Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Acute breathing problems: This medication is not for use as a "reliever" medication. If you get a sudden attack of breathlessness, be sure to use your "reliever" medication for rapid relief of your symptoms. It is very important that you have your "reliever" medication available with you at all times. If you persistently use more of your "reliever" medication, contact your doctor.
Eye problems: Take care to ensure that ipratropium bromide aerosol does not reach the eye. There have been reports of eye complications (e.g., tearing, increased eye pressure, glaucoma, and eye pain) when this medication has been released into the eyes. Eye problems have occurred when the aerosol was used with the standard mouthpiece or with a spacing device. If you experience eye pain, blurred vision, or vision changes, talk to your doctor as soon as possible.
Glaucoma: People with glaucoma should discuss with their doctor how this medication may affect their medical condition, how their medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. You will probably need to have regular eye examinations while you are using this medication.
Prostate or urinary problems: People with prostate or urinary tract problems should discuss with their doctor how this medication may affect their medical condition, how their medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while using this medication, contact your doctor immediately.
Breast-feeding: It is not known if ipratropium bromide passes into breast milk. If you are a breast-feeding mother and are using this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using this medication have not been established for children under 18 years of age.