Safely Buy Combivent Nebules ( Ipratropium/Albuteral Sulfate ) from Canada Prescriptions Plus.

Indications

Combivent Nebules are a prescription medication containing a combination of two active ingredients, ipratropium bromide and salbutamol sulphate.

Combivent Nebules is used for the treatment of bronchospasm associated with obstructive airway diseases such as chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema.

Use and Dosage

Read the Patient Information Leaflet if available from your pharmacist before you start using this product and each time you get a refill. Learn how to use this inhaler properly. If you have any questions, ask your doctor or pharmacist.

Follow the instructions for priming the inhaler if you are using it for the first time or if you have not used it for more than 3 days or more than 21 days. When priming the inhaler, make sure to spray away from the face so that you do not get the medication into your eyes.

Inhale this medication by mouth as directed by your doctor, usually 4 times daily. Your doctor may also direct you to use this medication as needed for wheezing and shortness of breath. Follow your doctor’s instructions carefully. However, the manufacturer recommends that you do not use more than 6 inhalations in 24 hours. Doing so may increase the risk of serious side effects.

The dosage is based on your medical condition and response to treatment.

Avoid getting this medication into your eyes. It may cause eye pain/irritation, temporary blurred vision, and other vision changes. When using the inhaler, put your lips tightly around the mouthpiece.

Rinse your mouth after using the inhaler to prevent dry mouth and throat irritation.

If you are using other inhalers at the same time, wait at least 1 minute between the use of each medication.

Use this medication regularly to get the most benefit from it. This medication works best if used at evenly spaced intervals. To help you remember, use it at the same times each day. Do not increase your dose, use this medication more often, or stop using it without first consulting your doctor.

Clean the mouthpiece of the inhaler at least once a week as directed.

Learn which of your inhalers you should use every day and which you should use if your breathing suddenly worsens (quick-relief drugs). Ask your doctor ahead of time what you should do if you have a new or worsening cough or shortness of breath, wheezing, increased sputum, waking up at night with trouble breathing, if you use your quick-relief inhaler more often, or if your quick-relief inhaler does not seem to be working well. Learn when you can treat sudden breathing problems by yourself and when you must get medical help right away.

Side Effects

Get emergency medical help if you have signs of an allergic reaction to Combivent Respimat: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

• Wheezing, choking, or other breathing problems after using this medicine
• Chest pain
• Fast or pounding heartbeats or fluttering in your chest
• Tremors or nervousness
• Swelling of your ankles or feet
• Blurred vision, tunnel vision, eye pain, or seeing halos around lights
• Painful or difficult urination
• Low potassium – leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, or muscle weakness or limp feeling

Common Combivent Respimat side effects may include:

• Headache
• Trouble breathing
• Cold symptoms such as stuffy nose, sneezing, cough, or sore throat

This is not a complete list of side effects and others may occur.

Cautions

Before using this product, tell your doctor or pharmacist if you are allergic to ipratropium or albuterol (salbutamol); or to tiotropium; or atropine or other belladonna-type drugs; or levalbuterol; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: high blood pressure, heart disease (such as chest pain, heart attack, irregular heartbeat), personal or family history of glaucoma (angle-closure type), difficulty urinating (for example, due to enlarged prostate), seizure, overactive thyroid (hyperthyroidism), diabetes.

This drug may make you dizzy, blur your vision, or cause vision changes. Alcohol or marijuana (cannabis) can make you dizzier. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Older adults may be more sensitive to the side effects of this drug, especially problems urinating or constipation.

During pregnancy, this medication should be used only when needed. Discuss the risks and benefits with your doctor.

It is unknown if this medication passes into breast milk. Consult your doctor before breastfeeding.

Form and Strengths

Combivent Nebules is available in the following form and strengths:

• Ipratropium/Albuteral Sulfate Nebules:
  • 0.25/2.5 mg

FAQ

What happens if I miss a dose?

Use the medicine as soon as you can but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

Get your prescription refilled before you run out of medicine completely.

What happens if I overdose?

Seek emergency medical attention. An overdose of Combivent Respimat can be fatal. Overdose symptoms may include chest pain, fast or pounding heartbeats, tremors, dry mouth, extreme thirst, muscle weakness or limp feeling, severe headache, pounding in your neck or ears, or feeling like you might pass out.

What should I avoid while using Combivent Respimat?

If this medication gets in your eyes, rinse with water and seek medical attention.

Avoid driving or hazardous activity until you know how Combivent Respimat will affect you. Your vision or reactions could be impaired.

Resources:

1. https://www.drugs.com/combivent.html#side-effects
2. https://www.webmd.com/drugs/2/drug-161259/combivent-respimat-inhalation/details
3. https://pubmed.ncbi.nlm.nih.gov/31963493/