This medication may interact with the following:
-Atropine
-Beta-blockers like metoprolol and propranolol
-Certain medications for allergy, cough, and cold
-Certain medications for bladder problems like oxybutynin, tolterodine
-Certain medications for depression, anxiety, or psychotic disturbances
-Certain medications for stomach problems like dicyclomine, hyoscyamine
-Certain medications for travel sickness like scopolamine
-Certain medications for Parkinson disease like benztropine, trihexyphenidyl
-Diuretics
-MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
-Some medications for irregular heartbeat
-Stimulant medications for attention disorders, weight loss, or staying awake

They need to know if you have any of these conditions:
-Heart disease
-High blood pressure
-Irregular heartbeat
-An unusual or allergic reaction to ipratropium, albuterol, atropine, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breast-feeding

Tell your care team if your symptoms do not improve. If your breathing gets worse while you are using this medication, call your care team right away. Do not stop using your medication unless your care team tells you to.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your care team if the problem does not go away or is severe.
You may get dizzy or have blurred vision. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medication affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.

Keep out of the reach of children and pets.
Store at a room temperature between 15 and 30 degrees C (59 and 86 degrees F). Do not freeze. After assembly, the inhaler should be discarded at the latest 3 months after first use or after the inhaler is locked, whichever comes first.