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Combivent (Salbutamol, Ipratropium Bromide)
SELECT REF DESCRIPTION MANUFACTURER PACK SIZE STRENGTH OUR PRICE
J80 Combivent (Salbutamol, Ipratropium Bromide) Generic 1 X 200 dose Inhaler 100 mcg $23.13
J18 Albuterol 100mcg (Salbutamol) Generic 1 X 200 dose Inhaler 100 mcg/18g $10.17
J420 Albuterol/ Ipratropium Generic 1 inhaler 120 md $12.15
J360 Salbutamol Generic 10 tabs 2 mg $3.24
J361 Salbutamol Generic 10 tabs 4 mg $3.36
J567 Salbutamol Generic 1x 18mcg 100 mcg/ 18mcg $6.97
J304 Ventolin (Salbutamol Sulfate Inhalation Solution) GSK/ Cipla 1 X 200 dose Inhaler 100 mcg/18g $12.40
P1042 Ipravent (Ipratropium Bromide) Cipla 30 Rotacaps 40mcg $8.91
Out Of Stock P1041 Ipravent (Ipratropium Bromide) Cipla 2.5 ml Repsule 500mcg $1.19
Out Of Stock P1040 Ipravent (Ipratropium Bromide)20mcg/1 puff Cipla 1 inhaler 200MDi $10.53
J39 Atrovent (Ipratropium bromide) Generic 1 X 200 dose Inhaler 20 mcg $22.41
Out Of Stock P1039 Ipranase AQ9 (Ipratropium Bromide) Spray 42mcg/1 spray Cipla Spray 150MDI $11.43
J464 Ipratropium Bromide Generic 1 inhaler 20 mcg $17.64
Price is per pack & not per tab.. eg: if pack size is 10 tabs & price is $2.75 then for 100 tabs the price would be $27.50

What is Combivent?
Albuterol and ipratropium are bronchodilators that relax muscles in the airways and increase air flow to the lungs.

Combivent is used to prevent bronchospasm in people with chronic obstructive pulmonary disease (COPD) who are also using other medicines to control their condition.

Combivent may also be used for other purposes not listed in this medication guide.

Important information about Combivent
Do not use Combivent if you are allergic to soybeans, peanuts, or other food products that contain soya lecithin.

Call your doctor right away if you feel that this medicine is not working as well as usual, or if it makes your condition worse. If it seems like you need to use more of any of your medications in a 24-hour period, talk with your doctor.

Extreme heat can cause the medicine canister to burst. Do not store your inhaler in your car on hot days. Do not throw an empty canister into open flame.

Before using Combivent

Do not use Combivent if you are allergic to soybeans, peanuts, or other food products that contain soya lecithin.

Before using Combivent, tell your doctor if you have:

heart disease, high blood pressure, or congestive heart failure;

a seizure disorder such as epilepsy;

diabetes;

overactive thyroid;

glaucoma;

an enlarged prostate or problems with urination; or

liver or kidney disease.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take Combivent.

FDA pregnancy category C. Combivent may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Combivent passes into breast milk or if it could harm a nursing baby. Do not use Combivent without telling your doctor if you are breast-feeding a baby.

How should I use Combivent?
Use Combivent exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the instructions on your prescription label.

Combivent may increase the risk of asthma-related death. It is critical that you use only the prescribed dose of this medicine and follow all patient instructions for safe use of the medication.

Combivent comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

When using the inhaler device for the first time, prime it by spraying 2 test sprays into the air, away from your face. Also prime the inhaler if you have not used it for 3 days or longer.

The instructions below are for standard use of the inhaler and nebulizer devices. Your doctor may want you to use your device differently. Be sure you understand all instructions that are specific to your use of Combivent.

To use the inhaler:

Shake the canister vigorously for at least 10 seconds before each spray.

Uncap the mouthpiece of the inhaler. Breathe out fully. Put the mouthpiece into your mouth and close your lips. Keep your eyes closed to prevent spraying any medicine into your eyes. Breathe in slowly while pushing down on the canister. Hold your breath for 10 seconds, then breathe out slowly.

If you use more than one inhalation at a time, wait at least 2 minutes before using the second inhalation.

Keep your inhaler clean and dry, and store it with the cap on the mouthpiece. Clean your inhaler once a week by removing the canister and placing the mouthpiece under warm running water for at least 30 seconds. Allow the parts to dry before putting the inhaler back together.

To use the solution with a nebulizer:

Measure the correct amount of medicine using the dropper provided, or use the proper number of ampules. Place the liquid into the medication chamber of the nebulizer. If using a medicine dropper, do not allow the dropper to touch any surface including your hands or the nebulizer.

Attach the mouthpiece or face mask to the drug chamber. Then, attach the drug chamber to the compressor. Sit upright in a comfortable position. Place the mouthpiece into your mouth or put the face mask on, covering your nose and mouth. Breathe in slowly and evenly until you have inhaled all of the medicine (usually 5 to 15 minutes). The treatment is complete when no more mist is formed by the nebulizer and the drug chamber is empty.

Clean the nebulizer after each use. Follow the cleaning directions that came with your nebulizer.

Call your doctor right away if you feel that this medicine is not working as well as usual, or if it makes your condition worse. If it seems like you need to use more of any of your medications in a 24-hour period, talk with your doctor.

To be sure Combivent is helping your condition, your lung function will need to be tested on a regular basis. It is important that you not miss any scheduled visits to your doctor.

It is important to use Combivent regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely. Keep using all of your other medications as prescribed by your doctor.

Store Combivent at room temperature away from moisture and heat. Extreme heat can cause the medicine canister to burst. Do not store it in your car on hot days. Do not throw an empty canister into open flame.

Keep track of the number of sprays you have used and throw away the inhaler canister after 200 sprays, even if it feels like there is still medicine in it.

What happens if I miss a dose?
Use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and use the medicine at the next regularly scheduled time. Do not use extra medicine to make up the missed dose.

What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this medicine. An overdose of Combivent can be fatal. Overdose symptoms may include chest pain or heavy feeling, rapid or uneven heart rate, pain spreading to the arm or shoulder, nausea, sweating, weakness, or general ill feeling.

What should I avoid while using Combivent?

Avoid getting Combivent in your eyes. If this does happen, rinse the eyes with water and seek medical attention.

Combivent side effects

Stop using Combivent and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Combivent and call your doctor at once if you have any of these serious side effects:

bronchospasm (wheezing, chest tightness, trouble breathing), especially after starting a new canister of this medicine;

chest pain and fast, pounding, or uneven heart beats;

swelling of your ankles or feet;

pain or burning with urination; or

increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure).

Less serious side effects may include:

headache, dizziness, nervousness;

drowsiness or sleep problems (insomnia);

cough, hoarseness, sore throat, runny or stuffy nose;

dry mouth, unusual taste in your mouth;

tremors, numbness or tingly feeling;

nausea, vomiting, upset stomach, diarrhea, constipation; or

blurred vision.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Combivent?
Before using Combivent, tell your doctor if you are taking any of the following medicines:

atropine (Donnatal, and others);

belladonna;

clidinium (Quarzan);

dicyclomine (Bentyl);

glycopyrrolate (Robinul);

hyoscyamine (Anaspaz, Cystospaz, Levsin, and others);

mepenzolate (Cantil);

methantheline (Provocholine);

methscopolamine (Pamine), scopolamine (Transderm-Scop);

propantheline (Pro-Banthine);

a beta-blocker such as acebutolol (Sectral), atenolol (Tenormin), carvedilol (Coreg), metoprolol (Lopressor), or propranolol (Inderal);
a stimulant, ADHD medication, diet pills, or over-the-counter cold or allergy medicines;

a diuretic (water pill) such as furosemide (Lasix), bumetanide (Bumex), ethacrynic acid (Edecrin), torsemide (Demadex), hydrochlorothiazide (Hydrodiuril), chlorthalidone (Hygroton, Thalitone), or chlorothiazide (Diuril); or

an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).

This list is not complete and there may be other drugs that can interact with Combivent. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?
Your pharmacist can provide more information about Combivent.

 

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