What is Atrovent?
Atrovent is a bronchodilatator with the active substance ipratropium bromide, a short-acting anticholinergic agent (SAMA). It is used for the treatment of COPD and as an additional therapy for asthma.
Unlike Spiriva (Tiotropium), Atrovent acts only 4-6 hours and must therefore be inhaled several times a day. It is particularly useful in combination with beta-2-agonists such as salbutamol.
Atrovent is available as a dosing aerosol and as a solution for nebulisers.
Active Ingredients & Mechanism of Action
Active ingredient: Ipratropiumbromid
Ipratropium blocks mario receptors in the bronchi:
Active mechanism:
- Inhibits Competitive Muslim Recipes
- Blocks the action of acetylcholine
- The bronchial muscle relaxes
- Reduces mucus secretion
Time:
- Effective entry: 15-30 minutes
- Maximum effect: 1-2 hours
- duration of action: 4-6 hours
**Subject to Salbutamol:* * Ipratropium acts more slowly but in addition to beta-2-agonists. The combination is more effective than any medication alone.
Who is it suitable for?
Atrovent is suitable for:
- COPD treatment
- Asthma as an additional therapy
- Combination with Beta-2-agonists
- Patients not tolerating beta-2-agonists
Advantages:
- Well tolerated
- Little cardiac side effects
- Supplementary effect on salbutamol
Restrictions:
- Not as sole asthma therapy
- Slower action than salbutamol
- Required several times a day
Available Dosages
Dosieraerosol:
- 20 μg per stroke
- 2 strokes 3-4x daily
- Maximum: 12 strokes per day
Inhalation solution:
- 250-500 μg 3-4x daily
- Dilute for nebuliser
Combination preparation Berodual: Ipratropium + Fenoterol – commonly used fixed combination
How to Take
Dosieraerosol: 1. Remove protective cap, shake Two. Deep exhalation 3. Close the mouthpiece 4. Breathe slowly, spray Five. Keep breath 10 seconds 6. Wait for 30 seconds at second stroke
Number:
- Add solution to the nebulizer container
- Dilute with 0.9% NaCl
- inhale 5-15 minutes
Important:
- Do not spray in the eyes (danger of a glaucoman attack)
- In combination with salbutamol: First salbutamol, then atrovent
Contraindications
Do not apply at:
- hypersensitivity to ipratropium or atropin
- Engangle glaucoma
Preview at:
- Prostate hyperplasia
- Bubble neck obstruction
- Cystic fibrosis (paradox effect possible)
pregnant: Can be used with appropriate indication.
Style time: Unknown whether it goes into breast milk. Be careful.
Possible Side Effects
**
- Mouth dryness
- Headaches
- Coughs
- nausea
Occasionally:
- Hidden vision
- Harnverhalt
- Fruit ipation
- Heart rhythm disorders
Selten:
- Glaukomanfall (at eye contact)
- Allergic reactions
- Paradox bronchospasmus
** In case of accidental eye contact, rinse immediately with water!
Interactions
Synergistic effect with:
- Beta-2-agonists (wanted)
- Theophylline
Preview at:
- Other anticholinergics
- MAO inhibitors
No relevant interaction with:
- Inhalative corticoids
- Most oral medicines
Frequently Asked Questions
Similar Medications
Is Atrovent right for you?
A licensed doctor will review your information and issue a prescription if suitable. Discreet and secure.
Important Notice
This information does not replace medical advice. If you have questions about your health or the suitability of this medication, please consult a doctor. Read the package leaflet before use.