Ipratropium Bromide + Albuterol Sulfate

— THERAPEUTIC CATEGORIES —
  • Asthma/COPD

Ipratropium Bromide + Albuterol Sulfate Generic Name & Formulations

General Description

Ipratropium bromide 0.5 mg/3 mL (0.017%), albuterol (as sulfate) 2.5 mg/3 mL (0.083%); soln for inh.

Pharmacological Class

Anticholinergic + beta-2 agonist.

How Supplied

Contact supplier.

Ipratropium Bromide + Albuterol Sulfate Indications

Indications

COPD when a second aerosol bronchodilator is needed.

Ipratropium Bromide + Albuterol Sulfate Dosage and Administration

Adult

≥18yrs: 1 vial by nebulizer 4–6 times daily.

Children

<18yrs: not recommended.

Ipratropium Bromide + Albuterol Sulfate Contraindications

Contraindications

Atropine allergy.

Ipratropium Bromide + Albuterol Sulfate Boxed Warnings

Not Applicable

Ipratropium Bromide + Albuterol Sulfate Warnings/Precautions

Warnings/Precautions

Not for primary treatment of acute attack. Avoid excessive use. Discontinue if paradoxical bronchospasm or cardiovascular effects occur. Cardiovascular disease (eg, coronary insufficiency, arrhythmias, hypertension). Hyperthyroidism. Diabetes. Seizure disorders. Narrow angle glaucoma. GI or GU obstruction. Hepatic or renal disease. Avoid eyes. Pregnancy (Cat.C). Labor & delivery. Nursing mothers: not recommended.

Ipratropium Bromide + Albuterol Sulfate Pharmacokinetics

See Literature

Ipratropium Bromide + Albuterol Sulfate Interactions

Interactions

Avoid MAOIs, tricyclics within 14 days (increased cardiovascular effects). Caution with other anticholinergics, sympathomimetics, drugs that lower potassium. Monitor digoxin. Antagonized by β-blockers.

Ipratropium Bromide + Albuterol Sulfate Adverse Reactions

Adverse Reactions

Lung disorders, pharyngitis, chest pain, GI disturbances, bronchitis, UTI, leg cramps, pain, voice changes, anticholinergic effects, nervousness, headache, dizziness, insomnia, tachycardia, hypokalemia, paradoxical bronchospasm.

Ipratropium Bromide + Albuterol Sulfate Clinical Trials

See Literature

Ipratropium Bromide + Albuterol Sulfate Note

Notes

Formerly known under the brand name DuoNeb.

Ipratropium Bromide + Albuterol Sulfate Patient Counseling

See Literature