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|Atrovent HFA Aerosol Suspension

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Atrovent HFA Aerosol Suspension

Generic Name: Ipratropium Inhalation Aerosol Suspension (HFA) (i-pra-TROE-pee-um)
Brand Name: Atrovent HFA

Atrovent HFA Aerosol Suspension is used for:

Treating and preventing bronchospasm (wheezing or difficulty breathing) associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. It can be used alone or in combination with other medicines. It may also be used to treat certain conditions as determined by your doctor.

Atrovent HFA Aerosol Suspension is an anticholinergic. It works by relaxing and opening bronchial tubes (air passages in the lungs), making it easier to breathe.

Do NOT use Atrovent HFA Aerosol Suspension if:

you are allergic to any ingredient in Atrovent HFA Aerosol Suspension
you are allergic to atropine or similar medicines

Contact your doctor or health care provider right away if any of these apply to you.

Before using Atrovent HFA Aerosol Suspension:

Some medical conditions may interact with Atrovent HFA Aerosol Suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have narrow-angle glaucoma, enlargement of the prostrate, or urinary blockage or retention

Some MEDICINES MAY INTERACT with Atrovent HFA Aerosol Suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:

Anticholinergic medicines (eg, benztropine, diphenhydramine) because side effects of these medicines may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Atrovent HFA Aerosol Suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Atrovent HFA Aerosol Suspension:

Use Atrovent HFA Aerosol Suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Atrovent HFA Aerosol Suspension comes with an additional patient information sheet. Read it carefully and reread it each time you get Atrovent HFA Aerosol Suspension refilled.
Before using Atrovent HFA Aerosol Suspension, be sure that the canister is properly inserted into the inhaler unit. Exhale slowly and completely. Unless your doctor has told you otherwise, position the mouthpiece between your lips and try to rest your tongue flat. Your doctor may have told you to hold the inhaler 1 or 2 inches (2 or 3 centimeters) away from the open mouth or may have instructed you to use a special spacing device. As you start to take a slow deep breath, press the canister and mouthpiece together at exactly the same time to administer a dose of Atrovent HFA Aerosol Suspension. Continue inhaling slowly and deeply and hold for as long as comfortable, then exhale slowly through pursed lips or through nose. If more than 1 inhalation is to be used, wait a few minutes and repeat the above process. Keep the spray away from your eyes.
Track the number of sprays used and discard after 200 sprays. The amount of medication in each inhalation cannot be assured after 200 sprays.
If you miss a dose of Atrovent HFA Aerosol Suspension, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Atrovent HFA Aerosol Suspension.

Important safety information:

It may take up to 1 hour for Atrovent HFA Aerosol Suspension to start working. Do not use it to treat sudden wheezing attacks.
Atrovent HFA Aerosol Suspension may cause dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Atrovent HFA Aerosol Suspension. Using Atrovent HFA Aerosol Suspension alone, with certain other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. Alcohol, hot weather, exercise, and fever can increase dizziness. To prevent dizziness, sit up or stand slowly. Also, sit or lie down at the first sign of dizziness.
Avoid contact with eyes. Flush with water immediately if eye contact occurs. Temporary blurring of vision, worsening of narrow-angle glaucoma, or eye pain may result if the solution comes into direct contact with the eyes. Contact your doctor if you notice these symptoms.
Use Atrovent HFA Aerosol Suspension with extreme caution in CHILDREN. Safety and effectiveness have not been confirmed.
PREGNANCY and BREAST-FEEDING: It is unknown if Atrovent HFA Aerosol Suspension can cause harm to the fetus. If you become pregnant, discuss with your doctor the benefits and risks of using Atrovent HFA Aerosol Suspension during pregnancy. It is unknown if Atrovent HFA Aerosol Suspension is excreted in breast milk. If you are or will be breast-feeding while you are using Atrovent HFA Aerosol Suspension, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Atrovent HFA Aerosol Suspension:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Cough; dizziness; dry mouth; dry nose or nose irritation; flu-like symptoms; headache; nausea; nervousness; pain; runny nose; sinus infection; sore throat; upper respiratory tract infection.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision; eye pain; nosebleeds; trouble urinating; visual halos or colored rings.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

Proper storage of Atrovent HFA Aerosol Suspension:

Store Atrovent HFA Aerosol Suspension at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not puncture, break, or burn the canister, even if it appears to be empty. Do not store in the bathroom. Keep Atrovent HFA Aerosol Suspension out of the reach of children and pets.

General information:

If you have any questions about Atrovent HFA Aerosol Suspension, please talk with your doctor, pharmacist, or other health care provider.
Atrovent HFA Aerosol Suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Atrovent HFA Aerosol Suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: November 1, 2006

Database Edition 06.4.1.002

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