Ipratropio - un broncodilatador
Atrovent, Inhalvent
Revisado por pares por Sid DajaniÚltima actualización por Michael Stewart, MRPharmSÚltima actualización 29 de mayo de 2023
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Ipratropium relieves breathlessness and wheezing.
Make sure you know how to use the inhaler or nebuliser properly. If you are not sure, ask your nurse, doctor or pharmacist to show you.
Use ipratropium regularly. Your doctor will tell you how many times you should use it each day - it will be either three or four times daily.
De un vistazo
Ipratropium is a medicine that helps open up air passages in the lungs.
It is used to improve breathing in people with chronic obstructive pulmonary disease (COPD) or chronic asthma.
It is an inhaler or nebule that you use three or four times daily.
Common side-effects include dry mouth, headache, and feeling dizzy.
Tell your doctor if you have kidney problems, glaucoma, or are pregnant before using it.
Never use more than your prescribed dose.
About ipratropium
Tipo de medicamento | An antimuscarinic bronchodilator |
Usado para | Chronic obstructive pulmonary disease and asthma |
También llamado | Atrovent®; Inhalvent®Combination brands: Combivent® UDVs; Combiprasal® (ipratropium with albutamol nebules) |
Disponible como | Aerosol inhaler and nebules |
Ipratropium belongs to the group of medicines known as antimuscarinic bronchodilators. It is given to improve the airflow to your lungs. It works by opening up the air passages in your lungs so that air can flow into your lungs more freely.
Ipratropium can be helpful in relieving symptoms of chronic obstructive pulmonary disease (COPD), and chronic asthma. In these conditions, the airflow to the lungs is restricted and this causes symptoms such as cough, wheeze, and breathlessness. You will have been prescribed ipratropium to help reduce these symptoms, but it is not a rescue treatment for sudden breathlessness.
Ipratropium is also available as a nasal spray. A separate leaflet called Ipratropium nasal spray (Rinatec®) has more information about this.
Before using ipratropium
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start using ipratropium it is important that your doctor knows:
If you have problems with your kidneys or prostate gland, or if you have any difficulty passing urine.
If you have increased pressure in your eye (glaucoma).
If you have cystic fibrosis.
If you are taking or using any other medicines or inhalers. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.
Si alguna vez has tenido una reacción alérgica a un medicamento.
If you are pregnant or breastfeeding. It is particularly important that your breathing is well controlled if you are expecting a baby.
How to use ipratropium
Before you start this treatment, read the manufacturer's printed information leaflet from inside your pack. The leaflet will give you more information about ipratropium, diagrams to remind you how to use the inhaler or nebuliser, and a full list of side-effects which you may experience.
Follow your doctor's instructions carefully and make sure you know how to use your inhaler or nebuliser properly. If you are unsure about this, ask your nurse, doctor or pharmacist to show you what to do.
Your doctor will tell you how many times each day you should use ipratropium - it will be either three or four times daily. You will also be told how many puffs to take each time you use the inhaler - this is usually one or two puffs, but it may be as many as four for short periods.
Try to use the inhaler at the same times each day, as this will help you to remember to use it regularly. If you do forget at your usual time, use it as soon as you remember.
Do not use ipratropium more frequently than you have been prescribed by your doctor, and do not 'double up' to make up for any missed doses.
Obteniendo el máximo de tu tratamiento
Try to keep your regular appointments with your doctor. This is so your doctor can review your condition on a regular basis.
If you find that your symptoms are getting worse or that you need to use a reliever inhaler more regularly, contact your doctor or nurse for advice straightaway.
Your doctor may give you a spacer device to use with an ipratropium inhaler, particularly if you struggle to co-ordinate breathing in and pressing the inhaler device. This helps to make sure that the medicine travels right into your lungs. Your doctor or pharmacist will be able to advise you on using the device.
If you are currently using any other inhalers or nebulisers to help your breathing, please discuss with your doctor if there are any of these that you should no longer use. This is because you should not use other antimuscarinic bronchodilators as well as ipratropium. Other antimuscarinic bronchodilators include glycopyrronium (Seebri Breezhaler®), tiotropium (Spiriva®), and aclidinium (Eklira®).
Breathing problems are aggravated by smoking, so it is important that you do not smoke. Smoking causes irritation and damage to the lungs and will make your condition worse. Speak with your doctor or practice nurse for further advice if you are having difficulty stopping smoking.
Can ipratropium cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with ipratropium. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Común ipratropium side-effects (these affect fewer than 1 in 10 people) | ¿Qué puedo hacer si experimento esto? |
Boca seca | Intenta masticar chicle sin azúcar o chupar caramelos sin azúcar |
Dolor de cabeza | Bebe mucha agua y pide a tu farmacéutico que te recomiende un analgésico adecuado. Si los dolores de cabeza continúan, informa a tu médico |
Sensación de mareo | No conduzca ni utilice herramientas o máquinas hasta que se sienta mejor |
Feeling sick (nausea), constipation or diarrhoea | Eat simple healthy foods and drink plenty of water |
Blurred vision (if you are using nebules) | Take care to protect your eyes |
Throat irritation, cough | Si alguno de estos se vuelve problemático, hable con su médico |
If you experience any other symptoms which you think may be due to ipratropium, discuss them with your doctor or pharmacist.
How to store ipratropium
Mantenga todos los medicamentos fuera del alcance y la vista de los niños.
Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.
Información importante sobre todos los medicamentos
Información importante sobre todos los medicamentos
Nunca use más de la dosis prescrita. Si sospecha que usted u otra persona podría haber tenido una sobredosis de este medicamento, acuda al departamento de accidentes y emergencias de su hospital local. Lleve el envase con usted, incluso si está vacío.
Si compras algún medicamento, consulta con un farmacéutico que sea seguro tomarlo junto con tus otros medicamentos.
Si vas a someterte a una operación o a un tratamiento dental, informa a la persona que realiza el tratamiento sobre los medicamentos que estás tomando.
Este medicamento es para ti. Nunca lo des a otras personas, incluso si su condición parece ser la misma que la tuya.
No guardes medicamentos caducados o no deseados. Llévalos a tu farmacia local, que se encargará de desecharlos por ti.
Si tienes alguna pregunta sobre este medicamento, consulta a tu farmacéutico.
Informar efectos secundarios de un medicamento o vacuna
Si experimenta efectos secundarios, puede reportarlos en línea a través de Sitio web de Yellow Card.

¿Inseguro sobre mezclar medicamentos?
Verifica posibles interacciones entre medicamentos, suplementos y alimentos antes de tomarlos juntos.
Preguntas frecuentes
What is the difference between an ipratropium inhaler and nebuliser?
Ipratropium is available as both an aerosol inhaler and as nebules for use in a nebuliser. Your doctor will decide which form is most suitable for your condition and how you can best administer the medicine. Nebulisers can sometimes be used for people who struggle with inhaler technique.
How long does it take for ipratropium to start working?
The article states that ipratropium works by opening up the air passages in your lungs to allow air to flow more freely, helping to relieve symptoms like cough, wheeze, and breathlessness. However, it does not specify an exact timeframe for when you should expect to feel its effects after using it.
Can I use ipratropium if I am trying to get pregnant?
The information provided advises that if you are pregnant or breastfeeding, it is particularly important that your breathing is well controlled if you are expecting a baby. It is always important to let your doctor know if you are pregnant, breastfeeding, or planning to become pregnant so they can ensure ipratropium is the right treatment for you.
What should I do if I accidentally get ipratropium in my eyes?
The article mentions blurred vision as a possible side-effect if you are using nebules, and advises to 'take care to protect your eyes'. While it doesn't specify what to do if you get it in your eyes, protecting your eyes suggests avoiding direct contact with the medication.
I have asthma, but my doctor prescribed ipratropium. Isn't this typically for COPD?
Ipratropium can be helpful in relieving symptoms for both chronic obstructive pulmonary disease (COPD) and chronic asthma. Your doctor would have prescribed it to help reduce your asthma symptoms if they believe it is the most appropriate treatment for you.
Lecturas adicionales y referencias
- Manufacturer's PIL, Atrovent Inhaler® CFC-free; Boehringer Ingelheim Limited, The electronic Medicines Compendium. Dated November 2020.
- Manufacturer's PIL, Atrovent® UDVs, 2 ml; Boehringer Ingelheim Ltd, The electronic Medicines Compendium. Dated August 2020.
- Medicamentos Completos BNF 89ª Edición; Asociación Médica Británica y Sociedad Real de Farmacia de Gran Bretaña, Londres.
Sobre el autorVer biografía completa

Michael Stewart, MRPharmS
Gerente de Revisión de Folletos de Medicamentos – Contratista, Farmacéutico
BPharm (Hons), MRPharmS
Michael es un farmacéutico comunitario que ejerce en Midlands y South Yorkshire con más de 20 años de experiencia asesorando sobre medicamentos y condiciones médicas. Tiene una sólida formación en capacitación en atención médica, habiendo producido e impartido cursos de formación para equipos de farmacia y personal de entornos de atención residencial, incluidas enfermeras. También ha contribuido a juntas asesoras de farmacia para la gestión de condiciones de baja gravedad en la comunidad.
Acerca del revisor

Sid Dajani
Sultan Dajani se graduó en la Escuela de Farmacia de Londres en 1994 y se convirtió en el miembro más joven elegido para el consejo de la Sociedad Real de Farmacia desde su fundación en 1842.
Historial del artículo
La información en esta página está escrita y revisada por pares por clínicos calificados.
Artículo también disponible en Inglés, Alemán, Español, Francés, Italiano, Portugués, Hindi, Hebreo, Árabe, y Sueco.
Próxima revisión: 28 de noviembre de 2027
29 de mayo de 2023 | Última versión

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