Which is better for COPD patients, albuterol inhaler or Combivent (albuterol and ipratropium) inhaler?

Unknown. Longer term studies show that both drugs are quick acting and relieve acute dyspnea/shortness of breath. It appears unlikely that either drug affects the natural history of asthma/copd. Longer acting drugs called maintenance inhalers are associated with significant decreases in exacerbation (flares) of these diseases and may affect lung function longer term.
See below. The short acting inhalers are more for acute shortness of breath. Neither really do anything for COPD - they just help your breathing acutely. Both work ok for this.
Equivalent. Combivent contains both albuterol and ipratropium. In copd, albuterol and ipratropium are equivalent in terms of therapeutic effect. There is no advantage of adding one to the other. The reason to combine them was to use a lower dose of albuterol thus reducing the side effects of albuterol (tremor, palpitation, jitteriness).

Related Questions

Was not taking ANYTHING for COPD Last year, now I need Combivent (albuterol and ipratropium) or A/A neb tx every 4 hours around clock. Drs don't know why. Moved to new apt 2/14?

Acute vs. Permanent. Do you have Baseline Pulmonary Function Test results from previous years. If there is significant Decrease in FEV1 then you will no that this real otherwise an acute exacerbation such as upper respiratory viral illness might worsen your short term Inhaler requirements as well. See your pulmonologist t address these questions.
See below. Based on what you listed, sounds like you need to be evaluated and potentially have a few tests done. You also likely need to be on a maintenance medication. Depending on what state you are in, I would be happy to do a second opinion with you.

How can I find out what else my mothe rcan use for COPD beside combivent (albuterol and ipratropium)?

Spiriva/equivalent. People with COPD have tissue destruction which makes the midsize airways bow. In my opinion inhaled steroid still is mainstay. Then we can add spirit or equivalent to keep these midsize airways open and if there is exacerbation or as rescue, albuterol can still be used and easier to get in with the above. Steroid is for inflammation and twitchy airway stabilizer. Other experts have varied opinions.
Meet with pulm md. There are many drugs for COPD including laba/ics combos, nebulizer meds, lamas, steroids, oxygen, pulm rehab, non-invasive ventilation. These drugs are added according to gold guidelines and the presence of worsening symtoms.

Pt. With severe COPD and is non - responsive to inhaled steroids. Has tried "most" of the inhaled albuterols, combivents, (albuterol and ipratropium) and anti-cholinergis.?

Severe COPD should. Be closely managed by a pulmonary specialist. They are experts in managing all the different medicines and ups and downs of this serious condition. Good luck.
Wrong diagnosis? If you never smoked and aren't responding to these medications the diagnosis may be incorrect. There are a variety of combination meds that are usually effective for true copd; however some people just don't seem to benefit from them. Trying nebulizer medications may be be a good alternative.
See below. I would recommend discussing this with your pulmonologist or if you need a second opinion, find someone on here that has a UT license and discuss it with them. It's possible you aren't on the right medication or maybe have a different diagnosis.

Is it possible for Combivent (albuterol and ipratropium) inhaler affect a pregnancy test?

No. Medications do not cause false positive pregnancy tests, unless the medication contains HCG or, rarely, certain antibodies.

Is Combivent (albuterol and ipratropium) inhaler ok for children as young as four?

NO. Combivent (albuterol and ipratropium) is an inhaler that contains a combination of salbutamol and ipratroprium bromide. It is approved for use in copd. There is no safety data for children under 12, and hence should not be used in a child that is age 4. There are many safe alternatives that are approved for use in young children, talk with your doctor.

Can Combivent (albuterol and ipratropium) inhaler make your throat sore?

Yes. The inhaler that you use has albuterol and ipatroprium. These help to open the airwarys and minimize secretions. The vehicle in the spray can be irritating to the back of the throat. You may want to ask for a spacer.