Mg kg approximately 60 and 140 times the maximum recommended daily inhalation haluavat ostaa ipratropium dose in adults on mg basis. Refer to the illustrated directions provided by the manufacturer for directions on how to use this device. It is recommended that you use spacer device with this medication. Avoid allergens irritants such as smoke, pollen, pet dander, dust, or molds that may worsen breathing problems. Ipratropium bromide has not been studied in patients with hepatic or renal insufficiency. Although the clinical significance of these effects is not known, caution is advised in the co-administration of beta-agonist-containing drugs, such as COMBIVENT Inhalation Aerosol, with non-potassium sparing diuretics.