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Atrovent is suggested as a bronchodilator for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including emphysema and chronic bronchitis. Atrovent can be used to prevent bronchospasm attacks. While it's occurring Atrovent may not treat bronchospasm. You could nevertheless have trouble breathing and may need to utilize one of the other medicines to treat the attack. To use Atrovent often, best control your condition, and keep using all your other medications as directed by your physician. Use this medicine exactly as it was prescribed for you. Don't use it in bigger amounts or for longer than recommended by your doctor. Contact your doctor right away if you're feeling that this medication isn't working as well as normal, or if it makes your situation worse. Discuss with your doctor, if it looks like you need to use more of any of your medicines in a period. This medication comes with patient instructions for safe and effective use. Follow these instructions carefully. If you have any questions ask your physician or druggist. Prime it by spraying 2 test sprays into the air, away from your face, when using the inhaler device for the first time. Also prime the inhaler in case you haven't used it for 3 days or longer. The directions below are for standard usage of the inhaler and nebulizer products. Your doctor may need you to make use of your device otherwise. Be certain you understand all instructions that are particular to your own usage of Atrovent. To use the inhaler: Uncap the end of the inhaler. Breathe away fully. Set the mouthpiece in your mouth and shut your lips. Maintain your eyes shut to prevent spraying any medicine into your eyes. Breathe slowly while pushing back on the canister. Maintain your breath for 10 seconds, then breathe out slowly. If you are using multiple breathing at a time, wait at least 15 seconds before using the second inhalation. Hold your inhaler clean and dry, and store it for the cap on the mouthpiece. Clear your inhaler once weekly by removing the cylinder and setting the mouthpiece under warm running water for a minimum of 30 seconds. Allow the components to dry prior to setting the inhaler back together. To use the answer with a nebulizer: Measure the right amount of medication utilizing the dropper provided, or use the appropriate number of ampules. Set the liquid into the medication chamber of the nebulizer. If by means of a medicine dropper, do not let the dropper to contact any surface including your hands or the nebulizer. Attach the mouthpiece or face-mask to the drug chamber. Then, attach the drug chamber to the compressor. Sit erect in a comfortable posture. Place the mouthpiece into your-mouth or set the face mask on, covering your nose and mouth. Inhale slowly and consistently until you've inhaled all of the medication (generally 5 to 15-minutes). The treatment is full when no more mist is created by the nebulizer and the medication chamber is empty. Wash the nebulizer after each and every use. Practice the cleaning directions that came with your nebulizer. Contact your physician right away if you are feeling that this medication isn't working as well as usual, or whether it makes your problem worse. Speak with your physician, in case it seems as if you need to utilize more of some of the drugs in a 24hour period. Your lung function will have to be analyzed on an usual basis, to make sure this medicine is helping your state. It is necessary that you not miss any scheduled visits to your doctor. Use the medication as soon as you recall. If it is almost time for the next dose, skip the missed dosage and wait until your next regularly scheduled dosage. Do not use extra medicine to make up the missed dose. Before applying this medicine, tell your doctor if you've got narrowangle glaucoma, or an enlarged prostate or bladder obstruction. For those who have some of these conditions, you might require a dose adjustment or special tests to safely use Atrovent. Atrovent can be used to prevent bronchospasm attacks. While it's occurring Atrovent may not treat bronchospasm. You may nevertheless have trouble breathing and may have to use one of the other medications to heal the attack. To use Atrovent frequently, best control your illness, and continue utilizing all your other medicines as instructed by your physician. Use this medication exactly as it was prescribed for you. Don't use it in bigger amounts or for longer than advised by your physician. Call your doctor right away in the event you feel that this medication is not working too as usual, or if it makes your situation worse. In case it seems as you need to utilize more of any of your medications in a period, discuss to your physician. FDA pregnancy category B: This medicine is not anticipated to be damaging to an unborn child. Do not use Atrovent without telling your doctor if you are pregnant or intend to become pregnant during treatment. It isn't known if ipratropium passes into breast milk or if it may damage a nursing infant. Don't use Atrovent without telling your physician if you are breast feeding a baby. Atrovent shouldn't really be used by a kid younger than 12 years old. Prevent obtaining Atrovent within your eyes. When that occurs, rinse with water. Inform your doctor in case you are using some of the following medicines, before using Atrovent: atropine (Donnatal, and others), belladonna, clidinium (Quarzan), dicyclomine (Bentyl), glycopyrrolate (Robinul), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), mepenzolate (Cantil), methantheline (Provocholine), methscopolamine (Pamine), and propantheline (Pro-Banthine), or scopolamine (Transderm-Scop). This list isn't full and there might be other drugs not listed that may change Atrovent. Tell your doctor about all of the prescription and over-the-counter drugs you use. This includes vitamins, minerals, herbal products, and medicines prescribed by other doctors. Don't begin using a new drug without telling your doctor. 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