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What Is Albuterol?
Albuterol is a beta2-adrenergic receptor agonist that is used to treat a variety of respiratory symptoms associated with asthma and COPD (chronic obstructive pulmonary disease, such as emphysema). It is prescribed to alleviate wheezing, shortness of breath, coughing, chest tightness, and bronchospasm. It is given to people who experience these symptoms at rest or during exercise. It is also sometimes prescribed for patients who have difficulty breathing due to cystic fibrosis. Known as albuterol in the United States, it is called Salbutamol in most of the rest of the world.
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How is Albuterol Taken?
Albuterol can be taken through a number of different routes of administration. It is most commonly given as an inhaled medication, as an aerosol through a metered dose inhaler (MDI) or a mist via a nebulizer. It is also available in the form of rapid-dissolve or extended-release tablets for oral administration, or it can be put in a syrup. When given for pre-term labor (an off-label use, see below), it is administered intravenously (through an IV). Albuterol is also sometimes given intravenously in the emergency room for severe respiratory emergencies.
When taking albuterol via an inhaler, the cap is removed from the inhaler and the canister containing the medication is shaken. (It must be primed first by spraying about four puffs into the air if it is the first time using the canister or if it has been 14 days or more since the last use.) Next the user exhales fully and places the inhaler opening in the mouth. Upon inhaling again, the user simultaneously presses down on the inhaler canister and delivers a puff of albuterol into the mouth. The user should attempt to hold their breath for at least 10 seconds to keep the drug in the respiratory tract as long as possible before exhaling. If a second puff is prescribed, the user repeats the process again right away.
Each albuterol canister that comes with an inhaler is measured to deliver 200 doses of medication. Some inhalers come with an automatic counter that counts down the doses, allowing the user to phone for a refill when then number gets low. Others must be kept track of manually, so the 200 total doses should be divided by the number of puffs taken per day to determine how many days the inhaler will last. Once the 200 doses have been used up, the inhaler must be discarded.
When taking albuterol via a nebulizer, a user begins with a vial of liquid albuterol. The vial should be examined to make sure the liquid is clear and free of particles or cloudiness. The liquid from the vial is then placed in the reservoir of the nebulizer. Other medications are sometimes taken in combination with albuterol, and if so, they can be added at this point. The nebulizer is then assembled, connecting the reservoir to a face mask or mouthpiece, then the nebulizer to a compressor. The user than places the mouthpiece in their mouth or dons the mask, turns the compressor on, and breathes in the mist created by the nebulizer for about 5-15 minutes.
Rapid-dissolve tablets are taken orally, just like any other oral medication. They disintegrate quickly on the tongue. The extended-release tablets should be taken whole with water and never crushed or split. The coating on the tablets is part of the formula that releases the medication slowly over time. Albuterol in syrup formulation should be measured with a medicine cup, not a household teaspoon, to ensure proper dosing.
Intravenous albuterol is usually supplied as a 5mg ampoule that is then mixed with a 5% dextrose solution and administered as an IV drip. Another diluent is often used if the patient is diabetic and cannot have dextrose.
What Are Other Names for Albuterol?
Albuterol is a very commonly used medication around the globe and is on the World Health Organization’s list of essential medications that should be offered by any health care system. As such, it is marketed under a host of different names by a variety of pharmaceutical companies, the most well-known being: Salbutamol, Proventil, Aerolin, Asthalin, Salamol, Asmol, Buventol, Salbulin, Salbuvent, Accuneb, and Ventolin.