Albuterol is not All Better All

Generic Name: albuterol sulfate
Trade Name: Ventolin HFA,Proventil HFA, ProAir HFA, Accuneb
Chemical Name
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Bronchodilator for asthma or COPD, Prevents exercise-induced bronchospasm.




MDI: 2 puffs q 4-6 hr prn; Neb: 1.25-5mg q 4-8 hour PRN
Acute asthma exacerbation:
MDI: 4-8 puffs q 20 minutes for up to 4 hr, then q 1-4 hr prn; Neb: 2.5-5mg q 20 min x 3 doses, then 2.5-10mg q 1-4 hr prn.
Exercise-induced asthma:
MDI: 2 puffs 5-30 minutes before exercise.

Drug Interactions

MAOIs or TCAs may increase CV effects, Beta blockers may decrease therapeutic effect, diuretics may increase risk of hypokalemia.

Adverse Reactions/Side Effects

nervousness, restlessness, tremor, insomnia
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Safe use not established during pregnancy (category C) and in nursing mothers; cautious use in cardiovascular disease


Onset: 5-15 minutes (inhaled)
Peak Effect: 0.5-2 hours
Duration: 3-6 hours
Metabolism: in the liver; may cross placenta
half-life: 2.75 hours; 76% of drug eliminated in urine in 3 days


Cardiopulmonary Drug Guide, Colbert, Bruce,