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.

Always follow the instructions for use given by your doctor.

The 10ml vial contains 4mg ipratropium bromide in 200 metered doses. Each metered dose contains 20 micrograms of ipratropium bromide.

Ipratropium bromide is a bronchodilator which relaxes the air passages in your lungs to help you breathe more easily.

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.

To remove the mouthpiece cover,

With the lever down, shake the

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.

Breathe out normally.

Suck in through the mouthpiece.

DO NOT STOP when the puff is released, but continue sucking until your lungs refill, then hold your breath for 10 seconds.

The lever must be pushed down after each puff. If your doctor has prescribed additional puffs, wait one minute before repeating steps 2 – 6.

1. your inhaler is less effective than usual

or

2. you feel the need to use your inhaler more often than your doctor has recommended.

Atrovent should not be used by people who are hypersensitive or "allergic" to atropine or ipratropium bromide .

People with glaucoma or an enlarged prostate gland should follow their doctor's instructions very closely and not take more than the prescribed dose.

Shake out excess water and leave to dry in the air.

IMPORTANT: The Atrovent Autohaler Device is non-refillable and should be discarded when empty.

The Product Licence is held by:

Boehringer Ingelheim Limited, Bracknell, Berkshire.