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Albuterol and ipratropium inhalation is used to prevent bronchospasm in people with chronic obstructive pulmonary disease (COPD) who are also using other medicines to control their condition.

After all, many patients cite cost as a reason for not using their medication as directed by their doctors.

If this occurs, ipratropium bromide and albuterol sulfate should be discontinued immediately and alternative therapy instituted.

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Xopenex contains the active form of albuterol with less of the effects of albuterol inhalers because it tends to cause less jitteriness (a common albuterol side effect) in patients than albuterol sulfate inhalers.

It is difficult to determine the relevance of a particular drug interaction to any individual given the large number of variables.

Physical examination findings in more involved cases may present with neurologic deficits, including impaired sensation, two-point discrimination in the median nerve distribution or thenar weakness.

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Pediatric patients 6 to 12 years of age who fail to respond to the initial starting dosage of 2 mg four times a day: For children 6 to 12 years of age who fail to respond to the initial starting dosage of 2 mg four times a day, the dosage may be cautiously increased stepwise as tolerated but not to exceed 6 mg four times a day (total daily dose should not exceed 24 mg).

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For adults and children 12 years and older, a dosage above 4 mg four times a day should be used only when the patient fails to respond.

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FDA has determined these conditions will be met by December 31, 2008, which will render the use of CFCs in albuterol MDIs no longer essential.

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