Ipratropium bromide
Also sold as: Atrovent
Prescription neededAsthma and breathing
Comes as:InhalerNebuliser
Usual adult dose
Usual adult dose (inhaler): 1 to 2 puffs (20 to 40 micrograms) 3 to 4 times a day. Nebuliser: 250 to 500 micrograms up to 4 times a day, as set by your doctor.
Your doctor may give you a different dose. Children's doses depend on weight.
Side effects
Common
- dry mouth
- cough
- headache
- throat irritation
Serious — get help
Stop taking it and see a doctor straight away if you notice:
- eye pain or blurred vision with halos (glaucoma)
- inability to pass urine
- worsening wheeze after use
- severe allergic reaction
Do not take it, or take care, if
- Narrow-angle glaucoma (keep the mist away from the eyes)
- Enlarged prostate or difficulty passing urine (use with caution)
- Allergy to atropine-like medicines
Interactions
Medicines that can react with this one.
Moderate1 medicineTake together only with care. Ask your doctor or pharmacist.
- Tiotropium
Both are anticholinergic inhalers; using them together adds side effects without clear benefit.