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Asthma and breathing

Ipratropium bromide

Also sold as: Atrovent

Prescription neededAsthma and breathing

Comes as:InhalerNebuliser

Usual adult dose

Asthma and breathing

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.

Pregnancy

Category B

No risk seen in animal studies, but there are few studies in pregnant women. Usually considered safe when needed.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

Tiotropium
Salbutamol

Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.