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Patients should stop taking combivent respimat and seek medical care immediately if they have .

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Metabolic acidosis has been reported with use of albuterol-containing products.

Patients should be cautioned to avoid spraying the aerosol into their eyes and be advised that this may result in precipitation or worsening of narrow-angle glaucomamydriasisincreased intraocular pressureacute eye pain or discomforttemporary blurring of visionvisual halos or colored images in association with red eyes from conjunctival and corneal congestionPatients should also be advised that should any combination of these symptoms developthey should consult their physician immediately.

Because of the potential for tumorigenicity shown for albuterol in animal studiesa decision should be made whether to discontinue nursing or to discontinue the drugtaking into account the importance of the drug to the mother.

Additional adverse reactionsreported in less than two percent of the patients in the COMBIVENT Inhalation Aerosol treatment group include edemafatiguehypertensiondizzinessnervousnessparesthesiatremordysphoniainsomniadiarrheadry mouthdyspepsiavomitingarrhythmiapalpitationtachycardiaarthralgiaanginaincreased sputumtaste perversionand urinary tract infection/dysuria.

Combivent Inhalation Aerosol is a combination of ipratropium bromideas the monohydrateand albuterol sulfate.

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