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Some side effects of albuterolipratropium may occur that usually do not need medical attentionThese side effects may go away during treatment as your body adjusts to the medicineAlsoyour health care professional may be able to tell you about ways to prevent or reduce some of these side effectsCheck with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Additional adverse reactionsreported in less than two percent of the patients in the COMBIVENT Inhalation Aerosol treatment group include edemafatiguehypertensiondizzinessnervousnessparesthesiatremordysphoniainsomniadiarrheadry mouthdyspepsiavomitingarrhythmiapalpitationtachycardiaarthralgiaanginaincreased sputumtaste perversionand urinary tract infection/dysuria.

Albuterol has been shown in most clinical trials to have more bronchial smooth muscle relaxation effect than isoproterenol at comparable doses while producing fewer cardiovascular effectsHoweverall beta-adrenergic drugsincluding albuterol sulfatecan produce a significant cardiovascular effect in some patientssee PRECAUTIONS

Metabolic acidosis has been reported with use of albuterol-containing products.

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the bronchodilator effect of ipratropium adds to the bronchodilator effect of albuterol, so many years ago, boehringer introduced a combination mdi inhaler called combivent.

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