Combivent Respimat contains two active ingredients to help patients breathe easier. It uses both ipratropium and albuterol. Both of these active ingredients are medications classified as bronchodilators. This means they cause the airway muscles to relax so that more airflow gets to the lungs.

Each of the active ingredients uses a different mechanism to open the airways. Ipratropium is a short-acting muscarinic antagonist. Albuterol is a short-acting beta-agonist. Using these two together can relax the airways significantly.

This medication is often used in people who have chronic obstructive pulmonary disease or COPD. This is a chronic lung problem that can make breathing more difficult. It can be used in these patients to prevent a narrowing and tightening of the airways called bronchospasm. It’s generally used with other medications to keep the condition under control. It’s common to have this medication prescribed to patients who are also taking another bronchodilator and need another one to control their COPD.

Precautions and Warnings With Combivent Respimat

If you’ve ever had an allergic reaction to either of the active ingredients in this medication, don’t take it. If you have other allergies, you might talk to your pharmacist about the inactive ingredients and whether you could react to this medication. If you’re allergic to atropine, for example, you shouldn’t take Combivent Respimat.

You may not be able to take this medication if you have specific kinds of abnormal heart rhythms or if you have particular types of heart disease or heart problems such as high blood pressure. Let the doctor know if you have any issues before taking this medication. This medication can cause heart problems in some patients. This is more likely with patients who already have any heart condition. If you take this medication and your blood pressure rises, talk to your doctor. You may need to switch to a different drug for your COPD.

It’s rare, but this medication can cause a patient to have lung spasms. In these cases, it can make breathing even harder and cause the patient to wheeze. The problem can be so severe that it’s life-threatening. If you have breathing problems that get worse when you use this medication, stop taking it and notify your doctor.

There is also the risk of developing glaucoma when taking this medication. It can do this by raising the pressure of the liquid solution in the eyes and causing damage to the optic nerve. If you already have glaucoma, this medication can make it worse. Be sure to tell your doctor if you have a glaucoma or high eye pressure history.

Another risk with this medication is having urination problems. If you’ve ever had an enlarged prostate or a bladder-neck blockage, make sure your doctor knows before you take this medication. Combivent Respimat may cause some people to have a hard time urinating. If you already have urination problems or prostate trouble, this medication could make the condition worse.

This medication may also cause people to have a low potassium level in the blood. When this happens, the levels can get too low and cause many effects. These can include weakness, tiredness, muscle spasms or cramps, tingling in the feet and hands, and a fast heartbeat. If you already have low potassium, this medication might need to be corrected. Make sure your doctor knows about the problem before you take Combivent Respimat.

Combivent Respimat Side Effects

Many less common or rare side effects can occur as well. These include nausea, constipation, diarrhea, dizziness, flu-like symptoms, loss of appetite, dry mouth, vomiting, painful urination, and eye pain.

It’s also possible to have an allergic reaction to this medication. The effects you might have if you’re allergic to this medication include trouble breathing, swelling of the face or in the mouth, a rash, and itching. If you experience these effects, call for an emergency.

There are a lot of side effects that can happen while taking this medication, and some of them are far more common than others. Side effects may be mild or moderate and disappear after the body gets used to the medication. If you have serious side effects or are severe, it’s essential to contact your doctor immediately. Some of the more common side effects include:

  • Cough
  • Common cold
  • Bronchitis
  • Difficulty breathing
  • Headache
  • Upper respiratory infection
  • Chest tightness
  • Body pain or aches
  • Coughing up mucus
  • Fever
  • Runny nose
  • Laryngitis
  • Ear congestion
  • Sore throat
  • Weakness or tiredness
  • Sneezing
  • Stuffy nose

Drug Interactions With Combivent Respimat

Dozens of medications may interact poorly with Combivent Respimat. Two drugs can interact, but that may be used along with this medication if it’s warranted. These are Betel Nut and Digoxin. There are also a lot of drugs that generally aren’t used along with Combivent Respimat. No matter what you’re taking, be sure your doctor knows what you take and your dosage. Tell them about all prescription drugs as well as OTC ones.

Drug interactions with Combivent Respimat include, but are not limited to:

  • Acebutolol
  • Amoxapine
  • Amitriptyline
  • Atenolol (Tenormin)
  • Bevantolol
  • Befunolol
  • Bisoprolol
  • Atomoxetine
  • Clozapine
  • Carteolol
  • Clomipramine
  • Dilevalol
  • Desipramine
  • Doxepin
  • Glucagon
  • Imipramine
  • Esmolol
  • Levobunolol
  • Melitracen
  • Nortriptyline
  • Nadolol
  • Oxprenolol
  • Quetiapine (Seroquel)
  • Sotalol
  • Tianeptine
  • Trimipramine

Combivent Respimat Strengths and Dosages

This medication is administered with an inhaler, typically used four times daily. Please be sure to use yours exactly as often as the doctor says. These inhalers come in a strength of 100 mcg of albuterol and 20 mcg of ipratropium bromide in each device. A nebulizer solution can also be used on one of these devices. This strength is 2.5 mg of albuterol and 0.5 mg of ipratropium bromide per 3 mL.

Inhaler:100 mcg/20 mcg
Nebulizer Solution:(2.5 mg/0.5 mg)/3mL

FAQs About Combivent

Can you take Combivent Respimat if you’re pregnant?

There haven’t been any studies on using this medication in pregnancy, but it’s generally considered to be risky for a baby. If your COPD is severe, you may have to weigh whether its benefits are worth its possible risks.

If I have glaucoma, can I use this medication?

Generally not. This medication can worsen this condition by raising the pressure inside your eyes.

Is this medication a steroid?

No, it’s a bronchodilator and works differently from corticosteroids.

Why is this medication prescribed?

It’s generally prescribed to help those who suffer from COPD. It can help patients to breathe more easily.

Can you take Combivent Respimat with other COPD medications?

Yes, this medication is often meant as a second medication for patients who are already taking something for their COPD. Usually, patients take this along with another bronchodilator to make breathing as easy as possible.

How quickly will this medication start working?

Once inhaled, the medication can work in as little as 15 minutes.

Why is albuterol combined with ipratropium in this medication?

These two bronchodilators work better together than they could separately. Each boosts the other’s effectiveness.

Can you use this medication when it’s expired?

This medication shouldn’t be used when it’s expired because it won’t work as well as it did in-date.

Should you clean the inhaler?

You can clean off the mouthpiece with a tissue or damp cloth about once a week. Otherwise, it shouldn’t be cleaned.

What is the cost of Combivent Respimat in America?

The average price for one of these inhalers within the United States is about $590.

IMPORTANT NOTE: The information provided here is for educational purposes only and is not intended to serve as medical advice, diagnosis, or treatment recommendations. It should not be taken as an endorsement of any specific medication or treatment. Individual health conditions and responses to treatment can vary greatly; therefore, this information should not be seen as a guarantee of safety, suitability, or effectiveness for any particular individual. Always consult with a healthcare professional for personalized medical advice and before making any decisions regarding your health or treatment plans.

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