What Is Ipralev Drug Information and Side Effects?

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What is IPRALEV and what is it used for?

IPRALEV contains 20 mcg levosalbutamol sulfate equivalent to 21 mcg ipratropium bromide monohydrate and 50 mcg levosalbutamole equivalent to 60,235 mcg as the active ingredient.

IPRALEV 20/50 mcg for inhalation is available in 200-dose spray aerosol tubes and contains 1 inhaler.

Ipratropium bromide is included in a group of drugs called bronchodilators (bronchi expanders).

Levosalbutamol is a member of the group of drugs called bronchodilators (bronchi expanders). Levosalbutamol relaxes the muscles found in the walls of the airways in the lungs, causing them to expand.

IPRALEV, chronic bronchitis (chronic inflammation of the mucosa, which covers the inner surface of the bronchi), emphysema (lungs, lungs, in adults with chronic occlusive (obstructive) lung disease and reversible occlusive airway disease, such as asthma, including abnormal expansion of air frescoes due to damage, it is used in adolescents and children (6 years and older).

What are the Side Effects?

Like all medications, there may be side effects in people who are sensitive to substances contained in IPRALEVIN content.

If any of the following happens, stop using IPRALEVI and report it to your doctor immediatelyapply to the emergency department of the trail or the nearest hospital: you:

  • Hypersensitivity response of the body to allergy-causing substances (swelling of the hands, feet, wrists, tongue, face, lips, swallow, or especially the mouth or throat to make swallowing or breathing difficult),
  • Bronchospasm (narrowing of the bronchi, spasm of the bronchi),
  • Unexpected narrowing and shortness of breath of the respiratory tract (paradoxal bronchospasm),
  • Disorder of laryngeal movements, in which there is increased contraction in the throat muscles.

    • These are all very serious side effects. If you have one of these, you may need immediate medical attention or hospitalization.

    If you notice any of the following, tell your doctor immediately or contact the emergency department of the hospital closest to you.

  • Dilation of the pupil of the eye,
  • Increased intraocular pressure,
  • Eye pressure, the,
  • Bleeding in the transparent membrane covering the eyelid and the front surface of the eyelid, the,
  • Bloating in the transparent body of the eye,
  • Palpitations
  • Heart rate irregularities (atrial fertilization, supraventricular tachycardia, extrasystoles),
  • Acceleration of the heartbeat
  • High blood pressure
  • Asthma,
  • Cyst (The inner fluid that can form in various parts of the body is sometimes the vesicles that are full of solids),
  • Gastric and intestinal infection with diarrhea and vomiting, including,
  • Nose bleeding
  • Lung disease, the,
  • Detection of blood in urine

    • Chest pain

    - stenosis of the feet,

  • Angina (spasm, contraction).

    • These are all serious side effects. Urgent medical intervention may be required.

    If you notice any of the following, tell your doctor:

  • Headache
  • Dumbness
  • Blurred vision, the,
  • Eye pain, the,
  • Seeing haleli, you,
  • Disorder of adaptation of the lens of the eye to different distances,
  • Throat irritation,
  •  Cough
  • • bozagaz
  • Nausea
  • Stomach-intestinal movement disorders, including,
  • Diarrhea
  • Constipation
  • Vomiting
  • Inflammation in the mouth,
  • Rash
  • Itch
  • Hives
  • Not able to urinate, the,
  • Accidental injury,
  • Pain,
  • Dizziness
  • Inflammation of the swallow,
  • Naughty,

    • Flu, flu,

  • Virus infection (inflammation-causing microbial disease),
  • Muscle pain, the,
  • Pimple
  • Hover,
  • Eye inflammation (conjunctivitis),
  • Ear pain
  • Painful menstruation, vision,
  • Vaginal (female genitalia) thrush,
  • Inflammation of the bronchi,
  • Vertigo (dizziness caused by balance disorder
  • Irritability
  • Flicker
  • Stimulation of the central nervous system,
  • Dryness or irritation of the mouth and swallow, and,
  • Insomnia

    • These are mild side effects of IPRALEVIN.

    How is IPRALEV Used?

    IPRALEV is applied only by oral inhalation.

    IPRALEVari always use it in accordance with your doctor's instructions. If you are unsure, consult your doctor or pharmacist.

    Adults and children over 12 years old:

    The recommended dose is 4 inhalations 2 times a day.

    This dose can be increased to a maximum of 24 inhalations within 12 hours. 12 Inhalations per day should not be passed.

    children

    6-12 years: Usually 3 inhalations 2 times a day The recommended dose should not be exceeded.

    Young children may need help, and adults can help them use inhalers. Encourage children to exhale their breath and spray the inhaler while breathing. Try the technique together. Consult your pharmacist or doctor in cases where it is difficult to apply in children.

    If you have difficulty breathing and aerosol administration at the same time, talk to your doctor or pharmacist. Your doctor may recommend using air chambers along with your inhaler spray.

    Children and patients with weak hands can hold the inhaler with two fingers at the top of the inhaler, two thumbs under the mouthpiece, with their hands together.

    If you feel that your medicine is not working well or that you need more medication than your doctor has recommended, inform your doctor immediately. In some cases, your doctor may change the medication you are using.

    If your treatment is not improving, your condition is worsening, or the response to treatment is reduced, you should seek medical attention. If you have difficulty breathing, consult your doctor immediately.

    The use of inhalation spray will be shown to you by the doctor or pharmacist.

    Your doctor should check how you use inhalation spray from time to time. You should use your IPRALEV inhalation spray regularly or as prescribed to you in order to control your disease.

    The drug is located in a pressurized tube in the plastic body, including the mouthpiece. See attached instruction for instructions for using inhalation device.

    Use in children

    Use in the elderly:

    Use in the elderly:

    Due to the fact that there may be a decrease in kidney function with age, caution should be taken in the selection of doses in elderly patients and monitoring of kidney function may be useful. For this reason, use IPRALEVI under the control of the doctor.

    Additional information on special populations Kidney failure:

    There is no specific dose recommendation for use of ipratropium in patients with renal insufficiency in the content of IPRALEV. caution should be taken when high doses will be administered in patients with renal insufficiency due to levosalbutamol in the content of IPRALEV. If you have kidney failure, use IPRALEVI under doctor's control.

    Liver failure:

    There is no specific dose recommendation for use of ipratropium and levosalbutamol in patients with hepatic insufficiency.

    If you have liver failure, use IPRALEVI under doctor's control.

    If you have a watch that the effect of IPRALEVIN is very strong or weak, talk to your doctor or pharmacist.

    IPRALEV

    What to Do in case of Overdose?

    IPRALEV

    What to Do in case of Overdose?

    If you have used more than you should use from IPRA TEV, talk to a doctor or pharmacist.

    What Should I Do When I Forget to Use IPRALEV?

    What Should I Do When I Forget to Use IPRALEV?

    Do not take double doses to offset forgotten doses.

    Post Treatment For IPRALEV Users

    Do not terminate your treatment with IPRALEV without consulting your doctor.

    Things to consider before using IPRALEV

    Who should not use IPRALEV by?

  • If you are allergic to ipratropium, atropine or its derivatives, levosalbutamole, racemic salbutamole and/or any of the excipients in the product.

    • What Should IPRALEV Users Pay Attention to?

  • If you have glaucoma (increased intraocular pressure) or a tendency to glaucoma, you,
  • If you have difficulty urinating,
  • If you have prostate problems,
  • If you have cystic fibrosis (an inherited disease that causes a disorder in the lung, kidney, or pancreas), you,
  • If shortness of breath (paradoxal bronchospasm) occurs, discontinue treatment with IPRALEV and consult your doctor.
  • If your asthma is worsening suddenly and progressively, inform your doctor.
  • If you have cardiovascular disease (especially heart failure), heart rhythm disturbance, sudden attacks (convulsive disease), which are usually characterized by loss of consciousness and severe rhythmic contractions in all or some of the muscles that are involuntary, if you have hyperthyroidism (overproduction of thyroid hormone in the body), diabetes and sensitivity to sympathomimetics, use IPRALEVI with caution.
  • High doses of IPRALEV can exacerbate your existing diabetes or diabetic ketoacidosis (excessive amounts of acid accumulation in the blood, symptoms in case of starvation in diabetics; rapid weight loss, nausea or vomiting).
  • IPRALEV can cause the blood potassium level to drop below normal, but the decrease is temporary and does not require the addition of potassium. However, if the level of potassium in your blood is low or you have a tendency to do so, inform your doctor.
  • If your inhaler does not relieve you, contact your doctor immediately.
  • Consult your doctor in case of changes in your blood pressure.
  • Do not use IPRALEVari above the recommended dose.

    • If these warnings apply to you, even at any time in the past, please consult your doctor.

    Food and Beverage Consumption Together With IPRALEV

    What are the foods and drinks that are inconvenient to be consumed with the specified medication? What should we eat or not eat?

    There is no information about the interaction if IPRALEV ⁇ is taken with food.

    A decrease or increase in its effectiveness should not be expected due to the fact that the respiratory tract and feeding path are different.

    Is it Used During Pregnancy (Pregnancy) Period?

    Consult your doctor or pharmacist before using the medicine.

    Tell your doctor if you are pregnant or planning to become pregnant.

    During pregnancy, use only if your doctor deems it necessary after a careful risk-benefit assessment.

    You can use a birth control method that is considered medically effective during treatment.

    If you notice that you are pregnant during your treatment, consult your doctor or pharmacist immediately.

    Can it be Used During Breastfeeding?

    Consult your doctor or pharmacist before using the medicine.

    Can it be Used During Breastfeeding?

    Vehicle and machinery use

    The study in which the effects of IPRALEVazine on vehicle and machine use were not performed. However, during treatment with IPRALEV, undesirable effects such as dizziness, impaired adaptation of the eye lens to different distances, enlargement of the pupil, blurred vision may occur. If these effects occur, avoid the use of tools and machinery.

    What is IPRALEV Active Agent?

    Alcohol warning

    This medicinal product contains a small amount - less than 100 mg per dose.

    Lesitin (Soya) warning

    IPRALEV contains soybean oil. If you are allergic to peanuts or soy, do not use this medicinal product.

    Combined use with other drugs

    Before you start treatment, inform your doctor or pharmacist if you have recently used any medications (including herbal remedies), including over-the-counter medications, or if you are still using them. IPRALEV can affect the mechanism of action of other drugs, while other drugs can affect the mechanism of action of IPRALEVIN.

    Especially if you have used any of the following medicines or are still using them,

  • Other inhalers that help breathe easier, such as relaxing salbutamol inhalers,
  • Medications called xanthines that help you breathe, such as theofilin and aminofilin, include,
  • Short-acting sympathomimetics (drugs used in respiratory diseases) or epinephrine (medication for the treatment of hypersensitivity reactions), such as,

    • • beta-blocker drugs (drugs used in high blood pressure and chronic heart disease),

    • Monoamine oxidase (MAO) inhibitors (drugs used in the treatment of depression),

  • Tricyclic antidepressants (Drugs used to treat depression)
  • Diuretic (irritating) drugs,
  • Digoxin (a drug used in chronic heart disease), is,

    • • diuter inhaled bronchodilator (expanding respiratory tract) drugs,

    • Caffeine, diet pills or decongestants (drugs that eliminate nasal congestion).

    When you go to the doctor or hospital during the use of this medicine, take this medicine with you and any other medicine you have used (with its boxes, if possible). Some anesthetic gases used in operations may affect the effect of your inhaler spray.

    If you are going to have an operation, tell your doctor that you are using IPRALEV.

    If you are currently taking any prescription or over-the-counter medications or have recently used them, please tell your doctor or pharmacist about them.

    IPRALEV prospectus does not have a pdf file. [/su_tab][/su_tabs]
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