Ibitrop Nexhaler is used for the treatment of chronic obstructive pulmonary disorder (a lung disorder in which the flow of air to the lungs is blocked). It helps in relaxing the muscles of the air passages and making it easier to breathe. It relieves coughing, wheezing and feeling short of breath. Your doctor will tell you how often you need to use your inhaler. The effect of this medicine may be noticeable after a few days but will only reach its maximum after a few weeks. This medicine must be used regularly to be effective, so go on taking it even if you don't have any symptoms. That means it’s doing its job. If you stop taking it your COPD may get worse. To get the benefit from this medicine you need to make sure you get your inhaler technique right, otherwise, it Does not work as well. The most common side effects are nausea, diarrhea, dryness in mouth, vomiting, dizziness, nasopharyngitis (inflammation of the throat and nasal passages), and insomnia. If you get there, don’t stop taking it but do talk to your doctor. You can prevent some of these symptoms by rinsing your mouth and throat with water or brushing your teeth after using your inhaler. There are other, rarer side effects which can be serious. Talk to your doctor if you're worried about them. Before taking this medicine, you should tell your doctor if you are pregnant, planning pregnancy or breastfeeding.