Skip to main content

Two medicines, side by side

Budesonide vs ipratropium

Budesonide and ipratropium are both labeled for allergies. Drugs@FDA records approvals of budesonide since 1994 and of ipratropium since 1986. Pharmacies paid $0.498 per budesonide DR 3 mg capsule and $0.111 per mL (Ipratropium br 0.02% solution) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Budesonide's other strengths are brand-only: $3.29 per mL (Eohilia 2 mg/10 mL packet). In FDA's classes, budesonide is a corticosteroid and ipratropium an anticholinergic.

Check it at the source: the budesonide FDA label on DailyMed (effective October 11, 2019); the ipratropium FDA label on DailyMed (effective January 8, 2026).

Highlights of the budesonide record

Budesonide (Pulmicort) · label of October 11, 2019

Used for

From the label: indications

PULMICORT RESPULES ® is an inhaled corticosteroid indicated for: • Maintenance treatment of asthma and as prophylactic therapy in children 12 months to 8 years of age ( 1 ) Limitations of Use: Not indicated for the relief of acute bronchospasm ( 1 ) 1.1 Maintenance Treatment of Asthma PULMICORT RESPULES is indicated for the maintenance treatment of asthma and as prophylactic therapy in children 12 months to 8 years of age. […]

On the market

Earliest approval on file
February 14, 1994
Generic labelers
30 labelers
Pharmacy cost
$0.498 per capsule

Supply and safety

Shortage
No current entry
Recalls
9

Highlights of the ipratropium record

Ipratropium (Atrovent) · label of January 8, 2026

Used for

From the label: indications

Ipratropium bromide nasal solution, 0.03% is indicated for the symptomatic relief of rhinorrhea associated with allergic and nonallergic perennial rhinitis in adults and children age 6 years and older. Ipratropium bromide 0.03% does not relieve nasal congestion, sneezing, or postnasal drip associated with allergic or nonallergic perennial rhinitis.

On the market

Earliest approval on file
December 29, 1986
Generic labelers
23 labelers
Pharmacy cost
$0.111 per mL

Supply and safety

Shortage
No current entry
Recalls
1

Source: FDA drug labels via openFDA (Budesonide label of October 11, 2019, Ipratropium label of January 8, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do budesonide and ipratropium differ on the record?

In FDA's classes, budesonide is a corticosteroid and ipratropium an anticholinergic.

Generics: budesonide since 2008; ipratropium since 1997 (Drugs@FDA).

BudesonideIpratropium
Labeled forAsthma, Allergies, Crohn's disease and ulcerative colitisCOPD, Allergies, Cough and cold
Pharmacologic classCorticosteroidAnticholinergic
How it works (label)Budesonide is an anti-inflammatory corticosteroid that exhibits potent glucocorticoid activity and weak mineralocorticoid activity.n/a
Half-life (label)n/aElimination After intravenous administration of 2 mg ipratropium bromide to 10 healthy volunteers, the terminal half-life of ipratropium was approximately 1.6 hours.
Earliest approval on file (Drugs@FDA)February 14, 1994December 29, 1986
First generic approvedNovember 18, 2008January 10, 1997
Generic labelers (NDC)30 labelers23 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.498 per capsule (Budesonide DR 3 mg capsule)$0.111 per mL (Ipratropium br 0.02% solution)
12-month price change-3%+11%
Boxed warningNoNo
Shortage nowNo current entryNo current entry
Recalls recorded91
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)58,57535,481
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to budesonide
every medicine labeled for the same conditions