and Product :
40mcg and 20mcg
ipratopium bromide, 200 doses. Inhalation Aerosol
ATROVENT Metered Dose Inhaler
Ipratropium bromide 20 mcg per actuation
What ATROVENT is used for
ATROVENT is used to make breathing easier for people
with diseases such as asthma, emphysema (a serious condition
that makes breathing difficult), and chronic obstructive
ATROVENT improves air flow by relaxing the muscular tubes
(air passages) that carry air to and from your lungs. It begins
to act quickly after use but may take up to 2 hours to give
This medicine is known as an anticholinergic bronchodilator.
It is for relief of symptoms and should be part of a management
program that is prescribed by your doctor.
Before you use ATROVENT
When not to use ATROVENT
Only use ATROVENT if a doctor has prescribed it for you.
Never give it to someone else even if their symptoms seem to be
the same as yours
Do not use ATROVENT if you are allergic to it or to any of
the ingredients. These ingredients are ipratropium bromide and
soya lecithin in a mixture of CFC-containing propellant gases.
In some cases you should not use ATROVENT if you are allergic
to certain other medicines. You must tell your doctor if you are
allergic to any other medicine, particularly atropine or other
anticholinergic medicines. If you are uncertain as to whether
you have these allergies you should raise those concerns with
You should never use ATROVENT after the EXPIRY DATE on the
canister or carton.
Before you start to use ATROVENT
It is essential that your doctor knows your medical history
before prescribing ATROVENT.
Before using ATROVENT, you must tell your doctor if you have,
or have had, any of the following conditions:
- An eye problem called "glaucoma";
- Problems with passing urine;
- Cystic fibrosis.
If you are uncertain as to whether you have, or have had, any
of these conditions you should raise those concerns with your
Before using ATROVENT it is advisable to tell your
doctor if you are taking any other medicines, obtained with or
without a doctor's prescription. This is advisable even though
ATROVENT is not known to affect, or be affected by, the activity
of other medicines.
ATROVENT may be used with other medicines that relax the air
passages for additional symptom relief when prescribed by a
Care is recommended during pregnancy, particularly in the
first three months. Ask for your doctor's advice if you are
pregnant, or likely to become pregnant during your course of
Care is recommended if you are breastfeeding. Ask for your
doctor's advice if you are breastfeeding or likely to breastfeed
during the course of your medication.
Children should only use ATROVENT on medical advice
and under the supervision of an adult who has been instructed in
the proper use of the aerosol.
How to use ATROVENT
The plastic mouthpiece has been specially designed for use
with ATROVENT. The mouthpiece must never be used with any other
metered aerosol nor must the ATROVENT metered aerosol be used
with any mouthpiece other than the one supplied with the
Shake the metered aerosol before each puff. This will mix the
medicine evenly so that a correct dose is delivered.
Each puff must be inhaled through the mouth properly for
ATROVENT to work. At the end of this leaflet you will find
instructions on how to correctly inhale ATROVENT.
If you have any problems with inhaling ATROVENT ask your
doctor or pharmacist for advice.
Never spray ATROVENT in or around your eyes. Should this
occur, immediately flush your eyes with cold tap water for
The recommended doses for adults and children are stated
below. If your doctor has changed this dose you should ask for
further information from your doctor or pharmacist.
- For Adults: 2 puffs four times daily (at regular
intervals), up to a maximum of 12 puffs a day.
- For children 6 to 12 years: 1 to 2 puffs three times daily
(at regular intervals).
- For children under 6 years: 1 puff three times daily (at
If you forget to take a dose
It is important to use ATROVENT as directed. If you miss a
dose, take it as soon as you remember. However, if you remember
when it is almost time for your next dose, take only your usual
dose at that time.
Seek medical advice if you have used more than the
recommended or prescribed dose of ATROVENT and you
experience signs of overdose as listed below.
Signs of overdose may include fast or irregular heart beat,
dry mouth, blurred vision, nausea, stomach pains, constipation
and difficulty passing urine.
While you are using ATROVENT
Things you must do
Contact your doctor immediately if you experience eye
pain or discomfort, or any disturbances with your sight (blurred
vision, visual halos or coloured images) during or after using
ATROVENT. This is because there have been rare reports of
narrow-angle glaucoma with the use of ATROVENT.
Tell your doctor if you need to use ATROVENT more frequently
than prescribed or if you need more puffs than prescribed to
relieve your symptoms. In these situations, your dose or
treatment may need to be changed.
Tell your doctor or pharmacist if you begin taking any other
medicine while you are using ATROVENT.
Effects on Ability to Drive or Operate Machinery
When used as recommended, and when there are no side effects,
ATROVENT is not known to have any effect on the ability
to drive or operate machinery.
You should be aware that all prescription medicines carry
some risks and that all possible risks may not be known at this
stage despite thorough testing. Your doctor has weighed the
risks of you taking ATROVENT against the benefits they expect it
will have for you.
Ask for the advice of your doctor or pharmacist if you have
any concerns about the effects of taking this medicine.
The more frequently reported side effects of ATROVENT are
headache, nausea, dryness of the mouth, throat irritation and
Less frequently reported side effects of ATROVENT
include the following:
- Fast or irregular heart beat;
- Change in bowel movements;
- Urinary retention (difficulty passing urine);
- Narrow-angle glaucoma (a condition affecting the eyes).
The following symptoms may be associated with narrow-angle
glaucoma: red eyes, eye pain or discomfort, sight disturbances
(blurred vision, visual halos or coloured images);
- Direct contact of the spray with the eyes may temporarily
affect the ability of the eyes to focus. However, in some
patients this may cause the more serious eye problem of
narrow-angle glaucoma mentioned above, to develop or worsen.
Therefore, it is very important to follow the Directions for
Use carefully and avoid contact with the eyes.
- Worsening of breathing problems (induced by the inhalation
- Allergic reactions: Most of the cases of allergic
reactions have involved patients who have had a history of
allergy to other drugs and/or foods. Allergic reactions may
include skin rash, swelling of the tongue, lips and face, and
difficulty breathing. Life threatening allergic reactions have
Tell your doctor as soon as possible if you experience any
side effects during or after using ATROVENT, so that these may
be properly treated.
In addition, unexpected effects, not listed above, can occur
with any medicine.
You should tell your doctor or pharmacist if you notice
anything unusual, during or after using ATROVENT.
After using ATROVENT
Care and cleaning
Your aerosol may not work properly if it gets dirty and is
Please follow the instructions under the heading Care and
cleaning in the Directions for Use at the end of this
ATROVENT should be kept in a cool, dry place where the
temperature stays below 25°C.
Do not store in direct sunlight or heat. For example, do not
leave it in the car on hot days.
The canister must never be forced open, punctured or thrown
into a fire even when it seems empty. If this occurs, the
canister may explode.
Keep your ATROVENT Metered Aerosol where young children
cannot reach it.
If you have been told by your doctor that you will not be
needing ATROVENT any more, the unused medicine should be
returned to your pharmacist so that it can be disposed of
What ATROVENT is
ATROVENT is the brand name of your medicine. It is a
hand-operated metered aerosol that delivers 200 puffs of
medication from a 10mL canister.
Each metered puff of ATROVENT contains ipratropium bromide 21
micrograms [equivalent to ipratropium bromide (anhydrous) 20
micrograms], which is delivered to your lungs by a mixture of
These gases (commonly known as CFCs) are:
ATROVENT also contains soya lecithin as an emulsifier (mixing