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Combivent Side Effects

Please note - some side effects for Combivent may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA at http://www.fda.gov/medwatch/ or 1-800-FDA-1088 (1-800-332-1088).


For the consumer

For the professional

Side Effects of Combivent - for the consumer


Combivent Aerosol

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Combivent Aerosol:

Coughing; dizziness; dry mouth; headache; nervousness; sinus inflammation; sore throat.

Seek medical attention right away if any of these SEVERE side effects occur when using Combivent Aerosol:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain; fast or irregular heartbeat; new or worsening breathing problems; pounding in the chest; shortness of breath; swelling of the arms or legs; tremors; unexplained hoarseness; wheezing.

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For the professional


Combivent

Adverse reaction information concerning Combivent® (ipratropium bromide and albuterol sulfate) Inhalation Aerosol is derived from two 12-week controlled clinical trials (N=358 for Combivent Inhalation Aerosol) as seen in Table 1.

Table 1 All Adverse Events (in percentages), from Two Large Double-blind, Parallel, 12-Week Studies of Patients with COPD*
Combivent
Ipratropium Bromide
36 mcg/Albuterol Sulfate
206 mcg QID N=358
Ipratropium Bromide
36 mcg QID

N=362
Albuterol Sulfate
206 mcg QID

N=347

*All adverse events, regardless of drug relationship, reported by two percent or more patients in one or more treatment group in the 12-week controlled clinical trials.

Body as A Whole-
General Disorders
   Headache 5.6 3.9 6.6
   Pain 2.5 1.9 1.2
   Influenza 1.4 2.2 2.9
   Chest Pain 0.3 1.4 2.9
Gastrointestinal System Disorders
   Nausea 2.0 2.5 2.6
Respiratory System Disorders (Lower)
   Bronchitis 12.3 12.4 17.9
   Dyspnea 4.5 3.9 4.0
   Coughing 4.2 2.8 2.6
   Respiratory Disorders 2.5 1.7 2.3
   Pneumonia 1.4 2.5 0.6
   Bronchospasm 0.3 3.9 1.7
Respiratory System Disorders (Upper)
   Upper Respiratory Tract Infection 10.9 12.7 13.0
   Pharyngitis 2.2 3.3 2.3
   Sinusitis 2.3 1.9 0.9
   Rhinitis 1.1 2.5 2.3

Additional adverse reactions, reported in less than two percent of the patients in the Combivent Inhalation Aerosol treatment group include edema, fatigue, hypertension, dizziness, nervousness, paresthesia, tremor, dysphonia, insomnia, diarrhea, dry mouth, dyspepsia, vomiting, arrhythmia, palpitation, tachycardia, arthralgia, angina, increased sputum, taste perversion, and urinary tract infection/dysuria.

Allergic-type reactions such as skin rash, angioedema of tongue, lips and face, urticaria (including giant urticaria), laryngospasm and anaphylactic reaction have been reported with Combivent Inhalation Aerosol, with positive rechallenge in some cases. Many of these patients had a history of allergies to other drugs and/or foods including soybean.

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More resources:

Drugs.com Combivent

Drugs.com DuoNeb

PDR Combivent

MedFacts DuoNeb Solution

MedFacts Combivent Aerosol

Micromedex Combivent Inhalation-Local - Includes detailed dosage instructions.

FDA DuoNeb

FDA Combivent

Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date, and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This information does not endorse drugs, diagnose patients, or recommend therapy. This drug information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug of drug combination is safe, effective, or appropriate for any given patient. Drugs.com does not assume any responsibility for any aspect of healthcare administered with the aid of information provided. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse, or pharmacist.


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