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What is Combivent?

Combivent is a combination medication containing ipratropium and albuterol which is used to treat people with chronic obstructive pulmonary disease (COPD). COPD symptoms include breathing difficulties, wheezing, coughing and chest tightness. Combivent inhalers prevent the tightening and narrowing of the airways and should be used when symptoms have not been controlled by a single inhaled medication.

Always read the patient information and instructions carefully before using this medication.

• Combivent is usually taken four times a day when taken on a regular schedule although your doctor might also direct you to take this medication for wheezing or shortness of breath. Do not change your Combivent dosage or the frequency that you take this medication unless you have been advised by a doctor.
• You should not take more than six inhalations of Combivent within a 24 hour period.
• Rinse out your mouth with water after using Combivent to prevent irritation or dry mouth.
• Clean your inhaler mouthpiece at least once a week.

Make sure to tell your doctor and pharmacist:

• If you have any drug allergies.
• Which other prescription and non-prescription medications you currently take.
• Your medical history especially of heart disease, high blood pressure, seizure, difficulty urinating, overactive thyroid or diabetes.
• Your personal and family medical history of glaucoma.
• If you pregnant, planning pregnancy or are breast feeding.

Also be aware that:

• Older adults may be more sensitive to the side effects of this medication.
• Combivent may make you dizzy or cause vision changes. Do not drive, operate machinery or do any other activities requiring clear vision or alertness until you can do it safely.
• You should limit your alcohol intake while using this inhaler.

Common Ipratropium/Albuterol inhaler side effects may include but are not limited to:

• Trouble breathing.
• Cold symptoms including sneezing, coughing, sore throat or stuffy nose.
• Headaches.

Contact your doctor if you experience any of the following Combivent side effects:

• Wheezing, choking or other breathing problems after you use this inhaler.
• Fast, irregular or pounding heartbeats.
• Chest pain or a fluttering sensation in your chest.
• Tremors or nervousness.
• Numbness, tingling, muscle weakness or a limp feeling.
• Swelling of your feet or ankles.
• Vision changes including tunnel vision, blurred vision or seeing halos around lights.
• Painful or difficult urination.
• Leg cramps
• Constipation.
• Increased thirst or urination.

What is the maximum dosage for Combivent?

You should not use more than 6 inhalations of this medication within a 24 hour period.

What should I do if I miss a dose of Combivent?

If you miss a dose of this medication, take it as soon as you remember. If it is almost time for your next dose, then skip your missed dose. Do not take extra medication to make up for a missed dose.