End stage COPD

[Tinypuff]

What’s the maximum dosage of ipratropium ( Atrovent ) you can take in 24 hrs ?

[Ardraven]

I think the licenced max is something like 2mg (milligrams so 2000 micrograms) but I know more is sometimes given in an inpatient setting, I'm afraid I don't know the maximum used in those circumstances

[Tinypuff in reply to Ardraven]

Thank you for your reply, I’ve asked to stay at home, have asked my nurse to check for me aswell, think I’m on the max, 2ml nebuliser every 6 hrs, just getting more difficult to keep control of breathing and clearing mucus.

[Ardraven in reply to Tinypuff]

Glad I could crunch my brain in to gear enough to help. Hope they can manage to help you get a bit more comfortable.

[knitter]

Hi, I take Combivent which is a combination of atrovent and salbutamol.

But if you are having difficulties with control of your breathing I would contact your nurse or another health professional as soon as you can.

Or ring 111 for advice.

[Tinypuff in reply to knitter]

Hi knitter, that’s what I take, it’s mainly the mucus clearing that’s the problem, but I have spoken to my nurse about the breathing, that’s in hand now, thank you for your reply.

[Izb1]

Hi Tinypuff, dont know anything about your medication, just wanted to wish you well and hope that you are managing to clear your lungs everyday. You say you have asked to stay at home ? Are you managing ok and do you have enough help coming in? Having the right help makes it easier to be at home, thinking of you x

[Huacaya20]

I am also endstage at 18% FEV

my doc says up to four doses a day of .5mg ipatropium bromide in my nebulizer.

I have been taking rosemary (herb)capsule daily to help expel my mucous. Helps a lot!

And a 600mg dose of NAC 2 times a day to help thin the mucous.

Hope this helps! Good luck and hang in there!

[Tinypuff in reply to Huacaya20]

I take 2ml 4 times a day of ipatropium, still struggling.