What does it do?

Ipratropium and salbutamol is used to treat breathing problems such as COPD. It opens narrowed airways in the lungs making it easier to breathe.

Before you start

• Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

How should you use it?

Inhale ipratropium and salbutamol as directed by your healthcare professional.

What if you forget a dose?

If it is nearly time for your next dose, skip the missed dose and inhale your next dose at the usual time. Otherwise, inhale the missed dose as soon as you remember. Do not inhale two doses at the same time.

Can you take other medicines?

Tell your pharmacist or doctor about all medicines or treatments that you may be taking, including vitamins, herbal products or recreational drugs.

What side effects might you notice?

Side Effects	Recommended action
Symptoms of a fast or irregular heartbeat including: fluttering, pounding or pain in your chest, dizziness or fainting	Tell your doctor
Shaking, muscle cramps Nervousness Dry mouth, unpleasant taste	Tell your doctor if troublesome

If you notice any other effects, discuss them with your doctor or pharmacist.

Other information:

• Take care not to get the spray from the ipratropium and salbutamol inhaler or nebuliser into your eyes. If this happens, rinse your eyes thoroughly with water.
• The use of inhalers can sometimes make breathing worse. Discuss this with your healthcare professional.