I don't see a problem with it because Atrovent is an anticholinergic/bronchodilator and Azmacort is an inhaled steroid. I take Atrovent and Xopenex in my neb and then I take Advair and Qvar (Advair DPI and Qvar MDI) right afterwards. If you still are hesitant, though, I would check with your doctor or pharmacist.