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Ipratropium

Brand names: Atrovent, Combivent (with albuterol), DuoNeb

Ipratropium opens the airways in COPD. A nasal spray form treats runny nose.

Brand namesAtrovent, Combivent (with albuterol), DuoNeb
Type of medicineBronchodilator (anticholinergic)
Prescription?Prescription
ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.

Overview

It works more slowly than albuterol and is often combined with it.

What it's used for

  • COPD
  • Asthma attacks (in the ER, with albuterol)
  • Runny nose from colds or allergies (nasal spray)

How to take it

  • Use it as prescribed, often 4 times a day.
  • Keep the mist out of your eyes.

Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.

Side effects

Common side effects

  • Dry mouth
  • Cough
  • Headache
  • Nosebleeds or dryness (nasal spray)
Call 911Breathing gets worse right after using it
Call your provider todayEye pain, blurry vision, or halos
Call your provider todayTrouble peeing

Warnings

  • Tell your provider about glaucoma or an enlarged prostate.

Other medicines, foods, and alcohol

  • Avoid other anticholinergic inhalers like tiotropium unless directed.

Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.

Pregnancy and breastfeeding

Talk with your provider.

Missed doses, overdose, and storage

If you miss a dose

Take it as soon as you remember, unless it's almost time for your next dose. Then skip the missed dose. Don't take two doses at once.

If someone takes too much

Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.

Storing it

Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.

Conditions it's used for

Sources

Last updated 2026-11-13.