Ipravent nasal spray   

This product is manufactured by AA Pharma using the ingredient ipratropium bromide.

This product is taken via nasal inhalation.

Why is it prescribed?

Ipratropium is used to treat bronchospasm in pulmonary diseases (e.g. bronchitis, emphysema, asthma) and to relieve runny nose in chronic rhinitis and the common cold.

Ipravent nasal spray is intended for nasal inhalation only.  Store tightly closed at room temperature between 15 and 30 degrees centigrade. Avoid excessive heat or freezing.

Instructions for use:

1) Remove the clear plastic dust cap and the safety clip from the nasal spray pump. The safety clip prevents the accidental discharge of the spray in your pocket or purse.
2) The nasal spray pump must be primed before IPRAVENT is used for the first
time. To prime the pump, hold the bottle with your thumb at the base and
your index and middle fingers on the white shoulder area. Make sure the
bottle points upright and away from your eyes. Press your thumb firmly and
quickly against the bottle seven times. The pump is now primed and can be
used. Your pump should not have to be reprimed unless you have not used the medication for more than 24 hours; repriming the pump will only require one or two sprays.
3) Before using IPRAVENT, blow your nose gently to clear your nostrils, if necessary.4) Close one nostril by gently placing your finger against the side of your nose, tilt your head slightly forward and, keeping the bottle upright, insert the nasal tip into the other nostril. Point the tip toward the back and outer side of the nose.
5) Press firmly and quickly upwards with the thumb at the base while holding the white shoulder portion of the pump between your index and middle fingers. Following each spray, sniff deeply and breathe out through your mouth.
6) After spraying the nostril and removing the unit, tilt your head backwards for a few seconds to let the spray spread over the back of the nose.
7) Repeat steps 4 through 6 in the other nostril.
8) Replace the clear plastic dust cap and safety clip.
9) When the amount of IPRAVENT begins to run low, the amount of medication in each spray cannot be assured. Therefore, at some time before the medication is completely used up, you should consult your physician or pharmacist to determine whether a refill is needed. You should not take extra doses of IPRAVENT without consulting your physician.

Avoid spraying in or around your eyes. Should this occur, immediately flush your eyes with cool tap water for several minutes. If you accidentally get the spray in your eyes, you may experience a temporary blurring of vision and increased sensitivity to light, which may last a few hours.



Other products that have the same ingredient as Ipravent nasal spray are •Apo-Ipravent inhalation solution •Atrovent® HFA •Combivent® Respimat® •PMS-Ipratropium inhalation solution •PMS-Ipratropium nasal spray •Teva-Combo Sterinebs •Teva-Ipratropium Sterineb •

See other products used in the treatment of •allergic rhinitis •asthma •bronchitis •bronchospasm associated with COPD •chronic bronchitis (COPD) •COPD •emphysema (COPD) •hay fever •perennial rhinitis •rhinitis •runny nose •seasonal rhinitis •

The usual dose for runny nose associated with allergic or nonallergic rhinitis is 2 sprays per nostril 2 or 3 times a day of Ipravent 0.03%. The recommended dose of Ipravent nasal spray 0.06% for the symptomatic relief of runny nose associated with the common cold is 2 sprays per nostril 3 or 4 times a day.


Ipratropium is thought to work by blocking the action of acetylcholine, a chemical messenger involved in the spread of nerve impulses in the body. This "anticholinergic" effect prevents stimulation of certain receptors on bronchial smooth muscle and nasal mucosa. It is a bronchodilator which relieves wheezing and shortness of breath.

Along with its needed effects, ipratropium may cause some unwanted or undesirable effects. Often, ipratropium users who use their medication properly, never experience any unwanted effects. The severity and duration of these effects are dependant on many factors including duration of therapy, dose, route of administration and individual response. Possible unwanted effects include.

  • dry mouth or throat
  • bad taste
  • tremor

Less common:

  • shortness of breath
  • burning eyes
  • eye pain
  • palpitations (awareness of heart beat)
  • headache
  • difficulty urinating


  • tachycardia (rapid heart rate)

Many of these unwanted effects, especially the most common ones, may disappear with continued use. Consult your doctor immediately if you experience increased wheezing or tightness in the chest, swelling of the tongue or lips, difficulty in swallowing, fast or irregular heartbeat, blurred vision or pain in the eyes, difficult or painful urination, or skin rash.


Accidently getting ipratropium mist in your eyes can temporarily blur vision, worsen glaucoma and cause eye pain. If this happens, immediately flush your eyes with cool tap water for several minutes.
Drug Interactions: Very little ipratropium is absorbed by the body, so it is unlikely that it would interact with any medications taken orally. However, there are always exceptions, so it is important to tell your doctor and pharmacist about any other prescription or over-the-counter medications you are taking.
Use is not recommended in the following situations:

  • allergy to ipratropium, atropine or any component of the preparation
  • allergy to soya, lecithin or related food products including soybeans and peanuts.

Caution recommended in the following situations:

  • glaucoma (narrow angle)
  • enlarged prostate
  • blockage of the urinary bladder (e.g. difficulty in urination)

Use in pregnancy: Human data suggests low risk.  Consult your doctor or pharmacist if you suspect that you may be pregnant.
Use while breastfeeding: Considered safe for use in breastfeeding.  Consult your doctor or pharmacist before using.



Page Last Updated: 05/10/2016