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ATROALDO 20 micrograms/PUFF pressurized inhalation solution

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About the medicine

How to use ATROALDO 20 micrograms/PUFF pressurized inhalation solution

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

ATROALDO 20 micrograms/puff inhalation solution in a pressurized container

ipratropium bromide

Read this package leaflet carefully before you start using this medicine, because it contains important information for you.

  • Keep this package leaflet, you may need to read it again. If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others, as it may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor or pharmacist, even if they are not mentioned in this package leaflet. See section 4.

Contents of the package leaflet

  1. What is ATROALDO and what is it used for
  2. What you need to know before you start using ATROALDO
  3. How to use ATROALDO
  4. Possible side effects
  5. Storage of ATROALDO
  6. Contents of the pack and further information

1. What is ATROALDO and what is it used for

ATROALDO contains ipratropium bromide as the active substance and belongs to a group of medicines called inhalation bronchodilators.

It is used for the maintenance treatment of bronchospasm associated with chronic obstructive pulmonary diseases (COPD), including chronic bronchitis and emphysema.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you start using ATROALDO

Do not useATROALDOif:

  • If you are allergic to atropine, its derivatives (e.g. tiotropium), or any of the other components of this medicine (listed in section 6).
  • If you experience acute attacks of coughing, wheezing, and difficulty breathing (bronchospasm) that require a rapid response.

Warnings and precautions

Talk to your doctor or pharmacist before you start using this medicine:

  • If you have cystic fibrosis, as you may be more prone to gastrointestinal motility disorders.
  • If you experience acute difficulty breathing that worsens rapidly. You should consult your doctor immediately.
  • Immediate allergic reactions, such as hives, angioedema, skin rash, cough, wheezing, and difficulty breathing (bronchospasm), swelling of the mouth and throat (oropharyngeal edema), and generalized allergic reaction (anaphylaxis) may occur.
  • If you have prostatic hyperplasia or obstruction of the neck of the bladder.
  • If you are prone to increased eye pressure (narrow-angle glaucoma).
  • If you spray the solution into your eyes, eye complications such as pupil dilation, increased intraocular pressure, narrow-angle glaucoma, eye pain may occur, so it is essential to follow your doctor's instructions strictly for administration.
  • If you experience a combination of eye symptoms such as pain or discomfort, blurred vision, halos, or colored images, along with redness of the eyes, these may be signs of narrow-angle glaucoma, so you should consult a doctor.

Other medicines and ATROALDO

Tell your doctor or pharmacist if you are using or have recently used other medicines, including those obtained without a prescription.

Beta-adrenergics and xanthine derivatives may enhance the bronchodilator effect. ATROALDO may increase the anticholinergic effects of other medicines.

This medicine can be administered together with other commonly used medicines for the treatment of chronic obstructive pulmonary disease, including sympathomimetic bronchodilators, methylxanthines, steroids, and disodium cromoglycate, without the appearance of harmful interactions.

Pregnancy and breastfeeding:

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

The safety of this medicine during pregnancy has not been established. The benefit of using it should be carefully weighed against the potential risk to the fetus, so the usual precautions should be taken when using medicines during this period.

It is not known whether this medicine is excreted in breast milk. However, it is unlikely that this medicine can be ingested by the infant in significant amounts, especially since the preparation is administered by inhalation. Nevertheless, since many medicines are excreted in breast milk, it should be administered with caution to breastfeeding women.

Driving and using machines:

No harmful effects on driving have been reported.

ATROALDO contains ethanol

This medicine contains about 8.4 mg of alcohol (ethanol) per inhalation. The amount per inhalation of this medicine is equivalent to less than 1 ml of beer or 1 ml of wine. The small amount of alcohol in this medicine does not produce any noticeable effect.

3. How to use ATROALDO

Instructions for proper use:

Follow your doctor's or pharmacist's instructions for administering this medicine exactly. If you are in doubt, consult your doctor or pharmacist again.

The dosage should be adjusted individually.

For adults and children over 6 years, the following dosage is recommended:

2 inhalations (equivalent to 40 micrograms of anhydrous ipratropium bromide), 4 times a day.

Since the need for higher doses suggests that additional treatment with another medicine may be necessary, a daily total dose of more than 12 inhalations (240 micrograms of anhydrous ipratropium bromide) should not be exceeded.

You should consult your doctor whenever you do not achieve significant improvement or your condition worsens, in order to determine a new therapeutic program. Also, you should consult your doctor promptly in case of significant difficulty breathing or when difficulty breathing worsens rapidly.

In children, this medicine should only be administered under medical supervision and always under adult supervision.

Your doctor will indicate the duration of your treatment with this medicine. Do not stop treatment before, as your doctor is the person to give you precise instructions.

Instructions for the correct administration of the preparation:

This medicine is administered by inhalation. The correct handling of the inhalation solution is crucial for the success of the treatment.

Before each application, the following guidelines will be observed:

Hand holding auto-injector pressing against thigh skin in four numbered steps from one to four

  • Remove the protective cap (fig. 1). If it is a new inhaler or has not been used for several days, shake the container (fig. 2) and perform a puff to ensure the inhaler is working properly. If the inhaler is used regularly, proceed to the next instructions:

B Shake the inhaler.

C Eliminate as much air as possible from your lungs.

  • Attach the inhaler to your mouth according to the position indicated in the drawing (fig. 3).
  • Make a deep inhalation.

You should press, according to the arrows in the drawing (fig. 4), the device while making this inhalation.

  • Remove the inhaler from your mouth and try to hold your breath for a few seconds and then exhale slowly.
  • You should periodically wash the plastic mouthpiece. To do this, remove the actuator from the inhaler and rinse it with plenty of water.
  • Store with the protective cap in place to protect it from dust and dirt.
  • It is recommended to rinse your mouth with water after each inhalation.

If you think the effect of this medicine is too strong or too weak, tell your doctor or pharmacist.

If you use more ATROALDO than you should

Symptoms such as dry mouth, visual accommodation disorders, and tachycardia may occur.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately, or call the Toxicology Information Service, phone 915620420, indicating the medicine and the amount ingested.

If you forget to take ATROALDO

Do not take a double dose to make up for forgotten doses.

If you have any further questions about the use of this product, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

The following side effects have been reported:

Common(affect 1 in 10 people)

  • Headache
  • Dizziness
  • Cough
  • Pharyngitis
  • Paradoxical bronchospasm (obstruction of the airways)
  • Dry mouth
  • Gastrointestinal motility disorders (e.g. constipation, diarrhea, and vomiting).

Uncommon(affect less than 1 in 100 people)

  • Urticaria (including giant urticaria), rash, and pruritus
  • Visual accommodation disorders, narrow-angle glaucoma (increased eye pressure)
  • Increased heart rate

Rare(affect less than 1 in 1000 people)

  • Anaphylactic reactions, swelling of the tongue, lips, and face (angioedema)
  • Increased intraocular pressure, eye pain, pupil dilation (mydriasis)
  • Palpitations, supraventricular tachycardia, atrial fibrillation
  • Laryngeal spasm
  • Nausea
  • Urinary retention

If you think any of the side effects you are experiencing are serious, or if you notice any side effects not mentioned in this package leaflet, tell your doctor or pharmacist.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist, even if they are not mentioned in this package leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of ATROALDO

Keep this medicine out of the sight and reach of children.

Store below 30°C. Store in the original packaging to protect it from light. Do not freeze.

If the inhaler is very cold, remove the cartridge and warm it with your hand for a few minutes before use. Do not use any other method to heat it.

The container is under pressure. It should not be pierced, broken, or burned, even if it appears to be empty.

Do not use ATROALDO after the expiry date stated on the container after EXP. The expiry date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Place the containers and medicines you no longer need in the pharmacy's SIGRE collection point. If you have any doubts, ask your pharmacist how to dispose of the containers and medicines you no longer need. This will help protect the environment.

6. Contents of the pack and further information

Composition ofATROALDO:

  • The active substance is ipratropium bromide.
  • The other components (excipients) are anhydrous citric acid, purified water, ethanol, and Norflurane.

Each inhalation contains 21 micrograms of ipratropium bromide monohydrate (equivalent to 20 micrograms of anhydrous ipratropium bromide).

Appearance of the product and contents of the pack

ATROALDO is a clear, colorless solution presented in a 10 ml container (200 doses) with a dosing valve and oral adapter.

The clinical container is a box containing 20 containers of 10 ml with 200 doses per container.

Marketing authorization holder and manufacturer

Laboratorio Aldo-Unión, S.L.

Baronesa de Maldá, 73

08950 Esplugues de Llobregat (Barcelona)

Spain

Date of the last revision of this package leaflet:July 2010.

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

Online doctors for ATROALDO 20 micrograms/PUFF pressurized inhalation solution

Discuss questions about ATROALDO 20 micrograms/PUFF pressurized inhalation solution, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance.

His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation.

Patients commonly consult Dr Daniel Cichi for:

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Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.
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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

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Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

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He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

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  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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€80
5.0 (25)
Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
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Additional care areas:

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Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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5.0 (760)
Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

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She also provides:

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Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Frequently Asked Questions

Is a prescription required for ATROALDO 20 micrograms/PUFF pressurized inhalation solution?
ATROALDO 20 micrograms/PUFF pressurized inhalation solution requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in ATROALDO 20 micrograms/PUFF pressurized inhalation solution?
The active ingredient in ATROALDO 20 micrograms/PUFF pressurized inhalation solution is ipratropium bromide. This information helps identify medicines with the same composition but different brand names.
How much does ATROALDO 20 micrograms/PUFF pressurized inhalation solution cost in pharmacies?
The average pharmacy price for ATROALDO 20 micrograms/PUFF pressurized inhalation solution is around 4.46 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures ATROALDO 20 micrograms/PUFF pressurized inhalation solution?
ATROALDO 20 micrograms/PUFF pressurized inhalation solution is manufactured by Laboratorio Aldo Union S.L.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of ATROALDO 20 micrograms/PUFF pressurized inhalation solution online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether ATROALDO 20 micrograms/PUFF pressurized inhalation solution is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to ATROALDO 20 micrograms/PUFF pressurized inhalation solution?
Other medicines with the same active substance (ipratropium bromide) include ATROVENT 20 micrograms PRESSURIZED INHALATION SOLUTION, ATROVENT MONODOSIS 250 mcg / 2ml SOLUTION FOR NEBULIZER INHALATION, ATROVENT MONODOSIS 500 mcg / 2ml SOLUTION FOR NEBULIZER INHALATION. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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