Ipratropium nasal
ATROVENT NASAL
Pronunciation: ip-ra-TROE-pee-um
“It’s practically atropine (Atropine ventilated)”
“red as a beet” → anticholinergic
“mad as a hatter” → BBB-crossing anticholinergic
What it isMuscarinic antagonist sprayed intranasally; watery rhinorrhea from allergic or nonallergic rhinitis.
Why this oneTargets nasal discharge with little systemic absorption but does not relieve congestion or sneezing.
What limits itEpistaxis and nasal dryness limit use; avoid spraying into the eyes, especially with narrow-angle glaucoma.
NO BOXED WARNINGS
Classes and tags
Clinical profile
Legacy pregnancy categoryC
Defining liabilityTremor, tachycardia or anticholinergic effects; excessive beta-agonist exposure can cause hypokalemia and arrhythmia.
Available strengths
- nasal spray 21, 42 mcg/spray (0.03% · 0.06%)
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Self-check
- Does nasal ipratropium relieve congestion or sneezing?
No. - Which nasal symptom does ipratropium target?
Watery rhinorrhea.