Product image of Ipratropium/Salbutamol Cipla (Salbutamol, Ipratropium Bromide Monohydrate) supplied by GNH India

Ipratropium/Salbutamol Cipla

Active Ingredient:
Salbutamol, Ipratropium Bromide Monohydrate
Origin:
EU

Ipratropium/Salbutamol Cipla (Salbutamol, Ipratropium Bromide Monohydrate)

Salbutamol, the active ingredient in Ipratropium/Salbutamol Cipla, is a bronchodilator presented as a fixed‑dose combination inhalation product for inhalation use. Together with ipratropium bromide monohydrate, it provides rapid relief of airway constriction in asthma, chronic obstructive pulmonary disease (COPD) and acute bronchospasm for both adult and pediatric patients as directed by a healthcare professional.

GNH India supplies Ipratropium/Salbutamol Cipla as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and procurement teams worldwide.

Manufacturer / TM Owner

Cipla Europe Nv

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Indications & Clinical Uses

Ipratropium/Salbutamol is a bronchodilator combination indicated for obstructive airway diseases.

  • Asthma: provides rapid bronchodilation to relieve acute symptoms and improve airflow.
  • Chronic obstructive pulmonary disease (COPD): enhances lung function and reduces exacerbations when used as maintenance therapy.
  • Acute bronchospasm: delivers fast‑acting relief during sudden airway constriction episodes.

How It Works

  • The combination works by two complementary mechanisms. Salbutamol, a β2‑adrenergic agonist, binds to β2 receptors on airway smooth muscle, activating adenylate cyclase and increasing cyclic AMP, which relaxes the muscle. Ipratropium bromide, an anticholinergic, blocks muscarinic M3 receptors, preventing acetylcholine‑induced bronchoconstriction. The additive effect produces greater bronchodilation than either agent alone.

Side Effects

Ipratropium/Salbutamol may cause adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Tremor: mild shaking of the hands or limbs.
  • Palpitations: sensation of rapid or irregular heartbeat.
  • Throat irritation: discomfort or soreness in the throat.
  • Cough: transient increase in coughing after inhalation.

Serious or Rare Side Effects

  • Paradoxical bronchospasm: worsening airway constriction after use.
  • Angioedema: swelling of face, lips, tongue or throat.
  • Severe allergic reaction: rash, itching, swelling, dizziness or difficulty breathing.

Precautions & Warnings

When prescribing Ipratropium/Salbutamol, clinicians should consider the following precautions.

  • Assess cardiac history: monitor patients with known heart disease for tachycardia or arrhythmias.
  • Evaluate respiratory status: use cautiously in patients with severe airway obstruction or recent respiratory infection.
  • Review concomitant β‑agonists: avoid excessive dosing when combined with other β2‑agonists.
  • Monitor for paradoxical bronchospasm: discontinue if symptoms worsen after inhalation.
  • Pregnancy and lactation: use only if the potential benefit justifies the potential risk, as safety data are limited.
  • Store at ambient temperature: keep below 25°C in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Ipratropium/Salbutamol can interact with other medicines, requiring attention to the following.

Major Interactions (Avoid)

  • Non‑selective β‑blockers: may diminish bronchodilator effect and precipitate bronchospasm.
  • Monoamine oxidase inhibitors (MAOIs): increase risk of cardiovascular side effects when combined with salbutamol.
  • Anticholinergic overload: concurrent use with other anticholinergics may enhance dry mouth and urinary retention.

Moderate Interactions (Monitor Closely)

  • Diuretics and digitalis: may increase risk of hypokalemia and arrhythmias with salbutamol.
  • Theophylline: additive bronchodilator effect may require dose adjustment.
  • Inhaled corticosteroids: monitor for increased risk of oral thrush when used together.

Frequently Asked Questions

Ipratropium/Salbutamol Cipla is a prescription inhalation product that combines a β2‑adrenergic agonist with an anticholinergic. It is used to provide rapid bronchodilation in patients with asthma, chronic obstructive pulmonary disease (COPD) and episodes of acute bronchospasm, helping to improve airflow and relieve breathing difficulty.

Salbutamol activates β2‑adrenergic receptors on airway smooth muscle, stimulating adenylate cyclase and raising cyclic AMP levels. The increase in cyclic AMP leads to relaxation of the smooth muscle, opening the airways. In the combination, this effect is complemented by ipratropium’s anticholinergic action, resulting in additive bronchodilation.

The dosage of Ipratropium/Salbutamol is individualized and must be determined by a qualified healthcare professional. The prescriber will select the appropriate strength, frequency and duration based on the patient’s age, severity of disease and response to therapy. No generic dosing regimen is provided here.

Safety data for Ipratropium/Salbutamol in pregnancy and lactation are limited. The product should be used only if the potential therapeutic benefit justifies any potential risk to the fetus or infant. Clinicians are advised to discuss the risk‑benefit profile with the patient and consider alternative treatments when appropriate.

To place an enquiry, visit the product page on gnhindia.com, enter the required quantity and submit the request. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and the necessary import documentation.

When delivered as a fixed‑dose combination, the two agents act synergistically, offering greater bronchodilation than either component alone. Using separate inhalers may require multiple devices and dosing steps, potentially reducing adherence. The combination simplifies administration while maintaining the pharmacologic benefits of both a β2‑agonist and an anticholinergic.

Ipratropium/Salbutamol should be stored at ambient temperature, preferably below 25 °C. Keep the inhalation device in its original packaging, protect it from moisture, direct sunlight and extreme temperatures. Do not expose the product to freezing conditions, and ensure the mouthpiece remains clean before each use.

The medication is delivered by inhalation, typically using a metered‑dose inhaler or a nebulizer as specified by the prescriber. The patient inhales the dose directly into the lungs, allowing rapid onset of action. Proper technique, including breath coordination and device cleaning, is essential for optimal therapeutic effect.

Serious adverse events include paradoxical bronchospasm, which worsens airway constriction after inhalation, and severe allergic reactions such as angioedema or anaphylaxis. Cardiovascular effects like arrhythmias may also occur, especially in patients with underlying heart disease. Prompt medical attention is required if any of these symptoms develop.

The combination is contraindicated in patients with a known hypersensitivity to salbutamol, ipratropium bromide or any excipients in the formulation. It should be used with caution in individuals with severe cardiac disorders, uncontrolled hypertension, or a history of paradoxical bronchospasm. Pregnant or breastfeeding women should only use it when clearly indicated by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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