Ipratropium bromide

Question 1

What are the indications for use of ipratropium bromide (Atrovent)?

Answer 1

Bronchospasm in asthma, anaphylaxis, bronchitis, and emphysema

Question 2

What is the ADULT dosing for ipratropium bromide (Atrovent)?

Answer 2

NEB: 500 mcg q 5 - 15 minutes to Max 1500 mcg

MDI: 5 puffs (20 mcg/puff) with spacer q 5 to 15 minutes prn to max of 15 puffs

Question 3

What is the PEDIATRIC dosing for ipratropium bromide (Atrovent)?

Answer 3

NEBS:
<10 kg = 125 mcg
10 - 20kg = 250 mcg
>20 kg = 500 mcg

MDI:
5 - 12 y/o = 1 to 2 puffs q6h Max 8 puffs/day
12 - 18 y/o = 2 to 3 puffs q6h Max 12 puffs/day

Question 4

What are the contraindications to ipratropium bromide?

Answer 4

• Hypersensitivity to drug or atropine or its derivatives
• Hypersensitivity to soy lecithin or related food products (soybeans)