Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Combivent Respimat (ipratropium/albuterol) and albuterol inhalers (such as ProAir HFA, Ventolin HFA) are both used to help with breathing problems but they have some differences. They both treat conditions like chronic obstructive pulmonary disease (COPD) and asthma, although using Combivent Respimat for asthma is an off-label use. Combivent Respimat is a combination medication that includes ipratropium, a short-acting muscarinic antagonist (SAMA), and albuterol, a short-acting beta agonist (SABA). In contrast, albuterol inhalers contain only albuterol, a SABA. Combivent Respimat is used regularly, up to 4 to 6 times a day, while albuterol inhalers are used as needed for sudden breathing problems. Combivent Respimat is only available as a brand-name medication, whereas albuterol inhalers are available in generic forms. Common side effects of Combivent Respimat include upper respiratory infections and cough, while albuterol inhalers can cause sore throat and throat irritation. Both medications can affect your heart rate and blood pressure, so it's important to talk to your healthcare provider about any heart conditions you have.
Combivent respimat (ipratropium / albuterol)
Albuterol
Combivent respimat (ipratropium / albuterol)
Albuterol
Summary of Combivent vs. Albuterol
Summary for SAMA / SABA
Prescription only
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.
Summary for SABA
Prescription only
Albuterol sulfate is a short-acting beta agonist (SABA). It's a rescue inhaler that treats or prevents sudden wheezing or shortness of breath in adults and children at least 4 years old with certain breathing problems, such as asthma. Albuterol is inhaled through the mouth using either an HFA inhaler (or metered dose inhaler) or a dry powder inhaler. The typical dose is 2 inhalations every 4 to 6 hours as needed when you suddenly have trouble breathing. Albuterol side effects generally include sore throat, throat irritation, and infections.