Salbo

Salbutamol inhaler delivers short-acting bronchodilation through beta-2 adrenergic receptor stimulation in the lungs, rapidly relaxing bronchial smooth muscle to open airways. With onset within 5 minutes and duration of 4-6 hours, it provides quick relief from reversible airways obstruction. This makes it essential for acute asthma symptom management and prevention in trigger situations, while emphasizing the need for concurrent controller therapy in persistent asthma.

Key Benefits:

• Fast-acting relief from wheezing, shortness of breath, and chest tightness
• Prevents exercise-induced or allergen-triggered bronchospasm
• Suitable across age groups (adults, adolescents, children 4+ years)
• Portable inhaler for on-demand use
• Bridges acute symptoms while establishing long-term asthma control

How to Use

• Administration: Shake well before use; exhale fully, place mouthpiece in mouth, inhale deeply while actuating, hold breath for 10 seconds, then exhale slowly.
• Dosage: For relief: 1-2 puffs as needed (max 4 puffs in 24 hours for children, up to 8-12 for adults under supervision). For prevention: 2 puffs 15-30 minutes before triggers.
• Technique: Use spacer device for children or those with coordination issues; prime if new or unused for 14+ days.
• Cleaning: Rinse mouthpiece weekly; avoid washing in water.
• Monitoring: Track usage frequency; increased need signals worsening control.

Expert Tips from CureCart Direct:

• Always have a rescue inhaler accessible; educate on proper technique via pharmacist demo.
• Do not delay corticosteroid initiation if reliever use exceeds 2x/week.
• Store at room temperature; protect from freezing and direct sunlight.
• Teach “shake, breathe out, inhale while spraying, hold breath” sequence.
• Seek emergency care if no relief after 4 puffs or symptoms worsen.

Missed Dose: Use as needed for symptoms; not for scheduled dosing.

Overdose: Excessive use may cause tachycardia, tremors, hypokalemia—seek immediate medical help.

Primary Uses

• Relief and prevention of asthma symptoms in reversible airways obstruction.
• Short-term bronchodilation for mild, moderate, or severe asthma attacks.
• Pre-treatment before exercise or allergen exposure.

Indications

In adults, adolescents, and children aged 4-11 years:

• Short-acting (4-6 hours) bronchodilation with rapid onset (within 5 minutes) for reversible airways obstruction.
• Relief and prevention of asthma symptoms when they occur or in recognized precipitating circumstances (e.g., before exercise or unavoidable allergen exposure).
• As reliever medication in mild, moderate, or severe asthma, provided reliance does not delay regular inhaled corticosteroid therapy introduction.

Side Effects

Common:

• Tremor, nervousness, headache
• Tachycardia or palpitations
• Throat irritation, dry mouth

Less Common:

• Muscle cramps, hypokalemia
• Paradoxical bronchospasm (wheezing worsening)
• Hyperglycemia in diabetics

Serious/Rare:

• Cardiac arrhythmias
• Severe hypokalemia
• Allergic reactions (rash, urticaria)

Tolerance may develop with frequent use; monitor for reduced efficacy.

Warnings and Precautions

• Pregnancy/Lactation: Generally considered safe; consult physician for risk-benefit assessment.
• Driving: May cause tremor or dizziness—avoid until effects known.
• Overuse Risk: Frequent need (>2x/week) indicates poor control; escalate to controller therapy.
• Cardiovascular: Caution in heart disease, hypertension, hyperthyroidism.
• Diabetes: Monitor blood glucose; may elevate levels.
• Children: Use under supervision; spacers recommended for ages 4-11.
• Other: Not for acute severe asthma without additional therapy; shake well before each puff.

Contraindications

Do not use in:

• Known hypersensitivity to Salbutamol or excipients.
• Tachyarrhythmias or severe cardiovascular disease without specialist advice.
• Paradoxical bronchospasm history.

Drug Interactions

• Beta-Blockers: May antagonize bronchodilation (avoid non-selective).
• Diuretics/Theophylline/Digoxin: Increased hypokalemia or cardiac effects; monitor electrolytes.
• MAO Inhibitors/Tricyclics: Enhanced sympathomimetic effects.
• Corticosteroids: Safe combination; essential for asthma control.

Inform doctor of all inhalers and oral medications.

Storage/Disposal

Store at room temperature (15-30°C), away from heat, freezing, and direct sunlight. Keep canister away from fire; do not puncture or incinerate. Check expiration; discard if empty or past date. Consult pharmacist for proper disposal; keep from children.

Doctor Review

Dr. Sara Malik, MBBS, FCPS – Consultant Pulmonologist “Salbutamol inhalers provide rapid beta-2 mediated bronchodilation, achieving peak effect within minutes through smooth muscle relaxation in reversible obstructive airways disease. Clinical utility spans acute symptom relief and prophylaxis against known triggers, with pharmacokinetic profile supporting 4-6 hour duration. In pediatric populations aged 4+, delivery via spacer optimizes deposition while minimizing systemic absorption. Key pharmacodynamic concern remains potential for tolerance with overuse, underscoring the guideline-mandated shift to inhaled corticosteroids when reliever dependence emerges, preventing progression to uncontrolled asthma.”

FAQs

How quickly does it work? Onset within 5 minutes, peaking at 15-30 minutes, lasting 4-6 hours.

For children? Suitable ages 4+; use spacer, supervise dosing (max 4 puffs/24h).

Overuse signs? Needing >2x/week indicates need for controller therapy; seek review.

Prevention use? 2 puffs 15-30 min before exercise/allergens.

Side effects management? Tremor/headache often transient; rinse mouth to reduce irritation.

Related Tests: Peak flow monitoring, spirometry, electrolytes.

Quick Tips:

• Shake, exhale, inhale slowly while actuating.
• Use spacer for better delivery.
• Track puffs; replace when empty.
• Combine with preventer inhalers as prescribed.

Disclaimer: This information is for educational purposes only and not a substitute for professional medical advice. Always consult a qualified physician before use. CureCart Direct ensures accurate details but cannot cover all interactions or precautions. Prices and availability subject to change.