-atropine
-beta-blockers like metoprolol and propranolol
-certain medicines for allergy, cough, and cold
-certain medicines for bladder problems like oxybutynin, tolterodine
-certain medicines for depression, anxiety, or psychotic disturbances
-certain medicines for stomach problems like dicyclomine, hyoscyamine
-certain medicines for travel sickness like scopolamine
-certain medicines for Parkinson''s disease like benztropine, trihexyphenidyl
-diuretics
-MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
-some medicines for irregular heartbeat
-stimulant medicines for attention disorders, weight loss, or staying awake

They need to know if you have any of these conditions:

-heart disease
-high blood pressure
-irregular heartbeat
-an unusual or allergic reaction to ipratropium, albuterol, atropine, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Tell your doctor or health care professional if your symptoms do not improve. If your breathing gets worse while you are using this medicine, call your doctor right away. Do not stop using your medicine unless your doctor tells you to.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.
You may get dizzy or have blurred vision. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.

Keep out of the reach of children.
Store at a room temperature between 15 and 30 degrees C (59 and 86 degrees F). Do not freeze. After assembly, the inhaler should be discarded at the latest 3 months after first use or after the inhaler is locked, whichever comes first.