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Combivent Respimat Inhaler — prescription drug image

Combivent Respimat

Combivent Respimat 4GM of 20-100MCG/ACT

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What is Combivent Respimat?

Combivent Respimat inhaler is used to treat chronic obstructive pulmonary disease (COPD). There is not a Combivent Respimat generic drug currently available on the market. On average Combivent Respimat is priced at about $438 for 4 grams, CFC free 100 mcg-20 mcg/inh inhalation aerosol. Luckily, you can use our Rx.com savings offer to receive a Combivent Respimat discount of up to 80% off the retail price at participating pharmacies near you.

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What is Combivent Respimat ?

Combivent Respimat inhaler is used to treat chronic obstructive pulmonary disease (COPD). There is not a Combivent Respimat generic drug currently available on the market. On average Combivent Respimat is priced at about $438 for 4 grams, CFC free 100 mcg-20 mcg/inh inhalation aerosol. Luckily, you can use our Rx.com savings offer to receive a Combivent Respimat discount of up to 80% off the retail price at participating pharmacies near you.
  • Decrease in how much or how often you urinate, painful or difficult urination
  • Blurred vision, eye pain, seeing halos around objects
  • Dry mouth, increased thirst, muscle cramps, nausea, vomiting
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Chest pain, fast, pounding, or uneven heartbeat
  • Increased trouble breathing
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
  • This medicine may cause dizziness, drowsiness, or trouble seeing. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
  • If any of your COPD medicines do not seem to be working as well as usual, call your doctor right away. Take all of your COPD medicines as instructed. Do not use more medicine or change your dose without asking your doctor.
  • Do not use this medicine for a sudden COPD attack. Make sure you always have your rescue medicine with you to treat sudden symptoms.
  • This medicine may cause the following problems:Paradoxical bronchospasm (trouble breathing), which can be life-threateningHeart rhythm changes
  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, diabetes, blood vessel problems, glaucoma, heart disease, heart rhythm problems, high blood pressure, an overactive thyroid, prostate problems, trouble urinating, or a history of seizures.
What is the difference between Combivent Respimat and a regular albuterol inhaler?
A regular albuterol inhaler contains just one bronchodilator (albuterol, a short-acting beta agonist) and is commonly used as a rescue inhaler for sudden symptoms. Combivent Respimat combines albuterol with a second bronchodilator, ipratropium bromide (an anticholinergic), and is used as a scheduled maintenance treatment for COPD, not as a rescue inhaler.
Is Combivent Respimat a rescue inhaler?
No. The FDA label specifically states Combivent Respimat is not indicated for the initial treatment of acute episodes of bronchospasm where a fast response is required. It's meant to be used on a regular schedule as an added maintenance bronchodilator for COPD, on top of your existing rescue inhaler.
How many puffs of Combivent Respimat can you take a day?
The typical maintenance dosing is one inhalation four times a day. Don't take more than what your doctor prescribes, and check with your doctor or pharmacist if you think you need to use it more often, since that can be a sign your COPD treatment needs to be adjusted.
What is the generic version of Combivent Respimat?
There is currently no FDA-approved generic version of Combivent Respimat itself. The two individual ingredients, ipratropium bromide and albuterol sulfate, are each available generically on their own (including as a combined nebulizer solution), but the Respimat soft-mist inhaler combination is only available as the brand product.
What are the side effects of Combivent Respimat?
Possible side effects and risks include immediate hypersensitivity reactions such as anaphylaxis, hives, or swelling; a paradoxical worsening of bronchospasm right after use; anticholinergic effects like worsened narrow-angle glaucoma or urinary retention; cardiovascular effects such as increased heart rate, blood pressure, or ECG changes; and changes in potassium or blood sugar levels. Talk to your doctor or pharmacist about your full risk profile before starting treatment.
How much does Combivent Respimat cost without insurance?
The price of Combivent Respimat without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you.
What are the common side effects of Combivent Respimat?
Common side effects of Combivent Respimat may include: Decrease in how much or how often you urinate, painful or difficult urination, Blurred vision, eye pain, seeing halos around objects, Dry mouth, increased thirst, muscle cramps, nausea, vomiting, Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Chest pain, fast, pounding, or uneven heartbeat. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Combivent Respimat?
Generic versions may be available for Combivent Respimat. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Combivent Respimat on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Combivent Respimat?
The cheapest pharmacy for Combivent Respimat depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Combivent Respimat near you.

Combivent Respimat Coupons & Prices

Combivent Respimat 4GM of 20-100MCG/ACT

Prescriptions & Refills
Licensed US providers · Online visit in minutes
Combivent Respimat Inhaler — prescription drug image
Prescription
Combivent Respimat 4gm of 20-100mcg/act (120 inhalations) (1)
your area ·
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Compounded GLP-1 medications are not FDA-approved and are prepared by state-licensed compounding pharmacies. They are not affiliated with, endorsed by, or equivalent to any brand-name medication or manufacturer. Prescription required; eligibility is determined by a licensed provider. Prices are estimates and may vary.

If you're comparing a Combivent Respimat coupon against the manufacturer's own savings card, it helps to know how each one actually works: Combivent Respimat (ipratropium bromide and albuterol sulfate) is a prescription soft-mist inhaler used as a scheduled maintenance bronchodilator for COPD, it has no FDA-approved generic version, and Rx.com's cash coupon is built to work whether or not you have insurance or qualify for the manufacturer program — enter your ZIP above to see today's price at pharmacies near you.

What Is Combivent Respimat and How Does It Work?

Combivent Respimat combines two bronchodilators in a single soft-mist inhaler: ipratropium bromide, an anticholinergic that blocks the airway-narrowing signal from the muscarinic receptors, and albuterol sulfate, a short-acting beta2-adrenergic agonist that relaxes the muscles around the airways. It's FDA-approved for people with chronic obstructive pulmonary disease (COPD) who are already using a regular aerosol bronchodilator but still have bronchospasm and need a second one added.

Combivent Respimat is a scheduled, maintenance inhaler — the typical dosing is one inhalation four times a day, taken on a regular schedule rather than as-needed. It is not FDA-approved for asthma, and it is not meant to be used as a rescue inhaler for sudden symptoms.

Manufacturer Savings Card vs. the Rx.com Cash Coupon

Boehringer Ingelheim, the manufacturer of Combivent Respimat, offers its own savings and support program directly through its official patient site. Like most manufacturer savings cards, it's generally available only to people with commercial (private) insurance, and the exact terms, eligibility rules, and any caps can change, so it's worth checking the current details directly with Boehringer Ingelheim before you count on it.

The Rx.com cash coupon works differently: it isn't tied to your insurance status at all, so it's an option if you're uninsured, on Medicare (which typically can't be combined with manufacturer copay cards), or if the manufacturer card is declined at the pharmacy counter. Since there's currently no FDA-approved generic of Combivent Respimat, comparing a cash coupon price against your insurance copay is one of the few real savings levers available for this specific inhaler — enter your ZIP above to compare.

Combivent Respimat vs. Other COPD Inhalers

Combivent Respimat isn't the only option for COPD, and it's worth understanding how it fits alongside other inhaled medications your provider might consider:

  • Albuterol alone is a short-acting rescue bronchodilator used for sudden symptoms — Combivent Respimat adds a second, anticholinergic bronchodilator (ipratropium) on top of that same albuterol component, but as a scheduled maintenance medication, not a rescue inhaler.
  • Ipratropium bromide is the anticholinergic half of Combivent Respimat and is also available on its own, including as a nebulized solution.
  • Ipratropium-albuterol nebulizer solution delivers the same two active ingredients through a nebulizer instead of a soft-mist inhaler, which some patients and providers prefer.
  • Spiriva is a different, longer-acting anticholinergic inhaler used once daily for COPD maintenance, rather than the shorter-acting combination in Combivent Respimat.
  • Symbicort takes a different approach, pairing an inhaled corticosteroid with a long-acting beta agonist rather than the anticholinergic-plus-short-acting-beta-agonist combination in Combivent Respimat.
  • Atrovent is the brand ipratropium bromide product; ask your pharmacist about current availability and formulation before assuming it's the right substitute.

Your pulmonologist or primary care provider is the right person to decide which of these fits your specific COPD treatment plan.

Safety Information

Combivent Respimat carries several label warnings worth knowing about. It is not for the initial treatment of a sudden bronchospasm episode where a fast-acting rescue inhaler is needed. Immediate hypersensitivity reactions — including anaphylaxis, hives, swelling, or a paradoxical worsening of bronchospasm right after use — can occur; stop the medication and get medical help if this happens.

Because ipratropium is an anticholinergic, Combivent Respimat can worsen narrow-angle glaucoma and cause urinary retention, particularly in men with an enlarged prostate or bladder-neck obstruction — avoid spraying the mist into your eyes. The albuterol component can raise heart rate and blood pressure and cause ECG changes, so people with heart disease should use it with caution, and it can also lower potassium levels or raise blood sugar. This is general information, not medical advice — talk to your doctor or pharmacist about whether Combivent Respimat is right for you.

Sources & accuracy

This Combivent Respimat information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Combivent Respimat on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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