Anyway, i called the manufacturer got the number from the other atrovent thread spoke to a very helpful person who clarified that the soy lecithin is only present in the atrovent combivent puffers .

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NoteThe indented statement below is required by the Federal government’s Clean Air Act for all products containing or manufactured with chlorofluorocarbonsCFCs

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Effects Seen with Anticholinergic DrugsCOMBIVENT Inhalation Aerosol contains ipratropium bromide andthereforeshould be used with caution in patients with narrow-angle glaucomaprostatic hyperplasiaor bladder-neck obstructionEffects Seen with Sympathomimetic DrugsPreparations containing sympathomimetic amines such as albuterol sulfate should be used with caution in patients with convulsive disordershyperthyroidismor diabetes mellitus and in patients who are unusually responsive to sympathomimetic aminesBeta-adrenergic agents may also produce significant hypokalemia in some patientspossibly through intracellular shuntingwhich has the potential to produce adverse cardiovascular effectsThe decrease in serum potassium is usually transientnot requiring supplementationUse in Hepatic or Renal DiseaseCOMBIVENT Inhalation Aerosol has not been studied in patients with hepatic or renal insufficiencyIt should be used with caution in those patient populations.

Additional side effects identified from the published literature and/or post-marketing surveillance generic cialis tadalafil best buys. on the use of ipratropium bromide-containing productssingly or in combination with albuterolincludehypersensitivitypharyngeal edemamouth edemaurinary retentionmydriasisbronchospasmincluding paradoxical bronchospasmcases of precipitation or worsening of narrow-angle glaucomaglaucomaintraocular pressure increasedacute eye painhalo visionblurred visionaccommodation disorderocular irritationcorneal edemaconjunctival hyperaemianasal congestiondrying of secretionsmucosal ulcersstomatitisirritation from aerosolthroat irritationdry throatwheezingexacerbation of COPD symptomshoarsenesspalpitationsheartburndrowsinessCNS stimulationcoordination difficultyflushingalopeciahypotensionedemagastrointestinal distressdiarrheanauseavomitinggastrointestinal motility disorderconstipationhypokalemiamental disorderhyperhidrosismuscle spasmsmuscular weaknessmyalgiaastheniamyocardial ischemiadiastolic blood pressure decreasedand systolic blood pressure increased.

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