What does it do?

Ipratropium and salbutamol opens narrowed airways in the lungs. It helps to relieve asthma symptoms and breathing problems.

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
Eye pain, changes in vision	Tell your doctor immediately
Fast or irregular heartbeat, chest pain	Tell your doctor
Tremor, muscle cramps Headache, dizziness Nervousness, trouble sleeping Dry mouth, trouble peeing Hoarse voice, unpleasant taste, cough	Tell your doctor if troublesome

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

Other information:

• Tell your doctor if you have heart, bladder or prostate problems, high blood pressure or glaucoma.
• Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
• 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.
• Some people with asthma may get short of breath after taking certain pain-relieving medicines such as aspirin (e.g. Aspec®), diclofenac (e.g. Voltaren®) or ibuprofen (e.g. Nurofen®). Talk to your healthcare professional.
• The use of inhalers can sometimes make breathing worse. Discuss this with your healthcare professional.