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 or pharmacist.
Important Safety Information
This service operates under German pharmaceutical law (HWG). For risks and side effects, read the package leaflet and consult your doctor or pharmacist. All medications are dispensed from a licensed pharmacy in Germany.