ATROVENT® (ipratropium bromide) Nasal Spray 0.03% is indicated for the symptomatic relief of rhinorrhea (runnynose) associated with allergic and nonallergic perennial rhinitis in adults and children age 6 years and older. ATROVENT (ipratropium bromide) Nasal Spray0.03% does not relieve nasal congestion, sneezing, or postnasal drip associated with allergic ornonallergic perennial rhinitis. Read complete instructions carefully and use only as directed.

To Use:

1. Remove the clear plastic dust cap and the green safety clip from the nasal spray pump (Figure 1). The safety clip prevents the accidental discharge of the spray in your pocket or purse.
2. The nasal spray pump must be primed before ATROVENT (ipratropium bromide) Nasal Spray 0.03% is used for the first time. To prime the pump, hold the bottle with your thumb at the base and your index and middle fingers on the white shoulder area. Make sure the bottle points upright and away from your eyes. Press your thumb firmly and quickly against the bottle seven times (Figure 2). The pump is now primed and can be used. Your pump should not have to be reprimed unless you have not used the medication for more than 24 hours; repriming the pump will only require two sprays. If you have notused your nasal spray for more than seven days, repriming the pump will require seven sprays.
3. Before using ATROVENT (ipratropium bromide) Nasal Spray 0.03%, blow your nose gently to clear your nostrils if necessary.
4. Close one nostril by gently placing your finger against the side of your nose, tilt your head slightly forward and, keeping the bottle upright, insert the nasal tip into the other nostril (Figure 3). Point the tip toward the back and outer side of the nose.
5. Press firmly and quickly upwards with the thumb at the base while holding the white shoulder portion of the pump between your index and middle fingers. Following each spray, sniff deeply and breathe out through your mouth.
6. After spraying the nostril and removing the unit, tilt yourhead backwards for a few seconds to let the spray spread over the back of the nose.
7. Repeat steps 4 through 6 in the same nostril.
8. Repeat steps 4 through 7 in the othernostril (i.e., two sprays pernostril).
9. Replace the clear plastic dustcap and safety clip.
10. Atsome time before the medication is completely used up, you should consult your physician orpharmacistto determine whether a refill is needed. You should not take extra doses or stop using ATROVENT (ipratropium bromide) Nasal Spray 0.03% without consulting your physician.

To Clean:

If the nasal tip becomes clogged, remove the clear plastic dust cap and safety clip. Hold the nasal tip under running, warm tap water (Figure 4) for about a minute. Dry the nasal tip, reprime the nasal spray pump (step 2 above), and replace the plastic dust cap and safety clip.

Caution:

ATROVENT (ipratropium bromide) NasalSpray 0.03% is intended to relieve your rhinorrhea (runnynose) with regular use. It is therefore important that you use ATROVENT (ipratropium bromide) Nasal Spray 0.03% as prescribed by your physician. For most patients, some improvement in runny nose is usually apparent during the firstfull day of treatment with ATROVENT (ipratropium bromide) Nasal Spray 0.03%. Some patients may require up to two weeks of treatment to obtain maximum benefit.

Do not spray ATROVENT®(ipratropiumbromide) Nasal Spray 0.03% in your eyes. Should this occur, immediately flushy our eye with cool tap water for several minutes. If you accidentally spray ATROVENT (ipratropium bromide Nasal Spray 0.03% in your eyes, you may experience a temporary blurring of vision and increased sensitivity to light, which may last a few hours. Should eye pain or blurred vision occur, contacty our doctor.

Should you experience excessive nasal dryness or episodes of nasal bleeding contact your doctor.

You should not use this drug if you have glaucoma or difficult urination due to an enlargement of the prostate, unless directed by a physician. ATROVENT (ipratropium bromide) Nasal Spray 0.03% should not be used during pregnancy or breast feeding unless directed by a physician. It is not known whether ipratropium bromide is excreted in human milk; however, many drugs are excreted in human milk.

Storage:

Store tightly closed between 59°F (15°C) and 86°F (30°C). Avoid freezing. Keep out of reach of children.

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