Conclusion: The combination of nebulised salbutamol along with ipratropium
bromide in the treatment of acute asthma exacerbation was not superior to salbutamol alone.
Lastly, the nebulized ipratropium
bromide was administered in the standard concentration of 0.
It will be important to determine if the risk we observed with ipratropium
is seen in patients using tiotropium when there is more use of tiotropium in the asthma population," he added.
He had been using both salbutamol and ipratropium
bromide inhaler therapy by nebulizator and face-mask.
On further evaluation, it was discovered that 15 minutes prior to the ocular examination, ipratropium
bromide followed by salbutamol nebulisation was given for bronchospasm through a faulty leaking nebuliser set.
Previous data have shown BIS to be stable chemically and compatible physically when administered simultaneously with respiratory medications, including albuterol sulfate inhalation solution (Proventil[R]; Schering Corporation, Kenilworth, NJ), ipratropium
bromide inhalation solution (Atrovent[R]; Boehringer Ingelheim Pharmaceuticals Inc, Ridgefield, CT), and levalbuterol inhalation solution.
In contrast, patients treated with ipratropium
(the only inhaled anticholinergic examined in the analysis) had a significantly increased risk for both cardiovascular death and all-cause death.
The seven MDI drugs include: flunisolide (Forest's Aerobid), triamcinolone (Kos' Azmacort), metaproterenol (Boehringer Ingelheim's Alupent), pirbuterol (3M's Maxair), cromolyn (King's Intal), nedocromil (King's Tilade) and the combination of albuterol and ipratropium
We have the first sample which tested positive for Ipratropium
, a substance used to treat bronchial problems," France Galop's Louis Romanet explained.
The Food and Drug Administration approved ipratropium
bromide HFA (Atrovent HFA Inhalation Aerosol), a bronchodilator for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease, including chronic bronchitis and emphysema in patients 12 years and older.
For example, per unit acquisition costs for ipratropium
bromide, the inhalation therapy drug with the highest Medicare expenditures, ranged from $0.
In addition, before leaving home and in order to prevent severe reactions if she encountered latex of other allergens and/or irritants, the patient often premedicated herself with cromolyn and ipratropium
bromide inhalers and ipratropium
bromide nasal spray.