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Ipratropium bromide is an inhaled medication primarily used for the maintenance treatment of chronic obstructive pulmonary disease (COPD), which includes conditions such as bronchitis and emphysema. It is designed to help control and prevent symptoms like wheezing and shortness of breath by relaxing the muscles surrounding the airways, thus keeping them open for easier breathing. This medication is an anticholinergic and works by blocking acetylcholine, a chemical that can cause airway constriction. To achieve the best results, ipratropium should be used regularly as prescribed, typically administered through a nebulizer 3 to 4 times daily. It is important to understand that ipratropium does not act as quickly as quick-relief inhalers such as albuterol (salbutamol) and should not be used for immediate relief of sudden breathing difficulties unless directed by your healthcare provider. In some cases, ipratropium may be used alongside quick-relief medications as prescribed by your doctor. Common side effects may include headaches and cough. Always consult with your healthcare provider for advice tailored to your specific health needs.