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Noting when it's appropriate to visit the doctor or go to the emergency room.

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Ipratropium bromide is a well-established bronchodilator for the maintenance treatment of COPD (12) and remains the lone agent in the class of anticholinergics in the United States.

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Safety and efficacy of additional doses or increased frequency of administration of DuoNeb beyond these guidelines has not been studied and the safety and efficacy of extra doses of albuterol sulfate or ipratropium bromide in addition to the recommended doses of DuoNeb have not been studied.

Treatment for nasal dryness and epistaxis was required infrequently (2% or less) and consisted of local application of pressure or a moisturizing agent (e.

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This list is not complete and there may be other drugs not listed that can affect ipratropium inhalation.

Zyloprim), oral contraceptives, histamine H 2-receptor blocking agents and other drugs.

Do not get ipratropium bromide and albuterol sulfate inhalation solution in your eyes.

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