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Postmarketing reportsGlaucomablurred visionmydriasisconjunctival hyperemiahalo visionaccommodation disorderocular irritationcorneal edemaintraocular pressure increasedRef]
There are numerous case reports in the literature of precipitation of glaucoma with the use of ipratropium and albuterol via nebulized solutionThis is thought to occur through direct contact with the eyesand is seen with the combination since both beta agonists and anticholinergics can increase intraocular pressureThere is one report of glaucoma associated with the use of nebulized albuterol and ipratropium aerosol in an emergency departmentCaution is warranted when the combination is used in patients predisposed to glaucomaExtra care should be taken to avoid contact with the eyesRef]
Stop using albuterol and ipratropium and call your doctor at once if you have a serious side effect such as:
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ask your doctor about combivent respimat, albuterol, or levalbuterol.