foods, drugs or aerosols. This includes allergies to soya lecithin or related food products such as soybean and peanut.

When should you use Combivent Inhalation Aerosol? Your doctor will recommend when and how you should use Combivent (see “How To Use Your Combivent Inhalation Aerosol”). You must follow any other direction that your doctor has given you for the treatment and/or monitoring of your condition.

Combivent Precautions:

• Combivent Inhalation Aerosol has been prescribed to treat your current condition. Do not give it to other people.
• Do not take any other medication without your doctor's advice. Tell any other doctor, dentist, or pharmacist with whom you consult that you are using Combivent Inhalation Aerosol.
• When using your Combivent Inhalation Aerosol with the standard mouthpiece or with a spacer device, make sure you do not spray the aerosol into your eyes.
• Consult your doctor immediately if you experience any of the following:-Increased wheezing or tightness in the chest;-Swelling of the tongue or lips;-Difficulty in swallowing;-Fast or irregular heartbeat;-Blurred vision or pain in the eyes;-Difficult or painful urination;-Skin rash.
• If you experience a dry mouth or bad taste, sucking on a sour candy or rinsing your mouth may help. Check with your doctor if the dry mouth or bad taste persist or if you experience constipation for a prolonged period of time.
• Keep this medication out of the reach of children.
• Container may explode if heated. Contents under pressure. Do not place in hot water or near radiators, stoves, or other sources of heat. Do not puncture or incinerate container or store at temperatures over 30°C.
• Like any drug product, Combivent may cause unwanted effects along with the good effects. If you do experience any unusual or unwanted effects while you are using your Inhalation Aerosol, you should contact your doctor.
• Combivent Inhalation Aerosol contains a beta-agonist, and taking additional doses in the form of other single agent, beta-agonists (fenoterol [Berotec], salbutamol [Ventolin] etc.) could cause deleterious cardiovascular effects. Therefore, do not take additional bronchodilators by inhalation with Combivent Inhalation Aerosol unless instructed to do so by your doctor or pharmacist.

How To Use Your Combivent Inhalation Aerosol: Do not exceed the number of puffs prescribed by your doctor. Do not use the inhaler more often than your doctor recommends.

The usual dose is 2 puffs taken 4 times daily. Do not use more than 12 puffs per day unless your doctor has told you to do so.

• If your symptoms get worse, contact your doctor immediately. While taking Combivent Inhalation Aerosol, other inhaled medications should be used only as prescribed by your physician.
• If you are troubled with mucous try to clear your chest as completely as possible by coughing before you use Combivent Inhalation Aerosol. This will allow the Combivent Inhalation Aerosol to pass more deeply into your lungs.
• Before starting to use Combivent Inhalation Aerosol, read the following instructions carefully; be sure that you know how to use the inhaler properly. If you use the inhaler incorrectly, you may not be getting all of the medication you need. If you have any questions about using the inhaler, check with your doctor.

1. Remove the protective cap from the inhaler.

2. It is very important to shake the unit well, as shown. It is recommended to test spray 3 times before using for the first time and in cases where the aerosol has not been in use for more than 24 hours. Make sure you do not spray the aerosol in your eyes.

3. Breathe out as completely as possible.a) Place the mouthpiece into your mouth and close your lips around it. Keep your teeth apart and your tongue flat to allow free flow of the medication into your lungs.b) Just after starting to breathe in deeply through your mouth, press the canister down into the mouthpiece while still breathing in deeply and slowly.

4. Hold your breath for 10 seconds and then remove the mouthpiece from the mouth and breathe out slowly.

5. Wait approximately 2 minutes, shake the inhaler again and repeat second inhalation as outlined above.

6. Replace the protective plastic cap.

7. Discard the canister after you have used the labeled number of inhalations. The correct amount of medication in each inhalation cannot be assured after this point.

Care of the Mouthpiece/Canister: The mouthpiece should be washed with warm water once a week. You must remove the mouthpiece from the canister before you begin to clean the mouthpiece. If you use soap or detergent, the mouthpiece should be well rinsed in clear water, and then allowed to air-dry. The mouthpiece must be completely dry before you put the canister back into the mouthpiece.

Sometimes the canister stem may also get dirty or blocked. Pull the canister out of the mouthpiece and check the small holes in the stem. If these 2 small holes seem blocked, rinse them with clear lukewarm water. When the canister is dry, put it back into the mouthpiece.

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