Albuterol


Questions | Reviews

asthma treatments


I AM NEEDING TO KNOW HOW MANY BREATHING TREATMENTS I CAN DO IN A 24 HOUR PERIOD.
by GOLDENA L HICKERSON in SACRAMENTO, CA, 03/30/2009

maximum dose by inhaler of albuterol


What is the maximum dose for MDI albuterol?
by brian in salt lake city, ut, 03/03/2009

Two ow did the insur


Two ow did the insurance QuotesChimp beginning? Why don't we stage back for some time and review these thrilling (and uncertain) times of yester-year, before policy contract was devised, prior to what &number3 4;possess a slice of the stone&number3 4;...
by Lilian in Lilian, 03/06/2014

Albuterol creating a nasty change of behavior in young child


my granddaughter age 4 and one half has to use albuterol when she starts to have coughing spells. She becomes nasty and bilergent. When she is wheened off the med, she becomes bad. Yesterday she put a push pen in her best friend in day care. She kept ...
by anita kohler in philadelphia, pa, 01/06/2006

FINALLY someone bein


FINALLY someone being hosent about this issue! I wish that there was a magic pill to cure alsheimers (sp.?) disease. But never do they talk about the basics of being involved and feeling needed plus diet. I dont know if she mentioned it, but also I th...
by Pinky in Pinky, 01/12/2014

Albuterol
(Salbutamol)

Albuterol (Proventil, Ventolin)
Salbutamol (Proventil, Ventolin)
Albuterol
(al- BYOU-ter-ohl)
Pregnancy Category: C Airet Alti-Salbutamol Sulfate Asmavent Dom-Salbutamol Gen-Salbutamol Sterinebs P.F. Med-Salbutamol Novo-Salmol Inhaler PMS-Salbutamol Respirator Solution Proventil Proventil HFA Proventil Repetabs Rho-Salbutamol Salbu-2 and -4 Salbutamol Nebuamp Salmol Ventodisk Disk/Diskhaler Ventolin Ventolin Rotacaps Volmax (Rx)

Classification: Direct-acting adrenergic (sympathomimetic) agent

See Also: See also Sympathomimetic Drugs.

Action/Kinetics: Stimulates beta-2 receptors of the bronchi, leading to bronchodilation. Causes less tachycardia and is longer-acting than isoproterenol. Has minimal beta-1 activity. Available as an inhaler that contains no chlorofluorocarbons (Proventil HFA). Onset, PO: 15-30 min; inhalation, within 5 min. Peak effect, PO: 2-3 hr; inhalation, 60-90 min (after 2 inhalations). Duration, PO: 4-8 hr (up to 12 hr for extended-release); inhalation, 3-6 hr. Metabolites and unchanged drug excreted in urine and feces. Do not use tablets in children less than 12 years of age.

Uses: Bronchial asthma; bronchospasm due to bronchitis or emphysema; bronchitis; children 4 years and older for treatment or prevention of bronchospasm with reversible obstructive pulmonary disease; exercise-induced bronchospasm, including those 4 years of age and older. Prophylaxis of bronchial asthma or bronchospasms. Parenteral for treatment of status asthmaticus. Proventil HFA may be used in clients 4 years of age and older. Investigational: Nebulized albuterol may be useful as an adjunct to treat serious acute hyperkalemia in hemodialysis clients.

Contraindications: Aerosol for prevention of exercise-induced bronchospasm is not recommended for children less than 12 years of age. Use during lactation.

Special Concerns: Dosage has not been established for the syrup and solution for inhalation in children less than 2 years of age, for tablets and extended-release tablets in children less than 6 years of age, and the aerosol and inhalation powder in children less than 4 years of age. Albuterol may delay preterm labor. Large IV doses may aggravate preexisting diabetes mellitus and ketoacidosis.

Additional Side Effects: GI: Diarrhea, dry mouth, appetite loss or stimulation, epigastric pain. CNS: Hyperkinesia, excitement, nervousness, tension, tremor, dizziness, vertigo, weakness, drowsiness, restlessness, headache, insomnia, malaise, emotional lability, fatigue, lightheadedness, nightmares, disturbed sleep, aggressive behavior, irritability. Respiratory: Cough, wheezing, dyspnea, bronchospasm, dry throat, pharyngitis, throat irritation, bronchitis, epistaxis, hoarseness (especially in children), nasal congestion, increase in sputum. CV: Palpitations, tachycardia, BP changes, hypertension, tight chest, chest pain or discomfort, angina. Hypersensitivity (may be immediate): Urticaria, angioedema rash, bronchospasm. Miscellaneous: Flushing, sweating, bad or unusual taste, change in smell, muscle cramps, pallor, teeth discoloration, conjunctivitis, dilated pupils, difficulty in urination, muscle spasm, voice changes, oropharyngeal edema.

Overdose Management: Symptoms: Seizures, anginal pain, hypertension, hypokalemia, tachycardia (rate may increase to 200 beats/min).
See Sympathomimetic Drugs.

Drug Interactions: Fir needle oil; Pine needle oil; / Risk of bronchospasm

How Supplied: Metered dose inhaler: 0.09 mg/inh; Capsule: 200 mcg; Solution: 0.083%, 0.5%; Syrup: 2 mg/5 mL; Tablet: 2 mg, 4 mg; Tablet, Extended Release: 4 mg, 8 mg

Dosage
?Inhalation Aerosol Bronchodilation.
Adults and children over 4 years of age: 180 mcg (2 inhalations) q 4-6 hr. In some clients 1 inhalation (90 mcg) q 4 hr may be sufficient.
Prophylaxis of exercise-induced bronchospasm.
Adults and children over 4 years of age: 180 mcg (2 inhalations) 15 min before exercise.
?Inhalation Solution Bronchodilation.
Adults and children over 12 years of age: 2.5 mg t.i.d.-q.i.d. by nebulization (dilute 0.5 mL of the 0.5% solution with 2.5 mL sterile NSS and deliver over 5-15 min). Children, 2-12 years of age, initial: 0.l-0.15 mg/kg/dose; titrate subsequent dosage based on desired clinical response, but not to exceed 2.5 mg t.i.d.-q.i.d. by nebulization.
?Inhalation Capsules Bronchodilation.
Adults and children over 4 years of age: 200 mcg q 4-6 hr using a Rotahaler inhalation device. In some clients, 400 mcg q 4-6 hr may be required.
Prophylaxis of exercise-induced bronchospasm.
Adults and children over 4 years: 200 mcg (1 capsule) 15 min before exercise using a Rotahaler inhalation device.
?Syrup Bronchodilation.
Adults and children over 14 years of age: 2-4 mg (1-2 teaspoonfuls) t.i.d.-q.i.d., up to a maximum of 8 mg q.i.d. Children, 6-14 years, initial: 2 mg (1 teaspoonful) t.i.d.-q.i.d.; then, increase as necessary to a maximum of 24 mg/day in divided doses. Children, 2-6 years, initial: 0.1 mg/kg t.i.d.; then, increase as necessary up to 0.2 mg/kg, not to exceed 4 mg t.i.d.
?Tablets Bronchodilation.
Adults and children over 12 years of age, initial: 2-4 mg t.i.d.-q.i.d.; then, increase dose as needed up to a maximum of 8 mg t.i.d.-q.i.d. In geriatric clients or those sensitive to beta agonists, start with 2 mg t.i.d.-q.i.d. and then increase dose gradually, if needed, to a maximum of 8 mg t.i.d.-q.i.d. Children, 6-12 years of age, usual, initial: 2 mg t.i.d.-q.i.d.; then, if necessary, increase the dose in a stepwise fashion to a maximum of 24 mg/day in divided doses.
?Proventil Repetabs Bronchodilation.
Adults and children over 12 years of age: 4 or 8 mg q 12 hr up to a maximum of 32 mg/day. Children 6-11 years of age, initial: 4 mg q 12 hr. If necessary, increase the dosage stepwise to a maximum of 12 mg b.i.d. Clients on regular-release albuterol can be switched to the Repetabs in that a 4-mg extended-release tablet q 12 hr is equivalent to a regular 2-mg tablet q 6 hr. Multiples of this regimen, up to the maximum recommended dose, also apply.
?Volmax Extended Release Tablets Bronchodilation.
Adults and children over 12 years of age: 8 mg q 12 hr; in some clients (e.g., low adult body weight), 4 mg q 12 hr may be sufficient initially and then increased to 8 mg q 12 hr, depending on the response. The dose can be increased stepwise and cautiously (under provider supervision) to a maximum of 32 mg/day in divided doses q 12 hr. Children, 6-12 years of age: 4 mg q 12 hr. The dose can be increased stepwise and cautiously (under provider supervision) to a maximum of 24 mg/day in divided doses q 12 hr.

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