Atrovent nasal spray 0.03% 15 ml
Atrovent nasal spray 0.03% 15 ml
1 dose ( one spray ) contains 0,021 GLD ipratropium bromide ( ipratropium bromide ) , corresponding to 0,020 mg ipratropium bromide ( anhydrous) .
1,1,1,2 -tetrafluoroethane (HFA 134a ) , anhydrous citric acid , purified water , ethanol, without impurities.
1. ATROVENT N WHAT IS AND WHAT IT IS USED
Ipratropium bromide is bronchodilator veshtestvo.ATROVENT N inhibits the spasm of the bronchial muscles, which are caused by the vagal nerve. ATROVENT N expanding influence of respiratory patishta.Pri regular preventive use the medicinal product will prevent narrowing of the airways , respectively spasm of the bronchial muscles. Since the effects are exercised locally in the respiratory tract, the overall and local tolerance was good .
ATROVENT N is intended for prevention and treatment of breathlessness in chronic obstructive pulmonary disease , chronic obstructive bronchitis , with or without emphysema , asthma .
2 . BEFORE TREATMENT WITH ATROVENT N
You should not use ATROVENT N:
- If you are hypersensitive ( allergic ) to ATROVENT N, its components or derivatives of atropine ( anticholinergic substances with similar structure).
Special care is needed when using ATROVENT N:
- If you have narrow-angle glaucoma ( increased eye pressure) or predisposition to narrow-angle glaucoma, or if you have an enlarged prostate or difficulty urinating , you should consult a doctor before you start taking ATROVENT N;
- If you have cystic fibrosis, using ATROVENT N may in some cases lead to gastrointestinal disorders ;
- In rare cases , after using ATROVENT N, may occur Hypersensitivity reactions manifested by rashes, swelling of the skin and mucous membranes , hives , spasms in the throat and bronchial tubes , swelling of the mouth and pharynx , shock reactions. Contact your doctor immediately if these symptoms occur ;
- It should not get in eyes . If this occurs , rinse eyes quickly with cold water ;
- See a doctor immediately if you experience eye pain or discomfort , blurred vision , eye circles or colorful images accompanied by red eyes ;
- If you use more than the prescribed amount ATROVENT N, may be signs that your disease is getting worse. In these cases, you should immediately consult your doctor.
Pregnancy and lactation
Although there are no known teratogenic effects , the use of ATROVENT N during pregnancy and breastfeeding should be done only after your doctor weighed against the anticipated benefits from the use of the medicinal product and the potential risk to the fetus. Missing observations from the use of ATROVENT N during pregnancy and lactation in humans.
Driving and using machines
ATROVENT N does not affect the ability to drive and use machines.
Taking other medicines
Beta- adrenergic agents and xanthine drugs may increase each bronchodilator efekt.Uvedomete your doctor about all medicines you are taking , including those for which no prescription and he will consider it reasonable in their application ATROVENT N.
In children, the observations are insufficient and ATROVENT N solution for inhalation should be used only under medical supervision and under the supervision of an adult.
Instructions for use
Proper implementation of the solution for inhalation is an essential prerequisite for successful therapy. Before first use of the container containing the solution for inhalation , press 2 times the metering unit. Before each use, it is necessary to observe the following rules :
1. Remove the protective cap.
2 . Exhale deeply.
3 . Keep container tightly and covered the mouthpiece with the lips. Arrow and the base of the container facing up .
4 . Inhale as possible deeper , lightly pressing the base of the container , thus releasing a dose of medicinal product . Hold the breath for a few seconds , then remove the mouthpiece from your mouth and exhale .
5 . Then use reattach the protective cap .
6 . Metering device must be pressed once prior to use in the event that the container is not used for further three days.
The container is not transparent . For this reason it is impossible to consider whether there is content to be used . The container contains 200 doses. It is possible that there is some liquid left after the use of all these doses. However , the container must be replaced with a new one to avoid the possibility of adopting a sub-therapeutic dose .
Amount of liquid in the container can be checked as follows : Remove the mouthpiece and place the container in a bowl of water. Content can be estimated by monitoring the position of the container in the water ( see Fig. 2 , 0 = empty, 1/4 = 1/4 full , 1/2 = 1/2 full , 1 = 3/4 or more full ) .
The mouthpiece should be kept clean at all times and can be washed with warm water. If used in a soap or a detergent , the mouthpiece must then be thoroughly rinsed with warm water.
The plastic nozzle is intended for use only with ATROVENT N solution under pressure for inhalation , ensuring always the correct dose . The mouthpiece must never be used with any other metered aerosol. ATROVENT N solution for inhalation pressure should never be used with a mouthpiece , in addition to that which is inserted into opakovkata.Konteynerat pressurized and does not have to be opened by force or exposed to temperatures above 50 ° C.
If you take more than the required amount ATROVENT N
If you take more than the prescribed amount , seek immediate medical attention. Overdose may experience dry mouth, visual disturbances and palpitations .
4 . POSSIBLE SIDE EFFECTS
In clinical trials, the most commonly reported non-respiratory adverse events were gastrointestinal disorders (eg constipation, diarrhea and vomiting) , dry mouth and glavobolie.Nared with that observed following adverse reactions when using ATROVENT N: increased heart rate , palpitations , cardiac arrhythmias ( supraventricular tachycardia and atrial fibrillation) , breach of adaptation of the eye in terms of visual range , nausea, urinary retention , and dizziness. These side effects are reversible . In patients with existing constriction or obstruction of the urinary tract may be at increased risk of urinary retention .
There are isolated reports of adverse reactions from the eyes ( eg, dilation of the pupils ( mydriasis ), increased intraocular pressure, narrow-angle glaucoma , eye pain ) when they enter the medicinal product in the eyes as a result of improper use. Symptoms of acute narrow-angle glaucoma may be eye pain or discomfort , blurred vision , eye circles or colorful images accompanied by redness . If you develop any combination of these symptoms , you should begin treatment with shrinking pupil ( mitotic ) drops immediately contact a physician specialist.
As with other inhalation therapy , including bronchodilator medicines have been reported cough, local irritation and bronchial spasms caused inhalatsiyata.Mogat occur in allergic reactions such as skin rashes , itching , swelling of tongue, lips and face , hives ( urticaria) , spasms in the throat and bronchi and anaphylactic reaktsii.Ako you experience any side effects and they are durable or bother you, talk to your doctor. If you notice any side effects not listed in this leaflet, tell your doctor or pharmacist.
5 . HOW TO STORE ATROVENT N
Do not store above 25 ° C. Protect from direct sunlight, heat and frost.
Keep out of reach of children.
Do not use after the expiry date stated on the packaging.