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Sharing of ipratropium bromide and salbutamol sulphate does not contribute to systemic absorption of single additive component and therefore combivent activity metered aerosol is conditioned by combined local influence on lungs.

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The albuterol sulfate contained in combivent respimat, like other beta-adrenergic agonists, can produce a clinically significant cardiovascular effect in some patients, as measured by pulse rate, blood pressure, and or symptoms.

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