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Some mixtures of medications can lead to serious and even fatal consequences.

3Shake and Test SprayPerform this step before using for the first timeand whenever the aerosol has not been used for more than 24 hoursotherwiseproceed directly to Step 4.

Patients should be cautioned to avoid spraying the aerosol into their eyes and be advised that this may result in precipitation or worsening of narrow-angle glaucomamydriasisincreased intraocular pressureacute eye pain or discomforttemporary blurring of visionvisual halos or colored images in association with red eyes from conjunctival and corneal congestionPatients should also be advised that should any combination of these symptoms developthey should consult their physician immediately.

Tell your doctor about all of the medicines you takeCombivent Inhalation Aerosol and some other medicines may interact with each otherDo not use other inhaled medicines with Combivent Inhalation Aerosol unless prescribed by your doctor.

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Albuterol has been shown in most clinical trials to have more bronchial smooth muscle relaxation effect than isoproterenol at comparable doses while producing fewer cardiovascular effectsHoweverall beta-adrenergic drugsincluding albuterol sulfatecan produce a significant cardiovascular effect in some patientssee PRECAUTIONS

This product contains trichloromonofluoromethaneCFC-11dichlorodifluoromethaneCFC-12and dichlorotetrafluoroethaneCFC-114substances which harm the environment by destroying ozone in the upper atmosphere.

Safety and effectiveness in the pediatric population have not been established.

To spray the productfirmly press once on the canister against the mouthpiece as shown in Figure 4Keep breathing in deeply.

This product contains trichloromonofluoromethaneCFC-11dichlorodifluoromethaneCFC-12and dichlorotetrafluoroethaneCFC-114substances which harm the environment by destroying ozone in the upper atmosphere.

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in general, there were no markeddifferences between the proportion of patients with adverse reactionsfor the atrovent and cfc-propelled combivent inhalationaerosol treated patients.

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Remove orange protective dust capIf the cap is not on the mouthpiecemake sure there is nothing in the mouthpiece before useFor best resultsthe canister should be at room temperature before useShake and Test SprayPerform this step before using for the first timeand whenever the aerosol has not been used for more than 24 hoursotherwiseproceed directly to Step 4.

Ipratropium bromide is an anticholinergic bronchodilator chemically described as 8-azoniabicyclo[3.2.1octane33-hydroxy-1-oxo-2-phenylpropoxy8-methyl-81-methylethylbromide monohydrate3-endo8-syna synthetic quaternary ammonium compound chemically related to atropineIpratropium bromide is a white to off-white crystalline substancefreely soluble in water and methanolsparingly soluble in ethanoland insoluble in lipophilic solvents such as etherchloroformand fluorocarbons.

Acid or sour stomach badunusualor unpleasantaftertaste belching change in taste diarrhea difficulty with moving dry mouth heartburn indigestion muscle pain or stiffness stomach discomfortupsetor pain voice changes.

Each 14.7 gram canister provides sufficient medication for 200 actuationsNDC 0597-0013-14

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