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Also, safety and efficacy of extra doses of ipratropium or albuterol in addition to the recommended doses of combivent ipratropium bromide and albuterol sulfate inhalation aerosol have not been studied.

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Meanwhile, the mothers of asthmatics have attacked compounding pharmacies for substituting low cost generic combinations of ipratropium and albuterol solutions for the expensive combivent brand name solution for nebulizers.