Atrovent Nasal Side Effects

Generic name: ipratropium nasal

Medically reviewed by Drugs.com. Last updated on Mar 11, 2024.

Note: This document provides detailed information about Atrovent Nasal Side Effects associated with ipratropium nasal. Some dosage forms listed on this page may not apply specifically to the brand name Atrovent Nasal.

Applies to ipratropium nasal: nasal spray.

Serious side effects of Atrovent Nasal

Along with its needed effects, ipratropium nasal (the active ingredient contained in Atrovent Nasal) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking ipratropium nasal:

For the 0.03% nasal spray

More common side effects

• body aches or pain
• chills
• cough
• difficulty with breathing
• ear congestion
• fever
• headache
• loss of voice
• nasal congestion
• runny nose
• sneezing
• sore throat
• unusual tiredness or weakness

Less common side effects

• blurred vision
• burning, dry, or itching eyes
• discharge or excessive tearing
• itching, redness, tearing, or other sign of eye irritation not present before use of this medicine or becoming worse during use
• nasal dryness
• nosebleeds
• redness, pain, or swelling of the eye, eyelid, or inner lining of the eyelid

Rare side effects

• pain or cramping in the abdomen or stomach
• painful or difficult urination

Incidence not known

• difficulty with swallowing
• dizziness
• fast heartbeat
• hives or welts
• itching
• large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
• puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
• redness of the skin
• skin rash
• tightness in the chest

For the 0.06% nasal spray used for 4 days

Less common side effects

• nasal dryness
• nosebleeds

Rare side effects

• blurred vision
• dizziness
• eye redness or pain
• fast, slow, or irregular heartbeat
• pain or cramping in the abdomen or stomach
• painful or difficult urination
• ringing or buzzing in the ears
• sore throat

Other side effects of Atrovent Nasal

Some side effects of ipratropium nasal may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

For the 0.03% nasal spray

Less common or rare side effects

• bad, unusual, or unpleasant (after) taste
• change in taste
• dry mouth or throat
• increased nasal congestion or runny nose
• nasal itching, burning, or irritation
• nausea

For the 0.06% nasal spray

Less common or rare side effects

• dry mouth or throat
• increased nasal congestion

For healthcare professionals

Applies to ipratropium nasal: nasal spray.

General adverse events

The most frequently reported side effects were nasal dryness, epistaxis, headache, nasal discomfort, and throat irritation.^[Ref]

Additional side effects have been reported from published literature and/or postmarketing surveillance when this drug was used alone or in combination with albuterol, including: urinary retention, prostatic disorders, mydriasis, cases of precipitation or worsening of narrow-angle glaucoma, acute eye pain, ocular irritation, wheezing, dryness of the oropharynx, tachycardia, edema, gastrointestinal distress (diarrhea, nausea, vomiting), bowel obstruction, constipation, nasal discomfort, throat irritation, hypersensitivity, accommodation disorder, intraocular pressure increased, glaucoma, halo vision, conjunctival hyperemia, corneal edema, heart rate increased, bronchospasm, pharyngeal edema, gastrointestinal motility disorder, mouth edema, stomatitis, and pruritus. After oral inhalation in patients suffering from chronic obstructive pulmonary disease (COPD)/asthma, supraventricular tachycardia and atrial fibrillation have been reported.^[Ref]

Respiratory

• Common (1% to 10%): Upper respiratory tract infection, epistaxis, nasal dryness, nasal irritation, nasal congestion, rhinorrhea increased, rhinitis increased, posterior nasal drip, sneezing, nasal polyps, nasal edema, pharyngitis, sinusitis, nasal discomfort, ulcerative rhinitis
• Uncommon (0.1% to 1%): Bronchospasm, laryngospasm, pharyngeal edema
• Frequency not reported: Hoarseness, cough, nasal burning^[Ref]

Ocular

• Uncommon (0.1% to 1%): Vision blurred, mydriasis, intraocular pressure increased, glaucoma, eye pain, halo vision, conjunctival hyperemia, corneal edema, accommodation disorder
• Frequency not reported: Ocular irritation, conjunctivitis^[Ref]

Local

• Frequency not reported: Irritation^[Ref]

Nervous system

• Common (1% to 10%): Headache, taste perversion
• Uncommon (0.1% to 1%): Dizziness^[Ref]

Genitourinary

• Uncommon (0.1% to 1%): Urinary retention^[Ref]

Cardiovascular

• Uncommon (0.1% to 1%): Supraventricular tachycardia, atrial fibrillation, heart rate increased
• Rare (less than 0.1%): Palpitation
• Frequency not reported: Tachycardia^[Ref]

Gastrointestinal

• Common (1% to 10%): Nausea, dry mouth/throat, diarrhea, throat irritation
• Uncommon (0.1% to 1%): Gastrointestinal motility disorder, stomatitis
• Frequency not reported: Dry mouth/throat^[Ref]

Dermatologic

• Uncommon (0.1% to 1%): Angioedema of throat/tongue/lips/face, rash
• Rare (less than 0.1%): Urticaria, pruritus^[Ref]

Immunologic

• Uncommon (0.1% to 1%): Hypersensitivity, anaphylactic reaction^[Ref]

Other

• Common (1% to 10%): Pain
• Frequency not reported: Thirst, tinnitus^[Ref]

Further information

Atrovent Nasal side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.

Medical Disclaimer