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IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION

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About the medicine

How to use IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION

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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

Ipratropium Bromide Aldo-Union 250 micrograms/ml, Solution for Inhalation by Nebulizer

(Ipratropium Bromide)

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

  • Keep this 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. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

  1. What is Ipratropium Bromide Aldo-Union and what is it used for
  2. What you need to know before you use Ipratropium Bromide Aldo-Union
  3. How to use Ipratropium Bromide Aldo-Union
  4. Possible side effects
  5. Storage of Ipratropium Bromide Aldo-Union
  6. Contents of the pack and other information

1. What is Ipratropium Bromide Aldo-Union and what is it used for

Ipratropium bromide belongs to a group of medicines called “bronchodilators” that work by relaxing the muscle of the bronchi, making it easier to breathe.

This medicine helps patients with asthma and other breathing difficulties, such as Chronic Obstructive Pulmonary Disease (COPD), to breathe more easily.

Ipratropium Bromide Aldo-Union may be administered together with beta2-agonist bronchodilator medicines, such as salbutamol.

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 use Ipratropium Bromide Aldo-Union

Do not use Ipratropium Bromide Aldo-Union:

  • If you are allergic to ipratropium bromide or to atropine-like substances or to any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Consult your doctor before starting to use Ipratropium Bromide Aldo-Union:

  • If you suffer from cystic fibrosis.
  • If your urine flow is obstructed.
  • If you have increased intraocular pressure (glaucoma), as you will need to ensure that the mist does not come into contact with your eyes.
  • If you have prostate problems.

Using Ipratropium Bromide Aldo-Union with other medicines:

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.

Tell your doctor if you are using or have recently used any of the following medicines, as they may interact with Ipratropium Bromide Aldo-Union:

  • Xanthine derivatives, such as theophylline.
  • Other medicines that contain bronchodilators (which help you breathe more easily), such as salbutamol or terbutaline.

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before using this medicine.

If you become pregnant while being treated with this medicine, consult your doctor as soon as possible.

Driving and using machines

Ipratropium Bromide Aldo-Union has no effects on the ability to drive and use machines.

3. How to use Ipratropium Bromide Aldo-Union

Follow exactly the instructions for administration of this medicine given by your doctor or pharmacist. If you are in doubt, consult your doctor or pharmacist again.

Your doctor may instruct you to use your nebulizer regularly, daily or only when you have difficulty breathing.

Adults, elderly and children over 12 years:

The recommended dose is 250-500 micrograms (1-2 ml of solution) 3 to 4 times a day. In case of acute attacks of shortness of breath, 500 micrograms (2 ml) of solution may be administered.

Use in children

Children from 6 to 12 years:

The recommended dose is 250 micrograms (1 ml). The time interval between doses should be determined by the doctor.

Children up to 5 years:

This medicine should only be administered in case of acute attacks of shortness of breath in children up to 5 years.

The recommended dose is 125 to 250 micrograms (0.5-1 ml). The time interval between doses should be determined by the doctor, but it should never be less than 6 hours.

If you do not achieve significant improvement or if your condition worsens, you should consult your doctor.

General instructions

Ipratropium Bromide Aldo-Union should be used with suitable nebulizers. The mist produced is inhaled through the mask or mouthpiece. Your doctor will indicate which nebulizer is suitable and how to use it.

The solution of Ipratropium Bromide Aldo-Union can be inhaled using an intermittent positive pressure ventilation device, in which case the treatment should be initiated by a doctor.

Instructions for use

  1. Prepare your nebulizer following the manufacturer's instructions and/or your doctor's instructions. Make sure the nebulizer device is clean.
  2. Take a plastic strip with ampoules, open it and take one or two ampoules (depending on the dose) (Drawing 1). Leave the rest of the ampoules in the strip and return it to the box. Never use an ampoule that is already open or if the solution is discolored.

Two hands holding a blister card with capsules and another hand breaking an ampoule of liquid medicine

Drawing 1 Drawing 2

  1. Take the ampoule and open it by twisting the top (Drawing 2).
  2. Unless your doctor has given you other instructions, add all the liquid from the ampoule to the nebulizer reservoir.
  3. Discard the empty plastic ampoule.
  1. If your doctor has instructed you to dilute the solution, this should only be done using a sterile 0.9% sodium chloride solution. Use the amount indicated by your doctor.
  1. Use the nebulizer according to your doctor's instructions. Breathe slowly and deeply, making sure the mask or mouthpiece is in place and that the nebulization is not directed at your eyes, as it may cause pain in case of contact.

This is especially important if you have glaucoma. If a significant amount of mist comes into contact with your eyes or if you start to experience headache or eye discomfort after using this medicine, you should consult your doctor or pharmacist.

  1. The time it takes for the device to convert the solution and form a fine mist or spray that will then be inhaled will depend on the type of device used. The complete administration will take place when the mist has disappeared.
  1. After using the nebulizer, mask or mouthpiece, wash it with warm soapy water and rinse it well afterwards.

Consult your doctor immediately if:

  • You do not feel relief after administering the recommended dose.
  • Your breathing difficulties worsen.
  • You feel chest tightness.

The above conditions are indicative of the fact that your symptoms are not being controlled and you may require different or additional treatment.

If you use more Ipratropium Bromide Aldo-Union than you should:

You may feel that your heart is beating faster than usual or that your breathing rate is accelerated. You may develop a high fever, restlessness, confusion or hallucinations.

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the medicine and the amount administered. Contact your doctor or the nearest Hospital Emergency Service. Bring this leaflet or an ampoule of this medicine with you, so that the doctor who treats you knows what you are taking.

If you forget to use Ipratropium Bromide Aldo-Union.

If you forget to use Ipratropium Bromide Aldo-Union, use the next dose when it is due or before if you start to have difficulty breathing.

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

If you stop using Ipratropium Bromide Aldo-Union.

If you stop using Ipratropium Bromide Aldo-Union, your condition may worsen. Do not stop treatment unless your doctor tells you to.

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.

All medicines can cause allergic reactions, although serious allergic reactions are very rare. Tell your doctor immediately if you suddenly experience “wheezing”, difficulty breathing, swelling of the eyelids, face, lips or tongue, rash or itching (especially if it affects the whole body). This is known as “angioedema”.

Very rarely, effects such as acute shortness of breath and/or difficulty breathing have occurred during treatment with Ipratropium Bromide Aldo-Union. If this happens, stop treatment with this medicine immediately and consult your doctor.

The following side effects have been reported:

Frequent(affect 1 in 10 people)

  • Headache
  • Cough
  • Local irritation of the nose and mouth
  • Dry mouth
  • Nausea, and/or vomiting, constipation, diarrhea

Uncommon(affect less than 1 in 100 people)

  • Skin rash and itching
  • Increased heart rate
  • Blurred vision, difficulty in visual accommodation and other eye problems
  • Glaucoma (increased eye pressure)

Rare(affect less than 1 in 1000 people)

  • Increased eye pressure
  • Irregular heart rhythm
  • Urinary retention
  • Eye pain
  • Pupil dilation

If the solution or nebulized spray accidentally comes into contact with the eyes, redness, pain, blurred vision, and vision of halos or colored images may occur.

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist, even if it is possible side effects not listed in this leaflet. You can also report side effects 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 Ipratropium Bromide Aldo-Union

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

Do not store above 25°C. Store in the original packaging to protect from light.

Do not use this medicine after the expiry date which is stated on the packaging (ampoule, blister and carton). The expiry date is the last day of the month stated.

Do not use this medicine if you notice that the solution is cloudy. Discard the solution and wash the nebulizer reservoir before using it again.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

Composition of Ipratropium Bromide Aldo-Union

  • The active substance is Ipratropium Bromide 250 micrograms (0.025% w/v).
  • The other ingredients are: sodium chloride, water for injections and hydrochloric acid.

Appearance and packaging

The medicine is presented as a solution for inhalation by nebulizer (producing a fine mist for inhalation) in plastic ampoules.

Other presentations:

Ampoules containing 2ml of solution (500 micrograms of Ipratropium Bromide/2 ml)

The ampoules are packaged in strips of 10 in the blister pack, and in the carton. The available pack sizes are 20 and 60 ampoules.

Not all formats may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder:

Laboratorio Aldo-Unión, S.L.

C/Baronessa de Maldà nº 73

Esplugues del Llobregat

08950 Barcelona

Manufacturer:

Laboratoire Unither

Espace Industriel Nord 151

Rue André Durouchez - CS 28028 Amiens

Cedex 2, 80084 France

Date of last revision of this leaflet:April 2016

Online doctors for IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION

Discuss questions about IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION, 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:

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
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  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.
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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€55
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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:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
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:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Prehospital Trauma Life Support (PHTLS)
  • eFAST and critical care transthoracic echocardiography
  • aviation medicine
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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€58
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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:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • 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.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

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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€70
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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:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

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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€55

Frequently Asked Questions

Is a prescription required for IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION?
IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION 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 IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION?
The active ingredient in IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION is ipratropium bromide. This information helps identify medicines with the same composition but different brand names.
How much does IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION cost in pharmacies?
The average pharmacy price for IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION is around 5.59 EUR. Prices may vary depending on the manufacturer and dosage form.
Who manufactures IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION?
IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION 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 IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION 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 IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION 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 IPRATROPIUM BROMIDE ALDO-UNION 250 micrograms/ml SOLUTION FOR NEBULIZER INHALATION?
Other medicines with the same active substance (ipratropium bromide) include ATROALDO 20 micrograms/PUFF pressurized inhalation solution, ATROVENT 20 micrograms PRESSURIZED INHALATION SOLUTION, ATROVENT MONODOSIS 250 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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