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How do atrovent (ipratropium) & albuterol act differently in the lungs? My 5yo seems to do better when we add atrovent (ipratropium) nebs between her albuterol & pulmicort.

1 doctor weighed in
Dr. Powlin Manuel
Internal Medicine - Allergy & Immunology

In brief: Mutually complement

Good morning, airway spasm in asthma results from net reduction in adrenergic (dilating) effect, or increase in bronchospastic (vagal) force.
Albutrol promotes dilating force , while atrovent (ipratropium) blocks the constricting force - thus complementing the net beneficial effect on bronchial tubes. In asthma the symptoms are caused by decreased diameter of bronchial tubes.

In brief: Mutually complement

Good morning, airway spasm in asthma results from net reduction in adrenergic (dilating) effect, or increase in bronchospastic (vagal) force.
Albutrol promotes dilating force , while atrovent (ipratropium) blocks the constricting force - thus complementing the net beneficial effect on bronchial tubes. In asthma the symptoms are caused by decreased diameter of bronchial tubes.
Dr. Powlin Manuel
Dr. Powlin Manuel
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