Prescription onlyLower-cost generic available

Combivent Alternatives

(Ipratropium / Albuterol)

  • Inhaler
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Compare Combivent (Ipratropium / Albuterol) to alternatives

These medications are comparable to Combivent (Ipratropium / Albuterol) or used for similar purposes.

Combivent
(Ipratropium / Albuterol)

Advair Diskus
(Fluticasone / Salmeterol)

Atrovent
(Ipratropium)

Spiriva
(Tiotropium)

Symbicort
(Budesonide / Formoterol)

Dulera
(Mometasone / Formoterol)

Theo-24
(Theophylline)

Theo-24
(Theophylline)

Makes it easier to breathe. Combivent (Ipratropium / Albuterol) is good for people who need 2 medicines to relieve their COPD symptoms, but you need to be okay with taking it four times a day.Prevents breathing problems. Advair Diskus (Fluticasone / Salmeterol) is good for people who need two medicines to control their asthma or COPD, but it might be expensive since there's no generic available.Coming soon.Makes it easier to breathe. Spiriva (Tiotropium) works well to reduce COPD symptoms and flare-ups with fewer side effects than some medicines that open airways, but you have to use it every day.Prevents breathing problems. Symbicort (Budesonide / Formoterol) is good for people who need two medicines to control their asthma or COPD, but it might be expensive since there's no generic available.Prevents breathing problems. Dulera (Mometasone / Formoterol) is a convenient medication that'll control your asthma long-term, but it won’t stop a sudden asthma attack.Coming soon.Coming soon.
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Reviews & ratings
Button Group. All currently active
Button Group. All currently active
4.6453900709219855Combivent
Reviews for Combivent (Ipratropium / Albuterol)
63%
of people say Combivent (Ipratropium / Albuterol) is worth it
37%
say it works well
13%
say it's a big hassle
Reviews for Advair Diskus (Fluticasone / Salmeterol)
66%
+3% vs. Combivent (Ipratropium / Albuterol)
47%
+10% vs. Combivent (Ipratropium / Albuterol)
11%
+2% vs. Combivent (Ipratropium / Albuterol)

Not enough reviews for this drug. Help someone out, leave a review!

Reviews for Spiriva (Tiotropium)
62%
1% vs. Combivent (Ipratropium / Albuterol)
43%
+6% vs. Combivent (Ipratropium / Albuterol)
9%
+4% vs. Combivent (Ipratropium / Albuterol)
Reviews for Symbicort (Budesonide / Formoterol)
57%
6% vs. Combivent (Ipratropium / Albuterol)
39%
+2% vs. Combivent (Ipratropium / Albuterol)
15%
2% vs. Combivent (Ipratropium / Albuterol)
Reviews for Dulera (Mometasone / Formoterol)
83%
+20% vs. Combivent (Ipratropium / Albuterol)
78%
+41% vs. Combivent (Ipratropium / Albuterol)
9%
+4% vs. Combivent (Ipratropium / Albuterol)

Not enough reviews for this drug. Help someone out, leave a review!

Not enough reviews for this drug. Help someone out, leave a review!

Side effects
CombiventAdvairAtroventSpirivaSymbicortDuleratheophyllinetheophylline

The Combivent FDA package insert doesn’t have numbers about how common side effects are.

More about Combivent side effects »
  • Ear, nose, or throat infection 13%
  • Candidiasis mouth/throat 9%
  • Lung infection 8%
  • Sore throat 7%
  • Bronchitis 6%
  • Nausea and vomiting 5%
  • Headaches 4%
  • Cough 4%
  • Diarrhea 3%
  • Viral respiratory infections 3%
More Advair side effects »

We haven’t found good data for Atrovent side effects.

FDA side effect reports for Atrovent »
  • Dry mouth 13%
  • Respiratory tract infection 4%
  • Sore throat 2%
  • Sinus inflammation 2%
  • Urinary tract infection 2%
  • Chest pain (non-specific) 2%
  • Abdominal pain 2%
  • Yeast infection 2%
  • Rash 2%
  • Nosebleed 2%
More Spiriva side effects »
  • Stomach discomfort 5%
  • Oral candidiasis 4%
  • Headache 4%
  • Throat pain 4%
  • Lung infection 3%
  • Ear, nose, or throat infection 3%
  • Common cold 2%
  • Flu 2%
  • Nasal congestion 2%
  • Vomiting 2%
More Symbicort side effects »
  • Sinus inflammation 2%
  • Common cold 1%
  • Headache 1%
More Dulera side effects »

We haven’t found good data for theophylline side effects.

FDA side effect reports for theophylline »

We haven’t found good data for theophylline side effects.

FDA side effect reports for theophylline »
How it works
CombiventAdvairAtroventSpirivaSymbicortDuleratheophyllinetheophylline
Combivent (Ipratropium / Albuterol) is a combination medicine. It contains two bronchodilators (ipratropium and albuterol), which relax muscles in your lungs to open airways and make breathing easier.Advair Diskus (Fluticasone / Salmeterol) is a combination medicine. Fluticasone (a corticosteroid) lowers lung inflammation to control asthma and COPD. Salmeterol (a bronchodilator) relaxes muscles in your lungs to open airways and make breathing easier.Coming soon.Spiriva (Tiotropium) is a bronchodilator. It relaxes muscles in your lungs to open your airways and make breathing easier.Symbicort (Budesonide / Formoterol) is a combination medicine. Budesonide (a corticosteroid) lowers lung inflammation to control asthma and COPD. Formoterol (a bronchodilator) relaxes muscles in your lungs to open airways and make breathing easier.Dulera (Mometasone / Formoterol) is a combination asthma medicine. Mometasone (a corticosteroid) lowers lung inflammation and works to control your asthma and prevent asthma attacks. Formoterol (a long-acting bronchodilator) relaxes muscles in your lungs to open airways and prevent wheezing and shortness of breath.Coming soon.Coming soon.
Type of medication
CombiventAdvairAtroventSpirivaSymbicortDuleratheophyllinetheophylline
Bronchodilator
Short-acting bronchodilator
Bronchodilator
Short-acting bronchodilator
Prescription only
Anti-inflammatory
Corticosteroid
Bronchodilator
Long-acting bronchodilator
Prescription only
Coming soon.
Bronchodilator
Long-acting bronchodilator
Prescription only
Anti-inflammatory
Corticosteroid
Bronchodilator
Long-acting bronchodilator
Prescription only
CorticosteroidBronchodilator
Long-acting bronchodilator
Beta-2 agonist
Prescription only
Coming soon.
Coming soon.
Available as
CombiventAdvairAtroventSpirivaSymbicortDuleratheophyllinetheophylline
  • Inhaler
  • Inhaler
  • Inhaler
  • Inhaler
  • Inhaler
  • Inhaler
  • Pill
  • Extended release
  • Liquid
  • Pill
  • Extended release
  • Liquid
Used for (click to learn more)
CombiventAdvairAtroventSpirivaSymbicortDuleratheophyllinetheophylline
  • Chronic obstructive pulmonary disease Nasal discharge
  • Asthma Chronic obstructive pulmonary disease Exercise-induced asthma; Prophylaxis Nocturnal asthma
  • Asthma Chronic obstructive pulmonary disease Exercise-induced asthma; Prophylaxis Nocturnal asthma
Risk factors for serious side effects
CombiventAdvairAtroventSpirivaSymbicortDuleratheophyllinetheophylline
    • History of rapid heartbeat
    • History of high blood pressure
    • history of heart failure or chest pain.
    • History of narrow-angle glaucoma
    • History of high eye pressure
    • Spraying Combivent (Ipratropium / Albuterol) into eyes
    • History of urinary bladder blockage (urinary obstruction)
    • History of enlarged prostate
    • History of atropine allergic reaction
    • Taking Combivent (Ipratropium / Albuterol) with drugs that decrease potassium
    • History of low potassium
    • Taking Combivent (Ipratropium / Albuterol) aerosol inhaler
    • History of soybean allergy
    • History of peanut allergy
    Detailed Combivent (Ipratropium / Albuterol) risks & warnings »
    Coming soon.Coming soon.Coming soon.Coming soon.Coming soon.Coming soon.Coming soon.
    Pregnancy category
    CombiventAdvairAtroventSpirivaSymbicortDuleratheophyllinetheophylline
    CFDA pregnancy category (Weigh risks vs. benefits)

    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

    See the FDA package insert
    CFDA pregnancy category (Weigh risks vs. benefits)

    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

    See the FDA package insert
    BFDA pregnancy category (Probably safe)

    Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

    See the FDA package insert
    CFDA pregnancy category (Weigh risks vs. benefits)

    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

    See the FDA package insert
    CFDA pregnancy category (Weigh risks vs. benefits)

    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

    See the FDA package insert
    CFDA pregnancy category (Weigh risks vs. benefits)

    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

    See the FDA package insert
    CFDA pregnancy category (Weigh risks vs. benefits)

    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

    See the FDA package insert
    CFDA pregnancy category (Weigh risks vs. benefits)

    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

    See the FDA package insert
    Alcohol
    No specific alcohol-related info.No specific alcohol-related info.No specific alcohol-related info.No specific alcohol-related info.No specific alcohol-related info.No specific alcohol-related info.No specific alcohol-related info.No specific alcohol-related info.
    Food
    • There are reports of severe allergic reactions in people taking Combivent (Ipratropium / Albuterol) aerosol inhaler who have allergies to soybean or peanuts. This is because the aerosol contains soya lecithin. Call 911 or your doctor right away if you develop severe rash, itching, swelling or difficulty breathing while taking Combivent (Ipratropium / Albuterol). Talk to your doctor about other medication choices to treat your COPD if you know you have food allergies to soybean and/or peanuts.
    No specific food-related info.No specific food-related info.No specific food-related info.No specific food-related info.No specific food-related info.No specific food-related info.No specific food-related info.
    Kidneys and liver
    No specific kidneys and liver-related info.No specific kidneys and liver-related info.No specific kidneys and liver-related info.No specific kidneys and liver-related info.No specific kidneys and liver-related info.No specific kidneys and liver-related info.No specific kidneys and liver-related info.No specific kidneys and liver-related info.
    Sex
    No specific sex-related info.No specific sex-related info.No specific sex-related info.No specific sex-related info.No specific sex-related info.No specific sex-related info.No specific sex-related info.No specific sex-related info.
    Sleep
    • One of the medications in Combivent (Ipratropium / Albuterol) may increase blood pressure and heart rate, especially if you already have these conditions. Tell your doctor if you notice a tremor, rapid heartbeat, get dizzy or have difficulty sleeping while taking Combivent (Ipratropium / Albuterol), you may need to change or stop this medication.
    No specific sleep-related info.No specific sleep-related info.No specific sleep-related info.No specific sleep-related info.No specific sleep-related info.No specific sleep-related info.No specific sleep-related info.
    Weight
    No specific weight-related info.No specific weight-related info.No specific weight-related info.No specific weight-related info.No specific weight-related info.No specific weight-related info.No specific weight-related info.No specific weight-related info.
    Upsides and benefits
    CombiventAdvairAtroventSpirivaSymbicortDuleratheophyllinetheophylline
    • 2-in-1 medicine that opens airways and makes it easier to breathe. Medicines are more effective together than alone.
    • Effectively relieves COPD and asthma symptoms.
    • Respimat formulation has a clear display for dosing, doesn't require shaking, and only needs one inhalation per dose.
    • You only have to use it twice a day.
    • Both the Diskus and inhaler can be used to treat asthma.
    • 2-in-1 medicine that lowers inflammation and opens airways in your lungs. Medicines are more effective together than alone.
    • Makes lung function significantly better.
    • Lowers the number of flare-ups and rescue inhaler uses in asthma and COPD.
    Coming soon.
    • Helps you breathe easier and lessens the need for a fast-acting (rescue) inhaler.
    • Reduces flare-ups and hospitalizations with fewer side effects compared to some other medicines that open airways.
    • You only need to take it once a day.
    • In studies, shown to improve asthma symptoms, rescue inhaler use, and lung function on the first day.
    • 2-in-1 medicine that lowers inflammation and opens airways in your lungs. Medicines are more effective together than alone.
    • Makes lung function significantly better.
    • Lowers the number of flare-ups and rescue inhaler uses in asthma and COPD.
    • It's a combination medicine that lowers inflammation and opens airways in your lungs.
    • Significantly improves lung function and lowers the number of flare-ups by 70%. Also reduces rescue inhaler use in asthma.
    • By inhaling this medication, it gets into your lungs quickly and doesn't affect the rest of your body as much, so if should have a lower risk of side effects.
    • Some people who take Dulera (Mometasone / Formoterol) are able to use their fast-acting rescue inhalers less often.
    Coming soon.
    Downsides and risks
    CombiventAdvairAtroventSpirivaSymbicortDuleratheophyllinetheophylline
    • You have to use Combivent four times a day.
    • Can make your heart race.
    • Can make symptoms of enlarged prostate or urinary blockage worse.
    • Can worsen a certain type of glaucoma.
    • You have to use Advair every day to control your symptoms.
    • The HFA inhaler isn't approved to treat COPD.
    • You can't lower the dose or stop taking it too suddenly.
    • Can make your heart race.
    • Steroids can slow height growth in kids.
    • Because steroids suppress your immune system, you can catch bacterial and viral infections easier, and they can take longer to go away.
    • There have been some reports of worsening asthma leading to death when taking this medicine.
    Coming soon.
    • Won't cure your COPD (but it will relieve your symptoms).
    • You'll need to use this medicine for a long time, and you have to take it every day.
    • You might feel dizzy or have blurry vision while taking this medicine.
    • Can make symptoms of enlarged prostate or urinary blockage worse.
    • Can worsen a certain type of glaucoma.
    • You have to use Symbicort twice a day, every day to control your symptoms.
    • Lower doses are not as effective for COPD.
    • You can't lower the dose or stop taking it too suddenly.
    • Can make your heart race.
    • Steroids can slow height growth in kids.
    • Because steroids suppress your immune system, you can catch bacterial and viral infections easier, and they can take longer to go away.
    • There have been some reports of worsening asthma leading to death when taking this medicine.
    • You need to use Dulera (Mometasone / Formoterol) twice a day to control your symptoms.
    • It doesn’t stop a sudden asthma attack. You always need to have a rescue inhaler close by to treat sudden symptoms or breathing problems.
    • Steroids can suppress your immune system, so you can catch bacterial and viral infections easier while on this.
    • You may need to take a different medicine if your asthma doesn’t improve and you need your rescue inhaler more often, or if tests show that your lung function is reduced.
    Coming soon.Coming soon.
    Tips from our pharmacists for people taking the medication
    CombiventAdvairAtroventSpirivaSymbicortDuleratheophyllinetheophylline
    • Starts working in 15 to 30 minutes, and lasts about 4 to 6 hours.
    • Make sure to read the instructions about how to set up your first dose.
    • Clean the mouthpiece with a damp cloth once a week.
    • The inhaler shows you how much medication you have left so you can plan ahead for refills.
    • Don't take it more often or change your dose without talking to your doctor first.
    • Tell your doctor if the medication stops working or if your symptoms get worse.
    • One type of inhaler contains soya lecithin, so don't use if you have soybean, peanut, or allergies to atropine.
    • Starts working in about 30 minutes, but it can take 1 to 2 weeks to feel the full effects.
    • Prevents asthma symptoms, but doesn't treat sudden wheezing or asthma attacks once they start.
    • Call 911 or your doctor if it's hard to breathe or you have an asthma attack while on this medication.
    • Diskus contains lactose, so don't use it if you're allergic to milk protein.
    • Lowers inflammation and opens airways to improve breathing.
    • Use inhaler in a level position, and don't breathe out into the device.
    • Rinse your mouth out with water after each use.
    • Shake inhaler for 5 seconds before you use it.
    • Pump the inhaler 4 times before inhaling the first dose, or if it's been more than a month since your last dose.
    Coming soon.
    • Don't swallow the capsule. Insert the capsule into an inhaler device only.
    • Use daily to control your COPD.
    • Starts working the first few hours, but it may take longer to feel full effects.
    • Don't breathe out into the inhaler.
    • You might feel dizzy and notice changes in your vision.
    • Don't use it if you have an allergy to atropine.
    • Contains lactose, so don't use it if you're allergic to milk protein.
    • Prevents breathing problems, but doesn't stop sudden cough or wheezing once they start.
    • Starts working in about 30 minutes, but can take 1 to 2 weeks to feel full effects.
    • Call 911 or your doctor if it's hard to breathe, or if you have an asthma attack while taking this medication.
    • Lowers inflammation and opens airways to improve breathing.
    • Prevents breathing problems, but doesn't stop sudden cough or wheezing once they start.
    • Use inhaler in a level position, and don't breathe out into the device.
    • Rinse your mouth out with water after each use.
    • Shake inhaler for 5 seconds before you use it.
    • Pump the inhaler 4 times before inhaling the first dose, or if it's been more than a month since your last dose.
    • Starts working right away, but it can take 1 to 2 weeks to feel the full effects.
    • Inhale two separate puffs in the morning and two separate puffs in the evening. It’s important to read the information that comes with your medicine so you use it the correctly.
    • Clean the mouthpiece with a dry cloth every 7 days and don’t wash it with water.
    • Rinse your mouth out with water after each use to lower your chance of getting a yeast infection (thrush) in the mouth and throat.
    Coming soon.Coming soon.
    Learn more
    More about CombiventSide effectsReviews & ratingsAlternativesFDA package insert
    More about AdvairSide effectsReviews & ratingsFDA package insert
    More about AtroventSide effectsReviews & ratingsFDA package insert
    More about SpirivaSide effectsReviews & ratingsFDA package insert
    More about SymbicortSide effectsReviews & ratingsFDA package insert
    More about DuleraSide effectsReviews & ratingsFDA package insert
    More about theophyllineSide effectsReviews & ratingsFDA package insert
    More about theophyllineSide effectsReviews & ratingsFDA package insert