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Atrovent vs. Combivent

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.

• Runny nose due to year-round allergies, seasonal allergies, and the common cold

Ipratropium 0.06% nasal spray

• Nosebleeds (8%)
• Nasal dryness (5%)

Ipratropium 0.03% nasal spray

• Headache (10%)
• Cough, runny nose, and other symptoms of respiratory infections (10%)
• Nosebleed (9%)
• Sore throat (8%)
• Dry nose (5%)

• Allergic reactions
• Vision and eye problems
• Worsening of certain medical conditions

Combivent Respimat is an inhaler that's used to treat chronic obstructive pulmonary disease (COPD) in adults. It's a combination medication that contains two different bronchodilators: ipratropium, a short-acting muscarinic antagonist (SAMA), and albuterol, a short-acting beta agonist (SABA). The medication is inhaled through the mouth 4 times a day, but up to 6 times per day if instructed. Combivent Respimat (ipratropium / albuterol) isn't a rescue inhaler; it's used regularly rather than as needed for sudden breathing problems. Side effects aren't common but can include upper respiratory tract infections and cough.

• Maintenance treatment for chronic obstructive pulmonary disease (COPD) in adults who need more than one bronchodilator

• Common cold symptoms (4%)
• Upper respiratory infection (3%)
• Cough (3%)
• Bronchitis (3%)
• Headache (3%)

• Narrowing of the airways (bronchospasm)
• Effects on the heart and blood pressure
• Eye problems
• Trouble urinating
• Severe allergic reaction
• Low potassium in the blood