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Atrovent Nasal Spray (Ipratropium Bromide)

Type
Product
Manufacturer
Country
Dosage
Qty-Price (USD)
There is no brand product of Atrovent Nasal Spray.

Generic Equivalent of Atrovent Nasal Spray
Type
Product
Manufacturer
Country
Dosage
Qty-Price (USD)
Type: drug type
Product: Ipratropium Bromide
Manufacturer: Generic
Country: Canada
Dosage: 0.03 %/30 ml
Qty-Price (USD):
Type: drug type
Product: Ipratropium Bromide
Manufacturer: Generic
Country: New Zealand
Dosage: 0.03 %/15 ml
Qty-Price (USD):
Type: drug type
Product: Ipratropium Bromide
Manufacturer: Generic
Country: Canada
Dosage: 0.06 %/15 ml
Qty-Price (USD):

Atrovent Nasal Spray Information

portrait medically reviewed by Carol Hou (BSc. Pharm) on June 19, 2025.
A licensed pharmacist (Licensed Community Pharmacies Directory | College of Pharmacists of British Columbia) with over 20 years of experience in medication management, specifically medication safety, she has reviewed the information for accuracy and completeness.

Ipratropium Bromide Nasal Spray at CanadaPharmacyOnline.com

Brand Atrovent nasal spray is currently unavailable (at this pharmacy).

Generic ipratropium bromide is sourced from manufacturers that meet applicable regulatory standards. The specific manufacturer of your dispensed medication may vary.

Important Information about Generic Ipratropium Bromide:

Generic ipratropium bromide contains the same active ingredient as brand-name Atrovent Nasal Spray and is required to meet the same safety, effectiveness, and quality standards. This means it is designed to work in the same way as Atrovent Nasal Spray. Studies have shown that generic ipratropium bromide is bioequivalent to brand-name Atrovent Nasal Spray, meaning they have similar absorption rates and reach similar concentrations in the bloodstream. However, individual responses to medication can vary due to factors such as metabolism, genetics, and other health conditions.

For more information about generic drug approval and bioequivalence, you can visit the FDA website: https://www.fda.gov/drugs/generic-drugs/generic-drug-facts

Dosage:

Generic ipratropium bromide is available in concentrations of 0.03% and 0.06% nasal spray, typically available in 15 ml and 30 ml canisters. The availability of specific concentrations and canister sizes may vary by manufacturer and market.

Your doctor will determine the appropriate dose based on your individual needs and medical conditions.

Usage:

Ipratropium bromide nasal spray is available in two concentrations, with specific indications for each. The 0.03% ipratropium bromide nasal solution is indicated for the relief of rhinorrhea associated with perennial allergic or nonallergic rhinitis in adults and children aged 6 years and older. It does not relieve nasal congestion, sneezing, or postnasal drip associated with these conditions. The 0.06% ipratropium bromide nasal solution is indicated for the symptomatic relief of rhinorrhea associated with the common cold in adults and children aged 6 years and older. Safety and efficacy have not been established in children under 6 years of age for this 0.06% concentration indication for the common cold. It does not relieve nasal congestion or sneezing associated with these conditions. The 0.06% solution is not indicated for rhinorrhea associated with allergic or nonallergic rhinitis. It does not relieve nasal congestion or sneezing associated with the common cold. The 0.03% ipratropium bromide nasal solution for perennial allergic or nonallergic rhinitis is typically used for longer durations as prescribed by a healthcare professional. The duration of treatment will depend on the individual's condition and response.

Mechanism of Action:
Atrovent Nasal Spray belongs to a class of medications called anticholinergics. It works by blocking the action of acetylcholine, a chemical that can stimulate mucus glands in the nose to produce excessive fluid. By blocking acetylcholine, the nasal spray helps to reduce the amount of mucus produced, thereby relieving the runny nose. The onset of action is typically within a short period, and is often reported to be within 15 minutes.

Use ipratropium bromide nasal spray exactly as your doctor prescribes, following the instructions in the Canadian product monograph. Always consult your doctor for personalized guidance and to ensure safe and effective use.

The information below summarizes some, but not all, potential side effects, risks, and interactions. Before taking ipratropium bromide nasal spray (the active ingredient in Atrovent Nasal Spray), it is essential to discuss all possible side effects, risks, and interactions with your doctor or pharmacist.

Side Effects:

The information below outlines potential side effects associated with ipratropium bromide nasal spray (the active ingredient in Atrovent Nasal Spray). It is not an exhaustive list, and individual reactions can vary.

Common side effects - The following are some common side effects associated with ipratropium bromide nasal spray, but others are possible. Contact your doctor promptly if any side effects are persistent, worsening, or concerning or if you experience any other concerning symptoms:
• Changes in taste
• Dry throat or mouth
• Headache
• Nasal dryness or irritation
• Nausea
• Nosebleeds
• Sore throat

Less common side effects may include:
• Blurred vision
• Burning, dry, or itching eyes
• Cough
• Dizziness
• Eye irritation, redness, or tearing
• Increased nasal congestion or runny nose

Serious Side Effects: These are rare but potentially severe side effects. Seek immediate medical attention or call emergency services if you experience any of the following:
• Changes in vision (e.g., blurred vision, halos around lights)
• Difficulty urinating
• Eye pain or discomfort
• Fast or irregular heartbeat
• Hoarseness
• Rash, hives, itching
• Serious allergic reaction such as difficulty breathing or swallowing, rash, hives, itching, swelling of the eyes, face, lips, tongue, or throat

Contraindications:

The following are some key contraindications for ipratropium bromide nasal spray. It is crucial to discuss your complete medical history with your doctor or pharmacist.

Atrovent Nasal Spray (ipratropium bromide) should not be used if:
• You are allergic to ipratropium bromide
• You are allergic to other ingredients in the nasal spray
• You are allergic to Atropine or any other atropine derivative

Tell your doctor about all of your medical conditions, past and present, before starting ipratropium bromide nasal spray (the active ingredient in Atrovent Nasal Spray). This is crucial because certain conditions can affect whether ipratropium bromide nasal spray is right for you. These conditions may include, but are not limited to:
• Cystic fibrosis: These patients may be more prone to gastrointestinal motility disturbances with anticholinergics.
• Hepatic or renal insufficiency: The drug has not been studied in these populations, so caution is advised.
• Narrow-angle glaucoma: It may worsen this condition.
• Prostatic hyperplasia or bladder neck obstruction: It can potentially exacerbate urinary retention.

Driving and Operating Machinery Ipratropium bromide nasal spray may affect your ability to drive or operate machinery due to potential side effects such as temporary blurred vision, dilated pupils, difficulty focusing, and dizziness. If you experience any of these, it is crucial to avoid driving or using heavy machinery until your vision is clear and the dizziness subsides. Special care should be taken to avoid spraying the medication in or around your eyes, as this can lead to vision problems. It's important to be aware of your individual reaction to the medication before engaging in activities that require alertness and clear vision, and any concerns should be discussed with your doctor or pharmacist.

Drug Interactions:

Before taking ipratropium bromide nasal spray (the active ingredient in Atrovent Nasal Spray), it is essential to discuss all potential risks and interactions with your doctor or pharmacist. For complete and up-to-date information, refer to the Health Canada website.

Provide your doctor with a complete list of all your medications, including prescriptions, over-the-counter (OTC) drugs, vitamins, and herbal supplements. Ipratropium bromide nasal spray may interact with other medicines primarily those that also have anticholinergic effects. Due to the limited systemic absorption of ipratropium when administered as a nasal spray, the risk of many significant drug interactions at regularly recommended dosages is low. However, caution should still be exercised when using ipratropium bromide nasal spray with the following:

Medications with anticholinergic effects: Using ipratropium bromide nasal spray with other anticholinergic medications can increase the risk of anticholinergic side effects. These medications include:
• Atropine and related drugs: belladonna alkaloids, scopolamine, glycopyrrolate, hyoscyamine, dicyclomine, clidinium, propantheline, methantheline, mepenzolate, methscopolamine.
• Certain antihistamines: primarily first-generation antihistamines such as diphenhydramine, chlorpheniramine, hydroxyzine, and doxylamine. Second-generation antihistamines like loratadine and cetirizine have significantly less anticholinergic activity, but caution may still be warranted in some individuals, especially at higher doses or in combination with other anticholinergic medications.
• Other anticholinergic medications used for stomach problems: such as dicyclomine and hyoscyamine.
• Other anticholinergic medications used for travel sickness: such as scopolamine and dimenhydrinate.
• Other anticholinergic medications used for Parkinson's disease: such as benztropine and trihexyphenidyl.
• Other anticholinergic medications: aclidinium, tiotropium, umeclidinium.
• Other medications with anticholinergic effects used for bladder problems: such as oxybutynin, tolterodine, fesoterodine, darifenacin, propiverine, and trospium.
• Other anticholinergic medications used for depression, anxiety, or other mental health conditions: such as tricyclic antidepressants (e.g., amitriptyline, clomipramine), some antipsychotics (e.g., chlorpromazine, clozapine, haloperidol, olanzapine, quetiapine, risperidone), and amantadine.

Other potential interactions:
• Acetylcholinesterase inhibitors: such as donepezil, galantamine, neostigmine, and rivastigmine may have reduced effectiveness when used with ipratropium
• Aripiprazole and Benperidol: Due to the minimal systemic absorption of ipratropium when administered as a nasal spray at recommended doses, a clinically significant interaction with aripiprazole or benperidol is unlikely. While theoretical interactions with oral ipratropium have been suggested, these are not considered relevant for the nasal spray formulation at typical dosages.
• Bethanechol and Carbachol: These medications increase cholinergic effects and may have unclear interactions with ipratropium, which decreases cholinergic effects.
• Benzgalantamine: May decrease the effects of either drug.
• Other nasal sprays: While there isn't a significant known pharmacological interaction, using other nasal sprays, especially close in time to ipratropium bromide nasal spray, could potentially affect the absorption or distribution of either medication. It is generally recommended to use nasal sprays a few minutes apart. Consult your doctor or pharmacist for guidance on the proper sequence and timing of using multiple nasal nasal sprays.
• Diuretics: There is no significant evidence to suggest that ipratropium nasal spray increases the serum concentrations of diuretics such as hydrochlorothiazide and indapamide. Standard drug interaction databases do not typically list this interaction, indicating it is not a clinically significant concern. Always consult your doctor or pharmacist about all medications you are taking.
• Potassium chloride and potassium citrate: Clinically significant interactions between topical ipratropium nasal spray and orally administered potassium chloride or potassium citrate are not well-documented and are considered unlikely due to the minimal systemic absorption of the nasal spray. However, it is always prudent to inform your doctor or pharmacist about all medications you are taking.

Pregnancy and Breastfeeding

It's generally recommended to use ipratropium bromide nasal spray during pregnancy only if clearly needed and if the potential benefits outweigh the possible risks to the fetus. Breastfeeding individuals should also consult their doctor before using this medication to discuss potential risks and benefits and make an informed decision.

Frequently Asked Questions about Atrovent Nasal Spray at Canada Pharmacy Online:

Why is Atrovent Nasal Spray more affordable in Canada than in the United States?

Prescription drug prices, including Atrovent Nasal Spray are generally lower in Canada than in the US due to a combination of factors, primarily government price regulations, differing market dynamics, and other economic considerations. In Canada, provincial and federal governments negotiate drug prices with pharmaceutical companies, which often results in lower costs compared to the U.S., where market forces play a more significant role. For more information, see the FAQs on Prescription Drug Importation from the Kaiser Family Foundation (KFF): https://www.kff.org/health-costs/issue-brief/faqs-on-prescription-drug-importation/

How much is the shipping?

Our shipping fee is a flat rate of $10.00 per order. Our pharmacy focuses on offering you the lowest prices on high-quality products.

How do I order from your pharmacy?

Ordering from us is very simple. You can purchase online or call Customer Service at 1866.920.3784; for more information or to learn about the ordering process, visit our How to Order page.

Is there a limit on how many units I am allowed to order at one time?

CanadaPharmacyOnline.com can only dispense a maximum of a three-month supply of ipratropium bromide nasal spray at once, per your doctor's prescription.

Can I buy over the counter from you?

No, Atrovent Nasal Spray requires a valid prescription from your doctor. We do not sell this product without a valid prescription.

Do you ship to the United States?

Yes, we do. It usually takes 7 and 18 business days to receive your order from our pharmacy.

Is there a generic for Atrovent Nasal Spray?

Yes, there is a generic alternative for this product called ipratropium bromide nasal spray.

Is Atrovent Nasal Spray a steroid?

No, it is an anticholinergic medication, not a steroid. It works by reducing mucus production, while steroid nasal sprays reduce inflammation.

How should I store Atrovent Nasal Spray?

Store at room temperature, away from heat, moisture, and direct light. Keep out of reach of children.

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The information on this page is sourced from independent third parties contracted by CanadaPharmacyOnline. While we cannot guarantee its medical accuracy, we strongly recommend consulting a healthcare professional for personalized advice regarding medications or medical conditions.

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Prescriptions Dispensed from Canada are Dispensed by Candrug Pharmacy #18985. 202A 8322-130th Street, Surrey, British Columbia, Canada V3W 8J9, 604-543-8711. Pharmacy Manager: Carol Hou.
This pharmacy is duly licensed in the province of British Columbia, Canada by the College of Pharmacists of BC. If you have any questions or concerns you can contact the college at: 200-1765 West 8th Ave Vancouver, BC V6J 5C6 Canada.
All prices are in US dollars.
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