Combivent Respimat are bronchodilators that relax muscles in the airways and increase air flow to the lungs.

Combivent Respimat is used to prevent bronchospasm in people with chronic obstructive pulmonary disease (COPD) who are also using other medicines to control their condition.

Combivent Respimat may also be used for purposes not listed in this medication guide.

Seek medical attention if you think this medication is not working as well as usual. Overuse of albuterol and ipratropium may increase the risk of death. It is critical that you use only the prescribed dose of Combivent Respimat.

Follow the directions on your prescription label. Do not use Combivent Respimat in larger or smaller amounts or for longer than recommended.

Combivent Respimat is usually used 4 times per day. Follow your doctor's dosing instructions very carefully.

Overuse of this medicine may increase the risk of death. It is critical that you use only the prescribed dose of this medicine.

Combivent Respimat comes with patient instructions for safe and effective use, and directions for priming the inhaler device. Duoneb and Combivent Respimat have different patient instructions. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Keep track of the number of sprays you have used. Throw away the Combivent Respimat inhaler canister after 3 months or 120 sprays, whichever comes first.

It is very important that your doctor check your progress closely while you are using this medicine to see if it is working properly and to help reduce any unwanted effects.

This medicine may cause paradoxical bronchospasm, which means your breathing or wheezing will get worse. Paradoxical bronchospasm may be life-threatening. Stop using this medicine and check with your doctor right away if you have coughing, difficulty breathing, shortness of breath, or wheezing after using this medicine.

Check with your doctor at once if difficulty with breathing continues after using a dose of this medicine or if your condition gets worse.

This medicine may cause serious types of allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash, itching, hives, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine.

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

Wheezing, choking, or other breathing problems after using Combivent Respimat;

Chest pain;

Fast or pounding heartbeats, fluttering in your chest;

Tremors, nervousness;

Swelling of your ankles or feet;

Blurred vision, tunnel vision, eye pain, or seeing halos around lights;

Painful or difficult urination; or

Low potassium--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling.

What is this medicine?

Combivent has two bronchodilators. It helps open up the airways in your lungs to make it easier to breathe. This medicine is used to treat chronic obstructive pulmonary disease (COPD).

What if I miss a dose? 

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.

Where should I keep my medicine? 

Keep out of the reach of children.

Store at a room temperature between 15 and 30 degrees C (59 and 86 degrees F). Do not freeze. After assembly, the inhaler should be discarded at the latest 3 months after first use or after the inhaler is locked, whichever comes first.