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Albuterol (Salbutamol) - Indications, Dosage, Side Effects and Precautions

Written & Compiled by Anushta Chandrapalan, M.Sc  | Medically Reviewed by The Medindia Medical Review Team
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Information about Albuterol (Salbutamol)

Generic Name : Albuterol (Salbutamol)
Pronunciation : (al byoo' ter ole)
Latest prescription information about Albuterol (Salbutamol). Learn how to pronounce the drug's name, its indications, dosage, how to take, when to take, when not to take, side effects, special precautions, warnings and its storage instructions . Also listed are the International and Indian trade name(s) of the drug and its price list.
ICD Code : Y55.6 | Therapeutic Classification : Anti- Asthmatics

Trade Names/Brand Names of Albuterol (Salbutamol)

India : 


International : 

AccuNeb , Proventil, Proventil HFA , Ventolin HFA, Vospire ProAir, Albuterol Sulfate

Why is Albuterol (Salbutamol) Prescribed? (Indications)

Albuterol or salbutamol is a short-acting β2-adrenergic receptor agonist, used to prevent and treat wheezing, shortness of breath, coughing, and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD); a group of diseases that affect the lungs and airways.

It relaxes the smooth muscles in the airway, which allows air to flow in and out of the lungs more easily.

 Salbutamol has been used in treating acute hyperkalemia on account of its potassium-depleting properties by stimulating potassium inflow in cells.


When should Albuterol (Salbutamol) not be taken? (Contraindications)


What is the dosage of Albuterol (Salbutamol)?

PO- The usual starting dose is 1.25 mg or 0.63 mg, 3 or 4 times daily.
The emergency room treatment is a massive dose of Salbutamol given by aerosol nebulization in doses of > 7.5 mg / hour and continued until the side effects of tremor or tachycardia are evident in patients.
Usual Adult Albuterol Dose for Acute Asthma and Acute Chronic Obstructive Pulmonary Disease - Metered-dose inhaler: 2 puffs every 4 to 6 hours as needed.
Inhalation capsules: 200 mcg inhaled every 4 to 6 hours and may increase to 400 mcg inhaled every 4 to 6 hours, if necessary.
Bronchospasm Prophylaxis: Metered-dose inhaler: 2 puffs (180 or 216 mcg) 15 minutes before exercise. Inhalation capsules: 200 mcg inhaled 15 minutes before exercise.
Less than 1 year: Nebulizer: 0.05 to 0.15 mg/kg/dose every 4 to 6 hours with subsequent doses titrated based on clinical response.
1 year to 4 years: Nebulizer: 1.25 to 2.5 mg every 4 to 6 hours with subsequent doses titrated based on clinical response.
5 years or older: Metered-dose inhaler (HFA): 2 puffs (216 mcg) every 4 to 6 hours as needed. Inhalation capsules: 200 mcg inhaled every 4 to 6 hours and may increase to 400 mcg inhaled every 4 to 6 hours, if necessary.
12 years or older: Nebulizer: 2.5 to 5 mg every 6 hours as needed.

How should Albuterol (Salbutamol) be taken?

It comes as a tablet, capsule and syrup to take by mouth, on an empty stomach.
It also comes as a solution for injection to be administered by a healthcare provider either into the large muscle or under the skin.

What are the warnings and precautions for Albuterol (Salbutamol)?

• Caution should be exercised in patients with history of heart disease, high blood pressure, or congestive heart failure, a heart rhythm disorder; epilepsy, diabetes, overactive thyroid, kidney problems, adrenal gland tumor, who are taking other medications, any allergy, elderly, children, during pregnancy and breastfeeding.

It may cause dizziness, do not drive a car or operate machinery while taking this medication.

An inhaler should not be given to a child younger than 4 years old.

Albuterol solution in a nebulizer should not be given to a child younger than 2 years of age.

What are the side effects of Albuterol (Salbutamol)?

   Most Common : Tremor, anxiety, headache, muscle cramps, dry mouth, and palpitations.
   Central nervous system : Sleeplessness, weakness, dizziness, drowsiness.
   Heart : Fast / slow heart rate, flushing and chest pain.
   Musculoskeletal : Muscle cramps, muscle, bone or back pain.
   Gastrointestinal : Nausea, worsening of diabetes, vomiting.
   Respiratory : Inflammation of bronchus, nose bleed, cough and throat irritation.
   Skin : Allergic reactions and rash.
   Miscellaneous : Flu symptoms, metabolic acidosis.

What are the other precautions for Albuterol (Salbutamol)?

This medication may affect blood sugar level; monitor blood sugar level regularly.
Avoid excess dosage.

What are the storage conditions for Albuterol (Salbutamol)?

Store it at controlled room temperature (between 2C and 25C). Protect from light and excessive heat.

Schedule : H
Prescription drugs - Drugs to be sold only under the prescription of a Registered Medical Practitioner.
Last Updated : July 2018

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dhanaraj, India

Hello, I am taking Aerocot Forte inhaler for past six years and for past 1 year i am experiencing side effects such as skin rashes - redness, hives and itching. Plus tremor in body and eye issue. I am taking anti-allergy medicine. What is your suggestion should i continue witht he medicine and take anti-allergy medicine OR change the inhaler. Please guide me.

j.hemsterd, India

Thanks to all information now i aware from these-jitesh

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