 <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]  breath unless otherwise directed by your doctor. Ipratropium does not work as fast as your quick-relief medication, but may sometimes be used together with your quick-relief medication to relieve symptoms of wheezing or sudden shortness of breath if so prescribed by your doctor. How to use ipratropium bromide inhalation Read the Patient Information Leaflet if available from your pharmacist before you start using ipratropium 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 3 to 4 times a day (6 to 8 hours apart). Avoid getting this medication into your eyes. It may cause eye pain </s>