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3Shake and Test SprayPerform this step before using for the first timeand whenever the aerosol has not been used for more than 24 hoursotherwiseproceed directly to Step 4.

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Insert metal canister into clear end of mouthpiecesee Figure 1Make sure the canister is fully and firmly inserted into the mouthpieceThe Combivent Inhalation Aerosol canister is to be used only with the Combivent Inhalation Aerosol mouthpieceThis mouthpiece should not be used with other inhaled medicines.

Remove orange protective dust capIf the cap is not on the mouthpiecemake sure there is nothing in the mouthpiece before useFor best resultsthe canister should be at room temperature before useShake and Test SprayPerform this step before using for the first timeand whenever the aerosol has not been used for more than 24 hoursotherwiseproceed directly to Step 4.

COMBIVENT Inhalation Aerosol is a combination of the anticholinergic bronchodilatoripratropium bromideand the beta 2adrenergic bronchodilatoralbuterol sulfate.

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the frequency of the corresponding adverse reactions in the cfc-propelledcombivent inhalation aerosol and atrovent bromide delivered bythe respimat inhaler groups is included for comparison.

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