IPRATROPIUM is a bronchodilator. It helps open up the airways in your lungs to make it easier to breathe. This medicine is used to prevent bronchospasm of Chronic Obstructive Pulmonary Disease. Do not use this medicine alone for an acute attack of bronchospasm.

They need to know if you have any of these conditions:

• bladder problems or difficulty passing urine
• glaucoma
• heart disease or irregular heartbeat
• prostate trouble
• an unusual or allergic reaction to ipratropium, atropine, bromides, soya protein, peanut oil, soybeans or peanuts, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

This medicine is inhaled through the mouth. Do not use more often than directed. Do not stop taking except on your doctor's advice. Make sure that you are using your inhaler correctly. Ask you doctor or health care provider if you have any questions.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

If you miss a dose, use it as soon as you can. If it is almost time for your next dose, use only that dose. Do not use double or extra doses.

• atropine, hyoscyamine, and related medications
• medicines for motion sickness or dizziness
• medicines for overactive bladder
• some medicines for colds
• some medicines for stomach problems

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

Visit your doctor for regular checks on your progress. Tell your doctor or health care professional if your symptoms do not improve. Do not use extra medicine. If your breathing gets worse or if you need short acting inhalers more often, call your doctor right away.

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• chest pain or fast heartbeat
• difficulty breathing or wheezing that increases or does not go away
• dizziness or fainting spell
• eye pain or change in vision
• low blood pressure

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• cough
• dry eyes, mouth or nose
• headache
• stomach upset
• trouble passing urine
• unusual taste or metallic taste in your mouth

This list may not describe all possible side effects.

Keep out of the reach of children.

Store at a room temperature between 15 and 30 degrees C (59 and 86 degrees F). Avoid excessive humidity. The contents may burst when exposed to heat or flame. Do not freeze. Throw away the canister after 200 uses or after the expiration date, whichever comes first.