국가: 미국
언어: 영어
출처: NLM (National Library of Medicine)
IPRATROPIUM BROMIDE (UNII: J697UZ2A9J) (IPRATROPIUM - UNII:GR88G0I6UL)
Boehringer Ingelheim Pharmaceuticals, Inc.
IPRATROPIUM BROMIDE
IPRATROPIUM BROMIDE ANHYDROUS 17 ug
RESPIRATORY (INHALATION)
PRESCRIPTION DRUG
ATROVENT HFA Inhalation Aerosol is indicated as a bronchodilator for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. ATROVENT HFA is contraindicated in the following conditions [see Warnings and Precautions (5.2) ]. - Hypersensitivity to ipratropium bromide or other ATROVENT HFA components - Hypersensitivity to atropine or any of its derivatives Risk Summary Ipratropium is negligibly absorbed systemically following oral inhalation; therefore, maternal use is not expected to result in fetal exposure to the drug [see Clinical Pharmacology (12.3)] . There is limited experience with ipratropium bromide use in pregnant women. Published literature, including cohort studies, case control studies and case series, over several decades have not identified a drug associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes. Based on animal reproduction studies, no evidence of structural alteration
ATROVENT HFA is supplied in a pressurized stainless steel canister as a metered-dose inhaler with a white mouthpiece that has a clear, colorless sleeve and a green protective cap (NDC 0597-0087-17). The mouthpiece has an actuation indicator visible through a small window. The indicator typically moves during every 5 to 7 actuations. It displays the approximate number of actuations remaining in increments of 20, starting at "200" and decreasing until it reaches "0". The ATROVENT HFA canister is to be used only with the accompanying ATROVENT HFA mouthpiece. This mouthpiece should not be used with other aerosol medications. Similarly, the canister should not be used with other mouthpieces. After priming, each actuation of ATROVENT HFA delivers 21 mcg of ipratropium bromide from the valve and 17 mcg from the mouthpiece. Each canister has a net weight of 12.9 grams and provides sufficient medication for 200 actuations. The inhaler should be discarded after the labeled number of actuations has been used when the indicator displays "0". The amount of medication in each actuation cannot be assured after this point, even though the canister is not completely empty. Storage Store at 20°C to 25°C (68°F to 77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. For optimal results, the canister should be at room temperature before use. Contents Under Pressure: Do not puncture. Do not use or store near heat or open flame. Exposure to temperatures above 120°F may cause bursting. Never throw the inhaler into a fire or incinerator. Keep out of reach of children. Avoid spraying in eyes.
New Drug Application
ATROVENT HFA- IPRATROPIUM BROMIDE AEROSOL, METERED BOEHRINGER INGELHEIM PHARMACEUTICALS, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE ATROVENT HFA SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR ATROVENT HFA. ATROVENT® HFA (IPRATROPIUM BROMIDE HFA INHALATION AEROSOL), FOR ORAL INHALATION USE INITIAL U.S. APPROVAL: 2004 INDICATIONS AND USAGE ATROVENT HFA is an anticholinergic indicated for the maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema (1) DOSAGE AND ADMINISTRATION For oral inhalation only Two inhalations four times a day, not to exceed 12 inhalations in 24 hours (2) DOSAGE FORMS AND STRENGTHS Inhalation Aerosol: Each actuation of ATROVENT HFA Inhalation Aerosol delivers 17 mcg of ipratropium bromide from mouthpiece (3) Supplied in a 12.9 g canister containing 200 actuations (3) CONTRAINDICATIONS Hypersensitivity to ipratropium bromide or other ATROVENT HFA components (4) Hypersensitivity to atropine or any of its derivatives (4) WARNINGS AND PRECAUTIONS Not indicated for the initial treatment of acute episodes of bronchospasm where rescue therapy is required for rapid response (5.1) Hypersensitivity reactions including anaphylaxis: Discontinue ATROVENT HFA at once and consider alternative treatments (5.2) Paradoxical bronchospasm: Discontinue ATROVENT HFA and consider other treatments if paradoxical bronchospasm occurs (5.3) Ocular effects: Use with caution in patients with narrow-angle glaucoma and instruct patients to consult a physician immediately if signs or symptoms of narrow-angle glaucoma develop (5.4) Urinary retention: Use with caution in patients with prostatic hyperplasia or bladder-neck obstruction and instruct patients to consult a physician immediately if signs or symptoms of urinary retention develop (5.5) ADVERSE REACTIONS Most common adverse reactions (>5% incidence in the 12-week placebo-controlled trials) we 전체 문서 읽기