Ipravent Rotacaps (Ipratropium)

Ipravent Rotacaps (Ipratropium 40 Mcg)

Uses

Ipratropium is used as a maintenance therapy in the treatment of bronchospasms (constriction of the air passages), chronic asthma and chronic obstructive pulmonary disease (COPD).

How it works

Ipratropium belongs to a class of drugs called anticholinergics or parasympatholytic agents. Ipratropium helps in opening the air passages to the lungs and making breathing easier and providing relief from asthma and associated conditions.

What is Ipratropium Bromide?

Ipratropium Bromide also sold under the trade name Atrovent, Ipravent among several other trade names is an anticholinergic bronchodilator. This medication is used to ease breathing in people with diseases like asthma, emphysema (a serious condition that makes breathing difficult), and chronic obstructive bronchitis.
Ipratropium Bromide works by relaxing muscles of the air passages thereby increasing the flow of air to the lungs and hence improving breathing in people suffering from asthma and other breathing difficulties. It may also be used for treatment of other conditions not mentioned above.

Important Information about Ipratropium Bromide

Don’t use Ipratropium Bromide if you are allergic to ipratropium or atropine. Also let your doctor know if you have glaucoma or urination problems before using this medication. This medication will not work rapid enough in treating an asthma attack that has already happened. In such a case, use only a fast acting inhalation medicine.

What should I do before using Ipratropium Bromide?

You must not use Ipratropium Bromide medication if you are allergic to ipratropium or atropine. For ensuring a safe use of this medication, tell your doctor before taking it if you have narrow angle glaucoma; enlarged prostate; bladder obstruction; or urination problems.
Take precaution if you are pregnant, plan to become pregnant or breast feeding your baby. Ask your doctor if it is safe to use Ipratropium Bromide without harming your baby. This medication is not recommended to use in children without a doctor’s advice.

How should I take Ipratropium Bromide?

You must use Ipratropium Bromide medication exactly and strictly as advised by your doctor. Any changes or disobedience of your doctor’s prescription may lead to deterioration of your condition. All medications come with a patient leaflet which has complete information about them. Read it carefully for details.
Ipratropium Bromide is usually taken with an inhaler device. First pump 2 test sprays in the air for priming the inhaler. Remember to pump it away from your face. Then put the inhaler into one nostril of your nose and spray an appropriate amount of the medication. Breathe gently after spraying. Prime the inhaler if it has not been used for some time, say 3 days or more. Keep the inhaler clean always by following the cleaning directions which came with the medication.
Contact your doctor immediately if your condition doesn’t improve and deteriorates further. While using Ipratropium Bromide, your lung function may need to be tested frequently.
Keep the medicine canister away from open flame and intense heat such as in direct sunlight on a hot day. The canister can explode if it gets too hot. Avoid puncturing or burning an empty inhaler canister.
Store the medication and inhaler device in a cool and dry place. Ensure that your children and pets don’t have access to any medication.

What happens if I miss a dose?

If you miss a dose due to some reasons, take it as soon as you remember it and if the time to take the next dose is not near. If the next dose is overdue within a short time, then forget about the missed dose and take the next dose as scheduled. Do not take double doses to compensate for the missed one.

What if I Overdose?

Don’t overdose on any medication. If you have taken an overdose and if you experience any worsening health condition, get emergency medical help or call your doctor immediately.

Things to avoid while taking Ipratropium Bromide

Ipratropium Bromide medication may lead to blurred vision and impaired thinking and concentrating capability. Avoid unnecessary driving and activities which require you to be alert and see properly.

Ipratropium Bromide Side Effects

Not all people show side effects to Ipratropium Bromide but that may not be the case with you. Discontinue using Ipratropium Bromide if you witness any allergic reactions like hives, breathing difficulty, swelling in face, mouth, lips, tongue, or throat; bronchospasm (chest tightness, wheezing); blurred vision, pain in eye; witnessing halos around lights; painful or burning sensation while urinating as well as decreased urination; or deteriorating of original symptoms. These effects are rare but get urgent medical help.
Some less severe and more common side effects of Ipratropium Bromide are headache; runny nose; backache; sinus pain; cough; nausea; upset stomach; constipation; fever; chills; or fly symptoms.
The list above is not complete and there can be other side effects as well.

Ipratropium Bromide Dosing Information

Take Ipratropium Bromide medication as prescribed by your doctor. Dosage may differ based on severity of condition, age, sex among several other factors.

Interaction with other drugs

Some drugs may interact with Ipratropium Bromide so tell your doctor about any medications which you may be taking at present, especially medications for bladder or urinary tract like fesoterodine, tolterodine, solfenacin or others; other bronchodilators medications like tiotropium; antihistamine medications used for cold or allergy; drugs for Parkinson’s disease; or medications for stomach like antacids, for ulcers or motion sickness. This list of drug interactions is non exhaustive and there may be other interactions. Share your entire medical history and list of drugs (prescription or OTC) or herbal products with your doctor.

Expert advice

• Appropriate administration of ipratropium with the inhaler is essential for a successful therapy.
• Doctor’s advice should be considered in case of patients with following history of disease conditions: cystic fibrosis (an inherited disease in which thick, sticky mucus builds up and that can damage many of the organs in the body) may be prone to gastrointestinal motility disturbances; glaucoma (increased pressure inside the eyes that causes visual problems), urinary problems or a prostate (a male reproductive organ) condition.
• Consult your doctor if you suffer from allergic (hypersensitivity) reactions such as urticaria, angioedema (swelling of lips and eyes), rash, bronchospasms (constriction of the air passages), oropharyngeal swelling and severe allergy (anaphylaxis).
• Consult your doctor if you suffer from irregular heartbeats after ipratropium nasal spray.
• Ipratropium inhalation sometimes causes wheezing and difficulty breathing immediately after it is inhaled. Consult your doctor immediately.
• Consult your doctor immediately, if you experience pain in the eye or discomfort, blurred vision, visual halos or colored images in association with red eyes due to conjunctival congestion and cornea swelling may be signs of acute narrow-angle glaucoma.
• Do not use your ipratropium inhalers when you are near a flame or source of heat. The inhaler may explode, if it is exposed to very high temperatures.
• Dizziness and blurred vision have been reported. If affected, the patient should be warned not to drive or operate machinery.

Frequently asked questions

Q. Is ipratropium safe during pregnancy?
Studies in animals have shown no risk to the fetus; however there are no sufficient studies in humans. Patients should follow the advice of the doctor regarding its use.

Q. Is ipratropium a st***d?
No, ipratropium is not a st***d.

Q. Is ipratropium a narcotic? Does it contain opium?
No, ipratropium is not a narcotic. It does not contain opium or its derivative.

Q. Does ipratropium cause weight gain?
Ipratropium has no known effects on weight gain.

Q. Does ipratropium cause constipation?
Yes, constipation is a known side effect of ipratropium.

Q. Does ipratropium cause tachycardia (increased heart rate)?
Ipratropium may sometimes cause tachycardia (increased heart rate) in some patients. It is not a common side effect of ipratropium.

Q. Does ipratropium cause an increase in blood pressure?
Ipratropium has no known effects on blood pressure.

Q. Is ipratropium bromide the same as albuterol? Does ipratropium/ ipratropium bromide contain albuterol?
Ipratropium bromide and albuterol are 2 different medicines. They have the same action. They relax the air passages and make breathing easier (bronchodilators). Combination medicines containing both ipratropium bromide and albuterol sulphate are available to treat asthma and associated conditions.

Q. Is ipratropium bromide the same as budesonide?
Ipratropium/ipratropium bromide and budesonide belong to different class of medicines but both are used either alone or in combination to treat bronchitis, asthma and associated conditions.

Q. Is ipratropium bromide a bronchodilator?
Yes, ipratropium/ ipratropium bromide is a bronchodilator used to treat bronchitis, asthma and associated conditions.

Q. Is ipratropium bromide a long acting bronchodilator?
No, ipratropium/ ipratropium bromide is a short-acting bronchodilator.

Q. Is ipratropium bromide an antihistaminic/antibiotic or is it an anticholinergic?
Ipratropium is neither antihistamine nor an antibiotic. It belongs to a class of anticholinergic bronchodilators.

Q. Is ipratropium bromide a short-acting anticholinergic?
Yes, ipratropium/ ipratropium bromide is a short-acting anticholinergic bronchodilator.

Q. Is ipratropium safe for infants?
Yes, ipratropium is safely used in infants. . Patients should follow advice of the doctor regarding its use.

Q. Is ipratropium bromide a rescue inhaler?
No, ipratropium is a bronchodilator for the maintenance treatment of bronchospasm. It is not indicated for the initial treatment of acute episodes of bronchospasm where rescue therapy is required.

Q. Can ipratropium bromide used alone?
Yes, ipratropium bromide can be used alone as a maintenance therapy in the treatment of bronchospasm, asthma and other associated conditions.

Q. Does ipratropium bromide expire?
Yes, ipratropium bromide formulations have an expiry date. Please Read the details on the package for the correct expiry date.