Atrovent (again)


Just wanted to remind everyone to list Atrovent as a drug you, or your child, is allergic to. I'm going to order a new med alert bracelet for my son and add atrovent to it (along with PA). Since so many Dr's don't seem to know about this medication and peanuts, I think that this is vital to our kids safety. Especially if they ever go to the ER with breathing problems.

Sorry to start a new thread, but I can't search to find the old Atrovent thread.

On Mar 2, 2001

Cayley was put on Ventolin and Flovent this past week for a wheeze which has an "asthmatic component". Can anyone tell me if Atrovent is known by the same name here in Canada? If not, what is the Canadian equivalent I should watch for? Thanks.

On Mar 2, 2001

Can someone explain... is this medication peanut-based? I couldn't find any info on the composition....

Cayley's Mom, since I had never even heard of this drug before I went and looked it up on WebMD. The drug is IPRATROPIUM and the brand name is is Atrovent in the U.S. but can be Atrovent, Apo-Ipravent, or Kendral-Ipratropium in Canada.

Hope that helps.


On Mar 2, 2001

Mir, here is an article that addresses the problem with Atrovent.

Atrovent Inhalation Aerosol and peanut allergy

PROBLEM: People with food allergies know that danger lurks in unlikely places, but few give much consideration to their medications. Moreover, their health providers may be unaware of important information that could prevent allergic reactions. For example, few health professionals are aware that the prescribing information for ATROVENT (ipratropium) Inhalation Aerosol states that it is contraindicated in patients with hypersensitivity to soya lecithin or related products such as soybean and peanut. Neither the package label nor the tear-off patient instruction sheet attached to the package insert mentions a contraindication with peanut allergy. Complicating this problem, patients with peanut allergy can use Atrovent Nasal Spray or Atrovent Inhalation Solution because neither contains soya lecithin. We received a report about a patient with severe allergy to peanuts who suffered an anaphylactic reaction after using Atrovent Inhalation Aerosol. Incredibly, she was saved by the quick action of her 6-year-old child, who called 911. According to the manufacturer, at least two additional cases of Atrovent anaphylaxis have occurred. A Johns Hopkins University Hospital press release noted that one in every 200 children, and thousands of adults, are allergic to peanuts. Its prevalence is rising as more people are exposed through vegetarian diets, candies and foods, or by indirect contamination of food products during the manufacturing process.

SAFE PRACTICE RECOMMENDATION: Gathering and utilizing information about a patient's food allergies can be lifesaving. Some pharmacy computer systems are incapable of alerting professional staff to a potential problem since food-drug interactions may not be included in their database, or can't be built into the system by users. Please check if your computer system is capable of alerting you to this food-drug interaction. If not, or if you can't build an alert into your system, ask your vendor to add this interaction. At a minimum, include a computerized reminder or other warning to check for peanut allergy whenever the product is prescribed. Practitioners should also recommend that patients with severe allergic reactions carry epinephrine injection at all times. We requested that the manufacturer strengthen warnings about peanut allergies in patient and professional information. We also asked them to add a warning on the Atrovent package label.

On Mar 2, 2001

Creek14, I just replied here and then went and read the "Unusual or Unexpected Sources of Peanut" thread and read the article. LOL! But thank you for adding it here, too.


On Mar 3, 2001

Mir - thanks for finding out for me!

creek14 - once again, thanks for the heads up on the Atrovent!

On Mar 3, 2001

Clinical Pharmacology Online is a geat site to learn about possible drug interactions and includes information about Atrovent.


On Mar 29, 2001

I finally got around to going to an Asthma managment class for my child. I became quite concerned because they said that Atrovent & Albuterol together was extremely effective in handling an acute asthma attack & was standard protocol in an ER these days. Of course, the class instructor had never heard of a possible problem about soy allergic people getting Atrovent, but that didn't surprise me at all.

Anyway, I called the manufacturer (got the number from the other Atrovent thread) & spoke to a very helpful person who clarified that the soy lecithin is only present in the Atrovent/Combivent *puffers*. The liquid version of the meds for use in a nebulizer (which is probably what an ER would use) does not have any soy in it. It made me feel *much* better to know exactly what the story was.


On Mar 17, 2003

Rsising - I knew I saw this somewhere!

On Mar 18, 2003

I'd like to add that this thread goes well with the other one - Putting PA information in Pharmacy Database.

Some times this can be done even if the pharmacist doesn't think so - please read the other thread.

On Mar 28, 2003

The word is getting out to pharmacists. My brother used to be a pharmacist and still recieves a professional newsletter. The most recent had a warning about Atrovent and patients with peanut and soy allergies. It also mentioned that not all computer systems will screen for this combination and the pharmacists need to be on their toes.