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Ipratropium also has been shown to improve pulmonary function as demonstrated by a greater forced expiratory volume in one second (FEV 1) and forced vital capacity, especially in patients with a history of tobacco use.

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A generic drug is actually its brand-name equivalent, although it doesnt bear the original trademark and looks slightly different.

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It is known that heart rate and HRV parameters change under different conditions such as upright position, mental stress and exercise that induce sympathetic stimulation and, thus, they have been used to detect autonomic alteration.

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This global evaluation was based on the physician's assessment of the overall condition of the patient's disease, need for concomitant medication, number and severity of exacerbations, severity of cough, ability to exercise, and amount of wheezing, etc.

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The use of multidose nebuliser solutions with the preservative benzalkonium chloride should be avoided as such preparations have the potential to reduce the magnitude of bronchodilation or cause paradoxical bronchoconstriction.

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