IPRATROPIUM BROMIDE

Indications & Dose:

Reversible airways obstruction

• BY INHALATION OF AEROSOL

Child 1 month–5 years: 20 micrograms 3 times a day Child 6–11 years: 20–40 micrograms 3 times a day Child 12–17 years: 20–40 micrograms 3–4 times a day Reversible airways obstruction, particularly in chronic obstructive pulmonary disease

• BY INHALATION OF AEROSOL

Adult: 20–40 micrograms 3–4 times a day

• BY INHALATION OF NEBULISED SOLUTION

Adult: 250–500 micrograms 3–4 times a day Acute bronchospasm

• BY INHALATION OF NEBULISED SOLUTION

Child 1 month–5 years: 125–250 micrograms as required; maximum 1 mg per day

Child 6–11 years: 250 micrograms as required; maximum 1 mg per day

Child 12–17 years: 500 micrograms as required, doses higher than max. can be given under medical supervision; maximum 2 mg per day

Adult: 500 micrograms as required, doses higher than max. can be given under medical supervision; maximum 2 mg per day

Severe or life-threatening acute asthma

• BY INHALATION OF NEBULISED SOLUTION

Child 1 month–11 years: 250 micrograms every 20–30 minutes for the first 2 hours, then 250 micrograms every 4–6 hours as required Child 12–17 years: 500 micrograms every 4–6 hours as required

Adult: 500 micrograms every 4–6 hours as required 

Contraindications:

Hypersensitivity to atropine

Side Effects:

CNS: Anxiety, dizziness, headache, nervousness

CV: Palpitations

EENT: Blurred vision, dry mouth, metallic taste, stomatitis

GI: Cramps, nausea, vomiting

RESP: Bronchospasm, cough, worsening of symptoms

SKIN: Rash

Cautions:

Precautions:

Angle-closure glaucoma, prostatic hypertrophy, bladder neck obstruction, urinary retention

PREGNANCY AND LACTATION: Pregnancy ; not known if excreted in breast milk, but little systemic absorption when administered by INH 

Interaction:

Warnings:

Adverse Effects:

Lactations:

Special Precautions:

Counselling:

Side Effects Or Adverse Reactions:

Patient And Carer Advice: