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3Shake and Test SprayPerform this step before using for the first timeand whenever the aerosol has not been used for more than 24 hoursotherwiseproceed directly to Step 4.

Breathe ininhaleslowly through your mouth and at the same time spray the product into your mouth.

Patients should be cautioned to avoid spraying the aerosol into their eyes and be advised that this may result in precipitation or worsening of narrow-angle glaucomamydriasisincreased intraocular pressureacute eye pain or discomforttemporary blurring of visionvisual halos or colored images in association with red eyes from conjunctival and corneal congestionPatients should also be advised that should any combination of these symptoms developthey should consult their physician immediately.

Stop using albuterol and ipratropium and call your doctor at once if you have a serious side effect such as:

Along with its needed effectsalbuterol/ipratropium may cause some unwanted effectsAlthough not all of these side effects may occurif they do occur they may need medical attention.

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since dizziness, accommodation disorder, mydriasis, and blurred vision may occur with use of combivent respimat, patients should be cautioned about engaging in activities requiring balance and visual acuity such as driving a car or operating appliances or machinery.