Ipratropium and Albuterol Inhaler Dosing
General Information on Dosing With the Ipratropium and Albuterol InhalerConsiderations for people taking the old ipratropium and albuterol inhaler include the following:
- The medication comes in a metered-dose inhaler (called an "MDI"). It is usually taken four times a day, although sometimes more frequent dosing is necessary.
- You should "test-spray" each inhaler before your first use of it, or if you have not used it for more than 24 hours. To test-spray the inhaler, simply spray it into the air three times by pressing on the top of the canister.
- Make sure to shake the inhaler vigorously for at least 10 seconds just before each spray.
- It is important that you learn exactly how to use your inhaler. It may be difficult at first and require some practice.
- The spray should be inhaled into the lungs, not sprayed onto the back of the throat and swallowed. To accomplish this, you will need to breathe in while spraying the inhaler. Hold your breath for 10 seconds after each spray, and wait about two minutes between sprays (don't forget to vigorously shake the canister again).
- Most people put the mouthpiece of the inhaler directly into their mouths. However, many healthcare professionals now recommend placing it an inch or two away from the mouth. Talk to your healthcare provider about the best way for you to use the inhaler. If you have difficulty using it, your healthcare provider may recommend a spacer, a device that makes it easier to use.
- Each inhaler contains 200 sprays. Try to keep track of how many sprays you have used, as it can be difficult to tell if the canister is empty. The canister may keep spraying after 200 sprays, but you cannot be sure that you are getting a full dose of the medication after 200 sprays have been used.
- For the medication to work properly, it must be taken as prescribed. The ipratropium and albuterol inhaler will not work if you stop taking it.
- If you are unsure about anything related to ipratropium and albuterol inhaler dosing, talk to your doctor, nurse, or pharmacist. Do not stop taking the drug without first discussing it with your healthcare provider.
For the new Combivent Respimat inhaler, follow these steps:
- For the first use, activate the inhaler by inserting the canister into the inhaler (if you are unsure how to do this, refer to the product instructions or ask your pharmacist). Once you have correctly inserted the canister, it should never be removed.
- Prime the inhaler until a fine mist appears (once again, if you are unsure how to do this, refer to the product instructions or ask your pharmacist).
- Turn the base of the inhaler until it clicks, preparing the dose.
- Breathe out slowly and fully; then seal your lips around the mouthpiece (being careful not to cover the vents), pointing the inhaler toward the back of the throat.
- While taking in a slow, deep breath through your mouth, press the dose release button and continue to breathe in slowly for as long as you can.
- Hold your breath for ten seconds or for as long as comfortable.
- If you haven’t used the inhaler for three days, prepare the inhaler by spraying a dose toward the ground. If it has been more than 21 days since the inhaler has been used, you need to fully reprime it.
- The Respimat inhaler automatically locks once it is empty.