Your combivent respimat inhaler should not be taken apart after you have inserted the cartridge and put the clear base back.

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Since dizzinessaccommodation disordermydriasisand blurred vision may occur with use of COMBIVENTpatients should be cautioned about engaging in activities requiring balance and visual acuity such as driving a car or operating appliances or machinery.

Combivent Inhalation Aerosol is a combination of the anticholinergic bronchodilatoripratropium bromideand the beta 2adrenergic bronchodilatoralbuterol sulfate.

Ipratropium bromide is an anticholinergicparasympatholyticagent whichbased on animal studiesappears to inhibit vagally-mediated reflexes by antagonizing the action of acetylcholinethe transmitter agent released at the neuromuscular junctions in the lungAnticholinergics prevent the increases in intracellular concentration of Cawhich is caused by interaction of acetylcholine with the muscarinic receptors on bronchial smooth muscle.

Bladder pain bloody or cloudy urine blurred vision burning while urinating burningcrawlingitchingnumbnesspricklingpins and needlesor tingling feelings chest pain congestion diarrhea difficultburningor painful urination dizziness fainting fastslowirregularpoundingor racing heartbeat or pulse frequent urge to urinate general feeling of discomfort or illness hoarseness increased sputum joint pain loss of appetite lower back or side pain muscle aches and pains nausea nervousness noisy breathing pain pain or tenderness around the eyes and cheekbones pounding in the ears shakiness in the legsarmshandsor feet shivering sweating swelling tenderswollen glands in the neck trembling or shaking of the hands or feet trouble sleeping trouble swallowing voice changes vomiting.

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