 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST] ways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. How to use ipratropium-albuterol inhalation Read the Patient Information Leaflet if available from your pharmacist before you start using this product and each time you get a refill. This medication is used with a special machine called a nebulizer that changes the solution to a fine mist that you inhale. Learn how to prepare the solution and use the nebulizer properly. If a child is using this medication, a parent or other responsible adult should supervise the child. If you have any questions, ask your doctor, pharmacist, or respiratory therapist. This product should be clear and colorless. Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid. Inhale this medication into your lungs using the nebulizer as directed by your doctor, usually 4 times a day. Avoid getting this medication into your eyes. It may cause eye pain/irritation, temporary blurred vision, and other vision changes. It is recommended that you use a mouthpiece rather than a face mask with the nebulizer or that you close your eyes </s>