Ipratropium and Albuterol Inhaler Dosing

For adults who are using the ipratropium and albuterol inhaler, dosing usually starts at two inhalations four times a day. The dosage is the same, regardless of weight, age, or other medical conditions. If needed, your healthcare provider may recommend additional ipratropium and albuterol inhaler doses. However, you should not take more than 12 inhalations in 24 hours.

 

Ipratropium and Albuterol Inhaler Dosing: An Introduction

There is only one standard dose of the ipratropium and albuterol inhaler (Combivent®), regardless of your weight, age, or other medical conditions. As is always the case, do not adjust your dose unless your healthcare provider specifically instructs you to do so.
 

Ipratropium and Albuterol Inhaler Dosing for COPD

The recommended starting dose of the ipratropium and albuterol inhaler for treating chronic obstructive pulmonary disease (COPD) is two sprays of the inhaler four times a day. Your healthcare provider may recommend that you take additional doses as needed. However, you should not take more than 12 inhalations of the ipratropium and albuterol inhaler in 24 hours.
 

General Information on Dosing With the Ipratropium and Albuterol Inhaler

Considerations for people taking the 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.
Add this article to your Favorites     Email this article     Print
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;