This is a medicine given by Nebuliser in some cases.
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Beta2 bronchodilator and ipratropium: Nebuliser(preferably oxygen-driven)
with salbutamol 5 mg and ipratropium 0.5 mg;
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Although Nebulisers are usually no more effective than normal
inhalers used with a spacer device, they are useful if you are very tired with the increased effort of breathing.
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If you are currently using any other inhalers or Nebulisers to help your breathing,
please discuss with your doctor if there are any of these that you should no longer use.
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Beta2 bronchodilator: Nebuliser(preferably oxygen-driven)
with salbutamol 5 mg, or via spacer(give four puffs initially and give a further two puffs every two minutes according to response up to maximum of 10 puffs).