Before using this medication, tell your doctor if you have:
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narrow-angle glaucoma; or
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an enlarged prostate or a bladder obstruction.
If you have any of these conditions, you may not be able to use ipratropium nasal or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category B: This medication is not expected to be harmful to an unborn baby. Do not use ipratropium nasal without telling your doctor if you are pregnant or plan to become pregnant during treatment.
It is not known if ipratropium passes into breast milk or if it could harm a nursing baby. Do not use ipratropium nasal without telling your doctor if you are breast-feeding a baby.
Ipratropium nasal should not be used by a child younger than 6 years of age.
Use this medication exactly as it was prescribed for you. Do not use it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label.
This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.
When using the nasal spray for the first time, prime it by spraying 7 test sprays into the air, away from your face. Prime with 2 sprays if you have not used the medicine in 1 to 6 days. Prime with 7 sprays if you have not used it for a week or longer.
Store ipratropium nasal at room temperature away from moisture and heat. Keep the cap tightly closed when not in use. Do not allow the medicine to freeze.
Use the medication as soon as you remember. If it is almost time for the next dose, skip
the missed dose and wait until your next regularly scheduled dose.
Stop using ipratropium nasal and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have a fast, pounding heartbeat.
Other less serious side effects are more likely to occur, such as:
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headache;
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dry nose;
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nosebleeds; or
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blurred vision.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
Before using this medication, tell your doctor if you have narrow-angle glaucoma, or an enlarged prostate or bladder obstruction. If you have any of these conditions, you may not be able to use ipratropium nasal or you may need a dosage adjustment or special tests during treatment.
Use this medication exactly as it was prescribed for you. Do not use it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label.
Avoid getting this medication in your eyes. If this happens, rinse with water.
Before using ipratropium nasal, tell your doctor if you are using any of the following medicines:
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atropine (Donnatal, and others),
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belladonna,
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clidinium (Quarzan),
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dicyclomine (Bentyl),
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glycopyrrolate (Robinul),
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hyoscyamine (Anaspaz, Cystospaz, Levsin, and others)
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mepenzolate (Cantil),
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methantheline (Provocholine),
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methscopolamine (Pamine), and
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propantheline (Pro-Banthine), or
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scopolamine (Transderm-Scop).
If you are using any of these drugs, you may not be able to use ipratropium nasal, or you may need dosage adjustments or special tests during treatment.
Do not use other nasal sprays, nasal gels, or nasal inhalers unless approved by your doctor.
There may be other drugs not listed that can affect ipratropium nasal. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
Seek emergency medical attention if you think you have used too much of this medicine. Ipratropium nasal is not expected to cause overdose symptoms.