COMBIVENT Ressources

Application Information

This drug has been submitted to the FDA under the reference 020291/001.

Names and composition

"COMBIVENT" is the commercial name of a drug composed of ALBUTEROL SULFATE and IPRATROPIUM BROMIDE.
It belongs to the class Beta 2 agonists, short-acting/anticholinergics, short-acting and is used in Asthma, COPD (Respiratory System)

Answered questions

Does anyone know what else my mothe rcan use for COPD beside combivent?
She can not afford this any longer they want $200 and something for 200 puff combivent and she needs something and her doctor has not told her she could use something else but I know there is something else she can use that does not cost that much - does anyone have an answer???? Asked by Dorene Noli 3 months ago.

Combivent is a trademarked name for albuterol and atrovent in the same inhaler; it is not available as a generic. The two medications act along different pathways and using them together has a better effect than either of them alone (synergistic effect). Both albuterol and atrovent (ipratropium bromide) are available as separate, generic inhalers. It means taking two separate doses of each instead of just one inhaler but the cost difference might be worth it for you. Spiriva is a long-acting anticholinergic bronchodilator similar to atrovent. It's taken once a day. The upside is that it is MUCH longer lasting than atrovent. The downside is that it is also not available as a generic and costs a bundle. Depending upon how frequently she needs to take her Combivent right now (three to four times per day is fairly typical) it might be worth the cost difference to look into Spiriva. It might cost more per inhaler, but if it only needs to be used once a day instead of four, the savings would be worth it. She could then take a generic albuterol scheduled or as-needed along with the Spiriva. As far as MDI vs nebulizer goes, provided you are using correct technique and a spacer there is no difference between one or the other. Some folks have trouble with the MDI technique and so a neb is more appropriate. If she can take a deep breath and hold it for five seconds there is no need to spend the money on a neb. The medications cost more per dose and using a neb carries a few risks that MDIs don't have (e.g. pneumonia; particularly fungal pneumonia). The dose is a the same whether neb or MDI and the half-life of the drug is the same so it lasts the same amount of time. The only time that is not true is when the MDI hasn't been used correctly (which is also very common). Best wishes! Answered by Shawna Mcclees 3 months ago.


Which is better for COPD patients, Albuterol inhaler or Combivent inhaler?
I have the disease COPD & use an inhaler called Combivent. I have a friend with the same disease who uses Albuterol. His Dr. says Albuterol is best, my Dr. say's combivent is the best. Who's right? Need knowledgeable opinions please! Asked by Janessa Chantry 3 months ago.

Combivent is a mixture of Albuterol Sulfate and Ipatropium Bromide (Atrovent). From my experiance, it seems to work better, as long as the patient does have certain heart conditions which the Atrovent can aggrivate. It could be that your friend has one of these conditions, so both of your doctors are correct. Albuterol is best for him and Combivent is best for you. Even if he does not have a heart condition, her doctor may feel that straight Albuterol is enough for him. Answered by See Spevak 3 months ago.

I use Spiriva a non MDI inhaler and Have Albuterol for a rescue inhaler Albuterol is still available with a HFA propellant I have used combivent as a neb treatment, which worked; I had troubles with combivent as a MDI because of the CFC propellant Answered by Jona Vallier 3 months ago.

I feel the combivent is better, because it is a combination of two inhalers. Does your friend take another inhaler with his albuterol. Some dr will recommend two and it is equivulant to the Combivent. Hope this helps. Also if you feel relief. stick with what your doctor prescribed. Answered by Ranae Schmitz 3 months ago.

Of the two, for COPD, combivent is your best choice. Combivent is a combination of Albuterol and Atrovent. Each of these medications works through different pharmacological pathways to achieve bronchodilation and each has it's own strengths. If you're not working with a Pulmonologist, you should be. I don't know what you can afford, or what your insurance will pay for, but you should discuss the possible benefits of using Spiriva for management of your COPD. Answered by Dolly Toczek 3 months ago.

I would have to say Combivent inhaler. I was informed that the company that produced Albuterol, no longer makes it. That is what I used to be on and my doctor switched me to Xopenex ( zo-pen-x). Answered by Bernadine Mcchain 3 months ago.

Mucinex and calm down. Combivent v. Albuterol? It's like saying who's better, Captain Kirk or Captain Picard. Answered by Rubin Tomidy 3 months ago.

There is no "one size fits all" medical decision that's best for all patients. Your doctor prescribed Combivent, presumably taking your other health factors into account. His doctor prescribed Albuterol, presumably taking HIS other health factors into account. "Best" is a relative term. Everyone wins, as their doctors are taking care of them. Answered by Genny Bisom 3 months ago.

I don't really know, but I'd suggest you go to another doctor and get another opinion, as taking the opinion of strangers over the internet isn't the wisest choice. If you're worried about your doctor giving you the wrong medication, like I said, get another opinion, as medical professionals are who you should be asking. Good luck! Answered by Twanna French 3 months ago.


What is the best replacement for Combivent? and why can't they bring it out in a container like Ventolin?
Asked by Glynda Donner 3 months ago.

Combivent is actually the combination of ventolin and atrovent. There is not a replacement for combivent unless you buy ventolin and atrovent seperately. I am not sure what container you are talking about.... but combivent comes in the same forms as ventolin... liquid and inhaler. Answered by Mignon Holling 3 months ago.


Is combivent safe to use long term?
Asked by Margareta Postlethwait 3 months ago.

Combivent is made of two drugs. Albuterol Sulfate and Ipratroprium Bromide. Both medications are bronchodilators that have been successfully used for long durations. Albuterol works faster than the ipratroprium however the later works longer and when combined they boost the efficacy of each other. I have had multiply patients that have been using this combination of medications in nebulizer form for over 10 years with out any difficulties. Answered by Wes Pilger 3 months ago.

Yes ,,as long as you follow the prescription order by the doctor. The max is 2 puffs every 6 hours,,no more....your doc may have ordered less per day ,,depends on the severity of your respritory problem.... Answered by Modesto Klande 3 months ago.


No more combivent ? ventoline and advair are not enough?
before combivent went off market i was fine with advair and that . now i have only the ventoline inhalher and i am whezzy . is there another inhalher i can use carry all the time. the ventolin is not working well at all. it is as though i didnt use it when i take it. Asked by Vanita Minugh 3 months ago.

You need to see your asthma care professional and tell them that you are still wheezing and ask for a treatment review. Answered by Rhona Schorr 3 months ago.


Combivent inhaler for asthma!!?
Anyone felt high off of it? My perscription is to take 2 puffs every 4 hrs as needed, i just took 2 cause i am having a hard time breathing and i feel light headed as if i took a huge hit off of a joint.. Asked by Byron Gamewell 3 months ago.

Combivent is Albuterol and Atrovent combined. Depending on the cause of your difficulty breathing, your light headedness may be from an underlying infection. Or perhaps you are hitting the inhaler like a huge hit off a joint and holding your breath too long??? This can cause a drop in blood oxygen and give you the tingles. Answered by Waldo Wantland 3 months ago.

I was on that 4x a day 2 puffs each time, always tasted like gasoline, i felt worse, than the doctor put me on advair, and singular and now added spriva for copd, i have asthma also, I take the combivent only for emergency, Answered by Rosamaria Thomeczek 3 months ago.


Combivent inhaler, who uses this?
I read the product and it says it has Salbutamol and Ipratropium in it :/ Don't know where tthe first user's answer came from Asked by Dina Angwin 3 months ago.

Hi I've had asthma when I was little and I mildly get it through the winter, and at the moment there is a lot of cold air, condensation around and in my home and I am getting a bit of asthma. It's not extremely bad though, just annoying and making me cough. Usually I take a ventolin but I don't want to go to the doctors as I have no money at the moment. My mum said I could borrow a Combivent inhaler which is a combo of salbutamol (in ventolin) and something other. Would this be ok to try? What benefits does this have, If you answer that would be great :) Answered by Ahmad Ziegenbein 3 months ago.

Combivent is a great inhaler. Salbutamol and Ipratropium are both bronchodilators. Salbutamol is a "front door" bronchodilator- it goes directly to the problem Ipratropium (brand name Atrovent) is a "back door" bronchodilator it indirectly relieves the problem. *THIS IS NOT A RESCUE INHALER. IF YOU ARE HAVING AN ASTHMA ATTACK IT WILL NOT HELP IT HAS A LONGER ONSET TIME(it takes longer to work).* This is a maintenance inhaler for daily use. Answered by Lavenia Groshek 3 months ago.

combivent is albuterol + atrovent. the albuterol is helpful; the atrovent is unlikely to help but probably won't hurt you. generally speaking, it's not a good idea to borrow someone else's medication. You should try to get your own albuterol prescription filled. Answered by Torri Giachelli 3 months ago.


Has anyone accidentally taken too much combivent? ?
For Crys in case you don't read your e-mail...You were extremely rude. I happen to have mild asthma and I am having an attack that I thought I couldn't control (because I wasn't using my albuterol-I used the combivent on accident). I do not have a nebulizer at home because my respiratory therapist... Asked by September Falsetta 3 months ago.

I don't have time to go in for a breathing treatment so I have been using my inhaler (I thought it was my albuterol rescue inhaler) every 2 hours, but it is my combivent and it says on the side overdose can kill you. I feel a little jittery and I still have a constant unproductive cough but beyond that I feel fine. Just wondering if anyone has any info that I should know? Thanks in advance, I feel like a big moron. Answered by Georgann Nurmi 3 months ago.

For Crys in case you don't read your e-mail...You were extremely rude. I happen to have mild asthma and I am having an attack that I thought I couldn't control (because I wasn't using my albuterol-I used the combivent on accident). I do not have a nebulizer at home because my respiratory therapist didn't prescribe one (my breakthrough attacks are few and far between). My cough is a symptom of my asthma attack, it is not a cough associated with a cold. When I have a bad attack I wheeze, I have a hard time inhaling, I am short of breath, my chest hurts, and I have a non-productive cough. If you were worth your salt as a respiratory therapist you would know that. It is really stupid to take Robitussin when you don't need it. Answered by Georgine Joerg 3 months ago.

Yes, people have over indulged in the puffs on albuterol whether by itself or in combo in the combivent. That is why there is a huge black box warning on it. For Crys - not all of us have been Rx'd home treatment nebulizers!! Even for COPD which in my case would be a great help. The doctor just said when I have an attack to come in to the office or go to the ER which for me is 70 blinkin miles away! Huge help that is!! Yes, I have taken enough of the combivent to get the extreme jitters. At first even one puff on that thing would have me shaking all over for several hours while trying to breathe. I try hard not to use the thing for that reason and the doctor told me to use it every 4 hours whether I was having a problem or not. ???? For every one else - Robitussin doesn't help cough either that much and is not indicated for those with asthma or COPD either one. And coughs hurt!! Answered by Toi Helton 3 months ago.

OK... 1. There is no reasons to "go in" for a breathing treatment, you should have a nebulizer at home so that you can do them yourself especially if you have asthma. 2. Using too much Combivent is just as harmful as too much Albuterol. You should NOT do more than 2 puffs every 4 hours PERIOD! Combivent has an additional medication in it that has a more long acting effect but the jittery feeling is from too much albuterol which is in Combivent. 3. Inhalers DO NOT cure a cough! If cough is your primary symptom try cough medicine not an inhaler and you might just see better results. Not being mean or rude, just honest. Inhalers and breathing treatmenst have become so over prescribed and for alot of the wrong reasons. Albuterol has a direct affect on your cardiac system and yes, too much of it can have very very serious effects. So for future reference, please try Robitussin for a cough and maybe just 2 puffs on the inhaler. :) I read my email and gave you a reply. There is nothing rude about my answer it is pretty darn honest. You asked a question, I answered it. If you don't want a true answer don't ask questions. Sorry but not all answers are stupid ones like "See a Doctor" or "Go to the ER" some of us actually know what we are talking about. Have a nice day and you should take thought to what I said in this and my response to your email. Answered by Jackson Guardipee 3 months ago.

Also, if you look at the side of the Robitussin, it does say you shouldn't take it without consulting your doctor if you have asthma. I'm not sure how to answer this question, perhaps calling your doctor would be a good idea--or if your area's lung association has a helpline to call, you could ask them about that. There are also numbers you can call to speak with a nurse who can probably answer your question more effectively than us here on YA. You could also check the package insert of your Combivent if you still have it, it should give you further instructions. Answered by Walter Chimenti 3 months ago.


What advantage does Combivent have over Atrovent?
Asked by Tori Ruddock 3 months ago.

Combivent is a combination of two drugs (ipratropium and albuterol) which work in different ways to relax the bronchial smooth muscle and open up the airways. It is therefore slightly more effective than Atrovent, which contains only ipratropium. Answered by Shawnda Ferrero 3 months ago.

Both products have the anticholinergic drug Ipratropium Bromide, this class of drugs, as inhalers are inferior to beta agonists like albuterol which is an added ingredient found in Combivent. It is doubtful that the ipratropium adds much if anything to the albuterol therapeutic effect, but it does add extra side effects. A side note: one of the things beta agonists do is to cut down on histamine release. The drug companies have had an agenda against promoting the use of anti-histamines to treat asthma, and you can even find mis-information about the lack of effectiveness of antihisamines in treating asthma in medical physiology textbooks. Answered by Eleanora Sledz 3 months ago.


Can I take Combivent inhaler with ProAir together?
My doctor change my inhalers. I was taking Combivent inhalation aerosol twice every four hours. He changed it to Spiriva once a day and ProAir twice every six hours. I am having trouble with Spiriva, I don't get them from the VA on time, right now I am out of Spirva. Can I take the combivent again with the... Asked by Marilou Pilch 3 months ago.

My doctor change my inhalers. I was taking Combivent inhalation aerosol twice every four hours. He changed it to Spiriva once a day and ProAir twice every six hours. I am having trouble with Spiriva, I don't get them from the VA on time, right now I am out of Spirva. Can I take the combivent again with the ProAir until I get my Spiriva. I was told I can't take both Spiriva and Combivent together. Personally I rather have my combivent, I feel more secure having to take it every 4 hours. Answered by Elwood Agricola 3 months ago.

Combivent contains 2 ingredients, one of which is also the ingredient in ProAir. Combivent is often used as a scheduled medication, ProAir as a "rescue" inhaler. Give your doctor/clinic a call. Answered by Brinda Gretzner 3 months ago.


Forms

ApplId/ProductId Drug name Active ingredient Form Strenght
020291/001 COMBIVENT ALBUTEROL SULFATE; IPRATROPIUM BROMIDE AEROSOL, METERED/INHALATION EQ 0.09MG BASE per INH and 0.018MG per INH

Similar Active Ingredient

ApplId/ProductId Drug name Active ingredient Form Strenght
020291/001 COMBIVENT ALBUTEROL SULFATE; IPRATROPIUM BROMIDE AEROSOL, METERED/INHALATION EQ 0.09MG BASE per INH and 0.018MG per INH
020950/001 DUONEB ALBUTEROL SULFATE; IPRATROPIUM BROMIDE SOLUTION/INHALATION EQ 0.083% BASE and 0.017% **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**
021747/001 COMBIVENT RESPIMAT ALBUTEROL SULFATE; IPRATROPIUM BROMIDE SPRAY, METERED/INHALATION EQ 0.1MG BASE per INH and 0.02MG per INH
076724/001 ALBUTEROL SULFATE AND IPRATROPIUM BROMIDE ALBUTEROL SULFATE; IPRATROPIUM BROMIDE SOLUTION/INHALATION EQ 0.083% BASE and 0.017%
076749/001 ALBUTEROL SULFATE AND IPRATROPIUM BROMIDE ALBUTEROL SULFATE; IPRATROPIUM BROMIDE SOLUTION/INHALATION EQ 0.083% BASE and 0.017%
076749/002 ALBUTEROL SULFATE; IPRATROPIUM BROMIDE ALBUTEROL SULFATE; IPRATROPIUM BROMIDE SOLUTION/ INHALATION 0.5MG and 0.017%
076867/001 ALBUTEROL SULFATE AND IPRATROPIUM BROMIDE ALBUTEROL SULFATE; IPRATROPIUM BROMIDE SOLUTION/INHALATION EQ 0.083% BASE and 0.017%
077063/001 ALBUTEROL SULFATE AND IPRATROPIUM BROMIDE ALBUTEROL SULFATE; IPRATROPIUM BROMIDE SOLUTION/INHALATION EQ 0.083% BASE and 0.017%
077117/001 ALBUTEROL SULFATE AND IPRATROPIUM BROMIDE ALBUTEROL SULFATE; IPRATROPIUM BROMIDE SOLUTION/INHALATION EQ 0.083% BASE and 0.017%
077559/001 ALBUTEROL SULFATE AND IPRATROPIUM BROMIDE ALBUTEROL SULFATE; IPRATROPIUM BROMIDE SOLUTION/INHALATION EQ 0.083% BASE and 0.017%
202496/001 ALBUTEROL SULFATE AND IPRATROPIUM BROMIDE ALBUTEROL SULFATE; IPRATROPIUM BROMIDE SOLUTION/INHALATION EQ 0.083% BASE and 0.017%

Manufacturers

Manufacturer name
Boehringer Ingelheim Ltd

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