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Molecule

Ipratropium

Also known as ipratropium bromide
Available on request
Presentations
5
Brands
1
Manufacturers
1
Available from stock
0

Ipratropium is an anticholinergic indicated as a bronchodilator for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. It is available as nasal spray, inhalation solution and inhalers. MedsAcross supplies Ipratropium for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Anticholinergic, Cholinergic Antagonists
US FDA first approval
29 December 1986
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Nasal, Inhalation
Dosage forms
Nasal spray, Inhalation solution, Inhaler
Identifiers
UNII J697UZ2A9JRxCUI 1546373CAS 60205-81-4DrugBank DB00332Q23050139

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

ATROVENT HFA Inhalation Aerosol is indicated as a bronchodilator for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. ATROVENT HFA is an anticholinergic indicated for the maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema

Source: US FDA prescribing information

How it works

Ipratropium bromide is an anticholinergic (parasympatholytic) agent which, based on animal studies, appears to inhibit vagally-mediated reflexes by antagonizing the action of acetylcholine, the transmitter agent released at the neuromuscular junctions in the lung. Anticholinergics prevent the increases in intracellular concentration of Ca++ which is caused by interaction of acetylcholine with the muscarinic receptors on bronchial smooth muscle.

Source: US FDA prescribing information

Dosing overview

The usual starting dosage of ATROVENT HFA is two inhalations four times a day. Patients may take additional inhalations as required, however, the total number of inhalations should not exceed 12 in 24 hours. ATROVENT HFA is a solution aerosol that does not require shaking. However, as with any other metered-dose inhaler, some coordination is required between actuating the canister and inhaling the medication. Patients should "prime" or actuate ATROVENT HFA before using for the first time by releasing 2 test sprays into the air away from the face. In cases where the inhaler has not been used for more than 3 days, prime the inhaler again by releasing 2 test sprays into the air away from the face. Patients should avoid spraying ATROVENT HFA into their eyes. Each inhaler provides sufficient medication for 200 actuations.

Source: US FDA prescribing information

Contraindications

ATROVENT HFA is contraindicated in the following conditions. Hypersensitivity to ipratropium bromide or other ATROVENT HFA components Hypersensitivity to atropine or any of its derivatives Hypersensitivity to ipratropium bromide or other ATROVENT HFA components. Hypersensitivity to atropine or any of its derivatives

Source: US FDA prescribing information

Warnings and precautions

Not indicated for the initial treatment of acute episodes of bronchospasm where rescue therapy is required for rapid response. Hypersensitivity reactions including anaphylaxis: Discontinue ATROVENT HFA at once and consider alternative treatments. Paradoxical bronchospasm: Discontinue ATROVENT HFA and consider other treatments if paradoxical bronchospasm occurs. Ocular effects: Use with caution in patients with narrow-angle glaucoma and instruct patients to consult a physician immediately if signs or symptoms of narrow-angle glaucoma develop. Urinary retention: Use with caution in patients with prostatic hyperplasia or bladder-neck obstruction and instruct patients to consult a physician immediately if signs or symptoms of urinary retention develop

Source: US FDA prescribing information

Side effects

The following adverse reactions are described, or described in greater detail, in other sections: Hypersensitivity Reactions, Including Anaphylaxis Paradoxical Bronchospasm Ocular Effects Urinary Retention Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in patients. Most common adverse reactions (>5% incidence in the 12-week placebo-controlled trials) were bronchitis, COPD exacerbation, dyspnea, and headache

Source: US FDA prescribing information

Interactions

ATROVENT HFA has been used concomitantly with other drugs, including sympathomimetic bronchodilators, methylxanthines, oral and inhaled steroids commonly used in the treatment of COPD. With the exception of albuterol, there are no formal studies fully evaluating the interaction effects of ATROVENT HFA and these drugs with respect to safety and effectiveness. Anticholinergics: May interact additively with concomitantly used anticholinergic medications. Avoid administration of ATROVENT HFA with other anticholinergic-containing drugs

Source: US FDA prescribing information

Storage

Store at 20°C to 25°C (68°F to 77°F), excursions permitted to 15°C to 30°C (59°F to 86°F). For optimal results, the canister should be at room temperature before use. Exposure to temperatures above 120°F may cause bursting. Do not use or store near heat or open flame.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

5 presentations of Ipratropium, sorted by availability.

MedicineManufacturerRegisterAvailability
Ipratropium 0.5 mg/2.5 mL inhalation solutionInhalationGeneric name—US FDAAvailable on request
Ipratropium 42 mcg nasal sprayNasalGeneric name—US FDAAvailable on request
Ipratropium 21 mcg nasal sprayNasalGeneric name—US FDAAvailable on request
Atrovent HFA 17 mcg inhalerInhalationBoehringer Ingelheim PharmaceuticalsUS FDAAvailable on request
Ipratropium 17 mcg inhalerInhalationGeneric name—US FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 29 December 1986Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Ipratropium available for export from India?

Yes, on request. MedsAcross lists 5 presentations of Ipratropium and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Ipratropium have?

The catalogue lists 1 brand names for Ipratropium, including Atrovent HFA.

Is Ipratropium approved by the US FDA?

Yes. The US FDA first approved Ipratropium on 29 December 1986, according to Drugs@FDA.

Does Ipratropium need cold chain shipping?

No listed presentation of Ipratropium is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

References

  1. Atrovent HFA prescribing information (Boehringer Ingelheim Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 5 November 2025

Request Ipratropium for export supply

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