Ipratropium Bromide

An anticholinergic agent that relaxes the muscles around the airways. Often used in combination with Salbutamol for severe asthma attacks.

Dosage by Body Weight

Commonly used via nebulizer in emergency settings. Pediatric nebulized dose: 250 mcg (under 20kg) or 500 mcg (over 20kg).

  1. Body Weight
    Below 20 kg
    Dose
    250 mcg
    Frequency
    Every 20 mins for 3 doses (Acute)
    Tracking Notes
    Usually mixed with salbutamol in the same nebulizer.
  2. Body Weight
    Above 20 kg
    Dose
    500 mcg
    Frequency
    Every 20 mins for 3 doses (Acute)
    Tracking Notes
    Monitor for dry mouth or blurred vision.

Formulation

InhalerRespules (Nebulizer solution)

Purpose

Bronchodilator used for acute asthma exacerbations and COPD symptoms.

Generic Name

Ipratropium Bromide

Branded Drug Names

Ipratropium Bromide is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.

Alternatives

Safety Advice

Alcohol

CAUTION

Ipratropium Bromide: Alcohol may worsen palpitations, dizziness, dehydration, or breathing control. Avoid or limit alcohol if symptoms occur.

Pregnancy

SAFE IF PRESCRIBED

Ipratropium Bromide: Use during pregnancy only when prescribed; controlling breathing or pulmonary pressure problems may be essential.

Breast Feeding

SAFE IF PRESCRIBED

Ipratropium Bromide: Use while breastfeeding only as directed; inhaled treatments are often preferred when suitable.

Driving

CAUTION

Ipratropium Bromide: May cause tremor, dizziness, headache, or palpitations. Avoid driving if you feel unwell.

Liver

CAUTION

Ipratropium Bromide: Use with healthcare guidance in significant liver disease or when long-term monitoring is required.

Kidney

CAUTION

Ipratropium Bromide: Use caution in kidney disease, especially if electrolyte changes or blood pressure effects are possible.

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.