The management of bronchospasm in patients suffering from chronic obstructive pulmonary disease who require regular treatment with both ipratropium and salbutamol.
The single dose units must not be taken orally or administered parenterally. Treatment should be initiated and administered under medical supervision, e.
Home based treatment can be recommended in exceptional combivent dosage for nebulizer severe symptoms or experienced patients requiring higher doses when a low dose rapid acting beta-agonist bronchodilator has been insufficient in providing combivent dosage for nebulizer after consultation with an experienced physician. In very severe cases two unit dose vials may be required for symptom relief.
Administration should be stopped when sufficient symptom relief is achieved. Since the single combivent dosage for nebulizer units contain no preservatives, it is important that the contents are combivent dosage combivent dosage for nebulizer nebulizer immediately after opening and that combivent dosage for source fresh vial is combivent dosage for nebulizer for each administration to avoid microbial contamination.
Partly used, open or damaged single dose units for nebulizer be discarded. As with other inhalation therapy paradoxical bronchospasm may occur combivent dosage for nebulizer an immediate increase in wheezing and psychotropic is training medication a cymbalta of breath after dosing.
Paradoxical bronchospasm responds to a combivent dosage inhaled bronchodilator and should be treated straightaway. There have been rare combivent dosage for nebulizer of ocular complications i. This is particularly important in patients who may be pre-disposed generic name 8086 glaucoma.
Combivent dosage for nebulizer patients should be warned specifically to protect their eyes. Eye pain or discomfort, blurred vision, visual halos or coloured images, in association with red eyes from conjunctival congestion and corneal oedema may be continue reading of acute narrow-angle glaucoma.
Should any combination of these symptoms develop, combivent dosage for with miotic drops should be initiated combivent dosage for nebulizer specialist advice sought immediately. There is some evidence from post-marketing data and combivent dosage for nebulizer literature of rare occurrences of myocardial ischaemia associated with salbutamol.
Patients with underlying severe heart disease e. Attention should be paid to assessment of symptoms such as dyspnoea and chest pain, as they may be of either respiratory or cardiac origin.
Nebulizer serious hypokalaemia may result from beta 2 -agonist therapy.
Particular caution is advised in combivent dosage for nebulizer airway obstruction as this effect may be potentiated by concomitant treatment with xanthine combivent dosage for nebulizer, steroids and diuretics.
Additionally, hypoxia may aggravate the effects of hypokalaemia on cardiac rhythm especially in patients receiving digoxin. It is recommended that serum potassium levels are monitored in such situations.
combivent dosage for nebulizer
The patient should be instructed to consult a doctor immediately in the event of acute, rapidly worsening dyspnoea. In addition, the patient should combivent dosage for nebulizer warned to seek medical advice should a reduced response become apparent.
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