Reported Reactions

Drugs › Anticholinergic

Generic name

Ipratropium bromide: adverse event reports filed with FDA

8,310 reports list it as a suspect or interacting product, 2004–2026. Class: Anticholinergic. Also reported as Ipratropium Bromide Inhalation Solution, Ipratropium Bromide Nasal Solution.

8,310
reports as suspect product
0% of all reports · about 369 a year
400
reports, 12 months to June 2026
354 in the 12 months before
80.2%
marked serious by the reporter
39.6% across the class
13.4%
record death among outcomes, as reported
1,114 reports · not verified by FDA

8,310 adverse event reports received by FDA list ipratropium bromide, a generic name as a suspect or interacting product, from January 2004 to June 2026. A further 25,017 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, 400 reports listed it, up 13% from 354 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 369 reports a year and 0% of the 20,646,523 reports in the database, and 5.2% 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 asthma (31.2%), dyspnoea (30.5%) and wheezing (23.1%). A report can list several reactions, so shares add to more than 100%; 1,222 different terms appear across these reports. Asthma is recorded in 31.2% of these reports, a larger share than in the median anticholinergic drug (1.6%).

80.2% of the reports are marked serious by the reporter (39.6% across the class); 13.4% record death among the outcomes and 43.3% record hospitalisation, as reported. 44.4% of the reports came from consumers, and the largest patient age group is 75 and over (21.4%). 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

070140Jul 2021: 140Aug 2021: 92Sep 2021: 103Oct 2021: 98Nov 2021: 111Dec 2021: 472022Jan 2022: 83Feb 2022: 31Mar 2022: 47Apr 2022: 56May 2022: 33Jun 2022: 44Jul 2022: 42Aug 2022: 48Sep 2022: 36Oct 2022: 37Nov 2022: 70Dec 2022: 722023Jan 2023: 47Feb 2023: 42Mar 2023: 45Apr 2023: 29May 2023: 73Jun 2023: 42Jul 2023: 25Aug 2023: 38Sep 2023: 35Oct 2023: 35Nov 2023: 31Dec 2023: 412024Jan 2024: 34Feb 2024: 42Mar 2024: 54Apr 2024: 51May 2024: 72Jun 2024: 36Jul 2024: 30Aug 2024: 24Sep 2024: 30Oct 2024: 33Nov 2024: 20Dec 2024: 392025Jan 2025: 12Feb 2025: 42Mar 2025: 46Apr 2025: 17May 2025: 17Jun 2025: 44Jul 2025: 40Aug 2025: 29Sep 2025: 44Oct 2025: 24Nov 2025: 36Dec 2025: 482026Jan 2026: 33Feb 2026: 38Mar 2026: 26Apr 2026: 26May 2026: 26Jun 2026: 30

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

07261,4512004: 9820042005: 3072006: 1312007: 7220072008: 1292009: 1342010: 9920102011: 1422012: 1512013: 24920132014: 2012015: 2032016: 26520162017: 3522018: 5282019: 64220192020: 1,0312021: 1,4512022: 59920222023: 4832024: 4652025: 39920252026: 179

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Ipratropium bromide reports recording the termmedian drug in anticholinergic

  1. Asthmaasthma31.2%2,594
  2. Dyspnoeashortness of breath30.5%2,535
  3. Wheezingwheezing23.1%1,921
  4. Coughcough15.4%1,282
  5. Drug ineffectivethe medicine did not work as expected13.7%1,139
  6. Pneumonialung infection11.1%925
  7. Chest discomfortchest discomfort9%744
  8. Chronic obstructive pulmonary diseaseCOPD, a long-term lung disease8.9%741
  9. Condition aggravatedthe condition being treated got worse8.1%670
  10. Off label useused for a purpose or in a way not on the label8%661
  11. Productive cougha cough with phlegm7.2%597
  12. Vomitingbeing sick7.1%589
  13. Oedema peripheralswelling of the legs, ankles or hands6.3%526
  14. Nauseafeeling sick5.9%494
  15. Malaisegeneral feeling of being unwell5.8%486
  16. Lower respiratory tract infectiona chest infection5.7%475
  17. Pyrexiafever5.5%459
  18. Constipationconstipation4.9%407
  19. Stressstress4.8%399
  20. General physical health deteriorationgeneral decline in health4.6%382
  21. Product dose omission issuea dose was missed4.5%377

Top 30 of 1,222 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

Death13.4%1,114
Life-threatening7.5%625
Hospitalisation (initial or prolonged)43.3%3,599
Disability4.1%337
Congenital anomaly1.5%126
Other serious52.9%4,398
Not serious19.8%1,648

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 21.2%103
2 to 112.4%197
12 to 170.9%75
18 to 448.7%722
45 to 6420.7%1,723
65 to 7412.3%1,026
75 and over21.4%1,779
Age not given32.3%2,685

Patient sex

Female52.4%4,353
Male37.3%3,097
Not given10.3%860

Who reported

Physician19.1%1,585
Pharmacist4.1%343
Other health professional27.1%2,253
Lawyer0%2
Consumer or non-health professional44.4%3,691
Not given5.2%436

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 27.1% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Asthma87010.5%
Chronic obstructive pulmonary disease7188.6%
Dyspnoea2543.1%
Sleep disorder therapy1171.4%
Rhinorrhoea1001.2%
Cough821%

The indication field is filled in by the reporter and is often blank; shares are of all 8,310 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Ipratropium bromide reports
Prednisone1,74921%
Albuterol sulfate1,72920.8%
Tiotropium bromide1,62519.6%
Albuterol1,48017.8%
Singulair1,23214.8%
Symbicort98211.8%
Salbutamol95411.5%
Acetaminophen86910.5%
Advair Hfa85010.2%
Breo Ellipta8229.9%

Other products listed in reports where Ipratropium bromide is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureIpratropium bromideAnticholinergicAll reports
Reports as suspect product8,310159,80720,646,523
Share of that pool—5.2%0%
Reports, latest 12 months400—1,332,454
Marked serious80.2%39.6%57.4%
Death recorded among outcomes, per 1,000 reports1346391
Hospitalisation recorded, per 1,000 reports433202213
Consumer-filed share44.4%70.6%45.8%
Top term, share of reportsAsthma 31.2%median 1.6%0.5%

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%
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%
Aclidinium bromidegeneric1,0136398.6%

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 reports

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

8,310 reports list Ipratropium bromide as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 400 of them arrived in the latest 12 months. Another 25,017 list it only as a concomitant medication.

What reactions are recorded in Ipratropium bromide reports?

asthma (31.2%), dyspnoea (30.5%), wheezing (23.1%), cough (15.4%) and therapeutic product effect incomplete (14.9%). 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 was responsible.

How serious are the reports?

80.2% are marked serious by the reporter. Among the outcomes recorded, 13.4% of reports include death and 43.3% 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 (44.4%), other health professional (27.1%) and physician (19.1%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Ipratropium bromide rising?

400 reports in the 12 months to June 2026, up 13% from 354 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 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?

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 as a suspect or interacting product; reports listing it only as a concomitant medication (25,017) 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.