Is A Prescription Required to Have Combivent Inhaler?

A Prescription is required to purchase Combivent Inhaler from Canadawide Canadian pharmacies.

What Is A Combivent Inhaler Used For?

Combivent Inhaler is used for the treatment of wheezing, shortness of breath caused due to a disease known as chronic obstructive pulmonary disease (COPD) which includes bronchitis and emphysema.

How Does Combivent Inhaler Work in the Body?

The medication is a combination of two drugs, both of which are bronchodilators: ipratropium bromide (an anticholinergic) and salbutamol (a beta-agonist). Combivent Inhaler works by relaxing the muscles around the bronchi (airways in the lungs) and thus helps to ease the breathing problems.

How Is Combivent Inhaler Supplied and Stored?

Combivent Inhaler is manufactured by Boehringer Ingelheim (Canada) Ltd and is available in an aerosol metered dose inhaler (Combivent Respimat) with a dose of 20 mcg/100 mcg/4 ml in quantities of 1 Inhaler.

The medication (the cartridge and the inhaler) should be stored at a temperature between 15°C and 30°C. Do not freeze. It should be kept out of sight and reach of children.

What Is the Cost of Combivent Inhaler?

Our verified Canada online pharmacy is pleased to offer you the Combivent Inhaler Respimat 20 mcg/100 mcg/4 ml dose at an unbeatable price of $64 for a quantity of 1 inhaler, 74% off the retail price of $243. EXTRA LOWER PRICES available at Canada Wide.

Why Are Albuterol and Ipratropium Given Together?

The simultaneous administration of both an anticholinergic (ipratropium bromide) and a beta agonist (salbutamol) helps to produce greater bronchodilator effect than when either drug is used alone. The effectiveness of Combivent Inhaler is probably due to a local effect on muscarinic and beta2 receptors in the lungs.

Can Combivent Be Used For Asthma?

The Combivent Inhaler, containing both ipratropium and salbutamol, is mainly indicated for the treatment of people suffering from chronic obstructive pulmonary disease (COPD), but it may provide some relief to people suffering from severe asthma. However, it is not considered a standard treatment for asthma.

Is Combivent A Bronchodilator?

Combivent Inhaler contains a beta-agonist known as salbutamol, which is a bronchodilator. Taking additional doses of other beta-agonists such as fenoterol can lead to harmful side effects on heart and lungs. Hence, do not take any additional bronchodilators while taking Combivent, unless instructed otherwise by your health care professional.

Is Combivent Respimat A Rescue Inhaler?

Combivent is not a long acting medicine or a rescue inhaler. It is a short acting medicine for COPD and has to be taken 4 times a day, to keep your airways open.

How Often Can You Use A Combivent Inhaler?

The usual adult dose is 1 puff, 4 times a day. Patients may take additional doses if required, however the total number of inhalations should not exceed six in 24 hour period. Take Combivent exactly as prescribed by your doctor. It is recommended for oral inhalation only. Take care to avoid spraying Combivent Inhaler into your eyes.

How Do You Use Combivent?

Before using Combivent Inhaler, read the instructions for use carefully. You will need to use this inhaler 4 times a day, and each time you use take 1 puff. Take the medication regularly every day and do not stop the therapy suddenly when you feel better.

What Should I Avoid While Taking Combivent Inhaler?

Try avoiding the spray of Combivent Inhaler into your eyes. Combivent Inhaler can lead to dizziness, difficulty in focusing the eye, dilated pupils and blurred vision. In case you experience these symptoms, you not drive or operate heavy machinery.

How is Combivent Inhaler Metabolized in Body?

Both Ipratropium bromide and Salbutamol are metabolized in liver and have a half-life of 1.6 and 4 hours respectively after inhalation.

What Are The Possible Side Effects of Combivent Inhaler?

Like all other medications, Combivent Inhaler can also cause side effects. Most common side effects include wheezing after inhalation, dizziness, headache, nausea, digestion problems such as constipation, diarrhea, vomiting, muscle cramps, weakness, muscle pain, weakness, tremors, nervousness, mental disorder, impaired voice sounds, increased sweating, bronchitis, upper respiratory tract infection such as a cold, throat irritation, cough, dryness in mouth or throat, bad taste in mouth. Stop taking the medication and consult your doctor immediately in case you notice wheezing or difficulties in breathing, suffer from an allergic reaction such as rashes, itching, nettle rash, swelling of tongue, lips and face, sudden difficulties in breathing and reduction in blood pressure. This medication can lead to abnormal laboratory results for hypokalemia and ketoacidosis. Some rare side effects include fast or irregular heartbeat, discomfort and pain in the eyes, blurred vision, increased eye pressure, urinating frequently, difficulty and pain while urination, muscle pain or spasms, decreased blood flow to heart leading to chest pain, shortness of breath or heart attack, decreased levels of potassium in the body. These are not all the side effects of Combivent Inhaler. In case you experience any unexpected effect, immediately consult your doctor or pharmacist.

When Should You Not Use Combivent Inhaler?

Do not use Combivent Inhaler if you:

• Are allergic to ipratropium bromide or other anticholinergic drugs, salbutamol or any other components of Combivent Inhaler
• Have fast or irregular heartbeat or have thickened heart muscles due to various conditions
• Are under 18 years of age

What Should You Tell Your Doctor Before Using Combivent Inhaler?

Before you start using Combivent Inhaler, be sure to tell your doctor if you:

• Are pregnant or panning to become pregnant
• Are breastfeeding
• Are under treatment for a thyroid or adrenal gland condition
• Are under treatment for high blood pressure, angina or any other heart problem
• Have diabetes
• Have low levels of potassium in your blood (hypokalemia), especially if you are taking drugs called as xanthine derivatives (such as theophylline), steroids to treat asthma, water pills (called as diuretics)
• Have eye problems such as glaucoma, eye pain
• Are taking any other medications including any eye drops or any non-prescription medicines
• Have difficulty in passing urine
• Have enlarged prostate
• Are allergic to any food or drugs
• Have a history of seizures
• Have liver or kidney disease

What Medicines Can Interact With Combivent Inhaler?

It is important to tell your health care professional about all other medicines that you have taken recently including any kind of supplements and non-prescription drugs. Some medications that can interact with Combivent Inhaler include:

• Digitalis (used to treat arrhythmia)
• Other anticholinergic drugs such as ipratropium bromide and beta-agonists such as salbutamol
• Beta-blockers such as propranolol
• Xanthine derivatives such as theophylline (used to treat asthma)
• Tricyclic antidepressants such as amitriptyline (used to treat depression)
• Monoamine oxidase inhibitors such as isocarboxazid (used to treat depression)
• Epinephrine
• Diuretics or water pills such as furosemide, hydrochlorothiazide

Where Can I Buy Combivent Inhaler Online?

If prescribed by your health care professional, Combivent Inhaler can be bought directly from Canadian Online Pharmacy. You will not have to wait to start your therapy due to the swift shipping service provided by us.

How Is Combivent Inhaler Delivered?

The standard delivery fee is $10.00. The orders are usually shipped in 2-3 working days after the processing of the order. The medication package is delivered by regular mail within 10-14 business days after it has been shipped.

For further information and aid, you can contact our Customer Service at 604-581-4000 or email us at customerservice@canadawidepharmacy.com.

References:

1. https://www.boehringer-ingelheim.ca/sites/ca/files/documents/combiventrespimatpmen.pdf
2. https://www.boehringer-ingelheim.ca/sites/ca/files/documents/combiventrespimatcien.pdf
3. https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/021747s001lbl.pdf
4. https://www.everydayhealth.com/asthma/combivent-inhaler-for-asthma-control.aspx
5. https://www.combivent.com/about/bronchodilator

DESCRIPTION

Combivent Inhaler (Ipratropium/Albuterol) is an Rx medication that is indicated for use in patients with chronic obstructive pulmonary disease (COPD) on a regular aerosol bronchodilator (inhaler) who continue to have evidence of bronchospasm (airway narrowing) and who require a second bronchodilator.

Bronchodilators dilate (enlarge) the airways by relaxing the muscles surrounding the airways. Albuterol and ipratropium work by different mechanisms, but both cause the muscles of the airways to relax.

Albuterol is a bronchodilator of the beta-2 agonist type. Beta-2 agonists are medications that stimulate beta-2 receptors on the smooth muscle cells that line the airways, causing these muscle cells to relax and thereby open airways.

Ipratropium blocks the effect of acetylcholine in airways and nasal passages. Acetylcholine is a chemical that nerves use to communicate with muscle cells. In chronic obstructive pulmonary disease (COPD), cholinergic nerves going to the lungs cause narrowing of airways by stimulating muscles surrounding airways to contract. The "anti-cholinergic" effect of ipratropium blocks the effect of cholinergic nerves, causing the muscles to relax and airways to dilate.

PACKAGING

Brand Combivent Inhaler (Ipratropium/Albuterol) comes from Canada and is manufactured by Boehringer Ingelheim. No generic equivalents of Ipratropium/Albuterol inhaler is available. Combivent medication is available in an aerosol metered dose inhaler (Combivent Respimat) with a dose of 20 mcg/100 mcg/4 ml in quantities of 1 Inhaler.

Keep this medication in the container it came in, tightly closed, and out of the sight and reach of children and pets. Store it at room temperature and away from excess heat and moisture (not in the bathroom).

Please, do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired. These measures will help to protect the (our) environment.

Please note that the manufacturing country and the manufacturer may vary depending on the availability.

DELIVERY

The standard shipping fee is a flat rate of $10.00. Orders are normally dispatched in 2-3 working days after the order is processed. Your package will be delivered by regular mail in 10-14 business days after it is shipped out.

SIDE-EFFECTS

Please keep in mind that, just because a side effect is listed here does not mean that all people using this medicine will experience any side effect – we are all different.

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Stop using albuterol and ipratropium and call your doctor at once if you have a serious side effect such as:

• wheezing, choking, or other breathing problems (especially after starting a new canister of this medicine);
• chest pain, pounding heartbeats or fluttering in your chest;
• dangerously high blood pressure (severe headache, anxiety, uneven heartbeats);
• swelling of your ankles or feet;
• eye pain, or seeing halos around lights;
• painful or difficult urination; or
• low potassium (confusion, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling).

Other common side effects may include:

• mild headache; or
• cold symptoms such as stuffy nose, sneezing, cough, or sore throat.

The most common side effects reported with use of COMBIVENT RESPIMAT include infection of the ears, nose, and throat, runny nose, cough, bronchitis, headache, and shortness of breath. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects – especially if they are persistent.

SAFETY

You should not use this medication if you are allergic to albuterol (Proventil, Ventolin), ipratropium (Atrovent), or atropine (Atreza, Lomotil, Vi-Atro, Sal-Tropine). Do not use Combivent if you are allergic to soybeans, peanuts, or other food products that contain soya lecithin.

Before you use this medicine, tell your doctor if you have heart disease, high blood pressure, coronary artery disease, a heart rhythm disorder, seizures, diabetes, overactive thyroid, glaucoma, an enlarged prostate, urination problems, liver disease, or kidney disease.

Do not use COMBIVENT RESPIMAT more often than your doctor has directed. Deaths have been reported with similar inhaled medicines in asthma patients who use the medicine too much. Seek immediate medical attention if your treatment with COMBIVENT RESPIMAT becomes less effective for symptomatic relief, your symptoms become worse, and/or you need to use the product more frequently than usual.

Tell your doctor about all your medical conditions, especially if you have narrow-angle glaucoma, prostate or urinary problems, a history of heart conditions (such as irregular heartbeat, high blood pressure), seizures, thyroid disorder, diabetes, low potassium levels, or kidney or liver disease. Also tell your doctor if you are pregnant or nursing.

Tell your doctor about all medicines you are taking, especially heart medications or drugs to treat depression.

If this medication gets in your eyes, rinse with water and seek medical attention.

This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.

Can Other Medicines Affect Combivent Inhaler (Ipratropium/Albuterol)

Tell your doctor about all medications you use, and those you start or stop using during your treatment with albuterol and ipratropium, especially:

• bladder or urinary medicines such as darifenacin (Enablex), tolterodine (Detrol), solifenacin (Vesicare);
• a diuretic (water pill);
• heart or blood pressure medication, such as atenolol (Tenormin, Tenoretic), metoprolol (Dutoprol, Lopressor, Toprol), propranolol (Inderal, InnoPran), and others;
• medication for Parkinson's disease or depression;
• medication to treat excess stomach acid, stomach ulcer, motion sickness, or irritable bowel syndrome;
• other bronchodilators such as formoterol (Foradil), ipratropium (Atrovent), isoproterenol (Isuprel), metaproterenol
(Alupent, Metaprel), terbutaline (Brethine, Bricanyl), or tiotropium (Spiriva); or
• a stimulant, ADHD medication, diet pills, or over-the-counter cold or allergy medicine.

This list is not complete. Other drugs may interact with albuterol and ipratropium, including prescription, over-the-counter, vitamin, and herbal products so please be sure to tell your doctor about everything that you take – the effectiveness of what your doctor has prescribed may well depend on it!