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Combivent Respimat (Ipratropium/Albuterol)

Type
Product
Manufacturer
Country
Dosage
Qty-Price (USD)
Type: drug type
Product: Combivent Respimat
Manufacturer: Boehringer Ingelheim
Country: Canada
Dosage: 20 mcg/100 mcg/4 ml/120 dose
Qty-Price (USD):

Generic Equivalent of Combivent Respimat
Type
Product
Manufacturer
Country
Dosage
Qty-Price (USD)
There is no generic product of Combivent Respimat.

Combivent Respimat Information

portrait medically reviewed by Carol Hou (BSc. Pharm) on September 23, 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.

Combivent Respimat and Ipratropium/Albuterol at CanadaPharmacyOnline.com

The brand-name Combivent Respimat, manufactured by Boehringer Ingelheim, is available in Canada.

Generic ipratropium/albuterol is currently unavailable (at this pharmacy).

Dosage:

Combivent Respimat is a soft mist available in a single strength of 20 mcg of ipratropium bromide and 100 mcg of albuterol sulfate per inhalation. The inhaler device contains a 4.0 mL cartridge, which provides a total of 120 metered doses.

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

Usage:

Combivent Respimat is a soft mist inhaler used for the daily, long-term maintenance treatment of chronic obstructive pulmonary disease (COPD). It is a bronchodilator that helps relax muscles in the airways and improves airflow to the lungs. The inhaler is used to prevent bronchospasms in patients with chronic obstructive pulmonary disease (COPD) who are also taking other medications to manage the condition.

Mechanism of Action:
The Combivent Respimat works through a dual mechanism to improve breathing for people with COPD. The two medications—ipratropium, an anticholinergic that prevents airway constriction, and albuterol, a bronchodilator that quickly relaxes the muscles around the airways to open them—work together to make breathing easier. By combining these two distinct actions, Combivent Respimat provides a greater and more sustained effect than either medication alone.

Take Combivent Respimat exactly as prescribed by your doctor, following the instructions in the product monograph in Canada. Consult your doctor for personalized guidance and safe use.

The information below summarizes some, but not all, potential side effects, risks, and interactions. Before taking Combivent Respimat, 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 of Combivent Respimat (ipratropium/albuterol). It is not an exhaustive list, and individual reactions can vary.

Common side effects – The following are common side effects of Combivent Respimat; other side effects may also occur. Contact your doctor promptly if any side effects persist, worsen, or concern you, or if you experience any other concerning symptoms.
• Bronchitis
• Cough
• Headache
• Nasopharyngitis (sore throat, runny nose, or stuffy nose)
• Shortness of breath
• Urinary tract infection

Other Potential Side Effects (less common):
• Dizziness
• Nausea
• Oral thrush
• Palpitations
• Tremor
• Vomiting

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 reaction
• Chest pain
• Eye problems (e.g., narrow-angle glaucoma)
• Increased heart rate or blood pressure
• New or worsening difficulty breathing or bronchospasm
• Paradoxical bronchospasm (sudden worsening of breathing right after using the inhaler)
• Urinary retention (difficulty urinating)

Contraindications:

The following is not an exhaustive list of contraindications. Before using Combivent Respimat, it is essential to discuss all your medical conditions, past and present, and all medications you are currently taking with your doctor or pharmacist.

Do NOT use Combivent Respimat if you have any of the following conditions:
• A known severe allergy to albuterol, ipratropium, or any of the inactive ingredients.
• A sudden, severe asthma or COPD attack.
• An allergy to atropine or its derivatives.

Tell your doctor about all of your medical conditions, past and present, before starting Combivent Respimat. This is crucial because these conditions may affect whether the medication is right for you. These conditions may include, but are not limited to:
• Cardiovascular disorders (such as coronary artery disease, high blood pressure, or irregular heartbeat)
• Convulsive or seizure disorders
• Cystic fibrosis
• Diabetes
• Eye problems (such as narrow-angle glaucoma)
• Hyperthyroidism (overactive thyroid)
• Urinary problems (such as an enlarged prostate or difficulty urinating)

Drug Interactions:

Before taking Combivent Respimat, it is essential to discuss all potential risks and interactions with your doctor or pharmacist. For complete and up-to-date information, please visit the official prescribing information from Boehringer Ingelheim USA at https://content.boehringer-ingelheim.com/DAM/736f603f-9560-470d-a627-af1e011edbcd/combivent%20respimat-us-pi.pdf.

Provide your doctor with a complete list of all your medications, including prescriptions, over-the-counter (OTC) drugs, vitamins, and herbal supplements.
• Anticholinergics and Beta-Adrenergic Agents: Since Combivent Respimat already contains medications from these drug classes (ipratropium and albuterol), using it with others can increase the risk of side effects.
• Beta-Blockers: These medications can reduce the effectiveness of Combivent Respimat's albuterol component, potentially making it less effective at opening the airways.
• Diuretics (Water Pills): When combined with Combivent Respimat, certain diuretics can increase the risk of low potassium levels (hypokalemia), which can affect heart rhythm.
• Monoamine Oxidase Inhibitors (MAOIs) or Tricyclic Antidepressants: These types of antidepressants can increase the risk of cardiovascular side effects, such as an irregular heartbeat or high blood pressure, when used with Combivent Respimat.

Pregnancy and Breastfeeding:

The main priority is to manage your COPD effectively, as uncontrolled respiratory issues can pose risks to both the mother and baby. The medication's components are unlikely to cause significant harm due to their minimal absorption into the bloodstream. Although there are no formal studies in pregnant women, the medication is generally deemed acceptable when the benefits of controlling the condition outweigh potential risks. Similarly, during breastfeeding, the amount of drugs passing into breast milk is very low and not expected to harm the nursing infant. If you're pregnant, planning to become pregnant, or breastfeeding, consult your doctor promptly.

Use in Children:

Combivent Respimat is not approved for use in individuals under 18 years of age. Its safety and effectiveness have only been confirmed for long-term maintenance treatment of Chronic Obstructive Pulmonary Disease (COPD) in adults.

Frequently Asked Questions about Combivent Respimat at Canada Pharmacy Online:

Why is Combivent Respimat more affordable in Canada than in the United States?

Prescription drug prices, including the Combivent Respimat, 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 is dedicated to providing you with the lowest prices on high-quality products.

How do I place an order with 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. For details, please visit our How to Order page.

Is there a limit on the number of Combivent Respimat inhalers I can order at one time?

CanadaPharmacyOnline.com can only dispense a maximum of a three-month supply of Combivent Respimat at one time, as per your doctor's prescription.

Can I buy Combivent Respimat over the counter from you?

No, Combivent Respimat 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 between 7 and 18 business days to receive your order from our pharmacy.

Is there a generic for Combivent Respimat?

No, there is no generic alternative for this product.

How many times a day can you use Combivent Respimat?

The recommended dosage is one inhalation four times daily, which helps maintain open airways and facilitates easier breathing. Do not exceed six inhalations in 24 hours. Follow your doctor's directions (source).

Is Combivent Respimat a rescue inhaler?

Combivent Respimat is not a rescue inhaler; it is a maintenance inhaler, and you must use the medication regularly to help you continue breathing well.

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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.
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