Bromfed and Ipratropium
Determining the interaction of Bromfed and Ipratropium and the possibility of their joint administration.
In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.
Consumer:Using ipratropium together with brompheniramine may increase side effects such as drowsiness, blurred vision, dry mouth, heat intolerance, flushing, decreased sweating, difficulty urinating, abdominal cramping, constipation, rapid heart beat, confusion, memory problems, and glaucoma. Although serious side effects are not very common with inhaled or topically applied preparations because only limited amounts of the medication generally get absorbed into the bloodstream from the lungs or skin, they can sometimes occur, especially in the elderly or when combined with other medications that have similar side effects. Talk to your doctor if you have any questions or concerns. Your doctor may be able to prescribe alternatives that do not interact. You should avoid activities requiring mental alertness such as driving or operating hazardous machinery until you know how these medications affect you. When using an inhaled product by nebulizer, keep your eyes closed or use an eye mask to avoid having the medication get into the eyes, which can cause blurry vision and eye pain as well as increase absorption of the medication into the bloodstream. When using a topical preparation such as a cream or solution, avoid applying to broken skin or using occlusive dressings over the application areas, and also avoid touching the eyes until after you wash your hands with soap and water. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Professional:GENERALLY AVOID: The potential exists for additive anticholinergic effects such as mydriasis, blurred vision, heat intolerance, fever, dry mouth, tachycardia, urinary retention, constipation, and glaucoma (onset or exacerbation) when topical or inhaled anticholinergic agents are used with each other or with other agents that possess anticholinergic properties. The risk of systemic anticholinergic effects following topical administration depends on variables such as strength of the product, size of the application area, frequency of application, and use of occlusive dressing. Systemic effects are uncommon following oral inhalation or nasal administration due to the poor absorption of quaternary ammonium compounds from gastrointestinal and nasal mucosa. However, worsening of urinary retention or angle-closure glaucoma has been reported with the use of orally inhaled anticholinergic agents. Increased intraocular pressure and precipitation or exacerbation of angle-closure glaucoma may also occur due to inadvertent contact of the eye with aerosolized or nebulized drug.
MANAGEMENT: Topical and inhaled anticholinergic preparations should preferably not be used in combination with other anticholinergic agents or agents with significant anticholinergic effects such as antihistamines, antispasmodics, neuroleptics, phenothiazines, skeletal muscle relaxants, tricyclic antidepressants, and class IA antiarrhythmics (especially disopyramide). Caution is advised if concomitant use cannot be avoided, particularly in the elderly and those with significantly impaired renal and/or hepatic function. Measures should be taken whenever possible to minimize ocular exposure to these drugs, such as keeping eyes closed during oral inhalation, use of a mouthpiece rather than face mask during nebulization, and not touching the eyes following topical application until hands are washed with soap and water. Patients should be advised to contact their physician if they experience excessive anticholinergic adverse effects or signs and symptoms of angle-closure glaucoma (e.g., eye pain or discomfort; blurred vision; visual halos; colored images in association with red eyes from conjunctival congestion or corneal edema).
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Generic Name: brompheniramine / pseudoephedrine
Brand name: Bromaline, Brotapp, J-TanD PD, Lodrane D, Q-Tapp, Endafed, Touro A&H, Shellcap, Allent, Shellcap PD, Lodrane LD, Bromfed PD, Dallergy JR, Nalfed PD, Respahist, Iofed PD, Ultrabrom PD, Pseubrom-PD, Bromfenex PD, Bromfed, M-Hist TD, Ultrabrom, Iofed, Pseubrom, Bromfenex, Lodrane Liquid, Nalfed, Rondec Chewable, Touro Allergy, Rondec Syrup, Bromfed SR, Histex SR, Rondec, Andehist NR Syrup, Dimetapp Elixir, Bromaxefed RF Syrup, Brofed, Sildec, Bromhist Pediatric Drops, Lodrane 12D, AccuHist Pediatric, AccuHist Drops, Unit-Tex 10/120 ER, Unit-Hist Drops, Di-Bromm, Bromhist-NR, Bidhist-D, Dimaphen, Brovex SR, Lodrane 24D, LoHist-PD, LoHist-12D, B-Vex PD, BroveX PSE, BroveX PD, BroveX PSB, LoHist PSB
Synonyms: Brompheniramine and pseudoephedrine, Brompheniramine and Pseudoephedrine
Generic Name: ipratropium
Brand name: Atrovent HFA, Atrovent
Synonyms: Ipratropium inhalation, Ipratropium (Oral Inhalation)
In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.
- Bromfed-Ipratropium (Oral Inhalation)
- Bromfed-Ipratropium and Albuterol
- Bromfed-Ipratropium and Albuterol Inhalation Solution
- Bromfed-Ipratropium and Albuterol Inhalation Spray
- Bromfed-Ipratropium and albuterol Inhalation, oral/nebulization
- Bromfed-Ipratropium Bromide
- Ipratropium-Bromfed DM
- Ipratropium-Bromfenac
- Ipratropium-Bromfenac ophthalmic
- Ipratropium-Bromfenac Ophthlamic Solution
- Ipratropium-Bromfenac Sodium
- Ipratropium-Bromhist PDX