Generic Atrovent

INHALATION AEROSOL AND SOLUTION

• More common side effects may include:
  Blurred vision, breathlessness, bronchitis, cough, dizziness, dry mouth, headache, irritation from aerosol, nausea, nervousness, rash, stomach and intestinal upset, wheezing, worsening of symptoms

NASAL SPRAY

• More common side effects may include:
  Blurred vision, change in taste, conjunctivitis ("pinkeye"), cough, diarrhea, dizziness, dry mouth/throat, eye irritation, headache, hoarseness, increased runny nose or nasal inflammation, inflamed nasal ulcers, nasal congestion, nasal dryness, nasal irritation/itching/burning, nasal tumors, nausea, nosebleed, pain, posterior nasal drip, pounding heartbeat, ringing in the ears, sinus inflammation, skin rash, sneezing, sore throat, swollen nose, thirst, upper respiratory infection

Why should Ipratropium bromide not be prescribed?

If you are sensitive to or have ever had an allergic reaction to Ipratropium bromide or any of its ingredients, or to soybeans, soy lecithin, or peanuts, you should not take Ipratropium bromide.

You should also avoid Ipratropium bromide if you are allergic to drugs based on atropine. Make sure your doctor is aware of any drug reactions you have experienced.

Special warnings about Ipratropium bromide

An immediate allergic reaction (hives, swelling, rash, wheezing) is possible when you first use Ipratropium bromide.

Unless you are directed to do so by your doctor, do not take Ipratropium bromide if you have the eye condition called narrow-angle glaucoma (high pressure inside the eye), an enlarged prostate, or obstruction in the neck of the bladder.

Keep Ipratropium bromide away from your eyes. It can cause blurred vision, visual halos and colors, red eyes, pain, or even narrow-angle glaucoma. If any of these symptoms develop, see your doctor immediately.

If you develop eye pain, blurred vision, very dry nose, or nosebleeds after using the nasal spray, call your doctor.

Do not increase your use of Ipratropium bromide without your doctor's approval. If the drug begins to lose its effect, check with your doctor immediately.

Possible food and drug interactions when taking Ipratropium bromide

When using the aerosol or solution, do not take other inhaled medications unless your doctor approves. Check with your doctor before combining Ipratropium bromide with spasm-quelling medications such as Donnatal and Levsin.

Special information if you are pregnant or breastfeeding

The effects of Ipratropium bromide during pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. It is not known whether Ipratropium bromide appears in breast milk. If Ipratropium bromide is essential to your health, your doctor may advise you to stop nursing your baby until your treatment is finished.

Recommended dosage

AEROSOL OR SOLUTION

The usual starting dose is 2 inhalations, 4 times per day. Additional inhalations may be taken, but the total should not exceed 12 in 24 hours. Not for use in children under 12.

NASAL SPRAY 0.03%

The usual dose is 2 sprays in each nostril 2 or 3 times a day. Not for use in children under 6.

NASAL SPRAY 0.06%

Runny Nose due to Colds

The usual adult dose is 2 sprays in each nostril 3 or 4 times a day. The recommended dose for children age 5 to 11 is 2 sprays in each nostril 3 times a day. Do not use for more than 4 days and do not give it to children under 5.

Runny Nose due to Hay Fever

The usual dose for adults and children 5 and over is 2 sprays in each nostril 4 times a day. Can be used safely for hay fever for up to 3 weeks.

AGING AND IQ: RESEARCHES AND INTELLIGENCE TESTS

What skills make up real-world intelligence? At the 1986 meeting of the American Psychological Association, Gisela Labouvie of Wayne State University and Fredda Blanchard-Fields of Louisiana State University provided some clues. Both psychologists believe that real-world intelligence does not involve picking out the correct answer to an abstract problem, which is what the standard IQ test asks us to do, but thinking in a different way. In school people who can solve academic problems are considered the intelligent ones. But real-world problems often have no clear-cut right or wrong solutions. Making intelligent life decisions means being sensitive to the many perspectives involved in issues and integrating them to arrive at answers that are "wise" rather than absolutely correct. It also means going beyond rational logic in making decisions. People who have real-world intelligence are socially smart. They have a gift for understanding other human beings; they can intuit the emotional (sometimes irrational) logic of the heart. Test your life intelligence by answering this problem:
John is known to be a heavy drinker, especially when he goes to parties. Mary, John's wife, warns him that if he gets drunk one more time she will leave him. Tonight John is out at an office party and comes home drunk. Does Mary leave John?
When Labouvie asks young adolescents this question, their answer is a rigid yes. "Mary said she would leave, so of course she does." People in their thirties and forties are sensitive that the issue is not black-and-white. They think about the pros and cons - for Mary, for John, for their children. They know that a simple yes or "she should" may not be the best response. Their answers are more intelligent because they are more attuned to the realities of life.
A real-world intelligence test will probably measure how we think about common dilemmas like this one. Until psychologists develop this test, though, we must be content to measure intelligence mainly by the single-answer IQ test we have always used, oriented to academic logic. It too can tell us some very important things.
The Wechsler Adult Intelligence Scale is divided into two parts. The first part tests our fund of knowledge - vocabulary, ability to calculate, factual information we have absorbed. The second part of the test measures on-the-spot analytical skills - putting together puzzles or blocks to make the right design, arranging pictures so they "tell a story" or transcribing unfamiliar symbols. A premium is placed on speed; the tasks in this half of the test are timed.
As people get older they do very differently on the two parts.
They do relatively well on the first half of the test. Beginning quite early (in the twenties), they do more and more poorly on the second part as the years pass, for each section of the test measures a basically different intellectual skill.
Psychologists call the type of intelligence mainly measured by the first half of the test crystallized intelligence. It is the amount of knowledge we have stored in our brain. In contrast, a very different skill is measured by the second half - our ability to come up with the correct solution to a totally unfamiliar abstract problem in the shortest possible time. This basic intellectual skill is called fluid intelligence.
As we get older, provided we remain active and involved in life, our crystallized intelligence tends to increase, because the rate of new learning normally exceeds the rate at which we forget. There are two situations when forgetting tends to surpass the volume of new information we absorb - illness and withdrawal from life. If we are very sick or pull back emotionally from the world, we are not motivated to learn new things, so what goes out exceeds what comes in, and crystallized intelligence declines.

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GENERAL HEALTH

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.
• Read the product information leaflet provided with the product before using it.

   

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