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Safety and effectiveness in the pediatric population have not been established.

Effects Seen with Anticholinergic DrugsCOMBIVENT Inhalation Aerosol contains ipratropium bromide andthereforeshould be used with caution in patients with narrow-angle glaucomaprostatic hyperplasiaor bladder-neck obstructionEffects Seen with Sympathomimetic DrugsPreparations containing sympathomimetic amines such as albuterol sulfate should be used with caution in patients with convulsive disordershyperthyroidismor diabetes mellitus and in patients who are unusually responsive to sympathomimetic aminesBeta-adrenergic agents may also produce significant hypokalemia in some patientspossibly through intracellular shuntingwhich has the potential to produce adverse cardiovascular effectsThe decrease in serum potassium is usually transientnot requiring supplementationUse in Hepatic or Renal DiseaseCOMBIVENT Inhalation Aerosol has not been studied in patients with hepatic or renal insufficiencyIt should be used with caution in those patient populations.

It is not known whether the components of COMBIVENT Inhalation Aerosol are excreted in human milk.

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combivent inhalation aerosol albuterol ipratropium and maxair pirbuterol inhalers are being discontinued because they contain chlorofluorocarbons cfc .