Canadian residents should call their local poison control center directly. PRECAUTIONS General Atrovent ipratropium bromide should be used with caution in patients with narrow-angle glaucoma, prostatic hypertrophy or bladder-neck obstruction. Canadian residents should call their local poison control center directly. Octane,DescriptionClinical PharmacologyIndication ReactionsOverdosageDosage AdministrationHow SuppliedSupplemental Patient Material Atrovent ipratropium bromide Nasal Spray0. However, the manufacturer recommends that you do not use more than 12 inhalations in 24-hour period. Keep your eyes closed so that no medicine will be sprayed into your forma barata ipratropium on-line eyes. More serious side effects that should be reported to your physician immediately include arrhythmia, hypotension, tachycardia, severe constipation, trouble urinating, and any sign of an allergic reaction.