The ipratropium and albuterol inhaler is an anticholinergic medication. As with all anticholinergic medications, the inhaler can worsen glaucoma, bladder problems, and prostate problems. Talk to your healthcare provider before taking the medication if you have any of these problems.
In rare cases, the ipratropium and albuterol inhaler can worsen bronchospasms (spasms of the airways), which is exactly the opposite of what should happen. Tell your healthcare provider immediately if the inhaler makes your breathing problems worse.
The ipratropium and albuterol inhaler can have a stimulatory effect on the heart and blood pressure, resulting in a fast heart rate (tachycardia), high blood pressure (hypertension), or an irregular heart rhythm. However, the medication can also cause low blood pressure (hypotension). If you have heart disease or high blood pressure, make sure your healthcare provider is aware of it. He or she may wish to use particular caution if recommending the ipratropium and albuterol inhaler in your case.
People with an overactive thyroid (hyperthyroidism), diabetes, or epilepsy should use caution when using the ipratropium and albuterol inhaler, as albuterol (one of the components of the inhaler) may worsen these conditions or increase the risk of side effects.
Let your healthcare provider know immediately if you have any vision or eye changes while taking the medication.
The ipratropium and albuterol inhaler is considered a pregnancy Category C medication. This means that it may not be safe for use during pregnancy, although the full risks are not known. Talk to your healthcare provider about the risks and benefits of using the drug when pregnant (see Combivent and Pregnancy).
It is not known if the ipratropium and albuterol inhaler passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to using the drug (see Combivent and Breastfeeding).
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