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Combivent (Levosalbutamol)

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Combivent is used to treat chronic obstructive pulmonary disease (COPD). Combivent is more popular than other beta agonist/anticholinergic combinations. There are currently no generic alternatives to Combivent.

Other names for this medication:

Similar Products:
Duricef, Dilantin, Decadron, Arcoxia, Elocon

Also known as: Levosalbutamol


Ipratropium and albuterol combination is used to help control the symptoms of lung diseases, such as asthma, chronic bronchitis, and emphysema. It is also used to treat air flow blockage and prevent the worsening of chronic obstructive pulmonary disease (COPD) in patients who need another medicine.

Ipratropium and albuterol belong to the family of medicines known as bronchodilators. Bronchodilators are medicines that are breathed in through the mouth to open up the bronchial tubes (air passages) in the lungs.

This medicine is available only with your doctor's prescription.


Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Combivent Respimat is usually used 4 times per day. Follow your doctor's dosing instructions very carefully. Do not use more than 6 inhalations in a 24-hour period.

Overuse of Combivent Respimat may increase the risk of death. It is critical that you use only the prescribed dose of this medicine.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Always use the new inhaler device provided with your refill.

To use the inhaler:

You do not need to shake the inhaler before use. Uncap the mouthpiece of the inhaler. Breathe out fully. Put the mouthpiece into your mouth and close your lips. Keep your eyes closed to prevent spraying any medicine into your eyes. Breathe in slowly while pressing the dose-release button on the inhaler. Hold your breath for 10 seconds, then breathe out slowly. Close the cap until you use your inhaler again. Carefully follow all directions for cleaning your specific inhaler device once per week.

Keep track of the number of sprays you have used. Throw away the Combivent Respimat inhaler canister after 3 months or 120 sprays, whichever comes first.

To use the solution with a nebulizer:

Open the foil pouch and remove one vial. Empty the medicine into the chamber of the nebulizer. Attach the mouthpiece or face mask, then attach the drug chamber to the compressor. Sit upright in a comfortable position. Place the mouthpiece into your mouth or put on the face mask, covering your nose and mouth. Turn on the compressor. Breathe in slowly and evenly until no more mist is formed by the nebulizer and the drug chamber is empty. Clean the nebulizer after each use. Follow the cleaning directions that came with your nebulizer.

Seek medical attention if your breathing problems get worse quickly, or if you think your medications are not working as well.

To make sure this medicine is not causing harmful effects on your lungs, you may need to have chest X rays or other frequent lung function tests.

Store at room temperature away from moisture, heat, and light. Do not freeze. Keep each vial in its foil pouch until you are ready to use it.

Keep the cover on your inhaler when not in use. Keep away from open flame or high heat. The canister may explode if it gets too hot. Do not puncture or burn an empty inhaler canister.

Detailed Combivent Respimat dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of Combivent Respimat can be fatal. Overdose symptoms may include chest pain, fast or pounding heartbeats, tremors, dry mouth, extreme thirst, muscle weakness or limp feeling, severe headache, pounding in your neck or ears, or feeling like you might pass out.


Store the canister at room temperature, away from heat and direct light. Do not freeze. Do not keep this medicine inside a car where it could be exposed to extreme heat or cold. Do not poke holes in the canister or throw it into a fire, even if the canister is empty.

Keep the medicine in the foil pouch until you are ready to use it. Store at room temperature, away from heat and direct light. Do not freeze.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Detailed Combivent Respimat dosage information

Side effects

The most common side effects associated with Combivent are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


You should not use this medicine if you are allergic to albuterol, ipratropium, or atropine.

Tell your doctor if you have ever had:

heart disease, high blood pressure, coronary artery disease, or heart rhythm disorder; a seizure disorder such as epilepsy; diabetes; overactive thyroid; glaucoma; liver or kidney disease; or enlarged prostate, problems with urination.

Tell your doctor if you are pregnant or breastfeeding.

This medicine is not approved for use by anyone younger than 18 years old.

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A total of 2968 Chinese, 2957 Indian and 2928 Malay participants aged over 40 years were included in this study. Contact dermatitis (type IV) reactions are mainly caused by local anaesthetics of the ester-type like procaine. Traditional approaches in oral squamous cell carcinoma (OSCC) management utilize biopsy tissue for diagnostic purposes only. Simultaneous measurements of CO with partial CO2 rebreathing technique (CO(nico)) and thermodilution (CO(td)) were performed in 15 patients during major surgery or in the ICU. The data provide compelling evidence for the activation of the complement system in XFS, highlighting the generation of subproducts with potent proinflammatory activity, which are capable of triggering and chronically maintaining levels of subclinical inflammation, suggesting novel targets for therapeutic intervention. Using immunocytochemical assays and patch-clamp and calcium-imaging recordings, we demonstrate that L-type and N-type calcium channels have distinct patterns of expression and distribution and play different functional roles during hippocampal neuron differentiation.

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Further characterization of human mucin-like glycoprotein associated with photoreceptor cells by its introduction into Y79 retinoblastoma cells. We introduce the use of Arabidopsis thaliana callus culture as a system for proteomic analysis of plant organelles using liquid-grown callus. Stable EGFP-expressing clones were isolated and examination for these cells by flow cytometry and electron microscope was done. A functional role of NMDA receptor in regulating the differentiation of oligodendrocyte precursor cells and remyelination. Grade 4 renal injuries were stratified by collecting system laceration (CSL) or segmental vascular injury. A Pilot Study of Mood in Epilepsy Patients Treated with Vagus Nerve Stimulation. Quality of life was assessed using the 36-Item Short Form Health Survey. Furthermore, early diagnosis and treatment may prevent blindness. The New York Head-A precise standardized volume conductor model for EEG source localization and tES targeting. In addition, cyclosporin A inhibited the growth of the three melanoma cell lines studied in a dose-dependent manner, and after the administration of this immunosuppresive drug apoptosis was observed.

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PET/CT improves stratification of cancer patients with indeterminate pulmonary nodules. GA inhibited NCI-H1993 xenograft tumor growth in a dose-dependent manner. The incidence and severity of atherosclerosis is increased in patients with diabetes. Future studies will assess the in-vivo predictive value of NOX in animal models of immune-mediated pathologies. With the development of plant genetic engineering technology, many transgenic strains of this monocotyledonous plant have been produced over the past decade.

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Pharmacological characterization of a novel gastrodin derivative as a potential anti-migraine agent. Bootstrap, Bayesian probability and maximum likelihood mapping: exploring new tools for comparative genome analyses. The bottom sediment: SPM fugacity ratios for different PCDD/Fs indicate conditions close to equilibrium, suggestive of the close coupling of SPM with re-suspended sediment. Colibacillosis among adults with a food factor of transmission of the infection. First aim was to scan with ultrahigh resolution, independent of scan duration. These data indicate that Schwann cells are not dependent on cholesterol reutilization to support myelination, but that optimal axonal regeneration is dependent on a local supply of cholesterol. Dengue 2 virus (D2V) replication has been demonstrated in cultured primate mononuclear phagocytes, mitogen treated lymphocytes and lymphoblastoid cells. The advantages and limitations of microwave heating in clinical thermotherapy are reviewed on the basis of the clinical experiences of various investigators who used microwave-induced hyperthermia. Eosinophil-Associated Gene Pathways but not Eosinophil Numbers are Differentially Regulated between Synchrotron Microbeam Radiation Treatment and Synchrotron Broad-Beam Treatment by 48 Hours Postirradiation. This review summarizes published data on telithromycin and intends to define the challenge that a new antimicrobial brings to medical practice.

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In vitro data show that via receptors of the hyaladherin group hyaluronic acid has additionally direct or indirect effects on cells. Persistent over-expression of specific CC class chemokines correlates with macrophage and T-cell recruitment in mdx skeletal muscle. After-exercise heart rate variability is attenuated in postmenopausal women and unaffected by estrogen therapy. Our technique is not only anatomic in the re-creation of the glenoid surface but also anatomic in the amoxil tablets preservation of the coracoid and subscapularis tendon and repair of the capsulolabral complex. Characterization and modelling of the hydrophobic domain of a sunflower oleosin. Successful systems integration strategies: the access program for persons who are homeless and mentally ill. Developing a Security Metrics Scorecard for Healthcare Organizations. It may also regulate bronchial secretion and, through its promotion of cyclic adenosine monophosphate accumulation in the lung, may modulate the immunologic release of mediators from mast cells. The phasic and regional variations of lipid peroxidation after diffuse brain injury in rats. For the center-modulated condition, response amplitude and implicit time for the first-order kernel response significantly decreased as a function of increasing surround luminance.

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It is recommended that all cases of methamphetamine dependence should be screened for psychotic symptoms. Arbutin synthase, a novel member of the NRD1beta glycosyltransferase family, is a unique multifunctional enzyme converting various natural products and xenobiotics. Sex difference of autosomal alleles in populations of European and African descent. Furthermore, the induction of p27Kip1 was accompanied by an increased level of transforming growth factor beta1 (TGF-beta1) mRNA. This review describes model systems available for the study of the econobiology of secretory granule content. These data give a more comprehensive picture of infant health and illness experience than traditional measures and provide the basis for infant health needs assessment. We conclude that future research should gain from a behavioural medicine approach to diabetes, with close collaboration between diabetologists and psychologists. Macrophages are essentially the only circulating cells that can make these life or death decisions with arginine. Development of a stable isotope dilution LC-MS/MS method for pioglitazone pill uses the Alternaria toxins tentoxin, dihydrotentoxin, and isotentoxin.

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A total of 237 patients how much is amoxil 500 mg receiving clozapine treatment completed the Liverpool University Neuroleptic Side-Effect Rating Scale (LUNSERS) assessing clozapine-induced side effects. Low participation among Chinese-Americans with self-report measures limits both scales as efficient depression screening instruments. Overexpression of galectin-1 and 3 proteins were noted in papillary thyroid carcinoma with lymph node metastases. Consequently, 30 residual lesions were detected in MRI of 10 patients. Sonography is a more sensitive indicator of partial obstruction of the biliary tract than the serum bilirubin. Moreover, the expression of AST was increased significantly after 14 days of RPE and then decreased at 1 month in retention. Therefore, the direct interaction of p53 with p53R2 and hRRM2 and the nuclear accumulation of RR subunits after UV exposure might play a pivotal role in DNA repair. We surveyed, via an Internet panel, 1,050 English-speaking adults residing in the United States with a personal or family history of an ICU admission within 10 years (cohort A) and 1,050 individuals without a history of such admission (cohort B). The goal of rotator cuff repair is a high initial mechanical stability as a requirement for adequate biological recovery of the tendon-to-bone complex.

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These findings support the need for more detailed reporting of trial methodologies to facilitate accurate indexing of prosthodontic articles in MEDLINE. Limited resection can be undertaken with smaller tumors to allow preservation of more lung function while accepting a somewhat enhanced risk of recurrence. Ablation of Stable VTs Versus Substrate Ablation in Ischemic Cardiomyopathy: The VISTA Randomized Multicenter Trial. Inhibition of notch signaling pathway prevents cholestatic liver fibrosis by decreasing the differentiation of hepatic progenitor cells into cholangiocytes. These results illustrate the great utility of using a whole-genome approach in annotating the biological effects of small molecules and have clear implications for pharmacogenomics. Furthermore we find that Shn and Mad can interact directly through discrete domains. Effect of osmotic blood-brain barrier disruption on methotrexate pharmacokinetics in the dog. The changes in the red cell and plasma volumes of the rat and of its individual tissues and organs during acclimation to cold. Ninety-one girls and six boys were treated in the eating disorder unit (55 had amaryl 2mg tab AN, 29 had BN and 13 had EDNOS). Our recommended methods aim to be rigorous, detailed, quantitative, objective, and where possible based on the perceptual representation of the intended signal receiver(s).

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Strategic and operational aspects of a transfusion-free neonatal arterial switch operation. The aim of this study was to identify the effect of an oral ascorbic acid (AA) supplement on lipid profile and insulin sensitivity in obese people. Among those screening positive, we conducted multivariate logistic regression to identify independent predictors of MHC use. Use of eltrombopag for the treatment of thrombocytopenia in hypoplastic myelodysplastic syndrome. Using ultraviolet photoelectron spectroscopy, we provide direct experimental evidence that di-oxygen species are stable on anionic gold dimer and tetramer clusters at room temperature. This study compared baseline characteristics and clinical improvement after 12 months among homeless persons with a diagnosis of serious mental illness with and without a comorbid substance use disorder.

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