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Clean the mouthpiece of the inhaler at least once a week as directed. Learn which of your inhalers you should use every day and which you should use if your breathing suddenly worsens quick-relief drugs. Ask your doctor ahead of time what you should do if you have new or worsening cough or shortness of breath, wheezing, increased sputum, waking up at night with trouble breathing, if you use your quick-relief inhaler more often, or if your quick-relief inhaler does not seem to be working well. Learn when you can treat sudden breathing problems by yourself and when you must get medical help right away. Tell your doctor if your symptoms do not improve or if they worsen. Combivent Precautions Before using Combivent, tell your doctor or pharmacist if you are allergic to ipratropium or albuterol salbutamol ; or to tiotropium; or to atropine or other belladonna-type drugs; or to levalbuterol; or if you have any other allergies.

Combivent may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using Combivent, tell your doctor or pharmacist your medical history,high blood pressure, heart disease such as chest pain, heart attack, irregular heartbeat , personal or family history of glaucoma angle-closure type , difficulty urinating for example, due to enlarged prostate , seizure, overactive thyroid hyperthyroidism , diabetes. Combivent may make you dizzy or blur your vision or cause vision changes. Alcohol or marijuana cannabis can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely.

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