Product image of Ipramol Steri-Neb (Ipratropium Bromide, Salbutamol) supplied by GNH India

Ipramol Steri-Neb

Active Ingredient:
Ipratropium Bromide, Salbutamol
Origin:
EU

Ipramol Steri-Neb (Ipratropium Bromide, Salbutamol)

Ipratropium bromide and salbutamol, the active ingredients in Ipramol Steri-Neb, are a combination bronchodilator presented as an inhalation solution for inhalation use. They treat bronchospasm associated with chronic obstructive pulmonary disease and asthma in adults.

GNH India supplies Ipramol Steri-Neb as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Teva Gmbh

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Ipramol Steri-Neb is a combination bronchodilator used to manage bronchospasm in obstructive airway diseases.

  • COPD: reduces bronchoconstriction and improves airflow during chronic obstructive pulmonary disease.
  • Asthma: provides rapid relief of bronchospasm in patients with asthma.
  • Acute bronchospasm episodes: delivers quick bronchodilation to alleviate sudden airway narrowing.

How It Works

  • Ipratropium bromide competitively blocks muscarinic receptors in airway smooth muscle, preventing acetylcholine‑mediated bronchoconstriction, while salbutamol selectively stimulates β2‑adrenergic receptors, increasing intracellular cAMP and causing smooth‑muscle relaxation. The combined action results in synergistic bronchodilation and improved airway patency.

Side Effects

Ipramol Steri-Neb may cause a range of adverse reactions.

Common Side Effects

  • Dry mouth: reduced salivary secretion.
  • Cough: irritation of the airway.
  • Throat irritation: mild soreness after inhalation.
  • Tremor: fine muscle shaking, especially of the hands.
  • Headache: mild to moderate intensity.
  • Palpitations: awareness of heartbeat.

Serious or Rare Side Effects

  • Paradoxical bronchospasm: worsening airway narrowing.
  • Cardiac arrhythmia: irregular heart rhythm.
  • Severe allergic reaction: rash, swelling, or anaphylaxis.
  • Angioedema: rapid swelling of face, lips, or tongue.
  • Hyperglycaemia: elevated blood glucose in susceptible individuals.
  • Hypokalaemia: low potassium levels, especially with high salbutamol exposure.

Precautions & Warnings

Before prescribing Ipramol Steri-Neb, clinicians should consider several safety factors.

  • Cardiac history: assess for arrhythmias or ischemic heart disease.
  • Thyroid disease: monitor patients with hyperthyroidism for tachycardia.
  • Glaucoma: use with caution in narrow‑angle glaucoma.
  • Over‑use: avoid excessive dosing to reduce risk of systemic effects.
  • Inhalation technique: ensure proper device use to maximise efficacy.
  • Store at room temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Ipramol Steri-Neb can interact with other medications that affect the cardiovascular or respiratory systems.

Major Interactions (Avoid)

  • Non‑selective β‑blockers: may blunt bronchodilator response and precipitate bronchospasm.
  • Monoamine oxidase inhibitors (MAOIs): increase risk of hypertensive episodes when combined with salbutamol.

Moderate Interactions (Monitor Closely)

  • Diuretics: may exacerbate salbutamol‑induced hypokalaemia.
  • Theophylline: additive bronchodilator effect can increase side‑effect risk.
  • Tricyclic antidepressants: may enhance cardiac stimulation.
  • Other sympathomimetics: combined use can raise heart rate and blood pressure.
  • Anticholinergic agents: additive muscarinic blockade may increase dry‑mouth risk.

Frequently Asked Questions

Ipramol Steri-Neb is prescribed to relieve bronchospasm in chronic obstructive pulmonary disease (COPD) and asthma. The combination of ipratropium bromide and salbutamol provides both anticholinergic and β2‑adrenergic bronchodilation, helping to open the airways during acute or persistent episodes.

Ipratropium bromide blocks muscarinic receptors, preventing acetylcholine‑driven airway constriction, while salbutamol activates β2‑adrenergic receptors, raising intracellular cAMP and relaxing smooth muscle. Together they produce a synergistic bronchodilatory effect that improves airflow more effectively than either agent alone.

The specific dose and frequency of Ipramol Steri-Neb are determined by the prescribing clinician based on the patient’s age, disease severity, and response to therapy. Healthcare professionals should follow local prescribing guidelines and adjust the regimen as needed.

Safety data for Ipramol Steri-Neb in pregnancy and lactation are limited. Clinicians should weigh the potential benefits against any possible risks and consider alternative treatments if appropriate. Pregnant or nursing patients should discuss use with their healthcare provider.

To request Ipramol Steri-Neb, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Compared with monotherapy agents, the dual‑action formulation of ipratropium bromide and salbutamol offers broader bronchodilation by targeting two complementary pathways. This can result in faster symptom relief and improved lung function, especially in patients who do not achieve adequate control with a single bronchodilator.

Ipramol Steri-Neb should be stored at room temperature, below 25 °C, in its original packaging. Protect the product from moisture, direct sunlight and extreme temperatures to maintain stability and potency.

The medication is delivered via inhalation using a nebulizer or compatible inhalation device. Patients should follow the prescribed technique, ensuring the device is cleaned according to the manufacturer’s instructions to achieve optimal drug delivery.

Serious adverse events include paradoxical bronchospasm, cardiac arrhythmias, severe allergic reactions (including anaphylaxis), and angioedema. Patients should seek immediate medical attention if they experience sudden worsening of breathing, chest pain, rapid heartbeat, swelling of the face or throat, or any signs of an allergic reaction.

Ipramol Steri-Neb is contraindicated in individuals with known hypersensitivity to ipratropium bromide, salbutamol, or any excipients in the formulation. Caution is advised for patients with severe cardiac disease, uncontrolled hypertension, or narrow‑angle glaucoma, and it should be avoided in those using non‑selective β‑blockers.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.