Atrovent Metered Aerosol opens up the air passages in people with asthma and chronic obstructive pulmonary disease (COPD).
Atrovent belongs to a group of medicines called anticholinergic bronchodilators. These medicines work by relaxing and opening up the airways, allowing more air to the lungs. It begins to act quickly after use but may take up to 2 hours to give maximum benefit.
It is for relief of symptoms and should be part of a management program that is prescribed by your doctor.
Your doctor may have prescribed Atrovent Metered Aerosol for another reason. Ask your doctor if you have any questions about why Atrovent Metered Aerosol has been prescribed for you.
Atrovent Metered Aerosol is available only with a doctor's prescription.
There is no evidence that Atrovent Metered Aerosol is addictive.
Do not use Atrovent Metered Aerosol if you are allergic to:
Some of the symptoms of an allergic reaction may include:
Do not use Atrovent Metered Aerosol after the expiry date (EXP) printed on the pack.
If you take this medicine after the expiry date has passed, it may not work as well.
Do not use Atrovent Metered Aerosol if the packaging is torn or shows signs of tampering.
If you are not sure whether you should start using Atrovent Metered Aerosol, contact your doctor or pharmacist.
Tell your doctor or pharmacist if you have allergies to:
Tell your doctor or pharmacist if you are pregnant or intend to become pregnant.
Care is recommended during pregnancy, particularly in the first three months. Your doctor or pharmacist will discuss the possible risks and benefits of using Atrovent Metered Aerosol during pregnancy.
Tell your doctor or pharmacist if you are breast-feeding or plan to breast-feed.
Your doctor or pharmacist will discuss the possible risks and benefits of using Atrovent Metered Aerosol during breastfeeding.
Tell your doctor or pharmacist if you have or have had any of the following medical conditions:
If you have not told your doctor or pharmacist about any of the above, tell them before you start using Atrovent Metered Aerosol.
Tell your doctor or pharmacist if you are using any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and Atrovent Metered Aerosol may interfere with each other. Your doctor and pharmacist may have more information on medicines to be careful with or avoid while using Atrovent Metered Aerosol.
Each puff must be properly inhaled through the mouth for Atrovent Metered Aerosol to work. At the end of this leaflet you will find instructions on how to use Atrovent Metered Aerosol correctly.
If you are not sure how to use an inhaler, ask your doctor or pharmacist.
Children should only use their inhaler on medical advice and with the help of an adult.
If you find it difficult to breathe in and use your inhaler at the same time, talk to your doctor or pharmacist. They may be able to recommend another method.
Never spray Atrovent Metered Aerosol in or around your eyes. Should this occur, immediately flush your eyes with cold tap water for several minutes.
The usual doses for adults and children are stated below.
Your doctor will decide the right dose for you. Depending on your condition and specific needs, your doctor may advise you to take a different dose.
If your doctor has advised you to use Atrovent Metered Aerosol regularly, then use it at about the same time each day.
Using it at the same time each day will help you remember when to use it.
If you forget to use your Atrovent Metered Aerosol, use it as soon as you remember, and then go back to using your medicine as you would normally.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to use your medicine, ask your pharmacist for some hints.
Atrovent Metered Aerosol helps control your condition, but does not cure it. Therefore you must continue using the medicine for as long as your doctor or pharmacist tells you.
Do not stop using it unless your doctor or pharmacist tells you to even if you feel better.
Telephone your doctor or pharmacist or the Poisons Information Centre (telephone 13 11 26) if you think that you or anyone else may have used too much Atrovent Metered Aerosol. Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
If you use too much Atrovent Metered Aerosol, you may have a fast or irregular heart beat, dry mouth or blurred vision.
Tell your doctor or pharmacist immediately if:
If you find that the usual dose of Atrovent Metered Aerosol is not giving as much relief as before, or you need to use it more often, contact your doctor so that your condition can be checked.
This is important to ensure your breathing problem is controlled properly.
If you have Asthma Action Plan that you have agreed with your doctor, follow it closely at all times.
Continue using Atrovent Metered Aerosol for as long as your doctor or pharmacist tells you.
Visit your doctor regularly to check on your asthma condition.
Make sure you keep Atrovent Metered Aerosol with you at all times.
Tell any other doctors, dentists, and pharmacists who are treating you that you are using Atrovent Metered Aerosol.
If you are about to start any new medicine, tell your doctor or pharmacist that you are using Atrovent Metered Aerosol.
If you plan to have surgery (which requires a general anaesthetic), tell your doctor or dentist that you are using Atrovent Metered Aerosol.
If you become pregnant while using Atrovent Metered Aerosol tell your doctor or pharmacist.
Do not take any other medicines for your breathing problems without checking with your doctor.
Do not give Atrovent Metered Aerosol to anyone else, even if they have the same condition as you.
Do not use Atrovent Metered Aerosol to treat any other complaints unless your doctor or pharmacist tells you to.
Do not stop using Atrovent Metered Aerosol or lower the dosage, without checking with your doctor or pharmacist.
Be careful driving or operating machinery until you know how Atrovent Metered Aerosol affects you.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are using Atrovent Metered Aerosol.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
Ask your doctor or pharmacist to answer any questions you may have.
If you get any side effects, do not stop using the Atrovent Metered Aerosol without first talking to your doctor or pharmacist.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
These are the more common side effects of Atrovent Metered Aerosol. Mostly these are mild and short-lived.
If any of the following happen, tell your doctor immediately or go to Accident and Emergency at the nearest hospital:
These are serious side effects. You may need urgent medical attention or hospitalisation.
Other side effects not listed above may occur in some patients. Tell your doctor or pharmacist if you notice anything else that is making you feel unwell.
Do not be alarmed by this list of possible side effects.
You may not experience any of them.
Clean and dry your inhaler each time you use it.
It is important to keep your inhaler clean and dry. It may not work as well if it gets dirty. Follow the instructions at the end of this leaflet for cleaning your inhaler.
Keep your inhaler in a cool dry place where the temperature stays below 25°C.
Do not store Atrovent Metered Aerosol or any other medicine in the bathroom or near a sink.
Do not leave it in the car on hot days or on window sills.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor or pharmacist tells you to stop using Atrovent Metered Aerosol or it has passed its expiry date, ask your pharmacist what to do with any that are left over.
Do not puncture the container or throw it into a fire.
Atrovent Metered Aerosol is supplied in a canister containing 200 doses.
Each Atrovent Metered Aerosol dose contains 21 micrograms ipratropium bromide as the active ingredient.
Atrovent Metered Aerosol does not contain lactose, sucrose, gluten, tartrazine or any other azo dyes.
Atrovent Metered Aerosol is made in Germany and supplied in Australia by:
Boehringer Ingelheim Pty Limited
(ABN 52 000 452 308)
78 Waterloo Road
NORTH RYDE NSW 2113
Australian Registration Number:
AUST R 91129
This leaflet was revised on
7 September 2010.
® = Registered Trademark
© Boehringer Ingelheim Pty Limited 2010
The mouthpiece has been designed for use with the Atrovent Metered Aerosol canister so that you always get the right amount of medicine. The mouthpiece must never be used with any other metered aerosol canister. The Atrovent Metered Aerosol canister must not be used with any mouthpiece other than the one supplied with this product.
Before first use of a new inhaler, prime it by activating twice into the atmosphere.
Before use if the inhaler has not been used for 3 days, reprime by activating once into the atmosphere.
1. Remove the protective cap from the short end of the mouthpiece.
2. Hold the inhaler with the arrow on the canister pointing upwards. Do not spray into or around the eyes.
3. Breathe out fully, to the end of a normal breath.
4. Place the open end of the mouthpiece between the lips but not past the teeth.
5. Breathe in slowly through the mouth and at the same time firmly press the canister down once. Do not stop breathing when you press on the canister - continue to take a full, deep breath.
6. Hold your breath for about ten seconds if possible, then breathe out slowly. Remove the inhaler from your mouth.
7. If a second or subsequent inhalation is necessary, start again from instruction 3.
Replace the protective cap on the mouthpiece.
Your inhaler makes almost no sound when it is shaken, so it is difficult to know when your inhaler is nearly empty.
If you use your Atrovent Metered Aerosol regularly, you can keep a record of the number of times you use it, so you will know when to replace it.
However if you do not want to keep a record, you can check how full your Atrovent Metered Aerosol is by:
The amount in the canister can be estimated by observing its position in the water.
When the nozzle of the canister floats near the surface, it is time to get a new Atrovent Metered Aerosol.
In order to obtain the best service from your Atrovent Metered Aerosol, these simple directions on maintenance should be carefully observed.
One of the most common causes of failure of the metering device of the inhaler to function is a dirty or blocked mouthpiece.
Always replace the protective cap on the mouthpiece after use to prevent the inside of the mouthpiece and canister from becoming dusty.
The mouthpiece of the Atrovent Metered Aerosol should be kept clean by washing regularly in warm soapy water, rinsing in clear water and drying on a clean tissue.
Remember to take out the canister before you wash the mouthpiece.
When removing the canister from the mouthpiece pull out carefully to avoid bending the thin plastic stem.
Never press the thin plastic stem of the canister against a firm surface to check for function.
This may bend the stem and lead to malfunction of the inhaler.
Your doctor or pharmacist may suggest that you use a device called a 'spacer' with your inhaler, to help you use your inhaler more effectively.
A spacer is a holding chamber into which you spray your inhaler before inhaling. Follow the instructions supplied with the spacer, to use your inhaler and spacer together properly.
Before first using your spacer, wash it with warm water and a small amount of detergent. Allow it to dry without rinsing, or drying with a cloth. Repeat this cleaning process at least once every month.
This will help keep your spacer clean and to work properly.
Make sure you breathe in and out through the spacer after each puff from your inhaler. If you need to be shown how to use your spacer, or if you are having difficulties using your spacer, discuss this with your pharmacist.