Atrovent UDV

What Atrovent UDV is used for

Atrovent UDV is used to open up the air passages in both children and adults with asthma and chronic obstructive bronchitis. It may also be used in other conditions where breathing is difficult such as may occur after surgery or during assisted ventilation.

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 UDV for another reason. Ask your doctor if you have any questions about why Atrovent UDV has been prescribed for you.

Atrovent UDV is available only with a doctor's prescription.

There is no evidence that Atrovent UDV is addictive.

Before you use Atrovent UDV

When you must not use it

Do not use Atrovent UDV if you are allergic to:

  • ipratropium bromide
  • similar medicines which contain atropine or medicines like atropine
  • any of the ingredients listed at the end of this leaflet

Some of the symptoms of an allergic reaction may include:

  • rash, itching or hives on the skin
  • swelling of the face, lips, tongue or other parts of the body
  • shortness of breath, wheezing or troubled breathing.

Do not use Atrovent UDV after the EXPIRY DATE on the bottle or carton.

If you take this medicine after the expiry date has passed, it may not work as well.

Do not use Atrovent UDV if the packaging is torn or shows signs of tampering.

If you are not sure whether you should start using Atrovent UDV, contact your doctor or pharmacist.

Before you use it

Tell your doctor or pharmacist if you have allergies to:

  • any other medicines
  • any other substances, such as foods, preservatives or dyes

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 UDV 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 UDV during breastfeeding.

Tell your doctor or pharmacist if you have or have had any of the following medical conditions:

  • glaucoma (high pressure in the eye)
  • difficulty or pain when passing urine
  • constipation
  • cystic fibrosis.

If you have not told your doctor or pharmacist about any of the above, tell them before you start using Atrovent UDV.

Using other medicines

Tell your doctor if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.

Some medicines and Atrovent UDV may interfere with each other. Your doctor and pharmacist may have more information on medicines to be careful with or avoid while using Atrovent UDV.

Atrovent UDV may be used with other medicines that relax the air passages for additional symptom relief, when prescribed by a doctor.

Check with your doctor or pharmacist before mixing other nebuliser solutions with Atrovent UDV.

This is because some nebuliser solutions may not mix well with Atrovent UDV and may need to be nebulised separately.

How to use Atrovent UDV

You will find instructions on how to use Atrovent UDV at the end of this leaflet.

Children should only use Atrovent 250 mcg/1mL UDV on medical advice and with the help of an adult.

You must make sure that a nebuliser mask is properly fitted to your or your child's nose and mouth before nebulising and inhaling Atrovent UDV.

Fit the nebuliser mask properly to your or your child's nose and mouth to prevent the mist from contacting your eyes.

If you are not sure how to use a nebuliser mask, ask your doctor or pharmacist

If you find it difficult to breathe in and use your nebulising mask at the same time, talk to your doctor or pharmacist. They may be able to recommend another method

Never let the Atrovent solution or mist enter in or around your eyes. Should this occur, immediately flush your eyes with cold tap water for several minutes.

How much to use

The usual doses for adults and children are stated below.

For Adults

either:

  • 1 to 2 vials (250 mcg to 500 mcg) of Atrovent UDV 250 mcg/1mL UDV, or
  • 1 vial of 500 mcg/mL of Atrovent Adult UDV

diluted to 2-3 mL with normal saline and nebulised until the entire volume of solution is inhaled, 4 times daily.

For Children

  • 1 vial of Atrovent UDV 250 mcg/1mL, nebulised until the entire volume of solution is inhaled, 4 times daily.

Your doctor may also have recommended dilution with normal saline before nebulising the solution.

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.

When to use it

If your doctor has advised you to use Atrovent UDV 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 it

If you forget to use your Atrovent UDV, use it as soon as you remember, and then go back to using your medicine as you would normally.

If it is almost time for your next dose, skip the dose you missed and use your next dose when you are meant to.

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.

How long to use it

Atrovent UDV 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.

If you take too much (overdose)

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 UDV. Do this even if there are no signs of discomfort or poisoning.

You may need urgent medical attention.

If you use too much Atrovent UDV, you may have a fast or irregular heart beat, dry mouth or blurred vision.

While you are using Atrovent UDV

Things you must do

Tell your doctor or pharmacist immediately if:

your breathing suddenly becomes more difficult after using Atrovent UDV.

This may be a sign of an allergic reaction.

you develop eye pain or discomfort, or any disturbances with your sight (blurred vision, visual halos or coloured images).

This may mean that you have developed a serious eye condition called narrow-angle glaucoma. This can happen if the mist gets in your eyes.

If you find that the usual dose of Atrovent UDV 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 an Asthma Action Plan that you have agreed with your doctor, follow it closely at all times.

Continue using Atrovent UDV for as long as your doctor or pharmacist tells you.

Visit your doctor regularly to check on your asthma condition.

Tell any other doctors, dentists, and pharmacists who are treating you that you are using Atrovent UDV.

If you are about to start any new medicine, tell your doctor or pharmacist that you are using Atrovent UDV.

If you plan to have surgery (which requires a general anaesthetic), tell your doctor or dentist that you are using Atrovent UDV.

If you become pregnant while using Atrovent UDV tell your doctor or pharmacist.

Things you must not do

Do not take any other medicines for your breathing problems without checking with your doctor.

Do not give Atrovent UDV to anyone else, even if they have the same condition as you.

Do not use Atrovent UDV to treat any other complaints unless your doctor or pharmacist tells you to.

Do not stop using Atrovent UDV or lower the dosage, without checking with your doctor or pharmacist.

Things to be careful of

Be careful driving or operating machinery until you know how Atrovent UDV affects you.

Side effects

Tell your doctor or pharmacist as soon as possible if you do not feel well while you are using Atrovent UDV.

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 UDV without first talking to your doctor or pharmacist.

Tell your doctor or pharmacist if you notice any of the following and they worry you:

  • headache
  • dizziness
  • dry mouth
  • vomiting
  • a change in bowel movements (eg constipation, diarrhoea)
  • throat irritation, cough
  • These are the more common side effects of Atrovent UDV. Most of 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:
  • difficulty breathing or worsening of your breathing problems
  • fast or irregular heart beat
  • pounding heart beat
  • symptoms of an allergic reactions such as rash, itching or hives on the skin; swelling of the face, lips, tongue or other parts of the body; shortness of breath, wheezing or troubled breathing.
  • if it is accidentally sprayed into the eye, you may get eye problems such as increased pressure in the eye, painful, stinging and dilated pupils, blurred vision, see colours of lights.You may be developing glaucoma, which will need treatment straight away.

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.

After using Atrovent UDV

Storage

Keep your Atrovent UDV in a cool, dry place where the temperature stays below 25°C.

Do not store Atrovent UDV 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.

Disposal

If your doctor tells you to stop using Atrovent UDV or it has passed its expiry date, ask your pharmacist what to do with any that is left over.

Product Description

What it looks like

Atrovent UDV is supplied as Unit Dose Vials containing 1mL of clear colourless solution, in packs of 30 vials arranged as 3 individually foil wrapped strips of 10 unit dose vials.

Ingredients

Each vial of Atrovent Adult contains 522 micrograms of ipratropium bromide (equivalent to 500 micrograms of ipratropium bromide (anhydrous)) as the active ingredient.

Each mL of Atrovent 250 mcg/1mL UDV contains 261 micrograms of ipratropium bromide [equivalent to 250 micrograms of ipratropium bromide (anhydrous)] as the active ingredient.

Other ingredients:

  • sodium chloride,
  • hydrochloric acid
  • purified water.

Atrovent UDV does not contain lactose, sucrose, gluten, tartrazine or any other azo dyes

Manufacturer

Atrovent UDV is made in France and supplied in Australia by:

Boehringer Ingelheim Pty Limited

(ABN 52 000 452 308)

78 Waterloo Road

NORTH RYDE NSW 2113

Australian Registration Numbers:

Atrovent 250 mcg/mL UDV:

AUST R 17909

Atrovent Adult 500 mcg/mL UDV:

AUST R 58203

This leaflet was revised on

7 September 2010.

® = Registered Trademark

© Boehringer Ingelheim Pty Limited 2010

Atrovent® Unit Dose Vial (UDV)

Ipratropium bromide

Directions For Use

Atrovent Unit Dose Vials are intended for inhalation with suitable nebulising equipment and must not be swallowed.

Diluted solutions should be freshly prepared before use.

At the end of inhalation, leftover solution from the nebuliser bowl should be discarded.

Take the following steps in using Atrovent UDV and if you have any problems, ask your doctor or pharmacist for assistance.

1. Get your nebuliser ready by following the manufacturer's instructions and the advice of your doctor.

2. Carefully tear a new vial from the strip. Never use one that has been opened already.

3. Open the vial by twisting off the top, always taking care to hold it in an upright position.

4. Squeeze the contents of the vial into the nebuliser bowl. If dilution is necessary this should be carried out using normal saline and as instructed by your doctor.

5. Assemble the nebuliser and take the medicine or give it to your child as directed by your doctor.

6. After nebulisation follow the manufacturer's instructions about cleaning your nebuliser.