Use Atrovent Inhaler exactly as prescribed by your healthcare provider. It is usually inhaled by mouth four times daily, with doses spaced evenly throughout the day.
Do not use more puffs, use the inhaler more often, or change your treatment schedule without speaking with your healthcare provider. Atrovent works best when used regularly as a maintenance medication.
Before Using the Inhaler
Remove the protective cap and check the mouthpiece for dust, dirt, or other objects.
Shake the inhaler well before each puff. Sit or stand upright so you can take a full breath.
If you are using the inhaler for the first time, or if it has not been used for more than three days, you will need to prime it before taking your dose.
How to Prime the Inhaler
Priming prepares the inhaler and helps ensure that each puff contains the correct amount of medication.
To prime the inhaler:
- Remove the protective cap.
- Shake the inhaler well.
- Point the inhaler away from your face and eyes.
- Release the number of test sprays listed in the product instructions.
Never spray the medication toward your eyes while priming the inhaler.
How to Take a Dose
Follow these steps when using Atrovent:
- Shake the inhaler well.
- Breathe out fully and comfortably, away from the mouthpiece.
- Place the mouthpiece between your lips and close your lips firmly around it.
- Keep your tongue below the mouthpiece so it does not block the opening.
- Close your eyes to reduce the chance of medication getting into them.
- Begin breathing in slowly and deeply through your mouth.
- Press down on the canister while continuing to breathe in.
- Hold your breath for about 10 seconds, or for as long as comfortable.
- Remove the inhaler from your mouth and breathe out slowly.
Do not breathe out into the inhaler.
If Two Puffs Are Prescribed
Wait at least one minute between puffs.
Shake the inhaler again before taking the second puff. Repeat the same inhalation steps to make sure the second dose reaches your lungs properly.
Do not take extra puffs if you are unsure whether the medication was inhaled correctly. Ask your healthcare provider or pharmacist to review your inhaler technique.
Protecting Your Eyes
Atrovent should not be sprayed into the eyes. Ipratropium may cause eye irritation or increase pressure inside the eye, especially in people with narrow-angle glaucoma.
To reduce this risk:
- Keep your lips tightly closed around the mouthpiece.
- Close your eyes while pressing the inhaler.
- Do not point the inhaler toward your face.
- Do not use a damaged or leaking inhaler.
If the medication gets into your eyes, rinse them with clean water.
Contact a healthcare provider promptly if you develop eye pain, redness, blurred vision, halos around lights, or worsening vision.
Using Atrovent With Other Inhalers
You may be prescribed more than one inhaled medication. Wait at least one minute between inhalers unless your healthcare provider gives you different instructions.
Ask your healthcare provider or pharmacist which medication should be used first. In some cases, a fast-acting bronchodilator is used before another inhaled medicine to help open the airways.
Do not combine Atrovent with other anticholinergic inhalers unless your healthcare provider approves the combination.
Cleaning the Inhaler
Clean the mouthpiece regularly according to the product instructions. Keeping it clean helps prevent blockage and ensures that the inhaler works correctly.
Remove the medication canister before rinsing the mouthpiece, if directed. Allow the mouthpiece to dry completely before putting the inhaler back together.
Do not place the metal canister in water.
Keeping Track of Doses
Keep track of how many puffs you have used. The inhaler may continue to spray after the labelled number of doses has been reached, but the remaining sprays may not contain the correct amount of medication.
Replace the inhaler when the dose counter reaches zero or after the recommended number of sprays has been used.
Important Treatment Instructions
Use Atrovent regularly, even when you are feeling well. It is used to help control ongoing breathing symptoms and should not be stopped without medical advice.
Atrovent is not usually the first-choice rescue medication for sudden or severe breathing problems. Keep your prescribed rescue inhaler available and follow your healthcare provider’s emergency treatment plan.
Contact your healthcare provider if:
- Your breathing becomes worse
- Atrovent seems less effective than usual
- You need your rescue inhaler more often
- You have trouble using the inhaler correctly
- Side effects are severe or persistent
Seek immediate medical care if you experience severe breathing difficulty, sudden worsening of wheezing after a dose, chest pain, facial or throat swelling, hives, fainting, or serious vision changes.
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