• bronchospasm (wheezing, chest tightness, trouble breathing), especially after starting a new canister of this medicine;

• chest pain and fast, pounding, or uneven heart beats;

• swelling of your ankles or feet;

• pain or burning with urination; or

• increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure).

Less serious side effects may include:

• headache, dizziness, nervousness;

• drowsiness or sleep problems (insomnia);

• cough, hoarseness, sore throat, runny or stuffy nose;

• dry mouth, unusual taste in your mouth;

• tremors, numbness or tingly feeling;

• nausea, vomiting, upset stomach, diarrhea, constipation; or

• blurred vision.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect albuterol and ipratropium inhalation?

Before using this medication, tell your doctor if you are taking any of the following medicines:

• atropine (Donnatal, and others);

• belladonna;

• clidinium (Quarzan);

• dicyclomine (Bentyl);

• glycopyrrolate (Robinul);

• hyoscyamine (Anaspaz, Cystospaz, Levsin, and others);

• mepenzolate (Cantil);

• methantheline (Provocholine);

• methscopolamine (Pamine), scopolamine (Transderm-Scop);

• propantheline (Pro-Banthine);

• a beta-blocker such as acebutolol (Sectral), atenolol (Tenormin), carvedilol (Coreg), metoprolol (Lopressor), or propranolol (Inderal);

• a stimulant, ADHD medication, diet pills, or over-the-counter cold or allergy medicines;

• a diuretic (water pill) such as furosemide (Lasix), bumetanide (Bumex), ethacrynic acid (Edecrin), torsemide (Demadex), hydrochlorothiazide (Hydrodiuril), chlorthalidone (Hygroton, Thalitone), or chlorothiazide (Diuril); or

• an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).

This list is not complete and there may be other drugs that can interact with albuterol and ipratropium. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about albuterol and ipratropium inhalation.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.