Ipratropium nasal spray is a prescription nasal spray used to treat runny nose from allergies and from the common cold. Depending on the strength, it can be used in people ages 5 or 6 years and older. It's only available as a generic medication since the brand name, Atrovent, has been discontinued. Dosing for ipratropium nasal spray typically ranges from 2 sprays in each nostril, 2 to 4 times daily. Although most people experience few to no side effects while using ipratropium nasal spray, some people might have headache or nosebleeds during treatment.
Ipratropium nasal spray is a short-acting anticholinergic medication. It works by blocking a chemical called acetylcholine. Acetylcholine causes glands in the nose to make more mucus. By blocking acetylcholine, ipratropium nasal spray lowers the amount of mucus produced in the nose and relieves runny nose.
The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.
Ipratropium 0.06% nasal spray
Ipratropium 0.03% nasal spray
Contact your healthcare provider immediately if you experience any of the following.
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
For the 0.03% nasal spray
More common
Body aches or pain
chills
difficulty with breathing
ear congestion
headache
loss of voice
unusual tiredness or weakness
Less common
Blurred vision
burning, dry, or itching eyes
discharge or excessive tearing
itching, redness, tearing, or other sign of eye irritation not present before use of this medicine or becoming worse during use
nasal dryness
nosebleeds
redness, pain, or swelling of the eye, eyelid, or inner lining of the eyelid
Incidence not known
Difficulty with swallowing
dizziness
fast heartbeat
hives or welts
large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
redness of the skin
skin rash
tightness in the chest
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
For the 0.03% nasal spray
Less common or rare
Bad, unusual, or unpleasant (after) taste
change in taste
dry mouth or throat
increased nasal congestion or runny nose
nasal itching, burning, or irritation
For the 0.06% nasal spray
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
No, Atrovent isn't a steroid; it's an anticholinergic medication. Atrovent helps get rid of runny nose by drying up the glands in your nose to stop them from making more mucus. Steroid nasal sprays ease allergy symptoms by lowering the swelling in your nasal passages. In general, Atrovent works more quickly than steroid nasal sprays. Study show that Atrovent can start to work within 15 minutes, whereas you'll need to use steroid nasal sprays regularly for a couple of weeks before you notice any benefits. In addition, Atrovent is available by prescription only, but certain steroid nasal sprays can be found over the counter. Talk with your provider if you're not sure which medication might work best for you.
Ask your provider how long you should use Atrovent because the length of treatment can differ depending on which strength of Atrovent you're using and what condition you're taking it to treat. For example, if you're using ipratropium 0.03% nasal spray for seasonal allergy, you might be able to use this medication year-round if your provider says it's safe to do so. But if you're prescribed the ipratropium 0.06% nasal spray for the common cold, your provider might only recommend that you use this medication short-term for a few days.
To start using Atrovent, wash and dry your hands, then take off the cap and safety clip. Make sure to prime the nasal spray the first time you use it or if you haven't used it for more than a week. Close one of your nostrils while inserting the tip of the applicator into the other nostril. Point the tip towards the back and outer side of the nose. Tilt your head slightly forward and press down on the white shoulders of the pump to spray the medication into your nostril. Sniff deeply to get all the medication. After spraying the medication, take the applicator out of your nose and tilt your head backward for a couple seconds. This allows the medication to cover the back of your nose. Repeat these steps for the other nostril or for additional sprays in the same nostril as directed by your provider.
Atrovent is only FDA-approved for children ages 5 or 6 years and older (depending on the strength of the medication). For runny nose in children under 1 year old, consider using a suction bulb to gently suction out the mucus. Make sure to put petroleum jelly, such as Vaseline, on the skin under the nose to protect the nostrils from being irritated. Consider talking to your child's provider if your child has other symptoms in addition to runny nose, such as fever, cough, and congestion.
Atrovent isn't available over the counter. You'd need a prescription from a provider to get this medication. If you've runny nose and you need medication right away, talk to your pharmacist about over-the-counter options that might work for you.
Yes, Atrovent expires. Always check the expiration date of your medication before using it. Expired Atrovent might not work well. If your medication has expired, discard it and obtain a new one from your provider.
Even though products that contain ipratropium, such as Duoneb (ipratropium / albuterol), have been shown to cause fast heart rate in some people, it's unlikely that Atrovent will raise your heart rate since not much of the medication gets absorbed into the bloodstream. In clinical studies, people didn't report fast heart rate as a side effect of this medication. If you experience chest palpitations or fast heart rate while using Atrovent, let your provider know so they can help find out the cause.
Ipratropium nasal spray can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Although rare, ipratropium nasal spray can cause severe and sometimes deadly allergic reactions. If you experience symptoms such as a rash, itchy skin, hives, difficulty breathing, or swelling of your face or throat while using ipratropium nasal spray, stop this medication and get medical attention right away.
Don't get ipratropium nasal spray in your eyes. Also, don't use more ipratropium nasal spray than recommended or enlarge the opening of the spray bottle. If you do, you might experience side effects like temporary blurry vision, eye pain, or any vision changes. Get medical attention right away if you have blurry vision, see halos, or have eye redness or eye pain. Also tell your provider if you have nosebleeds or experience nasal dryness after using ipratropium nasal spray; they might recommend for you to use a different medication.
Anticholinergic medications, like ipratropium nasal spray, can cause side effects in multiple parts of the body. And if you have certain medical conditions, such as enlarged prostate, trouble urinating, or glaucoma, these medications might worsen those conditions as well. Make sure your provider knows about all of your medical conditions before you start ipratropium nasal spray so they can check to see if this medication is safe for you.
Ipratropium 0.06% nasal spray Each spray contains 42 mcg of ipratropium.
Runny nose from the common cold
Runny nose from seasonal allergies
Ipratropium 0.03% nasal spray Each spray contains 21 mcg of ipratropium.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Contraindications are specific health conditions or situations in which a person should not take a medication due to safety concerns. If you have any of the following conditions or if any of the following apply to you, let your healthcare provider know because Ipratropium nasal spray will not be safe for you to take.