Combivent

The proper way to use

This medicine usually comes with patient directions. Read them carefully before using this medicine. If you do not understand the directions or you are not sure how to use the inhaler or nebulizer, ask your doctor, nurse, or pharmacist to show you how to use it.

When you use the inhaler for the first time, or if you have not used it for more than 24 hours, the inhaler may not give the right amount of medicine with the first puff. Therefore, before using the inhaler, prime it by spraying the medicine into the air three times. The inhaler will now be ready to give the right amount of medicine when you use it.

When you use the inhalation solution, make sure you use a jet nebulizer that is connected to an air compressor with a good air flow. Use a face mask or mouthpiece to inhale the medicine.

Keep the spray away from the eyes because this medicine may cause irritation or blurred vision. This is especially important for people with glaucoma. Closing your eyes while you are inhaling this medicine may help keep it out of your eyes.

It is very important that you use ipratropium and albuterol combination only as directed. Do not use more of it and do not use it more often than directed. To do so may increase the chance of serious side effects.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For inhalation aerosol dosage form :
  • For symptoms of chronic obstructive pulmonary disease:
    • Adults—2 puffs four times a day and as needed. No more than a total of 12 puffs should be used in any twenty-four-hour period.
    • Children—Use and dose must be determined by your doctor.

• For inhalation solution dosage form (used with a nebulizer):
  • For symptoms of chronic obstructive pulmonary disease:
    • Adults—Use one 3 mL (milliliter) vial in the nebulizer 4 times a day. You may have 2 additional treatments per day if needed.
    • Children—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep the medicine in the foil pouch until you are ready to use it. Store at room temperature, away from heat and direct light. Do not freeze.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.