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Ipratropium Bromide Inhalent/Atrovent

- Dosage:
    - anticholinergic bronchodilator;
    - effect is mainly topical w/ little systemic absorbtion; for bronchospasm associatted with COPD;
    - adult: 2-4puffs MDI qid; max inhalations = 12 in 24hrs;
    - effect begins in 15min, peaks 1-2hrs, lasts 3-4hrs;
    - precautions: not for initial treatment of acute bronchospasm