Combivent

Drug List

Combivent

Drug Name

Combivent (Ipratropium bromide and albuterol)

Manufactured By

Boehringer Ingelheim Pharmaceuticals Inc.

Drug Savings

Nationwide Prescription Connection (NPC) is an experienced advocacy service that helps connect patients to manufacturer provided free and discount programs. We can help the uninsured, under insured, those in the Medicare gap also known as the "doughnut hole", or even those needing help with expensive co-pays.  Our web site makes it easy for you to enter the medications you are taking, along with some basic patient information, and then finds the program that is right for you.

NPC's mission is your health. We recognize your need for help when you are applying for discount programs for your prescription medications. We consist of friendly and experienced advocates that not only know how these free and discount programs work, but are ready to help. We are available to take your call and answer any questions you may have as you search for the right program to fit your needs. We can also explain any supporting material you may need to provide as you apply for these programs. If for any reason you are denied, we also are experienced in the best appeals process with a high success rate.

Treats Disease/Condition

Uses

Combivent is a metered-dose inhaler containing a combination of albuterol and ipratropium. Albuterol and ipratropium are bronchodilators that relax muscles in the airways and increase air flow to the lungs Combivent is used as an inhaled medication to prevent bronchospasm in people with chronic obstructive pulmonary disease (COPD) who are also using other medicines to control their condition.

How To Use

Insert metal canister into clear end of mouthpiece. Make sure the canister is fully and firmly inserted into the mouthpiece. Remove orange protective dust cap. If the cap is not on the mouthpiece, make sure there is nothing in the mouthpiece before use. For best results, the canister should be at room temperature before use. Shake and Test Spray. Perform this step before using for the first time, and whenever the aerosol has not been used for more than 24 hours. Shake the canister vigorously for at least 10 seconds. Vigorous shaking for at least 10 seconds before each spray is very important for proper performance. Breathe out (exhale) deeply through your mouth. Holding the canister upright, between your thumb and finger(s), put the mouthpiece in your mouth and close your lips. Keep your eyes closed so that no medicine will be sprayed into your eyes. Combivent can cause blurry vision, narrow-angle glaucoma or worsening of this condition or eye pain if the medicine is sprayed into your eyes. Breathe in slowly through your mouth and at the same time spray the medicine into your mouth. To spray the medicine, firmly press once on the canister against the mouthpiece. Keep breathing in deeply. Hold your breath for 10 seconds, remove the mouthpiece from your mouth and breathe out slowly. If you use more than one inhalation at a time, wait at least 2 minutes before using the second inhalation, shake the inhaler vigorously for at least 10 seconds again and repeat dose. Replace the orange protective dust cap after use. Keep track of the number of sprays used and discard after 200 sprays. Even though the canister is not empty, you cannot be sure of the amount of medicine in each spray after 200 sprays. Keep your inhaler clean and dry, and store it with the cap on the mouthpiece. Clean your inhaler once a week by removing the canister and placing the mouthpiece under warm running water for at least 30 seconds. Allow the parts to dry before putting the inhaler back together.

Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction to Combivent: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using Combivent and call your doctor at once if you have: wheezing, choking, or other breathing problems (especially after starting a new canister of this medicine); chest pain, pounding heartbeats or fluttering in your chest; dangerously high blood pressure (severe headache, anxiety, uneven heartbeats); swelling of your ankles or feet; eye pain, or seeing halos around lights; painful or difficult urination; or low potassium (confusion, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling). Common Combivent side effects may include: mild headache; or cold symptoms such as stuffy nose, sneezing, cough, or sore throat.

Drug Interactions

Tell your doctor about all medications you use, and those you start or stop using during your treatment with Combivent, especially: bladder or urinary medicines such as darifenacin (Enablex), tolterodine (Detrol), solifenacin (Vesicare); a diuretic (water pill); heart or blood pressure medication, such as atenolol (Tenormin, Tenoretic), metoprolol (Dutoprol, Lopressor, Toprol), propranolol (Inderal, InnoPran), and others; medication for Parkinson's disease or depression; medication to treat excess stomach acid, stomach ulcer, motion sickness, or irritable bowel syndrome; other bronchodilators such as formoterol (Foradil), ipratropium (Atrovent), isoproterenol (Isuprel), metaproterenol (Alupent, Metaprel), terbutaline (Brethine, Bricanyl), or tiotropium (Spiriva); or a stimulant, ADHD medication, diet pills, or over-the-counter cold or allergy medicine. This list is not complete. Other drugs may interact with Combivent, including prescription, over-the-counter, vitamin, and herbal products. Not all possible interactions are listed in this medication guide.

In Case of Overdose

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of Combivent can be fatal. Overdose symptoms may include chest pain, fast or pounding heartbeats, extreme thirst, muscle weakness or limp feeling, severe headache, buzzing in your ears, weak pulse, fainting, or slow breathing (breathing may stop).

In Case of Missed Dose

Use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

Storage

Store at room temperature away from moisture and heat. Extreme heat can cause the medicine canister to burst. Do not store Combivent Respimat in your car on hot days. Do not throw an empty canister into open flame.