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Ipratropium bromide
Atrovent, Combivent (ipratropium bromide) is a small molecule pharmaceutical. Ipratropium bromide was first approved as Atrovent on 1986-12-29. It is used to treat allergic rhinitis perennial, bronchial spasm, bronchitis, pulmonary emphysema, and vasomotor rhinitis in the USA. The pharmaceutical is active against muscarinic acetylcholine receptor M3. In addition, it is known to target muscarinic acetylcholine receptor M1, muscarinic acetylcholine receptor M2, muscarinic acetylcholine receptor M4, and muscarinic acetylcholine receptor M5.
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Commercial
Therapeutic Areas
Therapeutic Area
MeSH
infectionsD007239
respiratory tract diseasesD012140
otorhinolaryngologic diseasesD010038
immune system diseasesD007154
signs and symptoms pathological conditionsD013568
Trade Name
FDA
EMA
Atrovent (generic drugs available since 2001-01-26)
Combinations
Combivent (generic drugs available since 2001-01-26, discontinued: Duoneb)
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Albuterol sulfate
+
Ipratropium bromide
Tradename
Company
Number
Date
Products
COMBIVENT RESPIMATBoehringer IngelheimN-021747 RX2011-10-07
1 products, RLD, RS
Show 2 discontinued
Ipratropium bromide
Tradename
Company
Number
Date
Products
ATROVENT HFABoehringer IngelheimN-021527 RX2004-11-27
1 products, RLD, RS
Show 4 discontinued
Labels
FDA
EMA
Brand Name
Status
Last Update
atroventNew Drug Application2023-06-07
combivent respimatNew Drug Application2022-01-24
Indications
FDA
EMA
Indication
Ontology
MeSH
ICD-10
allergic rhinitis perennialEFO_1001417D012221J30.89
bronchial spasmD001986
bronchitisD001991J40
pulmonary emphysemaD011656J43
vasomotor rhinitisEFO_0007533D012223J30.0
Agency Specific
FDA
EMA
No data
Patent Expiration
Patent
Expires
Flag
FDA Information
Albuterol Sulfate / Ipratropium Bromide, Combivent Respimat, Boehringer Ingelheim
87333412030-10-16DP
78372352028-03-13DP
90279672027-03-31DP
73963412026-10-10DP
78962642025-05-26DP
72844742024-08-26DP
Ipratropium Bromide, Atrovent Hfa, Boehringer Ingelheim
84744472030-01-17DP
ATC Codes
R: Respiratory system drugs
R01: Nasal preparations
R01A: Decongestants and other nasal preparations for topical use
R01AX: Other nasal preparations in atc
R01AX03: Ipratropium bromide
R03: Drugs for obstructive airway diseases
R03A: Adrenergics, inhalants
R03AL: Adrenergics in combination with anticholinergics incl. triple combinations with corticosteroids
R03AL01: Fenoterol and ipratropium bromide
R03AL02: Salbutamol and ipratropium bromide
R03B: Other drugs for obstructive airway diseases, inhalants in atc
R03BB: Anticholinergics inhalants for obstructive airway diseases
R03BB01: Ipratropium bromide
HCPCS
Code
Description
J7620
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme
J7644
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram
J7645
Ipratropium bromide, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
Clinical
Clinical Trials
105 clinical trials
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Indications Phases 4
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Chronic obstructive pulmonary diseaseD029424EFO_0000341J44.931016161762
AsthmaD001249EFO_0000270J4512210621
Disease progressionD018450134
DyspneaD004417HP_0002094R06.0123
Pediatric obesityD06376611
Cold temperatureD00308011
Exercise-induced asthmaD001250J45.99011
Indications Phases 3
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Obstructive lung diseasesD008173HP_0006536112
Pulmonary arterial hypertensionD00008102911
Familial dysautonomiaD004402Orphanet_1764G90.111
Lung diseasesD008171EFO_0003818J98.411
Indications Phases 2
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
SialorrheaD012798HP_0002307K11.7112
Respiratory insufficiencyD012131HP_0002093J96.911
Parkinson diseaseD010300EFO_0002508G2011
Indications Phases 1
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Healthy volunteers/patients22
Status asthmaticusD01322411
DepressionD003863F33.911
Indications Without Phase
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Common coldD003139EFO_0007214J0011
Interstitial lung diseasesD017563EFO_0004244J84.8911
ExerciseD015444EFO_000048311
QuadriplegiaD011782HP_0002510G82.511
AnesthesiaD00075811
Acute lung injuryD055371EFO_000461011
ThoracotomyD01390811
Critical careD00342211
BronchitisD001991J4011
BronchiectasisD001987HP_0002110J4711
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Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
Drug common nameIPRATROPIUM BROMIDE
INNipratropium bromide
Description
Ipratropium bromide is the anhydrous form of the bromide salt of ipratropium. An anticholinergic drug, ipratropium bromide blocks the muscarinic cholinergic receptors in the smooth muscles of the bronchi in the lungs. This opens the bronchi, so providing relief in chronic obstructive pulmonary disease and acute asthma. It has a role as a bronchodilator agent, a muscarinic antagonist and an antispasmodic drug. It contains an ipratropium.
Classification
Small molecule
Drug class
Image (chem structure or protein)
Structure (InChI/SMILES or Protein Sequence)
CC(C)[N+]1(C)[C@H]2CC[C@@H]1C[C@H](OC(=O)C(CO)c1ccccc1)C2.[Br-]
Identifiers
PDB
CAS-ID22254-24-6
RxCUI203212
ChEMBL IDCHEMBL1464005
ChEBI ID
PubChem CID657308
DrugBankDB00332
UNII IDVJV4X1P2Z1 (ChemIDplus, GSRS)
Target
Agency Approved
CHRM3
CHRM3
Organism
Homo sapiens
Gene name
CHRM3
Gene synonyms
NCBI Gene ID
Protein name
muscarinic acetylcholine receptor M3
Protein synonyms
acetylcholine receptor, muscarinic 3, m3 muscarinic receptor
Uniprot ID
Mouse ortholog
Chrm3 (12671)
muscarinic acetylcholine receptor M3 (Q9ERZ3)
Alternate
CHRM1
CHRM1
CHRM2
CHRM2
CHRM4
CHRM4
CHRM5
CHRM5
Organism
Homo sapiens
Gene name
CHRM1
Gene synonyms
NCBI Gene ID
Protein name
muscarinic acetylcholine receptor M1
Protein synonyms
acetylcholine receptor, muscarinic 1
Uniprot ID
Mouse ortholog
Chrm1 (12669)
muscarinic acetylcholine receptor M1 (Q8BJN3)
Variants
Clinical Variant
No data
Financial
No data
Trends
PubMed Central
Top Terms for Disease or Syndrome:
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Additional graphs summarizing 5,436 documents
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Safety
Black-box Warning
No Black-box warning
Adverse Events
Top Adverse Reactions
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21,502 adverse events reported
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