Ipratropium bromide
Added to salbutamol in severe asthma and COPD flares. 500 micrograms nebulised every 4–6 hours (250 micrograms in children).
On this page
Dose
| Age | Dose |
|---|---|
| Adult and child 12 years and over | 500 micrograms nebulised every 4–6 hours |
| 5–11 years | 250 micrograms every 20–30 minutes for the first 2 hours, then 4–6-hourly |
| Under 5 | 125–250 micrograms |
Cautions
- Dry mouth, urinary retention; can worsen angle-closure glaucoma (use a mouthpiece rather than a mask).
Frequently asked questions
When is ipratropium added in asthma?
In acute severe or life-threatening asthma, or when the response to salbutamol is poor.
Used in these guides
Sources
Doses on this page are typical doses from the sources above. Always confirm with a current drug reference, the product leaflet and your hospital protocol, especially in children, pregnancy and kidney or liver disease.