Ipratropium Bromide

Question: 1C20H30O3 + 1 Br N x H2O => 1 C20H30BrNo3 x H2O(Ipratropium Bromide)? I've been try to balance Ipratropium Bromide(atrovent) for last 6hrs... Obviously I don't get it... I'm not sure if i'm doing it correctly... this is what i based it off of...http://www.answers.com/topic/ipratropium... hope you can help...effort are very much appreciated... Are you sure because it can't be that easy? The last part( C20H30BrNo3 x H2O) is just one whole equation....

Answer: 1C20H30O3 + 1 Br N x H2O => 1 C20H30BrNo2 x 2H2O

Question: will medicaid pay for albuterol & ipratropium bromide which are for copd.?

Answer: Both Medicare & Medicaid should cover them.

Question: how can I get rid ot the tremors caused by ipratropium bromide and albuterol sulfate inhalation treatments?

Answer: Tremors are the most common side effect with these meds. The tremors will pass is due time, its patient specific. Some people experience it for just a few minutes and some have them for hours. I don't know of any way to reverse them, but I do promise that they will eventually go away. If it is too bothersome for you see if your doctor will switch you to Xopenex it has fewer side effects.

Question: What is Ipratropium Bromide? Asthma drug

Answer: Ipratropium Bromide is an anticholinergic used to prevent bronchospasm associated with chronic lung diseases. Can be prescribed for runny nose. Is related to atropine sulfate.

Question: ipratropium bromide inhaler? my doc has given my 9 month old daughter the above inhaler cos she has a cough and a cold. i'm reading up that it's for asthma sufferers and people with lung difficiencies. is there anything else i can give her as an alternative? cough medicines etc are not working but i'm a bit sceptial about giving her this at such a young age. she has a cough and a cold not breathing difficulties or asthma! this is a one off case, she has had it for 9 days, no family history of anything

Answer: That is an extremely odd prescription .... the age doesn't concern me as much as why this particular drug was prescribed .... This drug is known to have some antitussive effects ... but I am not sure how effective it is .... I surely haven't seen it used that way ... although it could be used ... and has generally no significant side effects ....

Question: Difference between ipratropium and albuterol? What's the difference between ipratropium bromide and albuterol sulfate? I'm asthmatic & I currently have an upper respiratory infection. My doctor gave me a nebulizer to use for a week or so. He only mentioned albuterol, but when I opened it up to check out the medication, there's both ipratropium AND albuterol in here. Are they the same medication?

Answer: No they're not the same medication but they do the same thing. They are both bronchodilators. The body has two nervous systems which are called the sympathetic and the parasympathetic. What one does the other undoes. The sympathetic system dilates the bronchial tubes. So albuterol stimulates these nerves to cause the bronchi to dilate.And the action is called sympathomimetic. The other system, the parasympathetic causes the bronchi to constrict. That's where ipratropium comes in. It stops the action of the constriction by being a parasympatholytic. Or it stops the action of the parasympathetic making the bronchi dilate. So, now that that's clear as mud, that's the difference between the two and why they're often given in combination with each other. God bless.

Question: Effects of lung inhalents on others? I am currently using a nebulizer 3 times a day using a combination of Xopenex and Ipratropium Bromide. My wife says this stuff smells and bothers her sinus and eyes even though she may be in another room. She also says it smells. I of course don't smell anything nor does it bother me. Any one got any thoughts about this. By the way my wife has very sensitive sinus and graves disease (eye).

Answer: I agree with the other contributor that you should speak to your doctor but not to switch to MDI's. If your doctor thought that you should be on them you would already be using them. If your wife is that sensitive to the exhaled medication from your nebulizer ask your doctor to work with your home care company to get you a nebulizer that has a filter so that what you exhale is blown out into the filter and not directly into the room air. We use this type in the hospital for certain medications when the patient may have TB. This should lessen the effect on your wife and therefore your marriage. Ipratropium can cause trouble for people with glucoma and graves disease. Hopefully the homecare company will be able to comply quickly. Best of luck to you.

Question: Combivent Inhaler is no longer available & I've been given two new inhalers in it's place? (Salbutamol Sulfate & Ipratropium Bromide) the doctor told me to take them the same as I would the combivent...so is it normal to feel really crappy and have headaches due to the change of medication? My doctor isn't the easiest guy to track down or he would be my first choice to ask. Thanks Gang for any info. you provide!

Answer: Combivent is still available! Blasphemy! If you are on the same medications, just taken separately, then you get the same effect in your lungs. I wouldn't be surprised if you have headaches for a week or two until you get used to it. I take iron and that takes a long time to get used to. Since you are on Salbutamol and Atrovent as MDIs, you might find it more convenient to take Spiriva, which is the same as Atrovent but once a day. I take Salbutamol and Spiriva. It works pretty well and I only have to carry my Salbutamol with me. Maybe it's less expensive to get Salbutamol and Atrovent separately, as opposed to getting Combivent. I don't know for sure. Spiriva is $3/day. What I do know is that you need to remember which inhaler to use first, if you have an asthma attack. In my opinion, as a Respiratory Therapist, Salbutamol would have the largest effect. Atrovent is weaker, but acts on a different site. Both are useful for asthma attacks. If you can't talk to your doctor in a timely manner, any pharmacist will be able to help you with questions regarding your medication. Take care of yourself.

Question: A question about expired medication? Is it ok to take an inhaler with Ipratropium Bromide in it, even if it expired in January?

Answer: it is never ok to take expired medication. Medication has an expiration date due to many reasons. Strength of dosage, effectiveness of medication and possibilities of side effects are some reasons. It is similar to expired milk or meat. Eating or drinking those could cause some serious problems. Same thing goes with expired medication.

Question: Combivent Inhalers? I was told by the practice nurse at our surgery that combivent inhalers would no longer be available as all inhalers are to be CFC free and the combination of drugs in these particular inhalers just cannot be put into CFC free type. I'm starting to worry as these seem to be the only ones that are really effective. Does anyone know of an equivalent mix of Ipratropium Bromide and salbutamol sulphate that would be a good replacement?

Answer: It is my understanding that the fda and drug companies are working on a replacemnet propellent specifically for the combivent inhaler. While all other cfc inhalers are going to be taken off the market in Dec 2008, the combivent cfc will remain until a suitable replacement can be formulated. they are expecting to have one approved by 2010. If for some reasin it is taken away you could take the drugs seperately. Albuterol Sulfate and Ipratropium Bromide each have their own HFA metered dose inhalers available to date. I don't know what other meds you are on but there ore other combo preventative meds available on the market as well. Spiriva is fairly new. It is a spin off of atrovent. a long acting anticholinergic dry powder inhaler that I find works well for COPD patients. Advair contains a long acting bronchodilator called Serevent (salmeterol) and a corticosteroid called Flovent (Fluticasone) Symbicort is a lot like Advair only it contains 2 different brands: Foradil (Formoterol) and Pulmicort (Budesinide) Good Luck in the future.

Question: Can I take mucinex with ipratropium bromide anbd albuteral sulfate? Ive tried to find this answer on the net for over 20 minutes getting frustrated. Havent see anything on either box. mmm well ..thats pretty much all I know about the drugs..

Answer: Yes! You can take mucinex with Albuterol and atrovent. Actually when Albuterol and Atrovent are mixed together, they are known as Duoneb. Those 2 meds help to open up your airways and the mucinex helps to break up the mucus. So you should have an easier time coughing up all of that mucus.

Question: accidentally used ipratropium bromide instead of albuteral sulfate? I was coughing and wheezing very bad about half and hour ago. and as my inhaler seems to be missing i used my dads nebulizer (with permission) in my rush to get it working i reached for a stack of boxes that said albuteral sulfate (which apparently was not) im at least able to get the mucos out of my lungs now and im not wheezing, but will i still be ok? i was diagnosed with asthma over the summer and im 16 (if relevant)

Answer: It has the same uses.So don't worry.But it causes damage to eyes when you use too much.It' could kidney rocks.Also,if you are male,it might cause prosprate problems

Question: DANGEROUS? - Nebulizer causing orange flame in gas heater? My grandmother was put on a nebulizer yeaterday for a weeks use. She uses gas heat and gas stove. I notice that during and ater each nebulizer use, the heater and stove have an orange flame. After about an hour or so, it goes back to blue. Is this common? Is this normal? MEDS mixed in cup ARE: Albuterol Sulfate 0.083% (2.5mg) and Ipratropium Bromide 0.02% (0.5mg) I want to know ASAP because she has another treatment tomorrow morning and if it's dangerous, I want to know tonight. We've already had 4 treatments in her house and nothing has blowed up yet, but a nebulizer is all new to us. The heater is about 15 feet from where she sits and she faces the opposite direction of it, so I assume the mist drifts through the air. NORMAL? DANGEROUS?? Can you long-term users help me out here? I cannot find anything on the internet about it....I'm at a loss and worried out of my mind that this is causing her harm... THANK YOU! THE MACHINE: A little box that has a long plastic hose (bout 4 feet) running to a little cup that we put the meds in, then flip a switch and she breathes through a little mouth piece for about 15 minutes until meds run out. No oxygen tank or any other machines in use. Can't really move to different room for treatment, as she is weak from a resperatory infect. and has bad arthritus. So she chills in the recliner and we give her the treatment there.

Answer: i have never heard of this, but since she isnt using oxygen at the time, i would say it is safe. the meds themselves are safe and shouldnt cause this at all. sounds as if it is just a coincidence, but i would have the gas heater checked out. my dads heater changes color from time to time, but im not 100% sure. just get the heater checked.

Question: ipratropium bromide what are side effects?

Answer: Many of the listed undesirable effects can be assigned to the anticholinergic properties of ATROVENT. As with all inhalation therapy ATROVENT may show symptoms of local irritation. Adverse drug reactions were identified from data obtained in clinical trials and pharmacovigilance during post approval use of the drug. The most frequent side effects reported in clinical trials were headache, throat irritation, cough, dry mouth, gastro-intestinal motility disorders (including constipation, diarrhoea and vomiting), nausea, and dizziness. Frequencies Very common GREATER-THAN OR EQUAL TO (8805) 1/10 Common GREATER-THAN OR EQUAL TO (8805) 1/100 < 1/10 Uncommon GREATER-THAN OR EQUAL TO (8805) 1/1,000< 1/100 Rare GREATER-THAN OR EQUAL TO (8805) 1/10,000 < 1/1,000 Very rare <1/10,000 Immune system disorder Hypersensitivity Uncommon Anaphylactic reaction Uncommon Angioedema of tongue, lips & face Uncommon Nervous system disorders Headache Common Dizziness Common Eye disorders Blurred vision Uncommon Mydriasis (1) Uncommon Intraocular pressure increased (1) Uncommon Glaucoma (1) Uncommon Eye pain (1) Uncommon Halo vision Uncommon Conjunctival hyperaemia Uncommon Corneal oedema Uncommon Accommodation disorder Rare Cardiac Disorders Palpitations Uncommon Supraventricular tachycardia Uncommon Atrial fibrillation Rare Heart rate increased Rare Respiratory, Thoracic and Mediastinal Disorders Throat irritation Common Cough Common Bronchospasm Uncommon Paradoxical bronchospasm(2) Uncommon Laryngospasm Uncommon Pharyngeal oedema Uncommon Dry throat Uncommon Gastro-intestinal Disorders Dry mouth Common Nausea Common Gastro-intestinal motility disorder Common e.g. Diarrhoea Uncommon Constipation Uncommon Vomiting Uncommon Stomatitis Uncommon Skin and subcutaneous tissue disorders Rash Uncommon Pruritus Uncommon Urticaria Rare Renal and Urinary Disorders Urinary retention(3) Uncommon (1) ocular complications have been reported when aerolised ipratropium bromide, either alone or in combination with an adrenergic beta2-agonist, has come into contact with the eyes - see section 4.4. (2) As with other inhalation therapy, inhalation induced bronchoconstriction may occur with an immediate increase in wheezing after dosing. This should be treated straight away with a fast acting inhaled bronchodilator. ATROVENT UDVs should be discontinued immediately, the patient assessed and, if necessary, alterative treatment instituted. (3) the risk of urinary retention may be increased in patients with pre-existing urinary outflow tract obstruction.

Question: How to get better (Please Read Important)? Before you finish reading dont judge me and I know its long but please take your time to read and answer seriously I am 15 and I have recently stopped smoking weed about 6 weeks ago and I only smoked it for about 3 months every second or so weekend. One night I had 10cones and 2 joints, I was breathing heavy and the next night I ended up in hospital and the doctors said I had a bronchi spasm so they gave me painkillers and ventolin inhaler 6 puffs every 20minutes or so and I recovered and have not smoked since then but recently about 2nights ago I woke up during the night and coughed twice (the heater was going, could that have affected the throat and cough?) and then woke up with a sore throat and a little bit of a cough then during the day it progressed and that night I tried putting Vicks on the soles of my feet and putting my head over a steaming bucket of water with a towel for roughly around 10-13minutes it worked for about all of 20minutes then it started again (Cough and Heavy Breathing) I woke up several times during the night, coughing, woozing and then I had an inhaler called "Ipratropium bromide pressurized inhaler" and had six puffs in about 45-1minute and it worked and stopped the cough and heavy breathing so please answer this and try to help me and give me method(s) to get better quickly, I hate being sick. Thank you! One last thing I forgot to mention, I have not had any smokes, weed for 6weeks and I dont plan too.

Answer: The following works for sinus, cold, running nose, sore throat and strep throat, when the throat is hurting and lot of other conditions. The most visible thing about sinus is swelling. In case of cold, sore throat, strep throat also swelling is there but to some less extent then it is visible in sinus. Sinus, cold and sore throat usually happen in the following situations - - Change of season, drinking lot of water after exercises, when u get up in the morning, after swimming, after having first sex, kissing, first time smoking etc. The reason - The body has limited capacity to store water in places other hen cells and in blood systems. When we suddenly drink lot of water, that must be stored in the cells within a short period. If that does not happen the body tries to lose water through frequent urination, running nose, cough etc. This excess water is stored in layers of skin or muscles. This stored water outside cells reduces the cell metabolism drastically. That also causes the immune system to be done causing the bacteria growth. That does not need antibiotics. All it needs is reabsorption of that water in cells or blood system. That is possible only by reducing the water intake temporarily. During winters the cells of our body stores less water. This is evident from frequent loss of water from body throuhurination. Normally. Another thing that needs explanation is - why does sore throat happens in the morning often. The cellular metabolism is at 5 to 10% during sleep. So the excess water stored between layers of skin and muscles causes the metabolism to fall below the minimum threshold limit. That reduces the immune capacity of the body drastically. The same thing happens after swimming the body is heated up and cooled at the same time. It a person allows sweating after a swimming session and does not drink water or does not take a shower in cold water sore throat may not happen. After having first sex, kissing, first time smoking people tend to either overeat, drink lot of water and sleep immediately so sinus or sore throat happens. The easier way out is to allow body to sweat for 1 or 2 hour by increasing the body temperature but not drinking water or other fluids for may be 1 hour after that. But since cell metabolism is low during this period of cold and sinus, a person will seem to be excessively thirsty even after a short session of small exercise. Thru cell metabolism the water is transferred to blood system. If that happens at a rate slower then required rate the cells may overheat causing excessive thirst. The other easy way to control swelling is to give up water and all other liquids for 24 hours. In 24 hours there will be no significant dehydration to cause organ failure. But to be double sure one can stay indoors for 24 hours. This helps in lot of other ailments. One can do it when one is indoors. It improves the immune system. It ensures that body's control systems work properly. In 24 hours the reduction in the fluids will be about 3 litres or about 5% of the total body weight of a normal adult. Never the swelling due to sinus or cold and cough is more than 5% of the body volume. During this period of 24 hours the lose of water from the body does not reduce even by 1% to offset reduced water intake. The reduction in loss of body water thru urine or sweating starts after 48 hours in most of people. But to be on safe side giving up water and liquids for 24 hours will do the trick. The reduced swelling will give immediate relief from pain. It will make is much more easier to eliminate the cough thru nose without any pain. That will also improve the blood acid levels by about 10%. This makes changes at the cell level as well. Blood acid levels are the first line of defense against the infections. So swelling gone, pain gone, cough moving out, infections taken care of. Now what remains in the body for the next change of season time. Obviously nothing. So it has already given u long term relief from sinus. But in some cases one may get sinus during next change of season and may have to do this again. The benefits of drinking lot of water is over hyped. So when winter starts to set in, people still force drink more water. Same thing happens when summer is setting in. As soon as summer comfort is there on increases the water intake drastically. But the cells of the body still does not need that excess supply of water.

Question: What is the generic name for ipratropium bromide?

Answer: That is the generic name.