Ipratropium Bromide (Atrovent)

Question 1

Ipratropium Bromide: Introduction

Answer 1

An anticholinergic bronchodilator. It inhibits the vagal reflexes that mediate bronchospasm

Combined with a nebulised short-acting B2 antagonist (eg Salbutamol), ibratropium bromide produces significantly greater bronchodilation than a short-acting B-2 agonist alone

Question 2

Ipratropium Bromide: Indication

Answer 2

Severe Bronchospasm:

Adult: Severe to life-threatening asthma or COPD
Paed: Sever to life-threatening asthma

Question 3

Ipratropium Bromide: Contraindication

Answer 3

Hypersensitivity

Question 4

Ipratropium Bromide: Considerations

Answer 4

HDNTTS

Headache
Nausea, dizziness
Dry Mouth, throat irritation
Taste disturbances
Skin rash