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Use Albuterol and Ipratorium exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
Albuterol and Ipratorium may increase the risk of asthma-related death. It is critical that you use only the prescribed dose of Combivent and follow all patient instructions for safe use of the medication.
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• Insert metal canister into clear end of mouthpiece. Make sure the canister is fully and firmly inserted into the mouthpiece.

• Remove orange protective dust cap. If the cap is not on the mouthpiece, make sure there is nothing in the mouthpiece before use. For best results, the canister should be at room temperature before use.

• Shake and Test Spray. Perform this step before using for the first time, and whenever the aerosol has not been used for more than 24 hours.

• Shake the canister vigorously for at least 10 seconds. Vigorous shaking for at least 10 seconds before each spray is very important for proper performance.

• Breathe out (exhale) deeply through your mouth. Holding the canister upright, between your thumb and finger(s), put the mouthpiece in your mouth and close your lips. Keep your eyes closed so that no medicine will be sprayed into your eyes. Albuterol and Ipratorium can cause blurry vision, narrow-angle glaucoma or worsening of this condition or eye pain if the medicine is sprayed into your eyes.

• Breathe in slowly through your mouth and at the same time spray the medicine into your mouth. To spray the medicine, firmly press once on the canister against the mouthpiece. Keep breathing in deeply.

• Hold your breath for 10 seconds, remove the mouthpiece from your mouth and breathe out slowly.

• If you use more than one inhalation at a time, wait at least 2 minutes before using the second inhalation, shake the inhaler vigorously for at least 10 seconds again and repeat dose.

• Replace the orange protective dust cap after use.

• Keep track of the number of sprays used and discard after 200 sprays. Even though the canister is not empty, you cannot be sure of the amount of medicine in each spray after 200 sprays.

• Keep your inhaler clean and dry, and store it with the cap on the mouthpiece. Clean your inhaler once a week by removing the canister and placing the mouthpiece under warm running water for at least 30 seconds. Allow the parts to dry before putting the inhaler back together.

To use the Albuterol and Ipratorium Respimat:

• With the orange cap closed, press the safety catch while pulling off the clear base. Be careful not to touch the piercing element located inside the bottom of the clear base.

• Write the "discard by" date on the label of the Respimat inhaler. The discard by date is 3 months from the date the cartridge is inserted into the inhaler.

• Push the narrow end of the cartridge into the inhaler. The base of the cartridge will not sit flush with the inhaler. About 1/8 of an inch will remain visible when the cartridge is correctly inserted. The cartridge can be pushed against a firm surface to ensure that it is correctly inserted. Do not remove the cartridge once it has been inserted into the inhaler.

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