Special Warning : אזהרת שימוש

4.4   Special warnings and precautions for use
Hypersensitivity
Immediate hypersensitivity reactions may occur following the use of Atrovent, as demonstrated, for example, by rare cases of rash, urticaria, angioedema, oropharyngeal oedema, bronchospasm and anaphylaxis.

Paradoxical bronchospasm
As with other inhaled medications, Atrovent may cause paradoxical bronchospasm, which may be life- threatening. If paradoxical bronchospasm occurs, Atrovent must be discontinued immediately and replaced with an alternative therapy.

Special populations:

Ocular complications
Atrovent should be used with caution in patients with a predisposition for narrow-angle glaucoma.
If the product accidentally comes into contact with the eyes during use, mild, reversible ocular comp- lications may occur. There is a risk of an acute glaucoma attack, particularly in patients with narrow- angle glaucoma; the characteristic symptoms are eye pain, blurred vision, visual halos or coloured images, red eyes and corneal oedema.
If mydriasis and mild accommodation disordersoccur, treatment with miotic drops may be given. In the event of severe ocular complications, an ophthalmologist should also be consulted.
As the inhaler is used in conjunction with a mouthpiece and is operated manually, the risk of the mist getting into the eyes is low.

Effect on the kidneys and urinary tract
In patients with micturition disorders (such as in prostatic hypertrophy or bladder neck obstruction), the benefit of treatment with ipratropium bromide must be carefully weighed against the potential risk of aggravating urinary retention.

Gastrointestinal motility disorders
Patients with cystic fibrosis are more likely to develop gastrointestinal motility disorders.

Contains alcohol (less than 100 mg per dose).

Effects on Driving