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How to use your Atrovent Autohaler Breath Actuated Inhaler
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To obtain the best results from your Atrovent Autohaler Device please read this leaflet carefully and follow the simple instructions (overleaf).  If you are still unclear about how to use the device ask your doctor or pharmacist.
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Always follow the instructions for use given by your doctor.
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The 10ml vial contains 4mg ipratropium bromide in 200 metered doses.  Each metered dose contains 20 micrograms of ipratropium bromide.
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Ipratropium bromide is a bronchodilator which relaxes the air passages in your lungs to help you breathe more easily.
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Dosage
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The standard dose for adults is one or two puffs, three or four times a day, but your doctor may wish to alter this to suit your individual needs.
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Children
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Atrovent should be administered to children only under the supervision of a responsible adult and strictly as recommended by the doctor.
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How to use your Atrovent Autohaler
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 <FIGURE></FIGURE> <PB n=2> <CB n=1> To remove the mouthpiece cover, pull down on the lip at the back.
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With the lever down, shake the device well.
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‘Autohaler’
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 is a registered trade mark of the 3M Company <CB n=2> <FIGURE></FIGURE> <CB n=1>
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Boehringer Ingelheim     
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Hold the device upright as shown.  Push the lever up so that it stays up.
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Make sure your hand is not blocking the air vents at the bottom of your Atrovent Autohaler Device and that you are still holding it upright.
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Breathe out normally.
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Put the mouthpiece in your mouth and close your lips firmly around it.
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Suck in through the mouthpiece.
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DO NOT STOP
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 when the puff is released, but continue sucking until your lungs refill, then hold your breath for 10 seconds.
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Breathe normally.
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The lever must be pushed down after each puff.  If your doctor has prescribed additional puffs, wait one minute before repeating steps 2 – 6.
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Replace mouthpiece cover after use
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How to Clean and Care for your Atrovent Autohaler  
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Consult your doctor immediately if:
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your inhaler is less effective than usual or
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you feel the need to use your inhaler more often than your doctor has recommended.
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PRECAUTIONS REGARDING THE USE OF THE ATROVENT AUTOHALER DEVICE
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Atrovent should not be used by people who are hypersensitive or "allergic" to atropine or ipratropium bromide .
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People with glaucoma or an enlarged prostate gland should follow their doctor's instructions very closely and not take more than the prescribed dose.
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Like all medicines, Atrovent should be used during pregnancy only after discussion with your doctor.
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Rinse the mouthpiece in lukewarm water 
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Shake out excess water and leave to dry in the air.
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CAUTION: Do not push a drying cloth of anything else into any part of the device since it may cause damage to its operating parts.  Do not take the device apart.
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Replace the mouthpiece cover.  When you are not using your Atrovent Autohaler Device, make sure that the lever is down and that the mouthpiece cover is in place.
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IMPORTANT:
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 The Atrovent Autohaler Device is non-refillable and should be discarded when empty.
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The Product Licence is held by:
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Boehringer Ingelheim Limited, Bracknell, Berkshire.
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Product Licence Number: PL 0015/0160
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