Package Leaflet: Information for the user
Atrovent
®
Inhaler CFC-Free
20 micrograms/actuation
pressurised inhalation
solution
(ipratropium bromide)
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or
pharmacist.
• This medicine has been prescribed for you. Do not pass it
on to others. It may harm them, even if their symptoms
are the same as yours.
• If any of the side effects gets troublesome or serious, or if
you notice any side effects not listed in this leaflet, please
tell your doctor or pharmacist.
In this leaflet:
1. What ATROVENT Inhaler CFC-FREE is and what it is used for
2. Before you use ATROVENT Inhaler CFC-FREE
3. How to use ATROVENT Inhaler CFC-FREE
4. Possible side effects
5. How to store ATROVENT Inhaler CFC-FREE
6. Further information
1. WHAT ATROVENT INHALER CFC-FREE IS AND WHAT IT
IS USED FOR
The name of your medicine is ATROVENT Inhaler CFC-FREE.
This is an inhaler and contains a medicine called
ipratropium bromide. This belongs to a group of medicines
called anticholinergics which act as bronchodilators. It is
used to make breathing easier for people with asthma or
‘chronic obstructive pulmonary disease’ (COPD), often
referred to as chronic bronchitis. You may have difficulty
breathing, shortness of breath, wheezing or tightness in
your chest.
ATROVENT works by opening up your airways.
2. BEFORE YOU USE ATROVENT INHALER CFC-FREE
Do not use ATROVENT if:
• You are allergic (hypersensitive) to ipratropium or any of
the other ingredients in ATROVENT. (Listed in section 6:
Further information)
• You are allergic to similar medicines which contain
atropine or medicines like atropine
• You are pregnant, think you are pregnant, likely to get
pregnant or are breast-feeding
Do not use if any of the above apply to you. If you are not
sure, talk to your doctor or pharmacist before using
ATROVENT.
Take special care with ATROVENT
Check with your doctor or pharmacist before using this
medicine if:
• You have glaucoma, or have been told that you may
develop it
• You have problems passing water (urine)
• You are a man who has prostate problems
• You have cystic fibrosis
If you are not sure if any of these apply to you, talk to your
doctor or pharmacist before using ATROVENT.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or
have recently taken any other medicines, including any
inhalers and medicines obtained without a prescription.
This includes herbal medicines. This is because ATROVENT
can affect the way some other medicines work. Also some
other medicines can affect the way ATROVENT works.
In particular, tell your doctor or pharmacist if you are
taking/ have taken any of the following medicines:
• Other anticholinergic medicines including those for
COPD (e.g. tiotropium), irritable bowel syndrome
(e.g.mebeverine), urinary incontinence (e.g. oxybutynin,
solifenacin) or cough (e.g. dextromethorphan)
• Other inhalers to help you to breathe more easily such as
the reliever inhaler salbutamol
• Medicines called ‘xanthines’ to help your breathing such
as theophylline and aminophylline
If you are not sure if any of the above apply to you, talk to
your doctor or pharmacist before using ATROVENT.
Pregnancy and breast-feeding
Do not use ATROVENT if you are pregnant, think you are
pregnant, likely to get pregnant or are breast-feeding.
Driving and using machines
You may feel dizzy, or have difficulty in focusing, or blurred
vision while taking ATROVENT. If this happens do not drive
or use any tools or machines.
Operations
If you attend a hospital appointment or are admitted to
hospital be sure to take your inhaler(s) and any other
medicines (in their packaging if possible) with you. Some
gases used in operations (anaesthetic gases) may affect how
your inhaler works. If you are about to have surgery, make
sure you mention that you are taking ATROVENT to the
doctor, dentist or anaesthetist.
ATROVENT contains alcohol
This medicine contains about 8 mg of alcohol (ethanol) in
each puff. The amount in each puff of this medicine is
equivalent to less than 1 ml beer or 1 ml wine. The small
amount of alcohol in this medicine will not have any
noticeable effects.
3. HOW TO USE ATROVENT INHALER CFC-FREE
Always use ATROVENT exactly as your doctor has told you.
You should check with your doctor or pharmacist if you are
not sure. Follow these instructions to get the best results. If
anything is unclear after reading this leaflet, ask your doctor
or pharmacist.
How much to use
Adults (including the elderly)
• One or two puffs to be inhaled three or four times daily
• Sometimes, in early treatment, up to four puffs at a time
may be taken
Children 6-12 yrs
• One or two puffs to be inhaled three times daily
Children under 6 yrs
• One puff to be inhaled three times daily
When children are using this medicine they must be
supervised by a responsible adult.
Do not use more than your doctor has told you
See your doctor straight away if:
• You feel that your inhaler is not working as well as usual
• You need to use the inhaler more than your doctor has
recommended
Your doctor may need to check how well your medicine is
working. In some cases your doctor may need to change
your medicine.
Testing Your Inhaler
To make sure that your inhaler is working, test fire it twice
into the air before using it for the first time and whenever
your inhaler has not been used for 3 days or more.
How to use your inhaler
Read through numbers 1 to 6 first, before starting to use
your inhaler.
The mouthpiece has been designed specially for use with
this product only. Do not use any other mouthpiece with
the product and do not use the mouthpiece provided here
with any other product.
If you find breathing in and pressing the inhaler at the same
time (step 3) difficult you should talk to your doctor or
pharmacist, as you could use a spacer device (Aerochamber
Plus™) with your inhaler. A spacer is a device designed to
make step 3 easier. A spacer is generally a plastic container
with a mouthpiece at one end and a hole for inserting the
mouthpiece of the inhaler at the other end. The puff of
medicine from your inhaler is sprayed into the spacer and
the puff of medicine stays there, inside the spacer, until you
breathe in through your mouth from the spacer with the
spacer mouthpiece in your mouth and with your lips closed
around it. This means that you do not have to worry about
breathing in and pressing the inhaler at the same time.
abcd
After use, replace the cap on the mouthpiece.
Remove the cap from the mouthpiece.
• If you are having more than one puff, wait at
least 1 minute before the next puff.
• Then repeat steps 2, 3 and 4.
6
5
1
• Hold your breath for as long as is
comfortable.
• If possible hold your breath for 10 seconds.
• Then breathe out slowly.
Hold the inhaler as shown in the picture
(with the arrow on the label pointing
upwards) and breathe out gently.
• Then straight away, put the mouthpiece
in your mouth.
• Hold the mouthpiece with your lips.
• Start to breathe in slowly and deeply
through your mouth.
• Press the top of the inhaler firmly. This
will release one puff of your medicine.
• Keep breathing in.
3
4
1...2...3...
4...5...6...7...
8...9...10
2
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