Ipratropium and albuterol combination works by relaxing and opening the air passages to o que e ipratropium the lungs to make breathing easier. This medication should be used only when clearly needed during pregnancy. When using the inhaler device for the first time, prime it by spraying test sprays into the air, away from your face. If the mouthpiece becomes blocked, and little or no medicine comes out of the mouthpiece, wash the mouthpiece as described in Steps to under the Cleaning Instructions Patients may take additional inhalations as however, the total number of inhalations should not exceed 12 in 24 hours. Never use it to inhale any other medication, and do not use any other inhaler to inhale ipratropium and albuterol.