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2Remove orange protective dust capIf the cap is not on the mouthpiecemake sure there is nothing in the mouthpiece before useFor best resultsthe canister should be at room temperature before use.

Combivent Inhalation Aerosol is a combination of the anticholinergic bronchodilatoripratropium bromideand the beta 2adrenergic bronchodilatoralbuterol sulfate.

Acid or sour stomach badunusualor unpleasantaftertaste belching change in taste diarrhea difficulty with moving dry mouth heartburn indigestion muscle pain or stiffness stomach discomfortupsetor pain voice changes.

Because lipid-insoluble quaternary cations pass into breast milkcaution should be exercised when COMBIVENT Inhalation Aerosol is administered to a nursing mother.

Ipratropium bromide is an anticholinergicparasympatholyticagent whichbased on animal studiesappears to inhibit vagally-mediated reflexes by antagonizing the action of acetylcholinethe transmitter agent released at the neuromuscular junctions in the lungAnticholinergics prevent the increases in intracellular concentration of Cawhich is caused by interaction of acetylcholine with the muscarinic receptors on bronchial smooth muscle.

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