IPRATROPIUM BROMIDE

Question 1

Action and side effects

Answer 1

An inhaled anticholinergic drug that acts
synergistically with Salbutamol to increase
bronchodilation in bronchospasm and inhibits
cholinergic bronchomotor tone.

SIDE EFFECTS
• Pupil Dilation
• Dry Mouth
• Palpitations

Question 2

Indications, contrainidications and precautions

Answer 2

• Moderate to severe
bronchospasm (not
responsive to initial
salbutamol nebulisation)

• KSAR
• Patients <1 year

Glaucoma

Question 3

Dosages

Answer 3

adult: EMT 2 NEB
500mcg
Repeat at 20 minutes if
required
Max dose 1.5mg

Paediatric: EMT 2 NEB
≥ 6 years 500mcg
Repeat at 20 minutes if
required
Max dose 1.5mg
1-5 years 250mcg
Repeat at 20 minutes if
required
Max dose 750mcg