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Ipratropium Steri-Neb

Ipratropium Bromide

Ipratropium Steri-Neb is a medicine used in the treatment of COPD. It is a nebuliser solution which works by helping to open the airways.

This treatment is not available to buy online through our service.

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PLEASE NOTE: This treatment is not available through our online pharmacy service. This page is for information only. If you are experiencing any of the symptoms related to the condition(s) this medication treats, we strongly recommend that you see your GP in person.

This content was reviewed by a clinician on

19 October 2021
dr daniel

Dr Daniel Atkinson

(GP Clinical Lead - GMC No. 4624794) 19 October 2021
Product information

Ipratropium Steri-Neb is a nebuliser solution made by IVAX, and is used to medicate cases of chronic obstructive pulmonary disease, or COPD. It is a type of medicine called an anticholinergic bronchodilator. This means that it is effective at widening the airways when they become narrowed by muscular contractions. It can only be applied through the use of a nebuliser, which transforms the solution into an inhalable mist.

  1. Soothes respiratory tension
  2. Reduces breathing difficulties
  3. Easy to use

Chronic obstructive pulmonary disease is a condition which inhibits breathing during periods of exertion, produces a phlegmy cough, and increases a person’s susceptibility to chest infections. Behind asthma, it is one of the most frequently occurring respiratory illnesses, with an estimated 3 million people in the UK currently living with the disease. The NHS believes that of these 3 million cases, only around a third will have been given an accurate diagnosis; as it is often wrongly identified merely as a cough associated with smoking.

It is thought that smoking is the main cause of COPD. Roughly nine out of every 10 cases are thought to be induced by the habit, and one quarter of smokers will go on to present the illness. Other cases may be brought on by persistent exposure to pollutants, dust or chemicals at work.

Symptoms occur when the tissue in the airways becomes irritated and inflamed. This causes the muscles lining the airways to contract and tighten, making them narrower and inducing breathing difficulties. The production of mucus also increases, and this causes further obstruction to breathing.

The active ingredient in Ipratropium Steri-Neb, which is only available to buy in the UK on prescription, is a drug of the same name: ipratropium bromide. It is an antimuscarinic, which works by blocking the action of a chemical in the body called acetylcholine. In doing this, the treatment helps the muscles lining the airways to relax, facilitating easier breathing.

We do not supply COPD medications via our online service. See your GP to be prescribed this item or renew your regular prescription.

Page last reviewed:  19/10/2021

When using this medication, make sure you follow the directions issued to you by your prescriber, and that you read the instructions carefully beforehand. This will help you to limit the risk of side effects and maximise the efficacy of the product.

  1. Use as prescribed by your doctor.
  2. For adult cases of COPD, this may be one 0.4ml-2ml dose of solution, taken up to four times per day.
  3. A Steri-Neb comes as either 1ml or 2ml solution.
  4. The medication should only be administered through a powered nebuliser. Prior to use, you should acquaint yourself with the instructions supplied with the nebuliser device.
  5. The nebuliser solution should never be injected or swallowed.
  6. Do not exceed the prescribed amount.
  7. If you miss a dose, you can take it when you remember provided it is not nearly time for your next dose. If it is, skip the one you have missed and carry on the treatment as before.

The above does not form a comprehensive set of instructions. For more detailed guidance, you should consult the leaflet supplied or contact your doctor.

Download PDF

Page last reviewed:  19/10/2021
Please read the patient information leaflet for this medicine fully before use:

Ipratropium steri Neb 500mcg/2ml

Ipratropium steri Neb 250mcg/1ml

Side effects & Warnings

Not everyone who uses this item will experience side effects, but it is still important to be aware of the nature and likelihood of these, so that you can act in the event that they occur. Inform your doctor or nearest medical facility right away if you notice: any signs of an allergic reaction; increasing breathlessness or worsening of COPD symptoms; dry mouth, constipation or urinary problems lasting more than a few days; or any eye problems such as pain or blurred vision after administration.

Common (1 in 10 people or less):

Headache, sore throat, cough, dry mouth or feelings of sickness.

Uncommon (1 in 100 people or less):

Palpitations, increased heart beat, or a skin rash.

Rare (1 in 1000 people or less):

Blurred vision, or difficulty in urinating.

This is not a complete list of the side effects associated with this product. More detailed information can be found in the patient information leaflet.

Taking it with other medicines

You will need to inform your prescriber before taking this treatment if you are using any other prescription, non-prescription or remedial products.

Conditions to look out for

It may not be suitable for persons who have or have ever had the following conditions: glaucoma; enlarged prostate; or cystic fibrosis.

Pregnancy and breastfeeding

Do not use Ipratropium if you are pregnant, planning to become pregnant or breastfeeding, unless your doctor tells you that it is absolutely necessary.

Tell your doctor if you become pregnant while using this medication.

Driving and using machinery

This item has no known effect on driving or machine use capacity.

Page last reviewed:  19/10/2021
Please read the patient information leaflet for this medicine fully before use:

Ipratropium steri Neb 500mcg/2ml

Ipratropium steri Neb 250mcg/1ml


Can I still drink alcohol?

Yes, as this treatment is not thought to interact with alcohol. However, you should discuss drinking alcohol with your doctor prior to using this medication, as it may increase the risk of side effects.

Will I still be able to drive?

Yes. Your ability to drive should not be compromised by this medication. But if you feel as though you are experiencing side effects as a result of using this treatment which could affect your capacity to drive safely, refrain from driving and speak to your doctor as soon as possible.

Can I take the medicine while pregnant?

It may not be suitable. Speak to your doctor before using any medicine if you are pregnant, breastfeeding, or planning to become pregnant.

How should I store it?

Keep in a safe environment below 25°C, and out of the reach of children.

Am I allergic to anything in the medicine?

This product contains the following: ipratropium bromide, sodium chloride, water for injections, and dilute hydrochloric acid as a pH adjuster.

Do not use this item if you are allergic to any of the above substances.

Is it available over-the-counter?

To buy Ipratropium Steri-Neb online or in person, you will require a prescription. This can be obtained via consultation with your GP or specialist consultant.

Is it right for me?

The treatment you use will be determined during consultation with your GP or respiratory nurse.

Page last reviewed:  19/10/2021 is rated 4.9 out of 5 by 3209 customers on TrustPilot!
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