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Ipratropium bromide/salbutamol

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Combination drug

Pharmaceutical compound
Ipratropium bromide/salbutamol
Combination of
Ipratropium bromideMuscarinic antagonist
SalbutamolShort-acting β2-adrenergic agonist
Clinical data
Trade namesCombivent, Duoneb, Breva, others
AHFS/Drugs.comProfessional Drug Facts
MedlinePlusa601063
License data
Routes of
administration
Inhalation
ATC code
Legal status
Legal status
Identifiers
CAS Number
  (verify)

Ipratropium bromide/salbutamol, sold under the brand nameCombivent among others, is acombination medication used to treatchronic obstructive pulmonary disease (COPD).[1][4][5] It containsipratropium (ananticholinergic) andsalbutamol (albuterol, aβ2-adrenergic agonist).[1]

Common side effects include sore throat, muscle cramps, and nausea.[1] Other side effects may includebronchospasm,allergic reactions, andupper respiratory tract infections.[1] Safety inpregnancy is unclear.[6][1]

The combination was approved for medical use in the United States in 1996.[7] It is available as ageneric medication.[4] In 2023, it was the 181st most commonly prescribed medication in the United States, with more than 2 million prescriptions.[8][9]

Medical uses

[edit]

Ipratropium bromide/salbutamol can be used for the treatment of COPD[5] and asthma.[10]

Society and culture

[edit]

Since Combivent contains achlorofluorocarbon-based propellant, that propellant was discontinued in 2013 in the United States and other countries. This is because chlorofluorocarbons are attributed todepletion of the ozone layer.[11]

References

[edit]
  1. ^abcdef"Combivent Respimat- ipratropium bromide and albuterol spray, metered".DailyMed. 24 January 2022. Retrieved30 October 2022.
  2. ^"DuoNeb".DailyMed. Retrieved30 October 2022.
  3. ^"Combivent (ipratropium bromide and albuterol sulfate) Inhalation Aerosol".DailyMed. Retrieved30 October 2022.
  4. ^abBritish national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 247.ISBN 9780857113382.
  5. ^abGordon J, Panos RJ (March 2010). "Inhaled albuterol/salbutamol and ipratropium bromide and their combination in the treatment of chronic obstructive pulmonary disease".Expert Opinion on Drug Metabolism & Toxicology.6 (3):381–392.doi:10.1517/17425251003649549.PMID 20163324.S2CID 31806856.
  6. ^"Albuterol / ipratropium Use During Pregnancy".Drugs.com. Retrieved19 April 2019.
  7. ^"Ipratropium and Albuterol - FDA prescribing information, side effects and uses".Drugs.com. Retrieved18 April 2019.
  8. ^"Top 300 of 2023".ClinCalc.Archived from the original on 12 August 2025. Retrieved12 August 2025.
  9. ^"Albuterol; Ipratropium Drug Usage Statistics, United States, 2013 - 2023".ClinCalc. Retrieved19 August 2025.
  10. ^Donohue JF, Wise R, Busse WW, Garfinkel S, Zubek VB, Ghafouri M, et al. (April 2016)."Efficacy and safety of ipratropium bromide/albuterol compared with albuterol in patients with moderate-to-severe asthma: a randomized controlled trial".BMC Pulmonary Medicine.16 (1): 65.doi:10.1186/s12890-016-0223-3.PMC 4851785.PMID 27130202.
  11. ^"Phase Out of Combivent Inhalation Aerosol - Questions and Answers".FDA. 3 November 2018. Archived fromthe original on 25 October 2020.
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