Medicine Overview of Ipramid HFA 20mcg Inhaler
Ipramid HFA is an anticholinergic medicine. It is used in the treatment of chronic obstructive pulmonary disease and asthma.
Ipramid HFA is only for the inhalational purpose, so do not swallow the capsule. The first dose is given under medical supervision to prevent the side effects happen during first use. For better results, it is suggested to take it at the same time every day. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need to improve your symptoms. You should take this medicine for as long as it is prescribed for you. It does not prevent the already started breathing trouble or asthma attack, hence always carry your medical inhaler with you for emergency.
The most common side effects of this medicine include nasal dryness, headache, cough or throat irritation, and dry mouth or throat. If these bother you or appear serious, let your doctor know. There may be ways of reducing or preventing them. To overcome dry mouth, it is advised to increase water intake, carry sugar candy or maintain good oral hygiene.
Before taking this medicine, let your doctor know if you have liver or kidney disease, or if you are pregnant or breastfeeding. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works. If you experience dizziness or blurred vision, then avoid driving or attention-seeking activity.
- Chronic obstructive pulmonary disease (COPD)
- Asthma
- Dryness in mouth
- Dry nose
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Ipramid HFA makes breathing easier for patients with chronic obstructive pulmonary disease (COPD) and asthma.
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This medicine is for inhalation only. The tablet should not be swallowed.
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It should be taken at the same time each day.
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It does not work right away and should not be used to relieve sudden breathing problems. Use your rescue inhaler to control sudden difficulty in breathing.
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Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help.
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Gargle with warm water after each inhalation to avoid any fungal infections in your mouth and throat.
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Take the first dose under medical supervision as it may cause wheezing or tightening of the airways (bronchospasm) immediately after using.
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Your doctor may monitor your blood potassium level regularly while taking this medication.
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Only small amounts of Ipramid HFA may get absorbed into the bloodstream after inhalation. Hence, serious side effects are unlikely.
Inhalation
Asthma; Chronic obstructive pulmonary disease
Adult: As Inhaler: Adults: 1-2 puffs (20 mg/puff) 3-4 times daily. Single doses of up to 80 mcg may be required in some patients.
As nebulized soln
250-500 mcg 3-4 times daily.
Inhalation
Asthma; Chronic obstructive pulmonary disease
Child: As metered-dose aerosol:
<6 yr 20 mcg tid;
6-12 yr 20-40 mcg tid.
As soln for nebulisation:
<6 yr For acute asthma: 125-250 mcg, given no more often than 6 hrly up to a total dose of 1 mg.
6-12 yr For acute and chronic asthma: 250 mcg, repeated as necessary up to a total dose of 1 mg.
Dry mouth, urinary retention, buccal ulceration, paralytic ileus, headache, nausea, constipation, paradoxical bronchospasm, immediate hypersensitivity reactions (urticaria, angioedema), acute angle-closure glaucoma.
Potentially Fatal: Anaphylactic reactions, atrial fibrillation, supraventricular tachycardia.

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