Atrovent (Ipratropium Bromide)

Name: Atrovent
Brand: Boehringer Ingelheim
SKU: 0132
Availability: InStock

Type

Product

Manufacturer

Country

Dosage

Qty-Price (USD)

Type:

Product: Atrovent HFA Inhaler

Manufacturer: Boehringer Ingelheim

Country: Canada

Dosage: 20 mcg/200 dose

Qty-Price (USD):

Type:

Product: Atrovent HFA Inhaler

Manufacturer: Boehringer Ingelheim

Country: United Kingdom

Dosage: 20 mcg/10 ml/200 dose

Qty-Price (USD):

Generic Equivalent of Atrovent

Type

Product

Manufacturer

Country

Dosage

Qty-Price (USD)

Type:

Product: Ipratropium Bromide Nebules

Manufacturer: Generic

Country: Canada

Dosage: 0.25 mg/ml/1 ml/20 neb

Qty-Price (USD):

Type:

Product: Ipratropium Bromide HFA Inhaler (ON BACKORDER)

Manufacturer: Generic

Country: Canada

Dosage: 20 mcg/200 dose

Qty-Price (USD):

Type:

Product: Ipratropium Bromide Inhaler

Manufacturer: Generic

Country: United Kingdom

Dosage: 20 mcg/200 dose

Qty-Price (USD):

Atrovent Information

medically reviewed by Dr. HaVy Ngo, Pharmacist on June 19, 2025.

ATROVENT and Ipratropium Bromide at CanadaPharmacyOnline.com

The brand ATROVENT (ipratropium bromide) is available in Canada and the United Kingdom through Boehringer Ingelheim.

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 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. Studies have shown that generic ipratropium bromide is bioequivalent to brand-name ATROVENT, 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:

Brand ATROVENT HFA is a metered-dose inhaler. Each actuation of ATROVENT HFA Inhalation Aerosol delivers approximately 17 mcg of ipratropium bromide from the mouthpiece. The amount of ipratropium bromide leaving the valve is 21 mcg, but approximately 17 mcg is what the patient inhales.

Generic ipratropium bromide metered-dose inhalers also deliver ipratropium bromide from the mouthpiece, and the labeled dose per actuation should be verified on the specific product packaging, as it may vary slightly between manufacturers (commonly around 17 mcg from the mouthpiece).

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

Usage:

ATROVENT (ipratropium bromide) is a prescription bronchodilator, primarily used to ease breathing for individuals managing chronic obstructive pulmonary disease (COPD), a progressive lung disease that commonly includes conditions like chronic bronchitis and emphysema by widening the airways (bronchodilation). It may have a mild effect on reducing mucus production in some individuals.

While the primary application of ipratropium bromide is in the maintenance treatment of COPD to reduce symptoms and prevent exacerbations, it can also play a role in the acute management of COPD exacerbations.

In asthma, ipratropium bromide is often used as adjunctive therapy during acute exacerbations, typically administered via nebulizer with short-acting beta-agonists. It is generally not a first-line long-term maintenance treatment for most asthma patients, but may be considered in specific circumstances under specialist guidance.

While ATROVENT is used for ongoing maintenance in COPD, it can provide additional bronchodilation during acute exacerbations of both COPD and asthma when used appropriately, often in combination with other medications like short-acting beta-agonists. However, short-acting beta-agonists remain the primary treatment for immediate relief of acute breathing problems.

Mechanism of Action:
ATROVENT exerts its therapeutic effects by acting as an anticholinergic agent, specifically targeting the muscarinic cholinergic receptors in the smooth muscles of the airways and nasal passages. By blocking the binding of acetylcholine to these receptors, ATROVENT prevents the neurotransmitter from triggering the constriction of airway muscles (bronchoconstriction), thereby promoting the relaxation of these muscles and widening the airways (bronchodilation), which facilitates easier breathing. Anticholinergics like ipratropium bromide primarily work by causing bronchodilation. They may have a limited effect on reducing mucus secretion in the airways. It is crucial to recognize that while ATROVENT offers symptomatic relief by improving airflow and potentially reducing mucus, it does not address the underlying inflammatory processes that may contribute to respiratory conditions like COPD or asthma.

Use ATROVENT 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 using ATROVENT, 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 ATROVENT (ipratropium bromide). It is not an exhaustive list, and individual reactions can vary.

Common Side Effects - These are some common side effects of ATROVENT, 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 bowel movements (such as constipation or diarrhea) are possible but less common due to the minimal systemic absorption of inhaled ipratropium bromide.
• Cough
• Dizziness
• Dry mouth
• Headache
• Nausea
• Throat irritation
• Unpleasant taste
• Vomiting

Less common side effects potentially related to systemic absorption may include:
• Back pain
• Blurred vision
• Changes in voice
• Eye irritation
• Flu-like symptoms
• Hoarseness
• Indigestion
• Nervousness
• Sinus pain
• Stuffy nose
• Tremor

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:
• Allergic reactions: Rash, itching, hives, swelling of the face, lips, tongue, or throat, difficulty breathing or swallowing.
• Breathing problems: Worsening shortness of breath, wheezing, chest tightness, or coughing immediately after using ATROVENT (paradoxical bronchospasm)
• Eye problems: Eye pain or discomfort, blurred vision, seeing halos around lights, red eyes, dilated pupils, increased pressure in the eyes (glaucoma)
• Heart problems: Fast or irregular heartbeat, palpitations.
• Urinary problems: Difficulty passing urine, pain when urinating, frequent urination, weak urine stream.

Contraindications:

The following is not an exhaustive list of contraindications. Before starting ATROVENT, it is crucial to discuss all your medical conditions, past and present, and all medications you are taking with your doctor or pharmacist.

ATROVENT should not be used if:
• You are allergic to ipratropium bromide or any other ingredients in this medication
• You are allergic to Atropine or any of its derivatives

Tell your doctor about all of your medical conditions, past and present, before starting ATROVENT. This is crucial because certain conditions can affect whether ATROVENT is right for you. These conditions may include, but are not limited to:
• Hypersensitivity reactions: Immediate reactions like urticaria, angioedema, rash, bronchospasm, anaphylaxis, and oropharyngeal edema can occur. If such a reaction happens, ATROVENT should be stopped immediately.
• Narrow-angle glaucoma: ATROVENT may worsen this condition. Contact with the eyes should be avoided as it can lead to acute narrow-angle glaucoma.
• Ocular effects: Eye pain or discomfort, blurred vision, visual halos, or colored images in association with red eyes may be signs of acute narrow-angle glaucoma.
• Paradoxical bronchospasm: As with other inhaled medications, ATROVENT may cause a sudden worsening of breathing problems in some individuals. If this occurs, ATROVENT should be discontinued.
• Prostatic hypertrophy or bladder-neck obstruction: ATROVENT can cause urinary retention or make these conditions worse.
• Renal or hepatic impairment: ATROVENT has not been specifically studied in patients with kidney or liver problems and should be used with caution.

Drug Interactions:

Before taking ATROVENT, 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 ATROVENT prescribing information.

Provide your doctor with a complete list of all your medications, including prescriptions, over-the-counter (OTC) drugs, vitamins, and herbal supplements. It is also important to inform your doctor about any herbal teas, recreational drugs, or significant dietary changes you are making, as these could potentially interact with ATROVENT. ATROVENT may interact with other medicines, but is not limited to:

Beta-adrenergic Agents (Beta-agonists):
The concurrent use of ipratropium bromide and beta-agonists (such as short-acting albuterol or long-acting salmeterol) can result in additive bronchodilation, which can be therapeutically beneficial in conditions like COPD and asthma exacerbations. While both drug classes can have cardiovascular effects in some individuals, their combined use is generally well-tolerated, but monitoring by a healthcare professional is advisable, especially in patients with pre-existing cardiovascular conditions.

Certain Other Medications (some sources mention potential interactions):
• Amantadine and Aripiprazole: Concurrent use may increase the risk of anticholinergic side effects.
• Potassium chloride: The potential increased risk of gastrointestinal ulceration with anticholinergics is primarily a concern with oral anticholinergics and oral potassium chloride formulations. Due to the minimal systemic absorption of inhaled ipratropium bromide, this interaction is not typically significant.

Other Anticholinergic Drugs:
Using ATROVENT with other medications that also have anticholinergic effects can increase the risk and severity of anticholinergic side effects such as dry mouth, blurred vision, constipation, urinary retention, increased heart rate, and drowsiness. Examples include other anticholinergic bronchodilators (tiotropium, aclidinium, umeclidinium), certain antihistamines (diphenhydramine, chlorpheniramine), medications for overactive bladder (oxybutynin, tolterodine), medications for Parkinson's disease (benztropine, trihexyphenidyl), certain antidepressants (amitriptyline, imipramine), certain antipsychotics (chlorpromazine, haloperidol), medications for gastrointestinal disorders (dicyclomine, hyoscyamine), and scopolamine.

Xanthine Derivatives:

Xanthine Derivatives (e.g., theophylline, aminophylline): Concurrent use can potentially lead to additive effects such as nervousness, tremor, and palpitations. Caution and monitoring by a healthcare professional are generally advised.

Pregnancy and Breastfeeding:

The safety of ATROVENT during pregnancy and breastfeeding has not been fully established, so it should be used only if the potential benefit outweighs the risk.

Frequently Asked Questions about ATROVENT at Canada Pharmacy Online:

Why is ATROVENT more affordable in Canada than in the United States?

Prescription drug prices, including ATROVENT, 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 inhalers I am allowed to order at one time?

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

Can I buy over the counter from you?

No, ATROVENT 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 to 18 business days to receive your order from our pharmacy.

Is there a generic for ATROVENT?

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

Can I use ATROVENT with other inhalers?

Yes, ATROVENT is often used in combination with other inhalers, such as beta-agonists (like albuterol) or inhaled corticosteroids. However, always use these medications as directed by your doctor. Use different inhalers at the recommended times and in the correct order.

How should I store ATROVENT?

Store ATROVENT at room temperature, away from heat and direct sunlight. Do not puncture or incinerate the inhaler canister. Store nebulizer solutions as directed on the packaging. Keep all medications out of reach of children and pets.

Blog Post

What is Respimat? New Wonder Therapy for Asthma or COPD
Ellipta for COPD or Asthma? What You Should Know

Latest News

Lupin secures US FDA approval for generic version of ATROVENT nasal spray (article published on February 10, 2025)

Similar Drugs in the category of Asthma Medication/ Respiratory Disorders:

Flovent Inhaler Advair Symbicort Inhalation Aerosol Spiriva Caps and Device Albuterol

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.

Reviews From Real Customers