Atem Nebuliser 2ml 0.025% Liquid 5 ‘S

Description:
  • Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is prescribed to treat wheezing and shortness of breath related to COPD (chronic obstructive pulmonary disease) and many other lung diseases.
  •  Atem Nebuliser 2ml 0.025% Liquid 5 ‘S contains Ipratropium Bromide as an active ingredient.
  • Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is used with a nebulizer machine (that turns the liquid into a fine mist to be inhaled).
  • Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is to be inhaled from the mouthor nose,usually 3-4 times daily (6-8hrs apart), or as directed by your doctor. 
  • Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is to be used only when necessary 
  • Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is to be used under doctor’s advisement
Categories: , ,
Type

Liquid

Feature

0.03%

Unit

'S

Formula

Ipratropium Bromide

Composition

Ipratropium Bromide 0.025 %

Brand

Chiesi Pharmaceuticals

Prescription Required

Yes

How to use, Side effects, Uses, Formula & Composition

About:

Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is a prescription medicine and is a member of the bronchodilator family of drugs. Bronchodilators are drugs inhaled through the mouth that dilates the bronchial tubes (air passages) in the lungs.

Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is used to prevent shortness of breath, wheezing, coughing, and chest tightness in people with chronic obstructive pulmonary disease (COPD: a group of diseases affecting the lungs and airways), that further includes chronic bronchitis (swelling of the air passages leading to the lungs) and emphysema (damage to the air sacs in the lungs). This drug does not work as quickly as your quick-relief drug, but it may be taken in conjunction with it to treat symptoms of wheezing or abrupt shortness of breath if your doctor prescribes it.

This medication has anticholinergic properties. Atem Nebuliser 2ml 0.025% Liquid 5 ‘S works by relaxing and opening the lung’s airways, making breathing easier. The muscarinic acetylcholine receptor is inhibited by Atem Nebuliser 2ml 0.025% Liquid 5 ‘S and the parasympathetic neural system in the airways is inhibited as a result of this impact, which leads to bronchodilation and some secretions.

Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is available as an inhaler or a solution to be used in a nebulizer machine upon a prescription. Atem Nebuliser 2ml 0.025% Liquid 5 ‘S available in solution (liquid) is to be inhaled through the mouth with a nebulizer (equipment that converts medicine into a mist that can be inhaled) or as an aerosol to be inhaled through the mouth with an inhaler. Once every 6 to 8 hours, the nebulizer solution is commonly used three or four times a day and four times a day, on average, the aerosol is utilized or as directed by your doctor. Follow the directions on your prescription label carefully, and if there is anything you don’t understand, ask your doctor or pharmacist to explain it to you.

Inhalation is the most typical method of administration, as it provides for a local impact without causing major systemic absorption.

Dosage is determined by your medical condition and treatment response. If you are prescribed this drug daily, it works best if you take it at regular intervals. Use it at the same times every day to help you remember. Without first consulting, your doctor, do not increase your dose, use this drug more frequently, or stop using it.

Dizziness, nausea, stomach trouble, dry mouth, and constipation are all possible side effects. Tell your doctor or pharmacist right away if any of these side effects persist or worsen.

Rarely, this medicine might cause significant, immediate worsening of respiratory issues. Use your quick-relief medicine and seek medical attention right away if your breathing becomes suddenly worse.

Indications

Atem Nebuliser 2ml 0.025% Liquid 5 ‘S can be used to treat:

  • Reversible bronchospasm caused by chronic obstructive pulmonary disease (COPD)
  • When taken in conjunction with inhaled beta2-agonists, Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is approved for the treatment of reversible airway blockage, such as in acute and chronic asthma
  • This medicine control and prevent symptoms such as shortness of breath and wheezing in Chronic Obstructive Pulmonary Disease (COPD) that includes both emphysema and bronchitis

This medication can be used for several other conditions not included in this prescription guide. 

How Does Atem Nebuliser 2ml 0.025% Liquid 5 ‘S Work

Atem Nebuliser 2ml 0.025% Liquid 5 ‘S has anticholinergic properties that work by relaxing and opening the lung’s airways, making breathing easier. The muscarinic acetylcholine receptor is inhibited by Atem Nebuliser 2ml 0.025% Liquid 5 ‘S and the parasympathetic neural system in the airways is inhibited as a result of this impact. Because the parasympathetic nervous system’s purpose in the airway is to produce bronchial secretions and constriction, inhibiting this action can result in bronchodilation and fewer secretions.

How To Use Atem Nebuliser 2ml 0.025% Liquid 5 ‘S

Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is available as an inhaler or a solution to be used in a nebulizer machine upon a prescription

  • To avoid dry mouth and throat irritation, rinse your mouth after treatment from Atem Nebuliser 2ml 0.025% Liquid 5 ‘S
  • Extra Atem Nebuliser 2ml 0.025% Liquid 5 ‘S puffs should only be used if your doctor recommends it. In 24 hours, never use more than 12 puffs of ipratropium inhalation aerosol
  • Make sure you don’t get ipratropium in your eyes. If you’re using an inhaler, keep your eyes closed while you’re using it.
  • It is recommended that you use the nebulizer with a mouthpiece rather than a face mask, or that you close your eyes while using it.

Steps for using an inhaler:

  • Remove the cap from the inhaler and insert the inhaler opening in your mouth
  • Form a seal around the inhaler with your lips and press on the canister on the top of the inhaler to use Atem Nebuliser 2ml 0.025% Liquid 5 ‘S
  • To allow the medicine to enter your lungs, inhale deeply and, if feasible, hold your breath for 10 seconds
  • Usually, two puffs are given; there is no need for a time-lapse or lag between the two puffs. Remember to replace the inhaler’s cap after each usage. 

Steps for using a nebulizer:

  • Squeeze all of the liquid from one vial of Atem Nebuliser 2ml 0.025% Liquid 5 ‘S solution into the nebulizer reservoir by twisting off the lid.
  • Connect the mouthpiece or face mask to the nebulizer reservoir.
  • Connect the compressor to the nebulizer
  • Put the mouthpiece in your mouth or the face mask on your face. Turn on the compressor while sitting in an upright, comfortable position
  • Inhale slowly, deeply, and evenly for 5 to 15 minutes, or until the mist in the nebulizer chamber stops developing.

Dosage

Form and strength:

250mcg, 500mcg, 25mcg, 20mcg, 40mcg

Adult Dosage:

For asthma:

  • Inhalation dosage – 1 to 4 puffs four times a day, as needed, at regular intervals
  • Nebulizer inhalation solution – 500 mcg three or four times a day, every 6 to 8 hours, as needed, in a nebulizer.

For COPD: 

  • Inhalation dosage – 2 puffs four times a day at first, then as needed. In any 24 hours, do not utilize more than 12 puffs.
  • Nebulizer inhalation solution – Use 250 to 500 mcg in a nebulizer three or four times a day, every 6 to 8 hours.

Child Dosage:

For asthma:

  • Inhalation dosage – 

Children above 12 years: 1 to 4 puffs four times a day, as needed, at regular intervals

Children below 12 years: 1 to 2 puffs three to four times a day, as needed, at regular intervals

  • Nebulizer inhalation solution – 

Children 5-12 years of age and above: 125 to 250 mcg three or four times a day, every 4 to 6 hours, as needed, in a nebulizer.

Children under 5 years of age: Dose and use must be determined by the physician.

For COPD: 

  • Inhalation dosage – 

 Dose and use must be determined by the physician

  • Nebulizer inhalation solution –

Children 5-12 years of age and above: Use 250 to 500 mcg in a nebulizer three or four times a day, every 6 to 8 hours.

Children under 12 years of age: Dose and use must be determined by the physician

Elderly Dosage 

No data of Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is available for use in elderly patients

Pregnancy and Lactation

In pregnant women, there have been no sufficient and well-controlled investigations using Atem Nebuliser 2ml 0.025% Liquid 5 ‘S. This medication must be administered during pregnancy only if the possible benefit outweighs the risk to the fetus. 

Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is not known to be eliminated in breast milk. Although ipratropium bromide is unlikely to reach the newborn in a significant amount, caution should be exercised when it is provided to nursing mothers.

Contraindications

Do not take Atem Nebuliser 2ml 0.025% Liquid 5 ‘S and consult your doctor if you have a medical history of any of the following:

  • Allergic/hypersensitive to Atem Nebuliser 2ml 0.025% Liquid 5 ‘S and its contents, or any food product (such as pork, beef, etc)
  • History of Glaucoma
  • Enlarged prostate
  • Urinary bladder obstruction or its related problems
  • Atem Nebuliser 2ml 0.025% Liquid 5 ‘S in inhaler form must not be used in patients under 18 years of age
  • Atem Nebuliser 2ml 0.025% Liquid 5 ‘S in solution form for nebulizer must not be used in children under 12 years of age

Precautions

Take special care and please tell your doctor about any of the following conditions before using Atem Nebuliser 2ml 0.025% Liquid 5 ‘S:

  • Hypersensitivity: Immediate hypersensitive reactions are reported after using Atem Nebuliser 2ml 0.025% Liquid 5 ‘S with symptoms such as rash, urticaria, angioedema, bronchospasm, etc
  • Paradoxical bronchospasm: Inhalation dosing can cause bronchoconstriction with increased wheezing after dosing, Atem Nebuliser 2ml 0.025% Liquid 5 ‘S must be discontinued immediately and alternative treatment should be started
  • Ocular complications: Caution should be used in treating patients with narrow-angle glaucoma who can show symptoms such as blurred vision, eye pain or discomfort, visual halos, or colored images
  • Renal and urinary effects: Atem Nebuliser 2ml 0.025% Liquid 5 ‘S should be used with caution in patients with enlarged prostate or bladder obstruction
  • Gastrointestinal disturbances can result from the use of Atem Nebuliser 2ml 0.025% Liquid 5 ‘S in patients with cystic fibrosis
  • Pregnancy and breastfeeding

Interactions With Other Medications

Consult your doctor about the use of the following medicines before using Atem Nebuliser 2ml 0.025% Liquid 5 ‘S:

  • Methacholine
  • Scopolamine
  • Clozapine
  • Glucagon
  • Revefenacin
  • Tiotropium
  • Secretin human

This document does not contain all probable drug reactions, it is advisable to keep a list of medicines in use and discuss it with your doctor (this includes prescription/nonprescription and herbal products). 

Adverse Effects

Common Adverse Effects

Following side effects may not require immediate medical attention until becomes troublesome:

  • Dry mouth
  • Headache
  • Tiredness
  • Nausea
  • Dizziness
  • Heartburn
  • Constipation
  • Frequent urge to urinate
  • Back pain
  • Pain while urinating
  • Cold symptoms such as coughing, sneezing, and sore throat
  • Cough with mucus, trouble breathing, or chest tightness

Rare Adverse Effects

Because Atem Nebuliser 2ml 0.025% Liquid 5 ‘S may induce serious and fatal infusion responses followed by cardiac collapse, the following side effects may require rapid attention and report to your doctor:

  • Any sign of an allergic reaction such as swelling of face, tongue, lips, and throat, hives, difficulty in breathing
  • Wheezing, coughing, or other breathing issues
  • Urination is minimal or non-existent
  • Seeing halos surrounding lights, tunnel vision, eye discomfort, or impaired vision
  • Breathing issues have become worse
  • Fainting
  • Severe eye pain
  • Fast or irregular heartbeat

This is by no means a complete list of possible negative effects. Contact your doctor or pharmacist if you experience any other side effects not listed above. 

How To Cope With Some Of The Adverse Effects

  • Dry Mouth- Can be helped by sipping water throughout the day, chewing sugarless gum and using alcohol-free mouthwash, allowing ice to melt in the mouth, or using a saliva substitute
  • Headaches– In which case make sure you rest and drink plenty of fluids. Avoid the use of alcohol. Take a prescribed painkiller. Consult your doctor if the headaches last longer than a week or are severe
  • Feeling or being sick (nausea or vomiting) or diarrhea -Avoid eating rich or spicy food. It might help to take medication after food. If you’re sick, try drinking small, frequent sips of water. 
  • Feeling dizzy (lightheaded) or weak -If the medication makes you feel dizzy or weak, stop what you’re doing and sit or lie down until you feel better and do not rise too fast or immediately from sitting or lying down position to a standing posture. Do not drive or use tools or machinery in case of any of these effects.
  • Heartburn – can be dealt with by chewing on mint-flavored gum that’ll help neutralize the acid in the body. Standing up straighter, adding ginger to the daily diet, elevating the patient’s upper body, and having licorice supplements has shown to provide relief.

FAQs

#1. How to store Atem Nebuliser 2ml 0.025% Liquid 5 ‘S?

Store at a temperature of no more than 25 degrees Celsius. Keep the product in its original container. Any solution left in the ampoule after use should be discarded.

#2. What is Atem Nebuliser 2ml 0.025% Liquid 5 ‘S composed of?

Atem Nebuliser 2ml 0.025% Liquid 5 ‘S contains Ipratropium Bromide as an active ingredient.

#3. What if I take too much of Atem Nebuliser 2ml 0.025% Liquid 5 ‘S?

Seek medical attention right away if someone has overdosed and is experiencing dangerous symptoms like fainting out or having difficulties breathing. 

#4. What if I miss a dose of Atem Nebuliser 2ml 0.025% Liquid 5 ‘S?

If you miss a dose of the medication, make sure you take it as soon as possible on that same day. If you don’t remember you missed the dose until the next dosage time or the next day, do not double the dose and take your medication as per schedule. In any 24 hours, do not utilize more than 12 puffs.

#5. Can I take Atem Nebuliser 2ml 0.025% Liquid 5 ‘S during breastfeeding?

Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is not known to be eliminated in breast milk. Although ipratropium bromide is unlikely to reach the newborn in a significant amount, caution should be exercised when it is provided to nursing mothers.

#6. Will Atem Nebuliser 2ml 0.025% Liquid 5 ‘S affect my fertility?

No, Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is found to have no adverse effect on fertility.

#7. Can Atem Nebuliser 2ml 0.025% Liquid 5 ‘S cause dizziness? if so, how should I manage it?

Yes. As one of the most prevalent adverse effects, it might cause dizziness. If this occurs, sit or lie down until the symptoms subside. Please keep in mind that this is very transitory and normally fades away as the treatment progresses. It’s also a good idea to stay away from alcohol during your therapy because it can make your dizziness worse. 

#8. Can I consume alcohol with Atem Nebuliser 2ml 0.025% Liquid 5 ‘S?

Alcohol is known to make people dizzy, thus when combined with medication, it might cause significant dizziness and can also increase the risk of stomach bleeding. It’s recommended to stay away from alcohol while you’re getting therapy. 

#9. When taking Atem Nebuliser 2ml 0.025% Liquid 5 ‘S in inhalation form, what should I keep in mind?

Atem Nebuliser 2ml 0.025% Liquid 5 ‘S should not get into your eyes especially if you have glaucoma, if sprayed into the eyes by accident, can produce blurred vision or discomfort, aggravating glaucoma. This medication may induce impaired vision and slow reaction times. If you don’t know how this medicine will affect you, don’t drive or do anything dangerous.

#10. Is Atem Nebuliser 2ml 0.025% Liquid 5 ‘S a rescue medicine for bronchospasm attacks?

Atem Nebuliser 2ml 0.025% Liquid 5 ‘S is not a bronchospasm-relieving medication. In the event of an attack, only use fast-acting inhalation medicine. If your breathing issues worsen quickly or you believe your meds aren’t functioning as effectively as they should, see a doctor immediately.

#11. What dietary instructions are to be followed when using Atem Nebuliser 2ml 0.025% Liquid 5 ‘S?

Continue to eat normally until your doctor tells you to switch to a specific diet.