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At the start of the twenty-first century, inhaled treatments continue to dominate the management of asthma, preparations of stramonium are still obtainable from herbalists for the relief of respiratory conditions, a wide range of herbal cigarettes are available both online and over the counter from newsagents and tobacconists, and anticholinergic bronchodilators such as atropine and ipratropium bromide, initially derived or synthesized from stramonium, are advocated for certain patients with asthma or chronic obstructive pulmonary disease

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