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This document outlines essential safety information and warnings for Atrovent HFA (ipratropium). It is crucial to understand these details and discuss any concerns with your healthcare provider.

• Severe Allergic Reactions: Be aware of the potential for serious allergic responses, including facial swelling, shock, and anaphylaxis, which might manifest as hives, rash, red skin, swelling of the lips or tongue, or difficulty breathing. Immediate medical attention is required if these symptoms occur.

• Respiratory Concerns: Although rare, Atrovent HFA (ipratropium) may induce bronchospasm, characterized by sudden difficulty breathing, wheezing, coughing, and chest tightness. Seek medical help promptly if you experience these symptoms after using the medication.

• Eye and Vision Issues: The use of Atrovent HFA (ipratropium) can occasionally increase eye pressure, potentially aggravating or causing glaucoma. Consult with an eye care professional if you have glaucoma or any vision changes. Avoid contact with the eyes to prevent pain, discomfort, or blurry vision. This risk is heightened with a history of glaucoma or long-term use.

• Urinary Problems: Individuals with prostate issues should use Atrovent HFA (ipratropium) with caution, as it may worsen urinary complications. If you experience difficulty urinating, contact your healthcare provider. This is particularly relevant for those with an enlarged prostate or bladder-neck obstruction.

• Contraindications: Do not use this medication if you have a severe allergy to anticholinergic drugs, as it may pose significant health risks. Always consult your healthcare provider if these conditions apply to ensure safe use.

When taking this medication, you might experience some common side effects, which are generally mild. These include dizziness, nausea, stomach upset, dry mouth, constipation, cough, symptoms of bronchitis, worsened COPD symptoms, trouble breathing, tiredness, chills, flu-like symptoms, headache, and back pain. Most people tolerate these effects well, but if they persist or worsen, it's wise to consult your healthcare provider.

Besides the common side effects, there are other possible effects like a runny or stuffy nose, urinary tract infection, and dizziness. Again, while these are generally not severe, any discomfort should be discussed with your healthcare provider, especially if they become bothersome.

On rare occasions, this medication can lead to serious side effects that need immediate medical attention. These include a sudden worsening of breathing problems, fast or pounding heartbeat, painful urination, eye pain or vision changes, and serious allergic reactions characterized by hives, swelling of the face, lips, or tongue, and difficulty breathing. If you encounter any of these symptoms, seek urgent medical help.

Though rare, it’s important to be vigilant about any unusual symptoms while on this medication. Always communicate with your healthcare provider if you notice anything concerning.