Atrovent Nasal Spray

• Overview
• Consumer Information
• Professional Information

 

Atrovent Nasal Spray Side Effects Center

What Is Atrovent Nasal Spray?

Atrovent (ipratropium bromide) Nasal Spray is an anticholinergic agent indicated for the symptomatic relief of rhinorrhea (runny nose) associated with allergic and nonallergic perennial rhinitis in adults and children age 6 years and older.

What Are Side Effects of Atrovent Nasal Spray?

Side effects of Atrovent Nasal Spray include:

• headache,
• dry nose,
• dry mouth or throat,
• nasal or throat irritation,
• nosebleeds,
• bad taste in mouth,
• nausea,
• dizziness,
• constipation, or
• blurred vision.

Dosage for Atrovent Nasal Spray?

The recommended dose of Atrovent Nasal Spray is two sprays (42 mcg) per nostril two or three times daily (total dose 168 to 252 mcg/day). Safe use of Atrovent Nasal Spray for use by Children under 6 years of age has not been established.

What Drugs, Substances, or Supplements Interact with Atrovent Nasal Spray?

Atrovent Nasal Spray may interact with atropine, belladonna, clidinium, dicyclomine, glycopyrrolate, hyoscyamine, mepenzolate, methantheline, methscopolamine, propantheline, or scopolamine. Tell your doctor all medications and supplements you use.

Atrovent Nasal Spray During Pregnancy and Breastfeeding

Atrovent nasal spray should only be used by pregnant women if clearly needed. It is not known whether Atrovent Nasal Spray 0.06% is excreted in human milk, so caution should be exercised when Atrovent Nasal Spray 0.06% is administered to a nursing mother. Consult your doctor before breastfeeding.

Additional Information

Our Atrovent Nasal Spray Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.

 

Atrovent Nasal Spray Consumer Information

Get emergency medical help if you have any of these signs of an allergic reaction: hives, rash; wheezing, difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

• blurred vision, tunnel vision, eye pain, or seeing halos around lights;
• nosebleeds, severe dry nose; or
• painful or difficult urination.

Common side effects may include:

• headache;
• dry nose, mouth, or throat;
• minor nosebleed;
• sore throat;
• blurred vision; or
• unusual or unpleasant taste in the mouth.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Read the entire detailed patient monograph for Atrovent Nasal Spray (Ipratropium Bromide Nasal Spray)

 

Atrovent Nasal Spray Professional Information

SIDE EFFECTS

Adverse reaction information on ATROVENT Nasal Spray 0.06% in patients with the common cold was derived from two multicenter, vehicle-controlled clinical trials involving 1,276 patients (195 patients on ATROVENT Nasal Spray 0.03%, 352 patients on ATROVENT Nasal Spray 0.06%, 189 patients on ATROVENT Nasal Spray 0.12%, 351 patients on vehicle and 189 patients receiving no treatment).

Table 1 shows adverse events reported for patients who received ATROVENT Nasal Spray 0.06% at the recommended dose of 84 mcg per nostril, or vehicle, administered three or four times daily, where the incidence is 1% or greater in the ATROVENT group and higher in the ATROVENT group than in the vehicle group.

Table 1 % of Patients with Common Cold Reporting Events1

	Atrovent® (ipratropium bromide) Nasal Spray 0.06%	Vehicle Control
No. of Patients	352	351
Epistaxis2	8.2%	2.3%
Nasal Dryness	4.8%	2.8%
Dry Mouth/Throat	1.4%	0.3%
Nasal Congestion	1.1%	0.0%
1 This table includes adverse events for which the incidence was 1% or greater in the ATROVENT group and higher in the ATROVENT group than in the vehicle group. 2 Epistaxis reported by 5.4% of ATROVENT patients and 1.4% of vehicle patients, blood-tinged nasal mucus by 2.8% of ATROVENT patients and 0.9% of vehicle patients.

ATROVENT Nasal Spray 0.06% was well tolerated by most patients. The most frequently reported adverse events were transient episodes of nasal dryness or epistaxis. The majority of these adverse events (96%) were mild or moderate in nature, none was considered serious, and none resulted in hospitalization. No patient required treatment for nasal dryness, and only three patients (<1%) required treatment for epistaxis, which consisted of local application of pressure or a moisturizing agent (e.g., petroleum jelly). No patient receiving ATROVENT

Nasal Spray 0.06% was discontinued from the trial due to either nasal dryness or bleeding. Adverse events reported by less than 1% of the patients receiving ATROVENT Nasal Spray 0.06% during the controlled clinical trials that are potentially related to ATROVENT's local effects or systemic anticholinergic effects include: taste perversion, nasal burning, conjunctivitis, coughing, dizziness, hoarseness, palpitation, pharyngitis, tachycardia, thirst, tinnitus, and blurred vision. No controlled trial was conducted to address the relative incidence of adverse events for three times daily versus four times daily therapy.

Nasal adverse events seen in the clinical trial with seasonal allergic rhinitis (SAR) patients (see Table 2) were similar to those seen in the common cold trials. Additional events were reported at a higher rate in the SAR trial due in part to the longer duration of the trial and the inclusion of Upper Respiratory Tract Infection (URI) as an adverse event. In common cold trials, URI was the disease under study and not an adverse event.

Table 2 % of Patients with SAR Reporting Events¹

	Atrovent® (ipratropium bromide) Nasal Spray 0.06%	Vehicle Control
No. of Patients	218	211
Epistaxis2	6.0%	3.3%
Pharyngitis	5.0%	3.8%
URI	5.0%	3.3%
Nasal Dryness	4.6%	0.9%
Headache	4.1%	0.5%
Dry Mouth/Throat	4.1%	0.0%
Taste Perversion	3.7%	1.4%
Sinusitis	2.8%	2.8%
Pain	1.8%	0.9%
Diarrhea	1.8%	0.5%
1 This table includes adverse events for which the incidence was 1% or greater in the ATROVENT group and higher in the ATROVENT group than in the vehicle group. 2 Epistaxis reported by 3.7% of ATROVENT patients and 2.4% of vehicle patients, blood-tinged nasal mucus by 2.3% of ATROVENT patients and 1.9% of vehicle patients.

There were no reports of allergic-type reactions in the controlled clinical common cold and SAR trials.

Post-Marketing Experience

Allergic-type reactions such as skin rash, angioedema, including that of the throat, tongue, lips and face, generalized urticaria (including giant urticaria), laryngospasm, and anaphylactic reactions have been reported with ATROVENT Nasal Spray 0.06% and for other ipratropium bromide-containing products, with positive rechallenge in some cases.

Additional side effects identified from the published literature and/or post-marketing surveillance on the use of ipratropium bromide-containing products (singly or in combination with albuterol), include: urinary retention, prostatic disorders, mydriasis, cases of precipitation or worsening of narrow-angle glaucoma, acute eye pain, ocular irritation, wheezing, dryness of the oropharynx, tachycardia, edema, gastrointestinal distress (diarrhea, nausea, vomiting), bowel obstruction, constipation, nasal discomfort, throat irritation, hypersensitivity, accommodation disorder, intraocular pressure increased, glaucoma, halo vision, conjunctival hyperaemia, corneal edema, heart rate increased, bronchospasm, pharyngeal edema, gastrointestinal motility disorder, mouth edema, stomatitis, and pruritus.

After oral inhalation of ipratropium bromide in patients suffering from COPD/Asthma supraventricular tachycardia and atrial fibrillation have been reported.

Read the entire FDA prescribing information for Atrovent Nasal Spray (Ipratropium Bromide Nasal Spray)

&Copy; Atrovent Nasal Spray Patient Information is supplied by Cerner Multum, Inc. and Atrovent Nasal Spray Consumer information is supplied by First Databank, Inc., used under license and subject to their respective copyrights.