Immediate hypersensitivity reactions may occur. Not for the initial treatment of acute episodes of bronchospasm or relief of acute symptoms. Not to be used as 1st-line monotherapy for asthma. Patients w/ narrow-angle glaucoma, prostatic hyperplasia or bladder-neck obstruction; recent MI <6 mth, any unstable or life-threatening cardiac arrhythmia or cardiac arrhythmia requiring intervention or change in drug therapy in the past yr, hospitalisation of heart failure (NYHA class III or IV) w/in the past yr; known cardiac rhythm disorders. May cause inhalation-induced bronchospasm. Avoid contact w/ eyes. Dry mouth associated w/ dental caries (long-term use). Not to be used more frequently than once daily. Contains benzalkonium Cl which may cause wheezing & breathing difficulties. Dizziness or blurred vision may influence ability to drive & use machinery. Moderate to severe renal impairment (CrCl ≤50 mL/min). Avoid use during pregnancy. Lactation. Not recommended for COPD in childn & adolescents <18 yr. Childn <1 yr for asthma.
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