Reported Reactions

Drugs › Anticholinergic

Generic name

Ipratropium bromide and albuterol sulfate: adverse event reports filed with FDA

747 reports list it as a suspect or interacting product, 2006–2026. Class: Anticholinergic. Also reported as Ipratropium Bromide/Albuterol Sulfate, Ipratropium Bromide And Albuterol Sulfate Inhalation Solution.

747
reports as suspect product
0% of all reports · about 37 a year
41
reports, 12 months to June 2026
27 in the 12 months before
23.6%
marked serious by the reporter
39.6% across the class
3.2%
record death among outcomes, as reported
24 reports · not verified by FDA

747 adverse event reports received by FDA list ipratropium bromide and albuterol sulfate, a generic name as a suspect or interacting product, from June 2006 to April 2026. A further 1,198 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, 41 reports listed it, up 52% from 27 in 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 37 reports a year and 0% of the 20,646,523 reports in the database, and 0.5% 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 drug ineffective (15.1%), dyspnoea (14.6%) and dysgeusia (7.1%). A report can list several reactions, so shares add to more than 100%; 169 different terms appear across these reports. Drug ineffective is recorded in 15.1% of these reports, a larger share than in the median anticholinergic drug (9.2%).

23.6% of the reports are marked serious by the reporter (39.6% across the class); 3.2% record death among the outcomes and 11.5% record hospitalisation, as reported. 76% of the reports came from consumers, and the largest patient age group is 75 and over (18.3%). 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

01734Jul 2021: 4Aug 2021: 2Sep 2021: 2Oct 2021: 2Nov 2021: 31Dec 2021: 12022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 2May 2022: 2Jun 2022: 1Jul 2022: 0Aug 2022: 2Sep 2022: 4Oct 2022: 0Nov 2022: 32Dec 2022: 02023Jan 2023: 2Feb 2023: 1Mar 2023: 1Apr 2023: 3May 2023: 4Jun 2023: 1Jul 2023: 0Aug 2023: 0Sep 2023: 2Oct 2023: 0Nov 2023: 34Dec 2023: 02024Jan 2024: 2Feb 2024: 0Mar 2024: 1Apr 2024: 0May 2024: 0Jun 2024: 0Jul 2024: 1Aug 2024: 2Sep 2024: 0Oct 2024: 18Nov 2024: 2Dec 2024: 02025Jan 2025: 0Feb 2025: 0Mar 2025: 1Apr 2025: 0May 2025: 3Jun 2025: 0Jul 2025: 1Aug 2025: 3Sep 2025: 0Oct 2025: 2Nov 2025: 28Dec 2025: 12026Jan 2026: 0Feb 2026: 3Mar 2026: 1Apr 2026: 2May 2026: 0Jun 2026: 0

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

0501002006: 220062008: 92009: 720092010: 82011: 2020112012: 332013: 3520132014: 302015: 4020152016: 1002017: 5520172018: 742019: 6620192020: 562021: 5020212022: 432023: 4820232024: 262025: 3920252026: 6

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Ipratropium bromide and albuterol sulfate reports recording the termmedian drug in anticholinergic

  1. Drug ineffectivethe medicine did not work as expected15.1%113
  2. Dyspnoeashortness of breath14.6%109
  3. Dysgeusiaaltered taste7.1%53
  4. Coughcough4.4%33
  5. Tremorshaking4.1%31
  6. Product quality issuea problem with the product itself3.7%28
  7. Product taste abnormalthe product tasted odd3.7%28
  8. Drug effect decreasedthe medicine had less effect3.2%24
  9. Product use in unapproved indicationused for a purpose not on the label2.9%22
  10. Dysphoniaa hoarse voice2.8%21
  11. Expired product administeredthe product was used past its expiry date2.8%21
  12. Off label useused for a purpose or in a way not on the label2.8%21
  13. Dizzinesslight-headedness or unsteadiness2.7%20
  14. Chest painchest pain2.4%18
  15. Headachehead pain2.3%17
  16. Oropharyngeal painsore throat2.3%17
  17. Vision blurredblurred vision2.1%16
  18. Asthmaasthma2%15
  19. Nervousnessnervousness2%15
  20. Dry mouthdry mouth1.9%14
  21. Nauseafeeling sick1.9%14
  22. Wheezingwheezing1.9%14
  23. Fatiguetiredness1.5%11
  24. Palpitationsawareness of the heartbeat1.5%11
  25. Muscle spasmsmuscle cramps1.3%10
  26. Throat irritationan irritated throat1.3%10
  27. Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease1.2%9

Top 30 of 169 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

Death3.2%24
Life-threatening1.2%9
Hospitalisation (initial or prolonged)11.5%86
Disability0.9%7
Congenital anomaly0.1%1
Other serious12%90
Not serious76.4%571

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 20.3%2
2 to 110.1%1
12 to 170%0
18 to 441.6%12
45 to 647.1%53
65 to 7412.4%93
75 and over18.3%137
Age not given60.1%449

Patient sex

Female34.9%261
Male19%142
Not given46.1%344

Who reported

Physician7.4%55
Pharmacist7.6%57
Other health professional4.8%36
Lawyer0%0
Consumer or non-health professional76%568
Not given4.1%31

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 97.1% 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 disease24532.8%
Asthma7610.2%
Dyspnoea314.1%
Emphysema141.9%
Bronchitis101.3%
Pneumonia50.7%

The indication field is filled in by the reporter and is often blank; shares are of all 747 reports.

In context

MeasureIpratropium bromide and albuterol sulfateAnticholinergicAll reports
Reports as suspect product747159,80720,646,523
Share of that pool—0.5%0%
Reports, latest 12 months41—1,332,454
Marked serious23.6%39.6%57.4%
Death recorded among outcomes, per 1,000 reports326391
Hospitalisation recorded, per 1,000 reports115202213
Consumer-filed share76%70.6%45.8%
Top term, share of reportsDrug ineffective 15.1%median 9.2%6.3%

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 Ipratropium bromide and albuterol sulfate reports

How many adverse event reports has FDA received for Ipratropium bromide and albuterol sulfate?

747 reports list Ipratropium bromide and albuterol sulfate as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 41 of them arrived in the latest 12 months. Another 1,198 list it only as a concomitant medication.

What reactions are recorded in Ipratropium bromide and albuterol sulfate reports?

drug ineffective (15.1%), dyspnoea (14.6%), dysgeusia (7.1%), cough (4.4%) and tremor (4.1%). 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 Ipratropium bromide and albuterol sulfate was responsible.

How serious are the reports?

23.6% are marked serious by the reporter. Among the outcomes recorded, 3.2% of reports include death and 11.5% 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 (76%), pharmacist (7.6%) and physician (7.4%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ipratropium bromide and albuterol sulfate rising?

41 reports in the 12 months to June 2026, up 52% from 27 in 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 Ipratropium bromide and albuterol sulfate 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 Ipratropium bromide and albuterol sulfate?

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 Ipratropium bromide and albuterol sulfate as a suspect or interacting product; reports listing it only as a concomitant medication (1,198) 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.