Use with other anticholinergic drugs (for example, atropine ) may increase the occurrence of side effects. Tricyclic antidepressants , for example, amitriptyline ( Elavil , Endep ), monoamine oxidase inhibitors, for example, tranylcypromine, should not be combined with albuterol/ipratropium because of their additive effects on the vascular system (increased blood pressure, heart rate, etc.). A period of two weeks should elapse between treatment with albuterol/ipratropium and tricyclic antidepressants or monoamine oxidase inhibitors.
If you are looking for a generic inhaler because your brand name inhaler is too expensive, there are several ways you may be able to get a cheaper prescription. Ask your doctor if they have any samples or manufacturers' coupon that can bring you co-pay down. You can also call your insurance company and ask for the prices of other rescue inhalers or control medications. If your insurance has a medication they prefer you use, ask your doctor if your prescription can be changed to the lower-priced drug. You can also look at the website of the pharmaceutical company that makes the inhaler and see if they offer a savings plan or discounts to those who cannot afford the prescription or do not have adequate insurance coverage.
Nebulisers are machines that turn the liquid form of your short-acting bronchodilator medicines into a fine mist, like an aerosol. You breathe this in with a face mask or a mouthpiece. Nebulisers are no more effective than normal inhalers. However, they are extremely useful in people who are very tired (fatigued) with their breathing, or in people who are very breathless. Nebulisers are used mainly in hospital for severe attacks of asthma when large doses of inhaled medicines are needed. They are used less commonly than in the past, as modern spacer devices are usually just as good as nebulisers for giving large doses of inhaled medicines. You do not need any co-ordination to use a nebuliser - you just breathe in and out, and you will breathe in the medicine.