Reported Reactions

Drugs › Anticholinergic

Brand name · Ipratropium bromide and albuterol

Combivent Respimat: adverse event reports filed with FDA

574 reports list it as a suspect or interacting product, 2013–2026. Class: Anticholinergic.

574
reports as suspect product
0% of all reports · about 43 a year
83
reports, 12 months to June 2026
83 in the 12 months before
35.2%
marked serious by the reporter
39.6% across the class
2.6%
record death among outcomes, as reported
15 reports · not verified by FDA

574 adverse event reports received by FDA list the brand name Combivent Respimat (ipratropium bromide and albuterol) as a suspect or interacting product, from April 2013 to June 2026. A further 2,122 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 83 reports listed it, close to the 83 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 43 reports a year and 0% of the 20,646,523 reports in the database, and 0.4% of the reports for the anticholinergic class. How many people take it is not in the data, so a count is not a rate of occurrence.

Reporters most often recorded dyspnoea (25.4%), off label use (21.6%) and intentional product use issue (11.3%). A report can list several reactions, so shares add to more than 100%; 161 different terms appear across these reports. Dyspnoea is recorded in 25.4% of these reports, a larger share than in the median anticholinergic drug (14.8%).

35.2% of the reports are marked serious by the reporter (39.6% across the class); 2.6% record death among the outcomes and 15.5% record hospitalisation, as reported. 85.9% of the reports came from consumers, and the largest patient age group is 65 to 74 (17.6%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

0918Jul 2021: 4Aug 2021: 1Sep 2021: 6Oct 2021: 4Nov 2021: 2Dec 2021: 62022Jan 2022: 8Feb 2022: 11Mar 2022: 15Apr 2022: 11May 2022: 15Jun 2022: 13Jul 2022: 12Aug 2022: 7Sep 2022: 18Oct 2022: 11Nov 2022: 18Dec 2022: 92023Jan 2023: 12Feb 2023: 12Mar 2023: 12Apr 2023: 6May 2023: 11Jun 2023: 13Jul 2023: 6Aug 2023: 0Sep 2023: 5Oct 2023: 3Nov 2023: 6Dec 2023: 72024Jan 2024: 9Feb 2024: 10Mar 2024: 9Apr 2024: 2May 2024: 6Jun 2024: 6Jul 2024: 4Aug 2024: 7Sep 2024: 8Oct 2024: 11Nov 2024: 5Dec 2024: 52025Jan 2025: 11Feb 2025: 9Mar 2025: 11Apr 2025: 2May 2025: 3Jun 2025: 7Jul 2025: 8Aug 2025: 7Sep 2025: 14Oct 2025: 5Nov 2025: 4Dec 2025: 42026Jan 2026: 2Feb 2026: 10Mar 2026: 5Apr 2026: 10May 2026: 6Jun 2026: 8

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

0741482013: 1320132014: 122015: 920152016: 92017: 1020172018: 132019: 1320192020: 82021: 3820212022: 1482023: 9320232024: 822025: 8520252026: 41

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Combivent Respimat reports recording the termmedian drug in anticholinergic

  1. Dyspnoeashortness of breath25.4%146
  2. Off label useused for a purpose or in a way not on the label21.6%124
  3. Intentional product use issuedeliberate use not as intended11.3%65
  4. Product delivery mechanism issue9.2%53
  5. Drug ineffectivethe medicine did not work as expected6.8%39
  6. Asthmaasthma6.3%36
  7. Product quality issuea problem with the product itself5.1%29
  8. Coughcough4.2%24
  9. Covid-19COVID-19 infection4.2%24
  10. Pneumonialung infection4.2%24
  11. Wheezingwheezing3.8%22
  12. Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease3.1%18
  13. Device issuea problem with the device2.8%16
  14. Dizzinesslight-headedness or unsteadiness2.6%15
  15. Device malfunctionthe device did not work properly2.4%14
  16. Falla fall2.3%13
  17. Device delivery system issuea problem with the delivery system1.7%10
  18. Fatiguetiredness1.4%8
  19. Product use issuea problem in how the product was used1.4%8
  20. Bronchitischest infection1.2%7
  21. Chokingchoking1.2%7
  22. Headachehead pain1.2%7
  23. Intentional product misusedeliberate use not as intended1.2%7
  24. Malaisegeneral feeling of being unwell1.2%7
  25. Astheniaweakness or lack of energy1%6

Top 30 of 161 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 24 drugs in the anticholinergic class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death2.6%15
Life-threatening2.1%12
Hospitalisation (initial or prolonged)15.5%89
Disability2.3%13
Congenital anomaly0%0
Other serious23%132
Not serious64.8%372

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 159,807 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20%0
2 to 110.3%2
12 to 170.3%2
18 to 442.1%12
45 to 6417.2%99
65 to 7417.6%101
75 and over16.6%95
Age not given45.8%263

Patient sex

Female60.6%348
Male35.5%204
Not given3.8%22

Who reported

Physician2.8%16
Pharmacist4.5%26
Other health professional2.4%14
Lawyer0%0
Consumer or non-health professional85.9%493
Not given4.4%25

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 94.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Chronic obstructive pulmonary disease19534%
Asthma9216%
Drug therapy71.2%
Emphysema71.2%
Pneumonia40.7%
Bronchitis chronic20.3%

The indication field is filled in by the reporter and is often blank; shares are of all 574 reports.

In context

MeasureCombivent RespimatAnticholinergicAll reports
Reports as suspect product574159,80720,646,523
Share of that pool—0.4%0%
Reports, latest 12 months83—1,332,454
Marked serious35.2%39.6%57.4%
Death recorded among outcomes, per 1,000 reports266391
Hospitalisation recorded, per 1,000 reports155202213
Consumer-filed share85.9%70.6%45.8%
Top term, share of reportsDyspnoea 25.4%median 14.8%2.7%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the anticholinergic class

DrugName typeReportsLatest 12 monthsMarked serious
Tiotropium bromidegeneric76,91761632.3%
Trelegy Elliptabrand26,7952,47235.1%
Anoro Elliptabrand12,55434626.3%
Ipratropium bromidegeneric8,31040080.2%
Spiriva Respimatbrand5,58124649.3%
Incruse Elliptabrand4,57512936.1%
Tudorza Pressairbrand3,858832.1%
Stiolto Respimatbrand2,89917225.2%
Atropinegeneric2,38616095.7%
Glycopyrrolategeneric2,22525892.3%
Transderm Scopbrand1,4981543%
Benztropinegeneric1,49216794.2%
Bevespi Aerospherebrand1,4676235.6%
Scopolaminegeneric1,26012568.6%
Atropine sulfategeneric1,1684784.7%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Combivent Respimat reports

How many adverse event reports has FDA received for Combivent Respimat?

574 reports list Combivent Respimat as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 83 of them arrived in the latest 12 months. Another 2,122 list it only as a concomitant medication.

What reactions are recorded in Combivent Respimat reports?

dyspnoea (25.4%), off label use (21.6%), intentional product use issue (11.3%), product delivery mechanism issue (9.2%) and drug ineffective (6.8%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Combivent Respimat was responsible.

How serious are the reports?

35.2% are marked serious by the reporter. Among the outcomes recorded, 2.6% of reports include death and 15.5% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (85.9%), pharmacist (4.5%) and not given (4.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Combivent Respimat rising?

83 reports in the 12 months to June 2026, close to the 83 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Combivent Respimat was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Combivent Respimat?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Combivent Respimat as a suspect or interacting product; reports listing it only as a concomitant medication (2,122) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.