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Salbutamol Is Used To Prevent Or Relieve The Wheezing, Shortness
Of Breath, And Difficulty Breathing Caused By Asthma. Salbutamol
Is In A Class Of Medications Called Beta Agonists. It Works By
Relaxing And Opening Air Passages, Making It Easier To Breathe.
Directions
Salbutamol Comes As A Solution To Inhale Using A Nebulizer. It
Is Usually Used Three Times A Day. Follow The Directions On Your
Prescription Label Carefully, And Ask Your Doctor Or Pharmacist
To Explain Any Part You Do Not Understand. Use Salbutamol Exactly
As Directed. Do Not Use More Or Less Of It Or Use It More Often
Than Prescribed By Your Doctor.
Salbutamol Controls Asthma But Does Not Cure It. Continue To
Use Salbutamol Even If You Feel Well. Do Not Stop Using Salbutamol
Without Talking To Your Doctor.
To Use The Solution For Oral Inhalation, Follow These
Steps:
Tear The Serrated Edge On The Foil Pouch To Open And Remove One
Vial. Look At The Solution In The Vial To Be Sure It Is Colorless.
If It Is Not Colorless, Call Your Doctor Or Pharmacist And Do
Not Use The Solution
Twist Off The Top Of The Vial And Squeeze All Of The Liquid Into
The Reservoir Of Your Nebulizer. Do Not Add Any Other Medications
To The Nebulizer Because It May Not Be Safe To Mix Them With Salbutamol.
Use All Nebulized Medications Separately Unless Your Doctor Specifically
Tells You To Mix Them
Connect The Nebulizer Reservoir To Your Mouthpiece Or Facemask
Connect The Nebulizer To The Compressor
Sit Upright And Place The Mouthpiece In Your Mouth Or Put On The
Facemask
Turn On The Compressor
Breathe Calmly, Deeply, And Evenly Until Mist Stops Forming In
The Nebulizer. This Should Take Between 5 And 15 Minutes
Clean The Nebulizer According To The Manufacturer's Instructions
Special Warnings And Precautions
Ventolin Nebules Must Only Be Used By Inhalation, To Be Breathed
In Through The Mouth, And Must Not Be Injected Or Swallowed.
The Management Of Asthma Should Normally Follow A Stepwise Programme,
And Patient Response Should Be Monitored Clinically And By Lung
Function Tests.
Increasing Use Of Short-Acting Inhaled ?2 Agonists To Control
Symptoms Indicates Deterioration Of Asthma Control. Under These
Conditions, The Patient's Therapy Plan Should Be Reassessed. Sudden
And Progressive Deterioration In Asthma Control Is Potentially
Life Threatening And Consideration Should Be Given To Starting
Or Increasing Corticosteroid Therapy. In Patients Considered At
Risk, Daily Peak Flow Monitoring May Be Instituted.
Patients Receiving Treatment At Home With Ventolin Nebules Must
Be Warned That If Either The Usual Relief Is Diminished Or The
Usual Duration Of Action Reduced, They Should Not Increase The
Dose Or Its Frequency Of Administration, But Should Seek Medical
Advice.
Ventolin Nebules Should Be Used With Caution In Patients Known
To Have Received Large Doses Of Other Sympathomimetic Agents.
Salbutamol Should Be Administered Cautiously To Patients With
Thyrotoxicosis.
A Small Number Of Cases Of Acute Angle Closure Glaucoma Have
Been Reported In Patients Treated With A Combination Of Nebulised
Salbutamol And Ipratropium Bromide. A Combination Of Nebulised
Salbutamol With Nebulised Anticholinergics Should Therefore Be
Used Cautiously. Patients Should Receive Adequate Instruction
In Correct Administration And Be Warned Not To Let The Solution
Or Mist Enter The Eye.
Potentially Serious Hypokalaemia May Result From ?2 Agonist Therapy
Mainly From Parenteral And Nebulised Administration. Particular
Caution Is Advised In Acute Severe Asthma As This Effect May Be
Potentiated By Concomitant Treatment With Xanthine Derivatives,
Steroids, Diuretics And By Hypoxia. It Is Recommended That Serum
Potassium Levels Are Monitored In Such Situations.
In Common With Other ?-Adrenoceptor Agonists, Ventolin Can Induce
Reversible Metabolic Changes, For Example Increased Blood Sugar
Levels.
The Diabetic Patient May Be Unable To Compensate For This And
The Development Of Ketacidosis Has Been Reported. Concurrent Administration
Of Corticosteroids Can Exaggerate This Effect.
Pregnancy And Lactation
Administration Of Medicines During Pregnancy Should Only Be Considered
If The Expected Benefit To The Mother Is Greater Than Any Possible
Risk To The Foetus.
During Worldwide Marketing Experience, Rare Cases Of Various
Congenital Anomalies, Including Cleft Palate And Limb Defects
Have Been Reported In The Offspring Of Patients Being Treated
With Salbutamol. Some Of The Mothers Were Taking Multiple Medications
During Their Pregnancies.
Because No Consistent Pattern Of Defects Can Be Discerned, And
Baseline Rate For Congenital Anomalies Is 2-3%, A Relationship
With Salbutamol Use Cannot Be Established.
As Salbutamol Is Probably Secreted In Breast Milk Its Use In
Nursing Mothers Is Not Recommended Unless The Expected Benefits
Outweigh Any Potential Risk. It Is Not Known Whether Salbutamol
In Breast Milk Has A Harmful Effect On The Neonate.
Side Effects
Salbutamol May Cause Side Effects. Tell Your Doctor If Any Of
These Symptoms Are Severe Or Do Not Go Away:
Headache
Dizziness
Nervousness
Shaking Hands That You Cannot Control
Upset Stomach
Vomiting
Flu-Like Symptoms
Cough
Runny Nose
Weakness
Fever
Diarrhea
Constipation
Frequent Urination
Some Side Effects Can Be Serious. The Following Symptoms Are
Uncommon, But If You Experience Any Of Them, Call Your Doctor
Immediately:
Chest Pain
Fast Or Pounding Heartbeat
Hives
Skin Rash
Itching
Increased Difficulty Breathing Or Difficulty Swallowing
Hoarseness
Swelling Of The Face, Throat, Tongue, Lips, Eyes, Hands, Feet,
Ankles, Or Lower Legs
Depression
Muscle Pain, Weakness, Or Cramping
Difficulty Moving A Part Of The Body
Salbutamol May Cause Other Side Effects. Call Your Doctor If
You Have Any Unusual Problems While Taking This Medication