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tiotropium bromide (Spiriva Handihaler, Spiriva Respimat) Class: C To prevent brochospasm associated with COPD, including chronic bronchitis and emphysema; to reduce COPD exacerbations. Oral inhalation
Contraindications: Hypersensitivity to atropine or its derivatives, including ipratropium, tiotropium, or their components. Drug interaction: anticholinegics Adverse Reactions: Depression, difficulty speaking, dizziness, stroke, angina, afib, chest pain, dry mouth, cataract, blurred vision, hyperglycemia, abdominal pain, constipation, dysphagia, urinary difficulty, UTI, arthritis, cough, pruritus, rash, flu like symptoms
Ipratropim bromide ( Atrovent) Class: B To treat bronchitis and COPD Inhalation aerosol, nebulizer solution, nasal spray. Adults and children age 5 and over. ****Monitor pt. for hypersensitivity reactions that could be life-threatening. ****Drug interactions: anticholinergics, tacrine
Contraindications: Hypersensitivity to atropine, ipratropium bromide, or their components: hypersensitivity to peanuts, soya lecithin, soybeans or related products (with aerosol inhaler) . Adverse reactions: dizziness, insomnia, atrial fib., bradycardia, dema, hypertension, palpitations, tachycardia, acute eye pain, dry mouth, bowel obstruction constipation, diarrhea, nausea, vomiting, prostatitis, urine retention, arthritis, bronchitis, cough, rash, anaphylaxis, flu like symptoms.
Antitussives: dextromethorphan OTC
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