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Details Product Name: Combivent Drug Name: Ipratropium Bromide and Albuterol Sulfate (Salbuterol) Packaging Type: Aerosol containing 200 doses (100 µg Salbuterol; 20 µg Iprotropium Bromide) Manufacturer: Boehringer Ingelheim Use: Combivent is used to treat asthma, chronic bronchitis, and emphysema. The active ingredients act on the lungs to help the patient breath easier in and out. This product can also be prescribed by your doctor for other uses. How to take it: Follow the directions for using this medicine provided by your doctor. This medicine may come with an instruction leaflet. Beofre using this medicine, be sure that the canister is properly inserted into the inhaler unit and shake well. Exhale slowly and deeply. Unless your doctor has told you otherwise, position the mouthpiece between your lips and try to rest your tongue flat. Your doctor may have told you to hold the inhaler 1 or 2 inches (2 or 3 centimetres) away from your open mouth or may have instructed you to use a special spacing device. As you start to take a slow deep breath, press the canister and mouthpiece together at exactly the same time to administer a dose of this medicine. Continue inhaling slowly and deeply and hold your breath for as long as comfortable, then exhale slowly through pursed lips or through your nose. If more than one inhalation is to be used, wait a few minutes and repeat the above process. Side effects: Side effects include tremors, feeling dizzy, cough or runny nose, upset stomach, leg cramps, headaches, palpitations, dry mouth, bitter taste, hypokalaemia, and rarely, urinary retention. Precautions: Do not use this if you are allergic to or get a strange response to soy products or peanuts. Take it as your doctor tells you to. Before you start to use it, tell your doctor if you have heart disease, high blood pressure, seizure disease, or a too active thyroid. Don’t mix other breathing drugs with this drug unless told to do so by your doctor. If you use an inhaled steriod, use Combivent first. Wait 5 minutes. Then use the inhaled steroid. Before you start, tell your doctor if you are taking a beta-blocker, like Inderal, often used for high blood pressure or heart problems; Intal; Drugs for mental illness; Drugs for colds and breathing problems; a diuretic or water pill, like Lasix.