Ipravent Respules
✅ Improves Lung Function
✅ Manages COPD, asthma symptoms
✅ Forbedrer livskvaliteten
✅ Cost-Effective Treatment
✅ Easy to Use
Ipravent Respules contains Ipratropium bromide
✓ Medicinsk gennemgået af Morgan Ellis — Apoteksforsker · 8 års erfaring · Sidst gennemgået: maj 2026
⚡ Quick Answer — What is Ipravent Respules?
Ipravent Respules indeholder ipratropium bromide, used as a reliever for acute bronchospasm in asthma og COPD. Ipratropium blocks parasympathetic constriction of airway smooth muscle, with onset around 15 minutes and duration 4–6 hours. Manufactured by Cipla. Each respules delivers 500 mcg in 2 ml.
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What Is Ipravent Respules?
Ipravent Respules is an ipratropium bromide product manufactured by Cipla at WHO-GMP certified facilities. Internationally ipratropium is sold as Atrovent (Boehringer Ingelheim).
How Does Ipravent Respules Work?
Ipratropium is a quaternary ammonium derivative of atropine, modified to limit systemic absorption and minimise central anticholinergic effects. It blocks acetylcholine binding at M1, M2, and M3 muscarinic receptors on airway smooth muscle, neutralising parasympathetic constrictor tone. Onset 15 minutes (slower than SABA), peak 1–2 hours, duration 4–6 hours.
— det forstærker den normale fysiologiske respons snarere end at udløse en kunstigt.
- Acute COPD exacerbations — first-line bronchodilator alongside or instead of a SABA
- Acute severe asthma — added to high-dose SABA in moderate-to-severe attacks (paediatric and adult)
- Chronic COPD symptomatic relief — when LAMA is unavailable or short-acting cover is preferred
- Bronchospasm secondary to viral wheeze, bronchiolitis in young children (case-by-case)
Ipravent Respules Dosage
| Patient | Dosis | Hyppighed |
|---|---|---|
| Adults — acute | 500 mcg | Every 4–6 hours; back-to-back × 3 in severe attacks |
| Children 6–12 yr | 250–500 mcg | Every 4–6 hours |
| Children <6 yr | 125–250 mcg | Specialist supervision |
How to Use Ipravent Respules Properly
- Wash hands; assemble a clean dry nebuliser, cup, and mask or mouthpiece.
- Twist off the respule top; squeeze contents into the cup.
- Switch on the compressor — fine mist appears within seconds.
- Breathe normally with occasional deep breaths; ensure tight mask seal in children.
- Continue 5–10 minutes until the cup sputters.
- Discard any unused respule; rinse cup and mouthpiece, air-dry.
- Avoid mist near the eyes — risk of glaucoma.
Side Effects of Ipravent Respules
- Dry mouth (anticholinergic)
- Throat irritation, cough
- Mild headache
- Mild urinary hesitancy in older men with prostate enlargement
- Bitter or metallic taste
- Eye irritation if mist contacts eyes
Mindre almindelige men alvorlige:
- Acute angle-closure glaucoma (avoid mist near eyes; use mouthpiece preferred over mask)
- Acute urinary retention in patients with prostatic obstruction
- Alvorlig allergisk reaktion
- Paradoxical bronchospasm
Advarsler og forholdsregler
- Avoid mist near eyes — risk of acute glaucoma in predisposed patients (narrow anterior chamber, family history). Use mouthpiece rather than mask where possible.
- Prostatic obstruction: caution in older men; risk of urinary retention.
- Cardiovascular disease: caution with severe arrhythmias
- Pregnancy: low-risk; uncontrolled asthma is more dangerous than the medication.
- Carry a SABA reliever for asthma rescue — ipratropium has slower onset.
Kontraindikationer
- Hypersensitivity to ipratropium, atropine derivatives or excipients
- Severe lactose / milk-protein hypersensitivity (DPI)
Lægemiddelinteraktioner
| Interacting drug | Effekt | Hvad skal der gøres |
|---|---|---|
| Other anticholinergics (oral atropine, oxybutynin, hyoscine) | Additive dry mouth, urinary retention, constipation | Monitor symptoms — combine cautiously |
| Tricyclic antidepressants | Additive anticholinergic burden | Caution in elderly |
| Antihistamines (1st generation) | Additive anticholinergic effects | Avoid combination if possible |
Opbevaring
- Store below 25°C, protected from direct light.
- Keep respules in their original foil overwrap until immediately before use.
- Once a respule is opened, use immediately; discard any remainder.
- Do not refrigerate. Keep out of reach of children.
Relaterede alternativer på MedsBase
- Asthalin Inhaler — salbutamol reliever
- Budecort Inhaler — budesonide ICS preventer
- Foracort Inhaler — budesonide + formoterol ICS-LABA
- Tiova Inhaler — tiotropium LAMA for COPD
- Montair — montelukast LTRA tablet
Ofte stillede spørgsmål
Is Ipravent the same as Atrovent?
Yes — both contain ipratropium bromide. Atrovent (Boehringer Ingelheim) is the international brand; Ipravent (Cipla) is the Indian-market generic. Clinically interchangeable.
How is ipratropium different from tiotropium?
Both are muscarinic antagonists. Ipratropium is short-acting (4–6 h) and dosed 3–4× daily — used for acute relief and as a SAMA component in COPD/asthma rescue. Tiotropium is long-acting (24 h) and dosed once daily for COPD maintenance.
How fast does Ipravent work?
Onset is around 15 minutes — slower than salbutamol. Use a SABA (Asthalin, Levolin) for fast relief; ipratropium is added for additional bronchodilation in moderate-to-severe attacks and COPD.
Why must I avoid the eyes when using Ipravent?
Anticholinergic mist contacting the eye can trigger acute angle-closure glaucoma in predisposed patients. Use a mouthpiece rather than mask where possible; if mask used, ensure tight seal around mouth and nose only.
Why dry mouth?
Common anticholinergic effect. Sips of water, sugar-free gum, good oral hygiene help.
Can children use Ipravent?
Yes — paediatric doses are available for nebulised ipratropium (often combined with salbutamol in moderate-to-severe acute asthma).
Is Ipravent safe in pregnancy?
Yes — long-standing use in pregnancy without major signals. Uncontrolled asthma is more dangerous.
Can I use Ipravent every day for COPD?
Yes — but modern COPD management favours once-daily LAMA (tiotropium, Tiova) for maintenance over 4× daily ipratropium. Discuss with your prescriber.
Should I rinse my mouth after Ipravent?
Not strictly needed (no steroid component) but a quick rinse helps reduce dry mouth and bitter taste.
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