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Atrovent solution for inhalation

Atrovent instructions for use

Inhalation solution Atrovent is a drug that has proven itself in the treatment of bronchial asthma, both its acute conditions and with maintenance therapy. The dosage of this drug and the course of treatment is set only by the attending physician.

Release form and composition

The drug Atrovent is released in the form of an inhalation solution. The active substance, which is responsible for pharmacological properties, is represented by ipratropium bromide-monohydrate in the amount of 261 µg per 1 ml of solution, which is approximately equal to 250 µg ipratropium of anhydrous bromide. Additionally, Atrovent contains disodium edetate, benzalkonium chloride, purified water, sodium chloride, and hydrochloric acid.

The solution for inhalation is a colorless liquid, without additional inclusions.

This drug is available in amber-colored vials of 20 ml, with a screw cap. They are supplied with instructions and packaged in a cardboard box.

Indications for use

Atrovent is prescribed for chronic obstructive pulmonary disease, which causes bronchospasm (including chronic obstructive bronchitis, as well as pulmonary emphysema), for mild or moderate bronchial asthma. In these cases, the inhaler plays the role of maintenance therapy.

In acute attacks of bronchospasm, Atrovent is combined with inhaled beta2-agonists.


Inhalation solution is not recommended for persons with angle-closure glaucoma and pregnant women in the first trimester.

Do not use Atrovent if the patient is allergic to atropine, ipratropium bromide and their derivatives, as well as to other components of the drug.

Dosing and Administration

In each specific situation, the doctor selects the dosing regimen individually, based on the fact that 1 drop of the drug contains 0.0125 mg of anhydrous ipratropium bromide, and 1 ml is 20 drops.

In no case should not exceed the prescribed daily dose. During the entire course of treatment, the patient must observe a doctor.

In the absence of improvements or deterioration in the health of the patient, urgent consultation with the attending physician, who will propose new methods of treatment, is necessary. If you experience shortness of breath or difficulty breathing, you should consult a specialist.

According to the instructions, the dosages are as follows:

  1. With maintenance therapy
  • adults 2 ml (which is 0.5 mg of active ingredient) 3-4 times a day; maximum daily dose of 8 ml (or 2 mg);
  • for children from 6 to 12 years old on 1 ml (0.25 mg); maximum daily dose of 8 ml;
  • children under 6 years old 0.4 - 1 ml; maximum dose of 4 ml.

Treatment of children is carried out under medical supervision.

  1. With acute bronchospasm
  • adults and children over 12 years old take 2 ml once, but repeated inhalations may be prescribed until the condition stabilizes. How often the procedure is performed, the doctor recommends. Sometimes complex treatment with inhaled beta2-adrenomimetics is prescribed;
  • for children 6-12 years old 1 ml. The recommendations are the same as in adult patients.
  • children up to 6 years old at 0.4-1 ml. The recommendations are the same.

The prescribed dose of the solution for inhalation Atrovent is diluted in a solution of up to 3-4 ml in 0.9% sodium chloride solution and inhaled using a nebulizer. In no case can not use the prepared solution again.

The dosage regimen will depend on the type of nebulizer, as well as the method of inhalation. By using the volume of the diluted drug, the duration of inhalation can be controlled.

If a centralized oxygen system is used, the flow rate should be 6-8 liters per minute.

Side effects

Among the side effects of the drug can be identified irritation, which appears in connection with the characteristics of the application. Most often, patients receiving inhalations with Atrovent complained of coughing, headache, dry mouth, constipation or diarrhea, pharynx irritation, dizziness, or nausea.

If you try to distribute the side effects into groups, you get the following:

  1. Pathology of the immune system:

- anaphylactic shock;

- urticaria , itching;

- increased sensitivity.

  1. Pathology of the nervous system:

- dizziness;

- headache.

  1. Pathology of organs of vision:

- mydriasis;

- glaucoma;

- misting and blurred vision;

- pain and pain in the eyes;

- corneal edema;

- conjunctival redness;

  1. Pathologies of the cardiovascular system:

- atrial fibrillation;

- heartbeat and an increase in heart rate;

- supraventricular tachycardia .

  1. Pathology of the respiratory system:

- cough;

- irritation and dryness of the pharynx;

- laryngism;

- bronchospasm;

- swelling of the pharynx;

  1. Pathology of the gastrointestinal tract:

- constipation;

- dry mouth;

- diarrhea;

- nausea;

- stomatitis;

- vomiting;

- swelling of the oral cavity.

  1. Pathology of the kidney:

- deterioration of urine discharge.

special instructions

In case of treatment, in no case can one exceed the recommended daily doses, even for the relief of acute conditions.

Observing caution, Atrovent prescribed for obstruction of the urinary tract and benign prostatic hyperplasia.

Disodium edetate and benzalkonium chloride, which are part of the solution, can lead to a narrowing of the lumen of the bronchi.

Cystic fibrosis patients may develop a slowdown of the motility of the gastrointestinal tract.

If the solution for inhalation gets into the eyes, a halo or colored spots, discomfort and pain in the eye, blurred vision, conjunctival redness may appear. In such a situation, after an ophthalmologist is examined, vasoconstrictive drops are prescribed.

The drug is used with a nebulizer with a special tip for the mouth, or a mask that is selected in size.

When prescribing the solution for inhalation Atrovent to pregnant women, all possible risks for the baby and the benefits of using the drug for the mother are weighed.

During the period of breastfeeding, the drug is prescribed with caution, despite the fact that there is no data on the active ingredient Atrovent in breast milk.

Care must be taken by patients engaged in driving a car, as well as other activities requiring increased attention.


Atrovent analogues having the same active ingredient include:

  • Ipravent;
  • Atrovetn H;
  • Ipratropium bromide monohydrate;
  • Ipratropium Steri-Neb.

Among the drugs with similar indications for use, primarily in the treatment of bronchial asthma, there are:

  • Aminophylline;
  • Ironil;
  • Afonilum;
  • Asthmopent;
  • Berotek;
  • Berodual;
  • Beclazon;
  • Benacort;
  • Beclomethasone;
  • Berlicort;
  • Betamethasone;
  • Budesonide;
  • Hydrocortisone;
  • Ventolin;
  • Histaglobin;
  • Dexamethasone;
  • Zaditen;
  • Ipradol;
  • Chromogen;
  • Platifillin;
  • Seretide Multidisk;
  • Prednisolone;
  • Cromohexal;
  • Pulmicort;
  • Salbutamol;
  • Symbicort Turbuhaler;
  • Foradil;
  • Solutan and others

Terms and conditions of storage

Atrovent should be kept out of the reach of children, at temperatures less than +30 ° C. In no case should not freeze the solution.

Shelf life is 3 years from date of manufacture. During this period, the drug is prohibited to use.

Pharmacy holidays

The described solution for inhalation is released on prescription.

Atrovent price

Atrovent solution for inhalation, 20 ml dropper bottle. - from 225 rubles.

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