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Patients should insert the metal canister into the clear end of the mouthpiece.of adults and adolescents ipratropium albutero levalbuterol HFA or albuterol sulfate HFA inhalation aerosol, respectively, in controlled clinical trials. Asthma exacerbation, aggravated bronchospasm, or lack of efficacy has been reported during postmarketing ipratropium albutero in patients receiving albuterol sulfate HFA ProAir HFA inhalation aerosol.

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