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Combivent (Levosalbutamol)

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Combivent is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic obstructive pulmonary disease-COPD, which includes bronchitis and emphysema). This product contains 2 medications: ipratropium and albuterol (also known as salbutamol).

Other names for this medication:

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Also known as: Levosalbutamol


Ipratropium and albuterol combination is used to help control the symptoms of lung diseases, such as asthma, chronic bronchitis, and emphysema. It is also used to treat air flow blockage and prevent the worsening of chronic obstructive pulmonary disease (COPD) in patients who need another medicine.

Ipratropium and albuterol belong to the family of medicines known as bronchodilators. Bronchodilators are medicines that are breathed in through the mouth to open up the bronchial tubes (air passages) in the lungs.

This medicine is available only with your doctor's prescription.


Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Combivent Respimat is usually used 4 times per day. Follow your doctor's dosing instructions very carefully. Do not use more than 6 inhalations in a 24-hour period.

Overuse of Combivent Respimat may increase the risk of death. It is critical that you use only the prescribed dose of this medicine.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Always use the new inhaler device provided with your refill.

To use the inhaler:

You do not need to shake the inhaler before use. Uncap the mouthpiece of the inhaler. Breathe out fully. Put the mouthpiece into your mouth and close your lips. Keep your eyes closed to prevent spraying any medicine into your eyes. Breathe in slowly while pressing the dose-release button on the inhaler. Hold your breath for 10 seconds, then breathe out slowly. Close the cap until you use your inhaler again. Carefully follow all directions for cleaning your specific inhaler device once per week.

Keep track of the number of sprays you have used. Throw away the Combivent Respimat inhaler canister after 3 months or 120 sprays, whichever comes first.

To use the solution with a nebulizer:

Open the foil pouch and remove one vial. Empty the medicine into the chamber of the nebulizer. Attach the mouthpiece or face mask, then attach the drug chamber to the compressor. Sit upright in a comfortable position. Place the mouthpiece into your mouth or put on the face mask, covering your nose and mouth. Turn on the compressor. Breathe in slowly and evenly until no more mist is formed by the nebulizer and the drug chamber is empty. Clean the nebulizer after each use. Follow the cleaning directions that came with your nebulizer.

Seek medical attention if your breathing problems get worse quickly, or if you think your medications are not working as well.

To make sure this medicine is not causing harmful effects on your lungs, you may need to have chest X rays or other frequent lung function tests.

Store at room temperature away from moisture, heat, and light. Do not freeze. Keep each vial in its foil pouch until you are ready to use it.

Keep the cover on your inhaler when not in use. Keep away from open flame or high heat. The canister may explode if it gets too hot. Do not puncture or burn an empty inhaler canister.

Detailed Combivent Respimat dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of Combivent Respimat can be fatal. Overdose symptoms may include chest pain, fast or pounding heartbeats, tremors, dry mouth, extreme thirst, muscle weakness or limp feeling, severe headache, pounding in your neck or ears, or feeling like you might pass out.


Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.

Keep the medicine in the foil pouch until you are ready to use it. Store at room temperature, away from heat and direct light. Do not freeze.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Detailed Combivent Respimat dosage information

Side effects

The most common side effects associated with Combivent are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


You should not use Combivent Respimat if you are allergic to albuterol, ipratropium, or atropine.

To make sure Combivent Respimat is safe for you, tell your doctor if you have ever had:

heart disease, high blood pressure, coronary artery disease, or heart rhythm disorder; a seizure disorder such as epilepsy; diabetes; overactive thyroid; glaucoma; liver or kidney disease; or enlarged prostate, problems with urination.

Tell your doctor if you are pregnant or breastfeeding.

Combivent is not approved for use by anyone younger than 18 years old.

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Gender, circadian physiology, clock genes, and cell cycle critically affect outcome on cancer chronotherapeutics. We used a perineal approach with a ventral sagittal urethrotomy in both strictures. Noninvasive Imaging Post-ST-Segment-Elevation Myocardial Infarction: Towards Targeted Therapy or Targeted End Points?. Side effects from intense pulsed light: Importance of skin pigmentation, fluence level and ultraviolet radiation-A randomized controlled trial. Greatest impact on liver function was found in animals with polymicrobial sepsis whereas glomerular damage due to glycerol-induced kidney-injury had strongest impact on DY-654 elimination. In this approach, the filter weights are calculated taking into account the similarity between pixel intensities that belongs to the local neighborhood of the processed pixel, which is called a path. The role of excitatory amino acids in synaptic transmission in electroreceptors is the subject of this review.

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Stimulation of lymphocyte transformation by 1-fluoro-2,4-dinitrobenzene. The results showed that the relation between the changes of trial-to-trial movement outcome to performance level was dependent on the landscape of the task dynamics and the influence of inherent variability. Frequency and determinants of screening for diabetes in the U.S. Sleep disturbance interventions in oncology patients and family caregivers: a comprehensive review and meta-analysis. Diagnosis of infection by frozen section during revision arthroplasty.

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Unlike in controls, Ad-HO-1-transfected macrophages markedly increased hepatic expression of antiapoptotic Bcl-2/Bcl-xl and depressed caspase-3 activity. The aim of this study was to assess the role of pre-operative chest computed tomography (CT) compared with abdominopelvic CT (AP-CT) and chest radiography (CXR) for detecting pulmonary metastasis in patients with primary colorectal cancer (CRC). For hand-injured patients in particular, this discrepancy has been frequently shown in their receiving appropriate care. The longer a candidate elects to wait to take the examination, the less likely he or she is to pass. In addition to reviewing the literature, the authors present a case in which a direct sinus lift procedure was performed with simultaneous implant placement sinequan capsules . Subjective weighting of disability: an approach to quality of life assessment in rehabilitation.

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The outcomes of repeat stereotactic radiosurgery (SRS) after failure of previous SRS are not well established. To characterize if the RNA sequence in gag controls HIV-1 replication, the matrix (MA) region was codon modified, allowing the RNA sequence to be altered without affecting the protein sequence. Accessory respiratory muscles enhance ventilation in ALS model mice and are activated by excitatory V2a neurons. This article provides an overview regarding the promise and effort of sexual reorientation and how this knowledge nimodipine sah dose may inform our current understanding of human sexuality. THE STRUCTURE OF A MYOINOSITOL MANNOSIDE FROM MYCOBACTERIUM TUBERCULOSIS GLYCOLIPID. Most promising is the use of toxins and radioisotope immunoconjugates in the treatment of hematologic malignancies. It was then initially challenged (by wounding) to investigate the behavior of keratinocytes in wound healing at the cellular level. Measurement of free vitamin D levels did not contribute to additional information. Developing selective media for quantification of multispecies biofilms following antibiotic treatment.

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Here, to draw a comprehensive pan-cancer picture of the genomic and transcriptomic alterations for the members of the complex, we reanalyzed public data from The Cancer Genome Atlas. In order to survive within the human host, staphylococci have evolved a wide variety of small, excreted proteins that interfere with subsequent steps of the human innate immune system cascade. Development of repaglinide loaded solid lipid nanocarrier: selection of fabrication method. The analytical sample consists of 2814 women nested within 195 enumeration areas (clusters) in the Accra Metropolitan Area (AMA). Long-term radiologic follow-up showed no significant spinal angular imbalance. The ultrastructural changes in type 1 (red) and type 2 (white) myofibres of the longissimus muscle were studied during in situ postmortem ageing in a group of young Hereford bulls, 14-16 months old. Immunofluorescence showed strong co-localization of endogenous Ub with both cytoplasmic and nuclear TDP-S6 inclusions, whereas SUMO-2/3 was co-localized mainly with the nuclear inclusions. The aim is to present a case series that illustrates possible benefits from combining minimally invasive plate osteosynthesis (MIPO), plastic surgery and antibiotic therapy, in order to treat and eradicate infection in patients with tibial pilon or calcaneal fractures.

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